Footwear: A Guide to Selecting Shoes for Modification Download PDF, 1.1MB, PDF What are Footwear Modifications?Footwear modifications – either on their own or combined with custom-made orthoses and/or orthopaedic shoes – are a useful way to help patients with certain foot conditions.How Do I Know if My Shoes Need to be Modified?Shoe modifications may be necessary if you are experiencing the following: Leg length discrepancy (LLD): when one leg is shorter than the other Ankle in fixed in downward positionWalking instabilityFollowing your consultation with the Prosthetist & Orthotist (P&O), you would be advised on the type of shoe modification you may require, such as:Shoe raiseHeel raiseFlaresHow are Your Shoes Modified? Shoe modifications involve alterations to the sole of the shoeThe shape of the sole can be changed by adding or removing a foam-based material called ethylene-vinyl acetate (EVA)This material is used on the soles of most sports shoesIt is important to select a shoe that has a sole which can easily be altered.What Shoes are Suitable for Modification?You are encouraged to modify a pair of relatively new shoes that you are comfortable to wear for a long termMost sandals, sports shoes and orthopaedic shoes are suitable for modificationThere are several aspects you can look out for when getting shoes for modificationCovered shoes provide protection to your toes and heel Shoe fasteners like straps or laces ensure your shoes provide adequate grip on your feet Shoe soles need to beFlatThick and firmMade of EVA foam materialIf you are unsure of whether your shoes are suitable, please consult your attending P&OWhat Shoes are Not Suitable for Modification?Slippers or flip flops Shoes with rubber based solesShoes with thin or deep patterned soles What Happens During the Consultation?At your first outpatient appointment visit, you would be assessed accordingly by your clinicianYou would then be seen on a second appointment for fitting of the modified shoesIf necessary, you would be scheduled for a review to check on your progress with the shoes