Foot Health

Custom Orthoses

shoe lifts

All of our retail channels have the ability to fill prescriptions for custom footwear modifications. If you are currently wearing a shoe lift and want us to duplicate it, a prescription is not required. Simply contact us and fill out our waiver form. We have a pedorthic pricelist for common modifications.

For prescriptions, please contact us to talk to a certified pedorthist or product specialists. Three important measurements are necessary: heel, ball and toe. Prescriptions should include these incremental measurements assigned to each reference point.

Shoe Lifts

At Brown’s, a Certified Pedorthist cuts the soles of all shoes to be lifted. Cutting through a shoe’s midsole is a precise exercise, leaving no room for miscalculation. The prescribed lift is then inserted in the midsole and the outsole is reattached. This process produces a finished product that not only looks better, but also lasts longer. By leaving the shoe integrity and function intact, your lifts won’t encounter the same problems as from other shoe labs. Many labs simply adhere the lift to the bottom of an existing shoe, which compromises the shoe’s outsole, appearance as well as causing lifts to break down and wear out quickly. Traction problems can also result.

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shoe lift

Prescription Shoe Lift Variations/Applications

Walking/Running/higher levels of activity

A leg-length discrepancy doesn’t need to interfere with an active lifestyle. Based on a 12 mm length discrepancy, a doctor can prescribe 10mm at the heel, 5mm at the ball, tapering to 0 at the toe. This prescription produces a rocking chair shaped outsole that encourages a smoother transfer of weight placement. It supports each stride starting at the heel strike and pushing forward through the gait cycle to toe off. This tapered design also takes weight and bulk out of the shoe for ease of movement.

Stability and balance

Sometimes a leg-length discrepancy is accompanied with stability and balance concerns. For a 12 mm leg-length discrepancy, a physician often prescribes a 10 mm lift at the heel, 10 mm at the ball and 10 mm at the toe, resulting in a more flat-bottomed and stable shoe. Even though the shoe becomes a bit heavier and less flexible, it offers highly improved stability. Balance and stability concerns can also be the result of neuropathy, Multiple Sclerosis, Cerebral Palsy, Parkinson’s, and more. This modification raises the quality of life by offering safe, stable support.

Arthritis in the big toe joint/MPJ

Another common problem that accompanies a leg-length discrepancy is arthritis in the Big Toe joint. A physician may prescribe a “Rocker Sole” to alleviate the discomfort of this condition. By using a 10 mm shoe lift at the heel, 10 mm at the ball and tapering to 0 at the toe (for a 12 mm leg-length discrepancy), the shoe has a forefoot rocker that rocks a bit like a rocking chair. It also retains a flat shape from the heel to the ball of the foot. This design supports a smooth transition of weight placement from the forefoot to toe off. Because it actually does the rocking motion for the foot, this modification drastically reduces the flexing of the foot and minimizes discomfort due to arthritis.

Achilles Tendon problems/Equines foot/Foot drop

A specially designed shoe modification can also address a leg-length discrepancy that’s aggravated with other conditions, including Achilles Tendon problems, Equines Foot, or Foot Drop. Using the 12 mm leg-length discrepancy as a beginning point, the medical professional can prescribe a lift with 10 mm at the heel, 0 at the ball, and 0 at the toe. This design elevates the heel to address the length discrepancy, but without lifting the forefoot. As a result, pressure is taken off the Achilles Tendon by keeping it in a shortened state. This modification especially benefits those who are diagnosed with Foot Drop. The thinner, lightweight design of the forefoot and midfoot decreases the risk of falling caused by dragging the forefoot.

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