Pedorthists use internal heel lifts and inshoe orthoses to off load overworked or over stressed soft tissue areas of the feet.
With an injured or traumatised Achilles tendon insertion point or simple tendonitis, we mechanically offload the tendon as a first response.
Earlier this year, we saw from a Queensland based research study how effective this treatment is.
Our treatment protocol starts with a 10mm orthoses and as the pain reduces we reduce the lift.
Sufferers can get relief.
The Effect of an In-shoe Orthotic Heel Lift on Loading of the Achilles Tendon During Shod Walking
Authors: Mathias Wulf, MSc1,2, Scott C. Wearing, PhD2,3, Sue L. Hooper, PhD4, Simon Bartold, BSc5, Lloyd Reed, PhD2, Torsten Brauner, PhD1
This research received financial support from the Queensland Government. This study received approval from the Queensland University of Technology Human Research Ethics Committee. The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article.
To investigate the effect of a 12-mm, in-shoe orthotic heel lift on Achilles tendon loading during shod walking using transmission-mode ultrasonography.
Peak ultrasound transmission speed in the Achilles tendon was lower with the addition of a 12-mm orthotic heel lift, indicating that the heel lift reduced tensile load in the Achilles tendon, thereby counteracting the effect of footwear observed in previous studies. These findings support the addition of orthotic heel lifts to footwear in the rehabilitation of Achilles tendon disorders where management aims to lower tension within the tendon. J Orthop Sports Phys Ther 2016;46(2):79–86. Epub 11 Jan 2016. doi:10.2519/jospt.2016.6030