49: Street Shoe Options - Denison Flashcards Preview

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1

what is a pedorthist?

-- Pedorthics (peh-DOR-thiks): the design, manufacture, modification, and fit of footwear to alleviate problems caused by disease, overuse, congenital condition or injury.

-- A Pedorthist works under a Physician’s order for all custom work

2

Anatomy of a Shoe

Heel counter: long, regular, back stay

Vamp: smooth, seam, moccasin

Top line: padded, non-padded

Shank area: wide, standard, fiddle

Sole construction: welt, slip welt, cement

3

different sole compositions

EVA /Crepe
- Soles individually cut for length and width
- Shoes can easily be repaired or modified
- Light weight

Polyurethane
- Very durable
- Can be made in multiple densities
- Limited sizing structure
- More difficult to repair and modify

4

Women's shoes _______ sizes smaller than men's for the same given size

1.5 - 2

5

womens 9 =

mens 7.5

6

When comparing the same shoe style, a half size larger will be ______ longer

1/6 inch

- a full size is 1/3 of an inch

7

A width wider will be ______ at the plantar surface and a total of ____ in circumference

1/16
1/8

8

women's shoe sizing medium =

B

Women's
AAA=slim
AA-A=narrow
B-C=medium
D-E=wide
EE-EEE=extra wide

9

men's shoe sizing medium =

D

Men's
AA-A=Slim
B-C=Narrow
D-E=Medium
EE-EEE=Wide
EEEE-EEEEE=Extra wide

10

what does the last determine?

- gives the shoe its overall fit

Toe Shape
Toe Depth
Arch Shape
Heel Fit

11

what is a depth shoe?

- Non-removable Insoles
- Removable Insoles, may or may not be adjusted for depth
- Depth Inlay Shoes, ¼ Added to depth of shoe
- Double Depth Shoes, ½ Added to depth of shoe

12

who qualifies for the medicare diabetic shoe program?

-- Patient has been diagnosed as having Diabetes Mellitus

AND

-- Patient has one of following conditions:
- History of partial or complete amputation of the foot
- History of previous foot ulceration
- History of pre-ulcerative callus
- Peripheral neuropathy with evidence of callus formation
-Foot deformity
- Poor circulation

13

The patient needs to have a two separate documents before they may receive shoes and insoles ...

1. Statement of Certifying Physician for Therapeutic Shoes.
- Must be filled out by a M.D. or D.O.
- Statement must be kept on file by ultimate supplier

2. Prescription
Prescribing physician
- may be a M.D., D.O. or D.P.M.
- Prescription must include the appropriate diagnosis
- Prescription must include what is to be dispensed

14

who can be the supplier of footwear for medicare?

- Podiatrist, (can also be the prescribing physician)
- Pedorthist
- Orthotist
- Prosthetist
- Or other qualified individual

15

Benefits of medicare diabetic shoe program

-- One pair of over the counter depth inlay shoes and up to three pairs of multi-density insoles molded to patient’s foot or cast

-- Or one pair of custom made depth inlay shoes including insoles and two extra sets of insoles