Shoe Modifications can be performed to accommodate areas of abnormal pressure that may cause injury. Shoes can also be modified to help change the position and motion of the foot as it contacts the ground during walking

Improperly fit shoes have the potential to injure the skin by creating a blister related to abnormal friction between the shoe and the skin. A professionally fit shoe that specifically accommodates all of the contours and bony prominences of the foot can help reduce the risk of developing a blister.

Occassionally the upper material portion of the shoe must be stretched to create additional room in the shoe for a specific deformity. A Ball and ring stretcher or other stretching presses can be used to stretch small portions of the shoe which will increase the room of the shoe. Not all shoewear materials or shoes are suitable for stretching. Shoes with leather upper materials are often times suitable for stretching

For patients with documented leg length differences the internal portion of the shoe can be raised up to ½ inch to accommodate for the difference. Leg length differences greater than ½ inch must be made up by adding to the outsole portion of the shoe with light weight foam materials.

Additional modfications to the outsole of the shoe can be made that effectively change the pressure patterns on the bottom of the foot if the offloading from the accommodative orthotic alone is not sufficient. Additional metatarsal bars or rockerbottoms placed on the shoe outsole can be used to reduce abnormal pressure patterns as needed based on the specific problem being treated.