ENESLOW MODIFICATION - MET-BAR/STABILIZERS
Metatarsal Bar: Exterior platform added to sole of shoe to redistribute pressure from metatarsal heads to relieve pain, pressure and shear. Apex of bar is placed proximal to (behind) metatarsal heads. The bars are of various shapes, heights and location depending on metatarsals affected.
When writing work order for Rockers please specify:
Mark the Fulcrum or Pivot Point (location on which a lever pivots); it should be 1/8” inch behind the area you are offloading. Height measurement of the Rocker depends on heel height and shoe size. The higher the heel, the higher the Rocker CAN be.
Heel Counter Stabilizer/Buttress: an extension of the base of an existing heel medially (toward the body midline) and/or laterally (away from the body midline), encompassing the shoe counter; designed to stabilize the hind foot and midfoot and to provide a broader base of support. Effective for Posterior Tibial Tendon Dysfunction, Chronic Ankle Sprain, Pronation Related Disorders, Spastic Rear foot Valgus, Post-Polio, Spina Bifida, Charcot-Marie-Tooth, and other conditions requiring frontal plane control (eversion, inversion).
Buttress (Offset): 1/2” to 1’’ Wide; Tapers at Shoe Upper.
Flared Heel (Outrigger Added On Top Of Heel): an extension of the base of a heel medially (toward the body midline) and/or laterally (away from the body midline).
Flared Heel & Sole (Outrigger Added On Top Of Heel And Sole): an extension of the base of a heel and sole medially (toward the body midline) and/or laterally (away from the body midline).
Thomas Heel: An anterior medial extension longer than the standard heel to add hind foot or midfoot support medial arch. Inner part of the heel extends 1/2”. Provides extra support under the arch.
Lateral (Reverse) “Thomas” Heel Extension: an anterior lateral extension longer than the standard heel to add hindfoot and midfoot support laterally. Provides extra support to prevent lateral instability. Outer part of the heel extends 1/2”. May include lateral flare.
Wedge (Post): An external angular wedge applied to the heel and/or sole of shoe. Medial or lateral heel wedges add an extrinsic posting to rotate (tilt) foot into varus or valgus in the frontal plane (inversion, eversion). Wedge can be at the heel, sole, or applied from heel to sole. In fixed deformity, wedge can be used to accommodate the position of function, bringing the ground up to the foot. Used for Pronation or Supination disorders.
Forefoot (Sole) Wedge: Sandwich or on Top 1/8’’ to 1/4’’ at Apex