Shoe Modifications

Oftentimes a shoe may fit well but fail to offer the specific support necessary.  This is where shoe modification comes in. We are able to complete modifications onsite, some within minutes! 

We offer the following custom shoe modications:

Sole Lift

permanent, external modification to the midsole and outsole to add a prescribed amount of height to one or both shoes.


permanent, external modification to the midsole and outsole to widen the base of support on the inside (medial) or outside (lateral) portion of the shoe.


permanent, external modification to the midsole, outsole and the upper, to bolster the support available through the midfoot.

Rocker Sole

permanent, external modification to the midsole and outsole in which material is added and the flex point of the shoe is modified to allow improved function, or protection of the foot and ankle.

External Metatarsal Bar

permanent, external modification to the midsole in which a “bar” of material is added beneath the ball of the foot to change the flex point of the shoe. Similar to a Rocker Sole but with less adjustability and specificity of treatment.

Closure Modification

permanent, external modification of the upper of the shoe by the addition of leather and fabric. Examples include the addition of Hook & Loop (Velcro) straps, buckles, or a closure system including both hook & loop and lacing (Lace Stitch Velcro). This modification allows the use of footwear by an individual not able to use the original closure due to bony deformity of the foot or dysfunction of the hands, back, hips or knees.

Scaphoid Pad (Arch Cookie)

permanent, internal modification by the addition of padding to the medial longitudinal arch of a shoe. Typically used for children, or individuals requiring a lifting of the inside arch of the foot when a custom made orthoses is not feasible.

Posting (Wedging)

permanent or temporary, internal modification of a shoe or insole by the addition of “wedges” or “shims” to modify the angle of the rearfoot (heel) and/or forefoot (ball). Often used as a pre-orthotic trial to determine efficacy of corrective treatment.

Internal Heel Lift

non-permanent, internal modification by addition of a specific height to address a minor, or portion of a major leg length discrepancy. Used as a pair, internal heel lifts are also useful in the treatment of Achilles tendonitis and Sever’s Disease as well as issues of footwear fit.

SACH Heel (Solid Ankle Cushion Heel)

permanent, external modification by addition of a softer durometer (compressible) material replacing a portion of the back heel base. SACH heels reduce shock at heel strike and compensates for diminished ankle motion.

Shuffle Plate

permanent, external modification made by adding a smoother, more slippery material to the forefoot of a client’s shoe. Useful when the client is unable to fully lift the forefoot, specifically when walking in a carpeted environment.

Thomas Heel

an anterior medial extension longer than the standard heel to add rearfoot or midfoot support medially.

Sole Bar

A steel or carbon fiber, full-length bar, laminated between the sole to eliminate dorsiflexion.

Metatarsal Pads

Adhere to existing insoles inside the shoe or to orthotics. These alleviate ball of foot pain and realign the metatarsal arch.

Sole lift custom shoe modification
custom buttress shoe modification
rocker sole custom shoe modification
external shoe modification metatarsal bar

Need a modification you don’t see listed?

Contact us, and we will work with you to get your shoes feeling great and supporting you the right way.