Heel lift


Heel lifts, also known as shoe inserts, are commonly used as therapy for leg-length differences leading to knee, hip, and back pain. They attempt to reduce stress on the Achilles' tendon during healing, and for various rehabilitation uses.
The intent of a heel lift is not to absorb shock or spread pressure on the foot, but to raise one foot in order to shift balance and gait. As such, these products should be firm and not compressible, in order to add a constant amount of height without causing the heel to rub vertically in the shoe.
A commonly used formula for calculating the amount lift necessary for short leg syndrome was presented by David Heilig:
where
Duration is

SBU is Sacral Base Unleveling, and
L is the amount of Lift required.
and
Compensation > is absent = 0 pts
Sidebending and rotation = 1 pt
Wedging, facet size changes, endplates with horizontal growths, spurring = 2 pts
The maximum lift measure within the shoe is 1/4 inch, while the maximum lift from the heel to the floor is 1/2 inch.