Properly Combining Shoe Products

For many years now I have studied and observed patients with sitting, standing, and sleeping problems intently with the ultimate goal of creating the best of products for support of these positions.

At seminars I am often asked to give some ideas on how to best implement these products with patients. In future issues I will address these questions as well as give updates on new products. As in this one, there may be occasional special purchasing opportunities for you to take advantage of.

A question I often get is about using the shoe products together. Doctors want to know if they can use heel lifts, insoles, heel chips and orthotic dots all in the same pair of shoes. The answer is that you can – and should – use all of the shoe products in each pair of shoes you fix as long as they improve the patient’s biomechanics.

The way I do this is to first make sure I am starting with a fixable pair of shoes. I have the patient put their shoes on without correcting them first. Then I test their body mechanics with these 3 things: their breathing (I get them to notice if it is smooth and full), I ask them how stable they feel (I have them watch in front of a mirror), and then I push on their shoulders from behind. My observation is that during the first month of care many patients are NOT very aware of their breathing and stability while standing so I may need to point things out to them that I find. I take my time here because I want to be sure that they recognize at least some of what I notice about what their shoes are doing to them mechanically.

Now I have a baseline of something they can notice improvement on. I remove the insoles from their shoes and retest them with their shoes on. If the shoes are better without these insoles then they will notice the difference when you repeat the tests. Then I add heel lifts until they are the correct height and then heel chips. I test each of these along the way for improvement in the 3 tests. Lastly, I put in our flat insoles on top of the heel lifts and then add an orthotic dot on the breakdown side. I Test them one last time and they are usually amazed at how stable and upright they feel.

At this point, while they are in awe of my omniscient abilities, I simply mention to my patient that they are welcome to bring in all of the shoes they want to fix. They are thrilled to do so. I have them schedule a few extra minutes and I see them in my less busy times.

If you do a few of these each week your patients will love the special attention and you will be adding extra well earned income to your practice.

Special offer good through October 3, 2008: Get 10% off any order by simply letting me know what you would like me to discuss in future issues. This discount applies to mattresses and current specially priced items as well. Simply write your suggestions in the Ordering Instructions when shopping online at E-Z Posture Products or tell Katy when ordering by phone toll free at 877-535-1530.

In the next issue I will discuss some advanced ways of using the Sit E-Z and what it means if your patient says that it feels too hard.

Please let me know if you have any questions on the data presented. You can e-mail me at