📏Sizing Guide

Cam boots are sized by shoe size. Check the manufacturer's size chart. If between sizes, go up. The footbed should match your foot length with no more than a finger's width of extra space.

💡Tips & Tricks

Pump the air bladder until snug but not tight. Wear an even-height shoe on the other foot to keep your hips level. Tighten straps from bottom to top.

⚠️Common Mistakes

Getting an oversized boot is the most common mistake. An oversized boot slides and does not immobilize properly. Do not walk without inflating the air bladder.

📏Sizing Guide

These are the same sizes as the original Adjust-A-Lift brand. Choose your size based on shoe size from the product images. Each layer adds 1/8 inch of height, and layers peel away to reduce height as needed.

💡Tips & Tricks

Start with the lowest height setting and increase gradually. Place the lift inside your shoe under the insole for the most secure fit. Peel away a layer to decrease height if needed. A good pair of scissors can trim the width to fit your shoe if it is too wide.

⚠️Common Mistakes

Starting too high can cause knee or hip pain. Only increase height as directed by your clinician. The lifts tend to pack out over time, so the height will decrease slightly with long-term use. You may need to add a layer back if you notice the lift feeling thinner.

📏Sizing Guide

Measure your shoe length: place it on a flat surface and measure heel to toe. Check the product images for the size chart. For wide feet, order one size up. A slight overhang at the toe or heel is fine. The EvenUp fits best with a regular profile athletic shoe without a wide, thick heel. It works on left or right foot and comes in sizes including kids.

💡Tips & Tricks

The EvenUp has 3 height adjustments: 1/2", 3/4", or 1-1/4". A typical cam boot adds about 1-1/2" to 2" of height, but remember you also need to account for the height of the shoe you are wearing on the booted foot inside the cam boot. Strap the EvenUp securely onto your regular shoe on the non-booted foot. Walk slowly at first to adjust. Look for the black model with the teal bottom, which is the authentic EVENup.

⚠️Common Mistakes

Not using a shoe lift with a cam boot is a common oversight. The height difference causes limping and can lead to back or hip pain. The EvenUp will not fully match the cam boot height since cam boots are typically taller than the maximum 1-1/4" setting, but it significantly reduces the difference and improves your gait.

📏Sizing Guide

Post-op shoes are sized by shoe size. The shoe should be roomy enough to accommodate bandages or dressings.

💡Tips & Tricks

Fasten all straps for a secure fit. The rigid sole protects the surgical site while walking.

⚠️Common Mistakes

Walking without fastening the straps reduces stability. Make sure the shoe is wide enough to fit over any post-surgical dressings.

📏Sizing Guide

Most heel wedges come as a stackable set with 2 to 4 layers of equal thickness (typically 1/4 inch each). One size generally fits adult shoe sizes. Choose sets that include adhesive backing for use inside shoes, or rigid wedges designed to drop into a cam boot.

💡Tips & Tricks

Start with the highest stack your provider prescribes (often 1 to 1.5 inches of lift) and remove one wedge every 1 to 2 weeks as healing progresses. If wearing inside a cam boot, both feet need lift adjustment — wear an EvenUp on the other shoe to level your hips. Always use wedges in both the booted foot and the regular shoe symmetrically when possible.

⚠️Common Mistakes

Removing the wedges too quickly can re-injure the Achilles tendon. Removing them all at once instead of one at a time creates a sudden stretch on healing tissue. Skipping the lift on the non-booted side leaves your hips unlevel and can cause back pain.

📏Sizing Guide

Sized by shoe size and calf circumference. Match to the manufacturer's chart. The splint should cover from just below the knee to the ball of the foot. Choose between rigid boot-style splints or soft sock-style splints based on your comfort preference.

💡Tips & Tricks

Wear at night during sleep. The splint holds the ankle at 90 degrees or slightly past, gently stretching the plantar fascia and Achilles. The goal is to reduce the morning "first step" pain by preventing the tissues from tightening overnight. Build up wear time gradually — start with a few hours and work up to a full night if needed.

⚠️Common Mistakes

A splint that forces the foot into too much dorsiflexion is uncomfortable and may wake you up. The angle should be a gentle stretch, not painful. Soft sock-style splints are usually more comfortable for long-term overnight wear than rigid boots. Walking around in the splint can cause falls — only wear in bed.

📏Sizing Guide

Sized by body weight and shoe size, with stiffness grades matched to weight range. Choose left or right. Brand examples include Allard ToeOFF and Thuasne SpryStep (L1951/L1952). Most carbon fiber AFOs have a heel height of about 12 to 15 mm — your other shoe may need an EvenUp or matching insole to keep your hips level.

💡Tips & Tricks

The carbon fiber strut sits behind your calf and springs the foot up as you swing your leg forward. Wear over a tall sock or liner to prevent skin irritation. Most patients wear the AFO inside their everyday shoe — make sure your shoe has a removable insole and enough depth.

⚠️Common Mistakes

Carbon fiber AFOs are not appropriate for patients with foot or leg ulcers, moderate to severe swelling, significant foot deformity, knee instability or hyperextension, or severe spasticity — a traditional AFO may be needed instead. Picking a stiffness grade that is too low for your body weight will let the foot drop on every step. Picking one too stiff will feel rigid and unnatural.

📏Sizing Guide

Sized by shoe size. Match to the manufacturer's chart. The shoe should be roomy enough to accommodate wound dressings or padding without pressure. Most are sold as one shoe and fit either left or right foot.

💡Tips & Tricks

Fasten all the straps for a secure fit so the shoe does not slide while you walk. Place the decompression insole inside the shoe before wearing — some models let you cut or modify the insole to relieve pressure under a specific spot. Wear a matching-height EvenUp shoe lift on the other foot to keep your hips level and prevent back or hip pain.

⚠️Common Mistakes

Walking on uneven ground in the offloading shoe is a fall risk. Skipping the level-up on the other foot causes uneven hips and back pain. For deeper or more severe diabetic wounds (Wagner grade 2+), a clinical-grade wound care shoe like the Darco DUO Pro is a better fit — confirm with your provider that this style of shoe is appropriate for your specific injury or wound.