- Lower extremity pathology
- Poor posture
- Very low volume and high heel shoes
- High heels with variable inclination angles
- Midtarsal support
- Rearfoot control
The Cobra is an innovative solution to provide arch support in very low-volume shoe styles, such as ballet flats and high heels. By drastically reducing the heel cup into a cobra-shaped heel, this orthotic can fit in the most low-profile shoes or heels with varying inclination angles. Because it consumes no vertical volume in the shoe, the usual problems with heel slippage are eliminated. To prevent sliding downward in a high heel shoe, the cobra has a sulcus-length extension of Protex and suede that allows the ball of the foot to pin the orthotic in place. The frame is finished to the width of the first three metatarsals only, so it can fit into pointed shoes with ease. The Cobra device is constructed with a positive model of the patient’s foot and can be modified at the clinician’s discretion.