What is a CAM walker boot?

A CAM walker boot (Controlled Ankle Movement boot) is a lightweight, removable alternative to traditional casting for foot and ankle injuries. Also called a fracture boot, walking boot, or orthopedic boot, these medical devices immobilize the foot and ankle while allowing you to walk and maintain mobility during recovery. Unlike plaster casts, CAM boots can be removed for bathing, sleeping (with doctor approval), and physical therapy.

What is the difference between a short and tall CAM boot?

Short CAM walker boots (low top) are designed for foot-specific injuries where the ankle is unaffected, extending to just above the ankle. They're ideal for metatarsal fractures, toe fractures, and midfoot injuries. Tall CAM walker boots (high top) provide comprehensive lower leg and ankle support, extending to just below the knee, and are essential for ankle fractures, severe ankle sprains, Achilles tendon injuries, and any injury requiring complete ankle immobilization.

Should I get a pneumatic (air) or non-pneumatic CAM boot?

Non-pneumatic CAM boots feature foam padding without air bladders and are best for injuries with minimal swelling or after the initial swelling phase. Pneumatic (air) CAM boots have integrated air bladders that provide adjustable compression to accommodate fluctuating swelling patterns throughout the day and healing process. Choose pneumatic boots for acute injuries with significant swelling or conditions requiring compression therapy.

Can I wear my CAM boot while sleeping?

Always follow your doctor's advice. If your doctor approves sleeping in your CAM boot, loosen the straps and prop the boot between pillows to keep it secure and comfortable during the night.

Are CAM walker boots OSHA-approved for work?

The Ossur Rebound series is the closest to OSHA-approved work boots available, but you must always confirm specific OSHA requirements with your employer. OrthoTape does not provide OSHA certification documentation.

Can CAM boots fit either the right or left foot?

Yes! Most CAM walker boots feature universal fit designs that accommodate either right or left foot, eliminating the need to specify which foot when ordering.

What conditions are treated with CAM walker boots?

CAM walker boots treat ankle fractures, foot fractures (metatarsal, Jones, Lisfranc), Grade 2-3 ankle sprains, Achilles tendon injuries, post-operative recovery after foot or ankle surgery, soft tissue injuries, stress fractures, and diabetic foot ulcers requiring offloading.

Why should I buy a CAM boot from OrthoTape instead of getting one at my doctor's office?

Medical facilities typically charge $200-600+ for CAM walker boots when billed through insurance. By purchasing directly from OrthoTape, you pay wholesale-direct pricing and save $150-400 per boot. We're authorized dealers for Ossur, Ovation Medical, and DeRoyal, guaranteeing authentic products with full manufacturer warranties. We offer fast shipping, expert customer support at 800-580-9887, and insurance reimbursement documentation.

What are the insurance reimbursement codes for CAM walker boots?

CAM walker boots qualify for insurance reimbursement under HCPCS code L4387 for non-pneumatic boots and L4361 for pneumatic (air) boots. OrthoTape provides detailed receipts and product documentation to support your insurance claims.

Medical CAM Cast Boot

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Medical CAM Walker Boots (Fracture Boot / Walking Boot / “Cast Boot”)

A medical CAM walking boot (Controlled Ankle Movement) is a removable orthopedic boot used to immobilize and protect the foot and ankle during recovery. Patients (and even clinics) may call these a walking boot, fracture boot, orthopedic boot, medical boot, or even a cast boot. If you’re searching for a broken foot boot or broken ankle boot, you’re usually looking for this category.

Quick chooser:

Foot-only injury (toes, metatarsals, midfoot): usually a short / low-top boot.
Ankle or Achilles injury (needs more ankle control): usually a tall / high-top boot.
Swelling changes during the day: choose an air (pneumatic) boot for adjustable compression.
Minimal or stable swelling: a non-air (non-pneumatic) boot is simpler and more economical.

Always follow your clinician’s instructions for height, inflation, and weight-bearing.

Cast boot vs CAM walking boot (what most people mean)

“Cast boot” can mean two different things: (1) a protective shoe worn over a hard cast, or (2) a removable walking boot used instead of a cast. If you need immobilization and a removable brace for a fracture/sprain/post-op recovery, you typically want a CAM walking boot.

Boot height: Short (low-top) vs Tall (high-top)

Short / low-top CAM boots are commonly used for foot injuries where ankle control isn’t the main concern. Tall / high-top CAM boots add more ankle stabilization and are commonly used for ankle injuries and Achilles protocols.

Air vs non-air boots

Air (pneumatic) walking boots use inflatable air bladders to help fine-tune fit and compression when swelling fluctuates. Non-air (non-pneumatic) boots rely on foam padding—lighter and simpler when swelling is minimal or stable.

Products in this collection (what we stock here)

Non-air (non-pneumatic): Ossur Formfit (short & tall), DeRoyal Tracker EX, DeRoyal Pacesetter II
Air (pneumatic): Ossur Formfit Air (short & tall), Ossur Rebound Air (short & tall)
Accessory: Ossur Rebound Achilles Wedge Kit (for Achilles rehab protocols when prescribed)

FAQ

Can the boot fit either foot? Most CAM walking boots are designed to fit either the right or left foot (check each listing for details).

What should I wear under my walking boot? A tall, breathable, moisture-wicking sock helps reduce friction and keeps skin drier.

Can I sleep in my walking boot? Follow your clinician’s instructions—some injuries require it at night, others do not.

Why does my medical walking boot feel “too big” even though I ordered my shoe size? Walking boots (CAM/cast/fracture boots) are intentionally sized in shoe-size ranges, not like a precise shoe fit. They’re designed to accommodate swelling and the extra volume of socks, bandages, or dressings, so it’s normal for the fit to feel roomier than a sneaker. If you’re at the low end of the range (e.g., women’s 6 in a 6–8 boot), you’ll typically have more extra space than someone who is a true size 8. To improve fit, make sure your heel is seated fully back, then snug the liner and straps evenly; if it’s an air/pneumatic boot, use the air bladders to take up volume. If you’re between sizes, have a narrow foot, and swelling is minimal, the smaller size may feel more secure—if you have swelling, thick socks, or dressings, the larger size is often more comfortable.