Walking Cast Heel – OrthoHeel by OrthoTape
The OrthoHeel by OrthoTape is a rubber orthopedic heel applied directly to the bottom of a short leg fiberglass or plaster cast, creating a durable walking surface so patients can bear weight safely when clinically approved. Unlike a removable CAM boot, the walking cast heel becomes part of the cast itself — it stays on, protects the injury 24 hours a day.
🆕 Introducing OrthoHeels from OrthoTape.com
OrthoTape is proud to introduce our own line of walking cast heels — the OrthoHeel series. Available in three styles: TerraHeel (black), ComfortStep (white, center groove), and RockerBase (white, rocker-bottom). All styles are in stock and ship fast from our US warehouse. The BSN Medical walking cast heel line has been discontinued by BSN Essity — see below for reference information on those legacy SKUs.

💳 HSA/FSA Eligible
This product qualifies for purchase with your Health Savings Account (HSA) or Flexible Spending Account (FSA). Learn more ↓
OrthoHeel Styles — Available Now
TerraHeel (SKU: OT-HEEL-BLK-TERRAHEEL) ✅ In Stock — Black
Durable black rubber construction with a rugged tread pattern for maximum grip and traction during ambulation. Ideal for active patients who need a dependable walking surface on their short leg cast.
ComfortStep (SKU: OT-HEEL-WHT-COMFORTSTEP) ✅ In Stock — White
White rubber heel with a distinctive center groove for cushioned, comfortable ambulation. The center groove design provides shock absorption and a stable walking platform for everyday use.
RockerBase (SKU: OT-HEEL-WHT-ROCKERBASE) ✅ In Stock — White
White rubber heel with a rocker-bottom profile that promotes a more natural walking gait during cast ambulation. Reduces compensatory gait changes and is ideal for patients who will be walking frequently.
BSN Medical Walking Cast Heels — Discontinued Reference
The BSN Medical (BSN Essity) walking cast heel line has been discontinued and is no longer available for purchase. This information is provided for reference only for clinicians and patients searching for legacy BSN SKUs.

BSN Cushioned Tread (SKU: 7444903) — Discontinued — Blue
Maximum tread surface walking cast heel. No longer available from BSN Essity. See OrthoHeel ComfortStep or TerraHeel as alternatives.
BSN Pedestal (SKU: 7444902) — Discontinued — Blue
Rocker-bottom profile walking cast heel. No longer available from BSN Essity. See OrthoHeel RockerBase as an alternative.
BSN Adult Heel (SKU: 7444900) — Discontinued — Blue
Standard adult walking cast heel. No longer available from BSN Essity. See OrthoHeel TerraHeel or ComfortStep as alternatives.
BSN Child Heel (SKU: 7444901) — Discontinued — Blue
Pediatric walking cast heel. No longer available from BSN Essity. See OrthoHeel ComfortStep as an alternative.
Walking Cast Heel Features
- Applied directly to the cast — becomes a permanent part of the short leg cast, not a removable accessory
- Durable rubber construction — withstands daily ambulation and provides long-lasting traction
- Three styles available — TerraHeel (max grip), ComfortStep (center groove cushion), RockerBase (natural gait rocker)
- Compatible with fiberglass and plaster casts — works with all standard short leg cast systems
- Bulk case pricing: order a quantity of 12 for a full case
Why Buy from OrthoTape.com?
- ✅ OrthoTape Brand — Designed for Clinical Use
- ✅ Guaranteed Fresh Stock
- ✅ Real People, Real Support
- ✅ Authentic Product Quality Guaranteed
- ✅ HSA/FSA Eligible
Why a Short Leg Walking Cast Beats a CAM Boot
Medical research and clinical experience consistently show that a short leg fiberglass walking cast with a walking cast heel provides superior fracture protection compared to a removable CAM walker boot. Here's why:
- Custom-molded fit. A cast is built around the patient's limb. A CAM boot covers a range of 3+ shoe sizes — one size does not fit all.
- 24/7 protection. A walking cast heel stays on the cast, which stays on the patient. A boot comes off to sleep, shower, or sit — every removal is a re-injury risk.
- Compliance is built in. A Stony Brook orthopedic study found only 29% of patients were strictly compliant with non-weightbearing instructions in CAM boots.
- No leg-length discrepancy. CAM boots create an artificial height difference that alters gait and can cause hip, knee, and back pain.
- Waterproof option available. A fiberglass walking cast can be made fully waterproof with waterproof cast liner and padding.
- No pressure injury risk from straps. A 2025 study found common CAM boot heel positions can create posterior heel pressures above pressure-injury thresholds.
"A boot is convenient. A cast is protective."
Frequently Asked Questions — Walking Cast Heel & OrthoHeel
Does insurance cover this? Can I save vs. my doctor's office?
This product is HSA/FSA eligible, so you can use pre-tax dollars to purchase it directly. If you have a high DME deductible (common with many insurance plans), you may actually pay less buying here than at your doctor's office — where the same product can cost significantly more. Many clinics also allow you to choose where you purchase your DME items. We recommend checking your plan's DME deductible before purchasing through your provider.
What is a walking cast heel?
A walking cast heel is a rubber orthopedic heel applied to the bottom of a short leg cast. It creates a durable walking surface so the patient can bear weight safely when clinically approved, while the cast continues to immobilize and protect the injury 24 hours a day.
What OrthoHeel styles are available from OrthoTape?
OrthoTape now offers three OrthoHeel walking cast heel styles: TerraHeel (black, maximum grip tread), ComfortStep (white, center groove cushion), and RockerBase (white, rocker-bottom for natural gait). All three are in stock and ship fast from our US warehouse.
Are the BSN Medical walking cast heels still available?
No — the BSN Medical (BSN Essity) walking cast heel line including the Cushioned Tread (7444903), Pedestal (7444902), Adult Heel (7444900), and Child Heel (7444901) has been discontinued and is no longer available for purchase. OrthoTape has introduced the OrthoHeel line as a direct replacement. See the BSN reference section above for legacy SKU details.
Is a walking cast heel better than a CAM boot?
For injuries requiring strict immobilization, a short leg cast with a walking cast heel is generally superior. The cast is custom-molded to the patient's limb and cannot be removed. A CAM boot is off-the-shelf, removable, and depends entirely on patient compliance — research shows only 29% of patients are strictly compliant with CAM boot instructions.
What is the difference between a walking cast heel and a cast shoe?
A walking cast heel is applied directly to the bottom of the cast and becomes part of it — it is not removable. A cast shoe is worn over the cast during walking and can be removed. Both allow ambulation on a cast, but the walking cast heel provides a more integrated, permanent walking surface.
Can I order a full case?
Yes — order a quantity of 12 for a full case. Contact us for bulk or clinical pricing inquiries.
Related Cast Accessories
Complete your short leg cast setup with cast shoes, cast materials, and waterproof cast supplies.
Cast Shoes → Cast Material Kits →Authorized Dealer: OrthoTape.com is an authorized dealer of orthopedic cast accessories. Walking cast heels are FSA/HSA eligible as durable medical equipment accessories. For clinical or bulk case orders, contact us directly. Walking cast heels are intended for application by trained medical professionals. Always follow your physician's weight-bearing and ambulation instructions. This product is not a substitute for professional medical advice.

























