Shoe lifts are primarily used in cases of leg length discrepancy (LLD), where one leg is shorter than the other. This condition can be congenital or acquired, arising from trauma, infections, or diseases affecting bone growth. They are also used to manage skeletal dysplasia, a group of disorders affecting bone growth and development. In some cases, lifts are used to alleviate pain associated with juvenile arthritis by promoting better alignment and reducing joint stress.