One of the most serious complications of diabetes is the development of diabetic foot ulcers, which can be caused by neuropathy or poor circulation. Wearing the right shoes is essential for preventing and treating these ulcers.
Offloading with Non-Removable Knee-High Devices
Healing a neuropathic plantar forefoot ulcer without ischemia or uncontrolled infection involves using a non-removable knee-high device with a suitable foot-device interface. Consistency in offloading is key to promoting healing with this method.
Exploring Other Options for Incompatible Devices
If a non-removable knee-high device is not suitable or well-received by the patient, an alternative option could be a removable knee-high walker with a suitable foot-device interface. It is advisable to consider this option only if the patient is likely to comply with wearing the device.
Footwear for Preventing and Reducing Recurrence
It's essential to wear well-fitting shoes to avoid foot ulcers in diabetic patients at risk. When it comes to foot health, it's important to consider therapeutic shoes, custom-made insoles, or toe orthosis, especially if there are foot deformities or pre-ulcerative signs. Patients who are at risk of recurring plantar foot ulcers should consider using therapeutic footwear that has been shown to relieve plantar pressure while walking.
When choosing footwear for diabetic patients, it's crucial to look for specific features that cater to their unique needs.
When choosing sandals, it's essential to look for features like adjustable straps, insoles, full heel counters, and rigid outsoles.
When selecting shoes, it's essential to look for a wide toe box, extra depth, and opt for lace-free designs.
Further Considerations and Alternatives
When dealing with non-plantar foot ulcers, it's worth considering options like shoe modifications, temporary footwear, toe spacers, or orthoses to help with offloading and healing. Using felted foam in conjunction with suitable footwear can provide biomechanical relief when other options are limited.
Having the right footwear is essential for effectively managing diabetic foot ulcers. Wearing suitable footwear can greatly enhance results, avoid complications, and improve the well-being of individuals with diabetes.
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