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Foot Care Assesories
Proper footwear is an important part of an overall treatment program for people with diabetes or foot deformities, even for those in the earliest stages of the disease. If there is any evidence of neuropathy, or lack of sensation, wearing the right footwear is crucial. By working with their physician and a footwear professional, such as a certified pedorthist, many patients can prevent serious diabetic foot complications.
 
Foot Conditions

Shoes and Orthotics for Diabetics

Proper footwear is an important part of an overall treatment program for people with diabetes or foot deformities, even for those in the earliest stages of the disease. If there is any evidence of neuropathy, or lack of sensation, wearing the right footwear is crucial. By working with their physician and a footwear professional, such as a certified pedorthist, many patients can prevent serious diabetic foot complications.

            The Centers for Disease Control has estimated that 82,000 lower limb amputations due to diabetes occur annually (2003 figures). Experts agree that most would have been preventable with an appr5opriate foot care program including footwear that is properly fit to the patient.

            Accommodate, stabilize and support deformities. Deformities resulting from conditions such as charcot involvement, loss of fatty tissue, hammer toes and amputations must be accommodated. Many deformities need to be stabilized to relieve pain and avoid further destruction. In addition, some deformities may need to be controlled or supported to decrease progression of the deformity shoes

            If you are in the early stages of diabetes, and have no history of foot problems or any loss of sensation, a properly fitting shoe made of soft materials with a shock absorbing sole may be all that you need. It is also important for patients to learn how to select the right type of shoe in the right size, so that future problems can be prevented. The excessive pressure and friction from the wrong kind of shoes or from poorly fitting shoes can lead to blisters, calluses and ulcers, not only in the insensitive foot, but also in feet with no evidence of neuropathy. It is highly recommended that shoe fitting for patients with any loss of sensation be done by professionally trained board certified pedorthist. People with insensitive feet tend to purchase a shoe that is too tight; the size that “feels” right is often too small.

            Orthoses or inserts. An orthosis is a removable insole which provides pressure relief and shock absorption. Both pre-made and custom made orthoses or inserts are commonly prescribed for patients with diabetes, including a special “total contact orthosis,” which is made from a model of your foot and offers a high level of comfort and pressure relief. Custom made shoes. When extremely severe deformities are present.
 
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