Diabetic Foot Care

From protective shoes to a prosthesis, we can help you. We would rather start by prevention. Any diabetic should come to us for an evaluation for preventative orthotics before callouses and sores start.

Stages of Diabetic Foot Care

1. Prevention
2. Foot care- level one- shoes
3. Foot care- level two- insert
4. Foot care- level three- wound care
5. Amputation needs
6. Foot care- levels on other foot

Prevention

A well fitted pair of shoes and orthotics can assist in prevention of future problems. Extra depth, extra wide shoes with orthotics of plastazote and PPT are the choice to assist in this preventative process.

Extra depth shoes with accommodative and corrective inserts can assist in prevention of problems beginning

  

Every unilateral amputee, B/K or A/K, needs an orthotic on the good foot for prevention of sores and irritation that occurs because of walking.

The Next Level

Should you lose a toe or part of your foot the same extra depth and wide shoes with proper orthotics and toe filler along with spring carbon composite, assists to prevent further sores as well as give back some toe off that is lost by the amputation.

Collapsed foot joints

Secondary to diabetes, bone conditions such as Charcot-Foot can misalign the biomechanics of the mid-foot and hind-foot. These deformities can cause severe pain and misalignment of the hips and back. When treated with the proper brace this misalignment can be stopped and sometimes corrected.

Treatments such as:

  • High UCBC type orthotics
  • Well fitted balanced orthotics
  • Arizona type brace
  • Ankle controlling ankle-foot orthotosis - well padded and relieved
  • Patella Tendon Bearing Orthosis (PTBO) - padded and well relieved to assist in stopping the collapse of the ankle's bone structure and immobilize the ankle joint, while aligning the talus over the calcaneus for proper biomechanical alignment and assisting in prevention of further deformity.

Amputations:

Due to poor circulation, secondary to diabetes, many patients lose one or more toes. The treatment consists of discussion of blood sugar control, well fitted and relieved plastazote and PPT orthotics in extra depth and extra wide shoes along with carbon graphite for spring and action during toe-off in gait.

Transmetatarsal and Choparts Amputation

As the circulation becomes further diminished more and more of the limb could be removed. This is when the patient presents a Symes (through the foot running up to the heel bone) below the knee long, middle, and short.

Treatment

All of these amputations require a prosthesis with an artificial foot (many types) with some degree of spring action simulating the action of the toes and ankle and assisting in springing the leg forward. It will include a well fitting socket bearing weight under the knee cap (PTB) and on either side of the tibia.

Education

We also provide Diabetes Education- not DME but full service

Learn how to take care of yourself. It is what you are paying for

Don't have access?
Call for your free login credentials.
201-666-6647
All fields are required.


forgot password?


Please check your email for your authorization code.