Diabetic Foot Care Orthosis

Diabetic Foot Care management

• Whether you have just been diagnosed with Diabetes or have been living with Diabetes for a number of years, it is extremely important and critical to establish the proper care and maintenance of your feet and footwear.
• Any changes in appearance or any loss of feeling in your feet can lead to potentially greater problems in the future.
• Patient with diabetes and particularly diabetic neuropathy need to pay special attention for foot care management.
• A major complication that may cause is to lose feeling in your feet or hands. This means you won't know right away if you hurt yourself. The problem affects about 60 to 70 percent of people with diabetes. Foot problems are a big risk. All people with diabetes should monitor their feet. If you don't, the consequences can be severe, including amputation.
• At Prosthetics, orthotics & cosmetic restoration clinic- Shree sardar patel social welfare trust, we are expert in the assessment, design, manufacture, fit and modification of orthotic insole and footwear for the purposes of alleviating painful or debilitating conditions and providing assistance for abnormalities or limited actions of the lower limb.

Foot problems caused by diabetes
Diabetic neuropathy (loss of normal nerve function) and peripheral vascular disease (loss of normal circulation) are two conditions, that can lead to:

• Diabetic foot ulcers: Wounds that do not heal or become infected
• Infections: Skin infections (cellulitis), bone infections (osteomyelitis) and pus collections (abscesses)
• Gangrene: Dead tissue resulting from complete loss of circulation
• Charcot arthropathy: fractures and dislocations that may result in severe deformities
• Amputation: Toe amputation, partial foot amputation, chopart amputation, symes amputation, trans tibial amputation, transfemoral amputation etc…

We are providing orthotic devices and footwear to assist in:

• Accommodation, support and stabilization of foot deformities
• Re-alignment of anatomical structures
• Redistribution of external and internal forces
• Improvement of balance
• Control of biomechanical function
• Prevent painful pressure points, blisters, sores and decreases chances of amputation.

Prescription footwear includes:
Healing shoes.

Immediately following surgery or ulcer treatment, some type of shoe may be necessary before a regular shoe can be worn. These include custom sandals (open toe), heat-moldable healing shoes (closed toe) and post-operative shoes.

In-depth shoes

The in-depth shoe is the basis for most footwear prescriptions. It allows extra volume to accommodate customized orthotic insole, with a diabetic foot. In-depth shoes are light in weight and have shock-absorbing soles.

External shoe modifications

• This involves modifying the outside of the shoe in some way, such as modifying the shape of the sole or adding shock-absorbing or stabilizing materials. Customized orthotic insoles
• Customized orthotic insole is a removable insole which provides pressure relief and shock absorption, 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 diabetic shoes
• When extremely severe deformities are present, a custom-made shoe can be constructed from a cast or model of the patient's foot. With extensive modifications of in-depth shoes, even the most severe deformities can usually be accommodated.

How to Care for Your Diabetic Feet

• Don’t smoke. It decreases the blood supply to your feet.
• Never walk barefoot, neither indoors nor out door.
• Examine your feet daily for redness, warmth, blisters, ulcers, cuts and nail problems.
• Wash your feet every day with mild soap and warm water.
• Examine your shoes for protruding nails and rough spots inside before putting them on. Look and feel.
• Never wear sandals or flip flops.
• Lubricate your entire foot if your skin is dry
• Do not soak your feet. Skin can break down and won't heal well.
• Keep feet away from heat sources (heating pads, hot water bottles, electric blankets, radiator, fireplaces). You can burn your feet without knowing it
• Do not wear stockings or socks with tight elastic backs. Always wear cotton socks with your shoes.