Tuesday, November 13, 2012

Diabetic Footwear



Custom Diabetic Footwear
 
Type 1 (Insulin Dependent) versus Type 2 (Adult Onset) Diabetes
 
Type 1
They are currently taking Insulin to control blood sugar
They are usually on a strict diet
They may or may not have peripheral neuropathy
Thay may have Charcot Joint Disease as well
Manditory 3DO Imaging (3D Weight Bearing Kinematic Imaging), to evaluate static and dynamic linear and sheer pressure loading of the feet.   Optical High Resolution Imaging for Plantar Lesions.
  • This needs to be done every 6 months with open lesions (ulcers) and yearly with no ulcerations and every 12 months with no ulcerations.
  • Use 3DO Imaging to demonstrate migratory neuropathic pressure variants which change as disease changes.
  • Predict future ulceration sites.
 
Type 2
They are on Diet and Oral Hypoglycemics
Usually there is no peripheral neuropathy 
Manditory 3DO Imaging to evaluate static and dynamic linear and sheer pressure loading of the feet.   Optical High Resolution Imaging for Plantar Lesions.
 
The enemy. . . Sheer Pressure. . .
Sheer pressure creates transverse plane "slide" of metatarsal heads during midstance.   More so in the hypermobile foot.  Check for equinus conditions which will increase plantar loading.
 
 
 
 
The Solution. . . Custom Diabetic Orthotics


Flex Polypropylene Shell + Poron and Plastizote Top Cover