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The right shoe

An extract of the brochure „The diabetic foot syndrome“ by Dr. med. Karl Zink

 

Every patient with his wounds healed up needs a special kind of shoe. Different types of shoes, depending on the risk and foot deformation are worth considering.

 

People suffering from neuropathia or food wounds that are not on the plantar side should use so called “safety shoes for diabetics”. They are made with a simple orthotic out of soft foam.

 

In case the wound was placed on the plantar side of the foot, the shoe with the “diabetic adapted custom-moulded orthotic” is recommended. That shoe ensures a specific pressure relief of the former ulcer area.

 

By the time this shoe doesn´t fit anymore or some parts of the foot had to be amputated, orthotic shoes have to be produced. It is important to have the toe totally without any pressure. Only now it can be guaranteed that there won´t be any lateral pressure on the big or small toes or their balls. In order to check this, just remove the custom-moulded orthotic and place your foot onto it. Make sure there is space of about 1-1,5cm to the front and all edges of your foot have to be put completely on the orthotic.

 

Visits to your orthopedic shoe maker

When going to see your shoe maker, the shoe has to be checked and you have to be given another pair of shoes.

 

If the wound was on the plantar side of the foot, the cobbler examines the shoe with a pressure measuring in the inside shoe. Damages on or in the padding can be spotted prematurely. Or that shoe that causes calluses again can be sought out. The length and the width of the shoe have to be checked regularly as well.