¨ Quality family footwear
¨ Diabetic shoes
¨ Diabetic insoles
¨ Custom diabetic insoles
¨ Diabetic socks
¨ Foot care products
¨ Hallux valgus splints
¨ Sport orthotics
¨ Custom made shoes
¨ Build-ups
¨ Outflare shoes
¨ Equino-varus shoes
¨ Spreader bars
¨ Shoe stretching
¨ Darco® Shoes
¨ Post-op shoes
¨ Ambulatory boots
¨ Plantar fasciitis night splints
¨ IPOS off-loading diabetic shoes
¨ Diabetic pressure relief boots and shoes
¨ Heel cups (Tuli’s, silicone, viscoelastic)
¨ Digit protection and pain relief products
¨ Met pads, cookies, scaphoid pads, etc.

Diabetic Foot Care

Of the sixteen million Americans with diabetes, 25% will develop foot problems related to the disease. Diabetic foot conditions develop from a combination of causes including neuropathy and poor circulation.

Neuropathy and Poor Circulation

Diabetic neuropathy can cause insensitivity or a loss of ability to feel pain, heat, and cold. Diabetics suffering from neuropathy can develop minor cuts, scrapes, blisters, or pressure sores that they may not be aware of due to the insensitivity. If these minor injuries are left untreated, complications may result and lead to ulceration and possibly even amputation. Neuropathy can also cause deformities such as bunions, hammer toes, and Charcot feet.

It is very important for people with diabetes to take the necessary precautions to prevent all foot related injuries. Due to the consequences of neuropathy, daily observation of the feet is critical. When a diabetic patient takes the necessary preventative foot care measures, he or she reduces the risks of serious foot conditions.

Diabetes often leads to peripheral vascular disease that inhibits a person’s blood circulation. With this condition, there is a narrowing of the arteries that frequently leads to significantly decreased circulation in the lower part of the legs and feet. Poor circulation contributes to diabetic foot problems by reducing the amount of oxygen and nutrition supplied to the skin and other tissue, causing injuries to heal poorly. Poor circulation can also lead to swelling and dryness of the foot. Preventing foot complications is more critical for the diabetic patient because poor circulation impairs the healing process and can lead to ulcers, infections, and other serious foot conditions.

Treatment and Prevention

Footwear and orthotics play an important role in diabetic foot care. Orthotics designed with Plastazote foam, the #1 material for protecting the insensitive diabetic foot, are usually recommended. By customizing to the foot shape, Plastazote provides the comfort and protection needed in diabetic foot care. In addition, diabetic shoes should provide the following protective benefits:

¨ High, wide toe box (high and wide space in the toe box)

¨ Removable insoles for fitting flexibility and the option to insert orthotics if necessary

¨ Rocker soles designed to reduce pressure in the areas of the foot most susceptible to pain, most notably the ball of the foot; and

¨ Firm heel counter for support and stability.

If you have diabetes, you should be particularly alert to any problems you may be having with your feet. It is very important for diabetics with neuropathy to take necessary precautions to prevent injury and keep their feet healthy.

Foot Care and Diabetes

Proper foot care is especially critical for diabetics because they are prone to foot problems such as:

¨ Loss of feeling in their feet
¨ Changes in the shape of their feet
¨ Foot ulcers or sores that do not heal

Simple daily foot care can prevent serious problems. According to the National Institute of Health, the following simple, everyday steps will help prevent serious complications from diabetes:

1. Take care of your diabetes (make healthy lifestyle choices to keep your blood sugar close to normal)

2. Check your feet everyday (due to neuropathy and poor circulation, you may have problems you can’t feel)

3. Wash your feet everyday (use warm water, NOT HOT, and dry them well)

4. Keep the skin soft and smooth (use lotion in moderation and do not put between toes – this could cause infection)

5. Trim your toenails when needed (trim them straight across)

6. Wear shoes and socks at all times

7. Protect your feet from hot and cold

8. Keep the blood flowing to your feet (do not cross your legs for long periods of time, do not wear tight socks or restrictive footwear, and do not smoke)

9. Be more active (work with your doctor to develop an exercise program that is right for you)

10. Communicate with your doctor