Corrective and Prescription Shoes

What is a Podiatrist?

When to Call A Doctor


Foot Problems
General Statistics


Achilles Problems
Achilles Tendonitis | Peroneal Tendon DislocationXanthomas of the Achilles Tendon


Ankle Problems
Ankle Sprain | Chronic Lateral Ankle Pain | Osteochondritis


Arch and Ball Problems
Flat Feet | Metatarsalgia | Plantar Fibromas | Sesamoiditis


Common Foot Injuries
Ankle Sprain Injuries | Broken Ankle | Fractures | Osteochondritis | Osteochondromas | Shin Splints | Sports Injuries


Deformities
Amniotic Band Syndrome | Bunions | Claw Toe | Clubfoot Dysplasia |  Flat Feet | Gordon Syndrome | Haglunds Deformity | Hallux Limitus | Hallux Rigidus | Hallux Varus | Hammertoes | Jackson Weiss Syndrome | Mallet Toes | Metatarsalgia | Osteomyelitis | Overlapping or Underlapping Toes | Peroneal Tendon Dislocation | Posterior Tibial Tendon Dysfunction | Sesamoiditis | Spurs | Tarsal Coalition

Diabetes and Your Feet

Diseases of the Foot
Arthritis | Cancer | Charcot Foot | Freiberg's Disease | Gout | Kaposi's Sarcoma | Kohler's Disease | Maffucci's Syndrome | Ollier's Disease | Raynaud's Disease | Severs Disease


Fungus Problems
Common Fungal Problems | Athletes Foot | Fungal Nails | Other Tips | Prevention


Heel Problems
Haglunds Deformity | Heel Callus | Heel Fissures | Plantar Fasciitis


Nail Problems
Black Toenails | Ingrown Toenails | Nail Fungus


Skin Problems
Allergies | Athletes Foot | Blisters | Burning Feet | Calluses | Corns | Cysts | Frostbite | Fungus | Gangrene | Lesions | Psoriasis | Smelly Feet and Foot Odor | Swelling | Ulcers | Warts


Toe Problems
Bunions | Claw Toe | Digital Deformity | Hallux Limitus | Hallux Rigidis | Hallux Varus | Hammertoes | Intoeing | Overlapping or Underlapping Toes | Subungal Exotosis | Turf Toe


Vascular/Nerve Problems
Acrocyanosis | Alcoholic Neuropathy | Chilblains (Cold Feet) | Erythromelalgia | Ischemic Foot | Neuroma | Spasms | Venous Stasis


Overview of Feet and Ankle Problems

Basic Foot Care Guidelines

 

Medical Care
Diagnostic Procedures

Computed Tomography | MRI | Ultrasound | X-Rays


Orthotics


Pain Management
General Information and Tips | Pain Management for Specific Conditions


Surgical Procedures
General Information | Achilles Surgery | Ankle Surgery | Arthritis Surgery | Arthroscopy | Bunion Surgery | Cyst Removal | Flatfoot Correction | Heel Surgery | Metatarsal Surgery | Nerve Surgery | Toe Surgery


Therapies
Athlete's Foot Treatment | Cryotherapy | Extracorporeal Shock Wave | Fungal Nail Treatment | Physical Therapy | Iontophoresis | Neurolysis


Fitness and Your Feet
Exercise Those Toes | Aerobics | Fitness and Your Feet | Stretching | Walking and Your Feet | Jogging and Running


Sports and Your Feet
Baseball | Basketball | Cycling | Golf | Jogging and Running | Tennis


Foot Care
Basic Foot Care Guidelines | Athletic Foot Care | Blisters | Childrens Feet | Corns and Calluses | Diabetic Foot Care | Foot Care for Seniors | Foot Self Exam | Pedicures | Your Feet at Work | Bunion Prevention | Burning Feet | Ingrown Nails | Nutrition For Your Feet


Women's Feet
High Heels | Stockings? | Pregnancy | Women Over 65


Foot Odor and Smelly Feet
Prevention | Treating Foot Odor


Shoes
Facts About Shoes | Anatomy of a Shoe | Athletic Shoe Guidelines | Children's Shoes | Corrective and Prescription Shoes | What to Look For |  Men's Shoes | Women's Shoes | Your Footprint | Wear Patterns


Links
Associations/Groups | Government |  Online Resources

 

 

Proper footwear is an important part of an overall treatment program for people with diabetes, even at the earliest stages of the disease. If there is any evidence of neuropathy, wearing the right footwear is crucial.

As a general rule, people with diabetes should choose shoes that:

  • Accommodate, stabilize, and support deformities, such as Charcot Foot, loss of fatty tissue, hammertoes, and amputations. Many deformities need to be stabilized to relieve pain and avoid further damage. In addition, some deformities may need to be controlled or supported to decrease further progression of the deformity.
  • Limit motion of joints. Limiting the motion of certain joints in the foot can decrease inflammation, relieve pain, and result in a more stable and functional foot.
  • Reduce shock and shear. A reduction in the overall amount of vertical pressure, or shock, on the bottom of the foot is desirable, as well as a reduction of horizontal movement of the foot within the shoe, or shear.
  • Relieve areas of excessive pressure. Any area where there is excessive pressure on the foot can lead to skin breakdown or ulcers. Footwear should help to relieve these high pressure areas, and therefore reduce the occurrence of related problems.

Prescription Footwear

Many diabetics need special prescription footwear. The various types include:

  • Custom-made 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.
  • External shoe modifications. In these cases, the outside of the shoe is modified in some way, such as adjusting the shape of the sole or adding shock-absorbing or stabilizing materials.
  • Healing shoes. Immediately following surgery or ulcer treatment, special shoes 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. An in-depth shoe is the basis for most footwear prescriptions. It is generally an oxford-type or athletic shoe with an additional 1/4-inch to 1/2-inch of depth throughout the shoe. This extra volume accommodates inserts, or orthotics, as well as deformities commonly associated with a diabetic foot. In-depth shoes are usually designed to be light in weight, have shock-absorbing soles, and come in a wide range of shapes and sizes to accommodate virtually any foot.
  • Orthoses or shoe inserts. Also known as orthotics, an orthosis is a removable insole which provides pressure relief and shock absorption. Both pre-made and custom-made orthotics or shoe inserts are commonly recommended for patients with diabetes, including a special total contact orthosis, which is made from a model of the patient's foot and offers a high level of comfort and pressure relief.