Prescription footwear can significantly reduce the risk of lower extremity ulceration, especially for those with a history of diabetic foot problems. Diabetic shoes offer additional depth to house orthotic devices. They are built to provide extra shock absorption and stability for the foot, and can be customized to accommodate specific needs.
Essential features include:
- Pressure relief. Diabetic shoes offload areas of the foot subject to excessive pressure.
- Reduced shear and shock. Diabetic shoes minimize both impact forces (shock) and horizontal forces from the foot sliding around in the shoe (shear).
- Deformity accommodation. Diabetic shoes are designed to accommodate deformities like bunions, hammertoes, and Charcot foot and reduce the risk of further damage or pain.
- Joint motion restriction. Diabetic shoes keep at-risk joints from unsafe motion, which helps stabilize the foot and reduce or prevent pain, inflammation, and injury.
Our office is happy to prescribe and fit you with an effective and fashionable pair of stock or customized diabetic shoes, as well as a companion pair of custom accommodative or functional orthotics.
If you have diabetes, you should be checking your feet at least once per day at home. Come and see us as soon as you notice any changes from your normal foot appearance, so we can treat any ulcers or wounds before they become serious.
We take care of wounds by:
- Cleaning the wound of dead skin, foreign particles, etc. (debridement)
- Healing and closing the wound using advanced skin grafts, ultrasound, and other technology
- Providing a total contact cast to offload the foot
- Performing a circulation study test
- Prescribing you a diabetic shoe, if you do not already have one
The primary steps we take in controlling wounds as a successful part of our wound care program:
- Blood sugar control
- Circulation (part of our circulation study test)
- Control the infection, if there is one
- Decrease pressure on the wound
- Discuss proper Nutrition and diet
The best way to prevent diabetic wounds is to have a carefully prepared diabetic foot care plan. If you don’t already have one, give us a call so we can help you change that!
Other Conservative Treatments
The following interventions may also be incorporated into a care plan for a diabetic foot concerns:
- In-office laser surgery to treat warts, and fungal nails
- Medications to treat and manage peripheral neuropathy, nail fungus, calluses, cramps, and dry skin
- Orthotics (with or without diabetic shoes) to correct muscle imbalances, absorb shock, and promote a healthy and efficient foot function
- High voltage electrical stimulation, which can have a positive effect on infection and pain and promotes healthy nerve activity
- Whirlpool treatments to soften skin and nails, treat wounds, and cleanse deep pockets of infection.
Medicare Pays for Podiatric Care
Medicare pays for emergency as well as routine care. Diabetic patients can visit Dr. Tepper as often as necessary for routine nail and foot care.