A good diabetic foot prevention plan usually focuses on the prevention of diabetic foot. Two important preventive measures are health education and the use of reasonable footwear. Unfortunately, diabetic patients begin to seek health advice only when they have problems with their feet (such as diabetic ulcers). These patients have never even had a peripheral nerve examination or have not had a recent examination. This is often the case. Has happened. Many of these patients do not understand the dangers of diabetic neuropathy or its related complications at all. For a patient who has never experienced foot ulcers or foot discomfort, it is challenging to persuade and limit the use of their footwear (recommended by their health consultant). If there is a diabetic foot care team, this work will become very efficient. The members of the team support each other, collaborate, and are accountable when dealing with patients of common interest.
Doctors and patients are the basic members of the team, as well as other supporting staff (essential for a successful diabetic foot care team).
Other members of the team include qualified diabetes educators, wound care nurses, physiotherapists, podiatry shoemakers, and orthopedic braces. They work with doctors and patients to prevent foot ulcers and amputations.
Full contact plaster is known as the gold standard for healing diabetic foot ulcers. What this article needs to point out is that in the long-term care of healed ulcers and fractures and in preventing further ulcers and fractures, podiatry shoemakers and orthopedics will play a fundamental role. But for the treatment of open ulcers and active Charcot fractures, this method is not ideal.
Responsibilities of Podiatry Shoe Makers
Podiatry shoe manufacturers should be rich in artistic and scientific thinking, design, make suitable and remodeled shoes and footpads, to alleviate foot problems caused by disease, fatigue, and trauma, and podiatry shoe manufacturers should install them according to the doctor’s requirements. Place footpads, shoes, and remodeled shoes.
A podiatry shoemaker needs to be educated in foot anatomy, pathology, shoe, footpad making, and use. To obtain the qualification certificate awarded by the committee, the podiatry shoemaker must pass the examination and be recognized by the Podiatric Orthopaedic Association (BCP), while accepting strict ethical regulations.
Podiatry shoemakers play a key role in preventing group ulcers and amputations. His main task is to provide patients with comfortable and fitting shoes. This includes customized insoles that can be placed in the shoes or internal or external modifications of the shoes. The podiatry shoemaker not only installs and provides the above products but also adjusts and maintains them.
Another responsibility of a podiatry shoemaker is to educate patients on health. It plays an extremely important role in teaching each patient how to choose shoes, including basic requirements for comfort, instructions for use, suitable materials, and types. As a member of the diabetic foot prevention team, he will also strengthen the information and suggestions delivered by other members of the team.
The podiatry shoemaker also plays a part in monitoring the improvement of the patient’s condition, which is very useful for the doctor to follow up, and when necessary, it can remind other members to follow up.
It has been proven that inappropriate shoes are a common cause of diabetic foot ulcers, and therapeutic shoes can significantly reduce the chance of foot ulcers. Because the diabetic treatment shoes need to achieve the following functions, it is very important to have a deep understanding of the following functions when discussing different types of treatment shoes. they are:
Foot protection: feet that have lost sensation need to avoid external damage and various undesirable factors
Reduce excessive pressure area: In daily life, repeated high pressure on certain areas of the feet can cause skin ulceration. Generally, it is the site of the plantar bony process, such as the metatarsal head area, the corpus callosum area of the foot, the hammer toe, and Haglund’s deformity. Reduce the pressure area and evenly distribute the pressure to reduce the incidence and recurrence rate of ulcers
Reduce shock: reduce the pressure or shock in the vertical direction, which is very important for patients with abnormal foot bony process or bone structure, such as Charcot’s foot.
Reduced shearing force: Shearing force is the force generated when the foot moves back and forth inside the shoe. Reducing the shearing force can reduce the formation of the corpus callosum, blisters, and heat generation.
Match the deformity: The deformity usually results from Charcot’s arthropathy, atrophy of the plantar fat pad, and amputation. The shoes used should be well adapted to the deformity of the foot. This is also important for forefoot deformities such as bunions, bunions, hammertoes, and claw toes.
Stability and support deformity: Many deformities require stabilization and support, which can reduce pain and prevent further collapse of the foot structure and further development of the deformity.
Match with foot orthoses or ankle orthoses: These orthoses may affect the comfort of the shoes. This factor must be taken into account. Not all shoes can be matched with these braces. Metal orthoses are used on the outside of the shoes, and the shoes must be modified to fit them.