Custom care: Offloading for foot ulcers

By Larry Hand Any time a practitioner applies an orthotic device, such as an ankle foot orthosis (AFO) to offload a diabetic foot ulcer, he or she also has to make sure pressure is not redistributed to the point that a new ulcer is created elsewhere on the foot. Devices have to be constructed with the correct materials and properly fitted to the foot, which leaves a lot of leeway for practitioners. “When you’re offloading an insensate foot you always have to remember not to overload the surrounding tissue,” said Dennis Janisse, CPed, president and CEO of National Pedorthic Services in Milwaukee, WI.

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Custom care: Offloading for foot ulcers

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