Diabetic and Therapeutic Footwear
Diabetes and Foot Health
Foot health is important for all diabetics. The simplest ulcer or callus can cause significant trouble leading to harsh pain in your feet or leading to amputations because your foot is deteriorating quickly. Outside of the pancreas, your feet are the most sensitive part of your body if you have diabetes. We have a wide selection of diabetic footwear here at Orthomedics and our practitioners are highly trained in helping you choose the correct footwear for your needs.
Finding a good shoe is important if you have diabetes. Below are some tips that may help.
When you have your evaluation here at Orthomedics, our trained pracitioners will help you choose shoes with the following details:
- Look for a lightweight shoe that lets your feet move and breathe
- Choose a flexible material, such as leather, canvas, or suede
- Remember that a good diabetic shoe should have a shock-absorbing sole, which will help relieve pressure on the bottom of your foot
- Pick shoes with laces that you can loosen or tighten. This makes it easier to accommodate any swelling or changes in your feet over time
- Keep in mind that the shoe should also have a solid back to provide extra support.
It’s also important to find a shoe that fits well and matches the shape of your foot. You don’t want your foot sliding around inside the shoe. This can cause blisters, sores, and calluses, which can be dangerous for a person with diabetes.
Additionally, choose a shoe that can accommodate changes in your feet, such as hammertoes.
Diabetic & Therapeutic Shoes
Footwear for people with diabetes should achieve the following objectives:
- 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.
- 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.
- Accommodate, stabilize and support deformities. Deformities resulting from conditions such as Charcot involvement, loss of fatty tissue, hammer toes and amputations must be accommodated. Many deformities need to be stabilized to relieve pain and avoid further destruction. In addition, some deformities may need to be controlled or supported to decrease progression of the deformity.
- Limit motion of joints. Limiting the motion of certain joints in the foot can often decrease inflammation, relieve pain, and result in a more stable and functional foot.
Orthomedics has access to several brands of shoes, with styles ranging from an active tennis shoe, dress shoes, to work boots.
Brand selections include APEX, New Balance, Brooks, and Dr Comfort.
Custom Molded Diabetic Inserts
Diabetic Shoe Inserts
Diabetic orthotics help to avoid pressure sores from developing as a result of friction inside the shoe. A common contributing cause of excess friction and pressure on the foot is over-pronation (rolling in of the foot and flattening of the arches).
Over-pronation leads to poor foot function and friction under the ball of the foot, on the outer edge of the big toe joint and on top of any of the five toe joints.
Orthotics help prevent over-pronation and they evenly distribute body weight over the entire surface of the foot, thereby reducing friction and pressure.
Diabetic insoles are covered with a layer of Plastazote©. This material conforms rapidly to the individual’s foot, providing a glove-fit which limits rubbing and potential blister or ulcer formation. Orthomedics has several fabrication methods for diabetic inserts. Our modern fabrication lab allows for adjustments on site during patient’s follow up appointments or as needed.
Medicare Coverage for Diabetics
All people with Part B who have diabetes and severe diabetic foot disease are covered. Your doctor must certify that you need therapeutic shoes or inserts. A podiatrist or other qualified doctor must prescribe these items and you must have seen your diabetic treating physican within the past 6 months. (Must be a DO or MD)
How often is it covered?
Medicare Part B (Medical Insurance) covers the furnishing and fitting of either one pair of custom-molded shoes and inserts or one pair of extra-depth shoes each calendar year. Medicare also covers 2 additional pairs of inserts each calendar year for custom-molded shoes and 3 pairs of inserts each calendar year for extra-depth shoes.