Diabetic Feet

Chronic hyperglycemia, common to both type 1 and type 2 diabetics, can lead to an array of symptoms including nerve damage which may cause cold or insensate feet. 

vascular insufficiency

Diabetic patients are therefore increasingly susceptible to a host of foot ulcerations and infections, with severe cases leading to amputation. Diabetic foot is often complicated with vascular damage limiting blood flow and healing ability to these wounded feet.

What are the biomechanical issues at play in a Diabetic Foot?

Glycosylation, peripheral neuropathy, obesity and vascular damage can all contribute to biomechanical challenges for the diabetic patient. 

Common symptoms include decreased walking speeds with a wider base of gait, prolonged double support time, muscle atrophy, tendon rigidity and failure of fat pad absorption.

Pes planus to cavus progression

Nerve damage presenting as numbness allows for microtrauma to quickly turn into large-scale traumas, such as wound formation.

A diabetic foot posture typically presents in early stages as hyperpronation, then converts to a cavus posture over time as a result of peripheral neuropathy.

MASS4D® helps Diabetic Feet with an active rehabilitation program

Goals for diabetic rehabilitation programs will typically include weight loss, personal care training, and reducing factors that contribute to wound development and/or amputation.

For a patient suffering from diabetic foot symptoms, it is critical to perform biomechanical gait assessments early and often.  Early intervention is the key to reducing symptom progression.

Proper weight distribution with orthotics

MASS4D® can help your patients by supporting their feet with the maximum amount of postural correction their condition allows, for the purpose of properly distributing their body weight along the plantar surface of the foot.

Improved plantar weight distribution will minimise hot-spots and wound development, whilst improving stance phase stability and balance.

MASS4D® further protects insensate feet with a BiLam cushion top cover providing a soft, comfortable, non-abrasive contact to the foot to reduce callous and wound formation.

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