Effect of Initial Weight-Bearing in a Total Contact Cast on Healing of Diabetic Foot Ulcers

The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review

“…In a lowquality cohort study, healing proportions of neuropathic ulcers were 83% in a windowed TCC and 25% in two types of offloading shoes [18]. The other evidence largely describes clinical outcomes from predominantly prospective and retrospective epidemiological studies of various offloading techniques [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38]. Between 73% and 100% of wounds were reported to have healed in studies of TCCs, with healing times ranging between 30 and 63 days [23,29,39].…”

Exercise prescription and the patient with type 2 diabetes: A clinical approach to optimizing patient outcomes

“…Neuropathic foot ulceration results from the combination of abnormal plantar pressures, limited joint mobility, and gait changes (Giacomozzi et al, 2002; van Deursen, 2004; Viswanathan, Snehalatha, Sivagami, Seena, & Ramachandran, 2003; Wu & Armstrong, 2006). Reducing the central and medial forefoot plantar pressures through proper footwear and orthoses should be prescribed for both treatment and prevention purposes when clinically indicated (Armstrong, Lavery, Wu, & Boulton, 2005; Guldemond et al, 2007; Saltzman et al, 2004). Patients with active ulcers or who are at high risk can consider partial or nonweight bearing exercises (Kanade, van Deursen, Harding, & Price, 2006) such as limiting yoga postures to those least weight bearing.…”

Surgical aspects of the diabetic foot

“…46 It is impractical in patients who are otherwise ill and debilitated with impaired eyesight. It is illusory because patients with peripheral neuropathy are unable to perceive whether or not they are truly bearing weight on the limb.…”