Management of the Neuropathic Foot

Elftman, Nancy

doi:10.1097/00008526-200504001-00004

Cited by 6 publications

(3 citation statements)

References 32 publications

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“…Examples include the Charcot restraint orthotic walker (CROW) orthosis, which provides full support to the plantar aspect of the foot, ankle and calf; the patellar tendon-bearing (PTB) orthosis, applied to the patellar tendon (ligament), popliteal fossa, and medial tibial flare, which provides plantar offloading; and the conventional ankle-foot orthosis (AFO) with moulded calf lacer, which provides unloading of the plantar aspect of the foot by circumferential loading of the calf musculature. These tools provide specific support and offloading tailored to the patient's condition [28].…”

Section: Figure 3: Primary Modalities For the Orthotic Management Of ...mentioning

confidence: 99%

Enhancing Functional Rehabilitation Through Orthotic Interventions for Foot and Ankle Conditions: A Narrative Review

Mohaddis,

Maqsood,

Ago

et al. 2023

Cureus

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Non-surgical, conservative approaches to foot and ankle conditions are of important consideration. Orthotics play a significant role in treating these conditions, preventing progression, and alleviating pressure on affected areas, thereby promoting normal gait. This article aims to assess the utility and effectiveness of various orthotic treatments in different clinical scenarios. We reviewed 27 peer-reviewed articles using electronic databases, employing keywords such as "orthoses," "orthotic treatment," "arthritis," "neuropathy," and "foot and ankle trauma." Studies conducted in recent decades have explored the effectiveness of orthoses in various conditions, including connective tissue disorders, tendon and ligament injuries, foot arthritis, neuropathic and inflammatory wounds, and sports-related recurrent injuries. Orthotic management has proven effective across diverse foot and ankle conditions. Integrating orthotic treatment with systemic approaches benefits patients with foot and ankle disorders. We believe this review can be utilised by clinicians in the management of foot and ankle disorders.

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Section: Figure 3: Primary Modalities For the Orthotic Management Of ...mentioning

confidence: 99%

Enhancing Functional Rehabilitation Through Orthotic Interventions for Foot and Ankle Conditions: A Narrative Review

Mohaddis,

Maqsood,

Ago

et al. 2023

Cureus

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“…Autonomic neuropathy: the loss of autonomic system functions, which results in the absence of sweat and oil production leaving the skin dry and nonelastic. 19…”

Section: Osteomyelitismentioning

confidence: 99%

Nonvascular Conditions of the Lower Extremities that May Mimic Arterial or Venous Disease: A Review

Brown

Roper

Maynard

et al. 2004

Journal for Vascular Ultrasound

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Introduction Noninvasive lower extremity arterial evaluations comprised 34% (1381/4104) of our vascular laboratory's patient volume in the year 2002. Often, patients presented with one or more symptoms suggestive of arterial disease; however, their vascular study results indicated a degree of arterial disease that was incongruent with their symptoms. It is necessary for the vascular technologist to understand the differential diagnoses that mimic the symptoms of arterial insufficiency. This clinical review describes other nonatherosclerotic disorders affecting the lower extremities. These include reflex sympathetic dystrophy syndrome (RSDS), lumbar spinal stenosis (LSS), gout, diabetic peripheral neuropathy, Charcot foot, and osteomyelitis (Table 1). Our goal is to briefly describe these clinical possibilities to enhance understanding.

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“…It usually begins in the hands or feet and gets worse over time. [3] The posterior tibial nerve is frequently affected in leprosy leading to loss of sensation and sweating, and intrinsic muscle paralysis in the foot, predisposing to ulcer formation. [4] Ulcers and neuropathic bone disorders develop by overload, repetitive mechanical stress, and shear; diabetic gangrene from metabolic and vascular factors; direct injury or cutting; continuous pressure resulting in ischemia; heat or cold.…”

Section: Introductionmentioning

confidence: 99%

Effect of Computer Assisted Designing / Manufacturing (CAD-CAM) Insoles in Leprosy Affected Patients

Sahoo¹,

Satheeshwari

2023

Int J Health Sci Res

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Background: Elevated plantar pressures during walking are a causative factor in the development of plantar ulcers. Plantar pressure can be redistributed but not eradicated and reducing stress at one location may simply displace the risk of ulceration to a different area of the foot. To achieve such redistribution, computer-assisted designing/manufacturing (CAD/CAM) technology was used to fabricate the insole with improved customization for patients with anesthetic feet due to leprosy. Objective: The objective of this study was to assess the effect of the CAD-CAM insoles in leprosy patients, using a close-ended questionnaire. Methodology: A qualitative cross-sectional study was conducted to identify the impact of CAD-CAM insole on footwear. Random sampling was done to recruit leprosy-affected patients coming to the institute. With a 3 month of period, the data were collected through the feedback from the patients. Result: 40 patients’ feedback was taken there was both positive and negative feedback from the patients. The ulcer healing has significantly increased among 60 % of the patients. 90 % of patients were comfortable with the weight of the CAD-CAM footwear when compared to previous footwear (MCR) which they were using. Conclusion: Significant improvement was found among the patients. Key words: Leprosy, CAD-CAM insole, plantar ulcers, Peak pressure distribution.

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Management of the Neuropathic Foot

Cited by 6 publications

References 32 publications

Enhancing Functional Rehabilitation Through Orthotic Interventions for Foot and Ankle Conditions: A Narrative Review

Enhancing Functional Rehabilitation Through Orthotic Interventions for Foot and Ankle Conditions: A Narrative Review

Nonvascular Conditions of the Lower Extremities that May Mimic Arterial or Venous Disease: A Review

Effect of Computer Assisted Designing / Manufacturing (CAD-CAM) Insoles in Leprosy Affected Patients

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