Narrow Results

Proper footwear is an indispensable component of a successful diabetic foot care programme. Active Charcot arthropathy needs total contact cast. However, this modality is not welcomed by patients due to the tropical climate. Patients with foot ulcer are mostly dispensed with a half-shoe or wedge-type shoe for off-loading. A pair of quality athlete shoes might suffice for most diabetes. Majority of high-risk diabetic feet can be settled with off-the-shelf orthotic shoes and a custom-made insole. In uncommon scenarios, complex deformity warrants custommade orthotic shoe. Although designing and prescribing therapeutic footwear is largely an art, it has now gradually evolved into a science. A large area in this terrain demands further clinical research and biomechanical study.