Preventing Diabetic Foot Ulcerations

Bobby C,PED
By Bobby C,PED Latest Reply 2012-02-19 19:52:44 -0600
Started 2012-02-19 01:36:18 -0600

I am a board certified Pedorthist practicing in Medford, OR. I am seeing so many diabetic patients that are uninformed about how important proper footwear, socks, and orthotics are to their health. The rate of foot injury for diabetics do to poor fitting, I'll quality shoes is incredible. Why when their health insurance will cover footwear and orthotics do physicians not counsel and prescribe them? I see so many patients who have developed foot ulcerations, then and only then does their primary care prescribe footwear. Shoes and orthotics keep a patients feet where they belong, attached to their legs. They are also much cheaper than out patient care to heal a foot ulceration. Last numbers I saw were average 5-6k to get one heeled, that's if it didn't lead to hospitalization,amputation,prosthetic,
Physical therapy. So many physicians are uneducated on how to prevent diabetic foot wounds. Great at trying to heel them after the fact. We need better training for physicians in diabetic foot wound prevention. Patients wouldn't suffer needlessly, and the cost savings would be tremendous.

8 replies

TsalagiLenape 2012-02-19 19:52:44 -0600 Report

Well that is great! Welcome Bobby! Now we have you to help us understand more about footwear and the importance it is for us regarding that. Now some medical insurances dont cover the cost. Which is sad but true. Yet I have a few ideas I have shared with my podiatrist and she loves them and shares them with other diabetics. 1. use Vicks Vapor rub on your feet at night but not in between the toes. Put on clean non tight socks on for over night. It softens up your callous's. 2. get a bag of marbles from the store. Take out the boulder aka biggest one. Now put your marbles in an old good sock and tie it. You can use this to do a foot massage where you are the one controlling the pressure on your feet. Last one here, get an plastic water bottle that is uniformed in shape. Fill with warm hot water. Place it on a towel sideways. Roll your foot over this as another form of massaging. Hope this helps as it was meant too. Hugs btw most of my knowledge of the marbles and etc comes from using for my mother who had diabetes and a bad ankle. I did massage therapy on her using Baby Lotion. Mind you I did this for many years.

Bobby C,PED
Bobby C,PED 2012-02-19 17:15:51 -0600 Report

I can't whittle on your feet. I have a medical certification specializing in therapeutic footwear and how to fit and construct footwear and orthotics. Along with medical training in dealing specifically with diabetics and neuropathic foot conditions.

jayabee52 2012-02-19 17:26:12 -0600 Report

Thanks for that clarification! I learn so very much by coming here often! Before now I didn't know that a PED even existed.

Bobby C,PED
Bobby C,PED 2012-02-19 17:31:31 -0600 Report


Pedorthist is the title of a health care professional who specializes in the use of footwear and supportive devices to address conditions which affect the feet and lower limbs. They are trained in the assessment of lower limb anatomy and biomechanics, and the appropriate use of corrective footware - including shoes, shoe modifications, foot orthoses and other pedorthic devises. “Certified Pedorthist” is a title used by both the College of Pedorthics of Canada[1] as well as the American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC)[2]. However in many jurisdictions the practice of pedorthists is self-regulated; professional certification is voluntary.

jayabee52 2012-02-19 17:07:33 -0600 Report

Thank you Bobby C!

I posted a welcome to DC on your last posting, and I asked you to what the designation PED referred. I had an excellent podiatrist when I was living in SF CA bay area with my late wife. I had asked my Pod. for Diabetes friendly shoes to try to ease the pain of neuropathy and I was sent to a Foot smart store in the area. They were fantastic! They even got me to stand on 2 different computer sensors and from those readings created custom insoles to correct the way I stood, and to ease the burning pain of my neuropathy. I am highly satisfied with these shoes and have worn them nearly every day for about 3 years now.

I was treated so well that my late wife reversed her decision to never get another orthotic shoe because she got one from a PT company which would not fit her right try as they might to correct it. She saw how well I was treated and how nice my shoes were and decided to try them herself. She also was quite pleased as well.

I am curious as to how you differ from a podiatrist?