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.
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