Insole modification as a plantar pressure distributor in diabetic polyneuropathy
A case report
Keywords:
diabetic foot, footwear, insoles, offloading, preventionAbstract
73 years old, male, referred from Internal Medicine department with diagnose Diabetic Polyneuropathy. The patient felt numbness at both feet since about 8 years ago and also complain about shortened walking distance because of fatigue. From the physical examination we found that has muscle weakness at left leg. From the foot examination there were decreased vibration and light touch sensation, anhidrosis, hyperkeratosis at his feet. There were also charcot arthropathy and decreased of foot fat pad. Foot pressure examination was high. The treatment goal for this patient is to wear comfortable footwear, improving walking endurance, and preventing future ulceration. The insole was needed to decrease plantar pressure during ambulation. Recommended rehabilitation treatment involves interaction between the health care team and the patient to achieve rehabilitation goals.
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