title: Comparison of orthotic materials on foot pain, comfort, and plantar pressure in the neuroischemic diabetic foot: a case report.
abstract: Foot pain and lower-limb neuroischemia in diabetes mellitus is common and can be debilitating and difficult to treat. We report a comparison of orthotic materials to manage foot pain in a 59-year-old man with type 1 diabetes mellitus, peripheral neuropathy, peripheral arterial disease, and a history of foot ulceration. We investigated a range of in-shoe foot orthoses for comfort and plantar pressure reduction in a cross-sectional study. The most comfortable and most effective pressure-reducing orthoses were subsequently evaluated for pain relief in a single system alternating-treatment design. After 9 weeks, foot pain was completely resolved with customized multidensity foot orthoses. The outcome of this case study suggests that customized multidensity foot orthoses may be a useful intervention to reduce foot pain and maintain function in the neuroischemic diabetic foot.
authors.affiliation: Foot Wound Clinic, Department of Podiatry, Westmead Hospital, Sydney, Australia. joshua2@chw.edu.au
authors.forename: Joshua
authors.initials: J
authors.lastname: Burns
authors.forename: Lindy
authors.initials: L
authors.lastname: Begg
authors.forename: Mauro
authors.initials: M
authors.lastname: Vicaretti
mesh_terms: D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000503:physiopathology; D017719:Diabetic Foot / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009989:Orthotic Devices; D010146:Pain / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D017060:Patient Satisfaction; D011312:Pressure