Complications of Insensate Foot

  • Risk of foot injury

  • Ulceration of the plantar surface of the foot

  • Destruction of mid-foot leading to Charcot foot

What can be done?

  • Reduce Pressure

  • Reduce Shear

  • Unload

Orthotic Consideration

  • Total Contact Design

  • Relief

  • Removable walking boot with a custom

  • foot orthosis Use of patella tendon bearing