Wound EssentialsThe importance of effective offloading and footwear for the diabetic foot

The importance of effective offloading and footwear for the diabetic foot

Diabetic foot ulcers | Caroline McIntosh

Chronic non-healing foot ulcers are a common problem associated with diabetes mellitus. Diabetic foot ulcers (DFUs)frequently occur on the plantar aspect of the foot at sites of high shear and pressure, primarily due to repetitive injury during daily activities. One of the mainstays of foot ulcer management is, therefore, eἀective redistribution and relief of pressure in order to prevent further tissue trauma and facilitate the healing process. This article highlights the importance of appropriate footwear for the primary and secondary prevention of foot ulcers while introducing the reader to a range of offloading devices that aim to facilitate the healing of established foot ulceration.