Corrective and Prescription Shoes

Links

American Board of Podiatric Surgery

The American Board of Podiatric Surgery (ABPS), in accordance with standards published by the National Committee for Quality Assurance (NCQA), conducts primary source verification of the podiatric medical school graduation, residency training completion, and state licensure for each ABPS member.  It is the recognized board certification organization by the American Podiatric Medical Association and the American College of Foot & Ankle Surgeons.

American College of Foot & Ankle Surgeons

The American College of Foot & Ankle Surgeons (ACFAS) is a professional society of more than 6,000 foot and ankle surgeons.  Founded in 1942, ACFAS seeks to promote the art and science of foot, ankle, and related lower extremity surgery, address the concerns of foot and ankle surgeons, and advance and improve standards of education and surgical skill.

Foot Health Facts-Healthy feet for an Active Life

The patient education website of the American College of Foot & Ankle Surgeons.

American Podiatric Medical Association

Founded in 1912, the American Podiatric Medical Association (APMA), headquartered in Bethesda, Maryland, is the leading resource for foot and ankle health information.  Currently, the organization represents a vast majority of the 15,000 podiatrists in the country.  In addition to the national headquarters, APMA boasts 53 state component locations throughout the United States and its territories, as well as affiliated societies

Virginia Podiatric Medical Association

The state component of the APMA.

American Academy of Podiatric Sports Medicine

The American Academy of Podiatric Sports Medicine serves to advance the understanding, prevention and management of lower extremity sports and fitness injuries.  Useful articles and various athletic shoe lists are found on this site.

American Professional Wound Care Association

The American Professional Wound Care Association is a non-profit medical association welcoming all medical specialties involved in treating the various forms of non-healing wounds, including diabetic, vascular, ischemic, pressure ulcers, burns and cancer.

Northcoast Footcare

Northcoast Footcare is an online resource for reliable and up-to-date foot health information. Northcoast Footcare, Inc has a complete resource of patient information for common foot conditions, such as plantar fasciitis, tendonitis and bunions as well as step by step tratments for each condition.  We believe that images, diagrams and illustrations are the best way to help individuals understand their foot problems.  Northcoast Footcare has the greatest number of graphicson the web for help on diagnosis and treatment of foot and ankle conditions.  Content and articles written by Christine Dobrowolski, DPM, MS.

American Diabetes Association

The American Diabetes Association mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.  This site is an excellent resource for anyone desiring more information about diabetes.

Proper footwear is an important part of an overall treatment program for people with diabetes, even at the earliest stages of the disease. If there is any evidence of neuropathy, wearing the right footwear is crucial.

As a general rule, people with diabetes should choose shoes that:

  • Accommodate, stabilize, and support deformities, such as Charcot Foot, loss of fatty tissue, hammertoes, and amputations. Many deformities need to be stabilized to relieve pain and avoid further damage. In addition, some deformities may need to be controlled or supported to decrease further progression of the deformity.
  • Limit motion of joints. Limiting the motion of certain joints in the foot can decrease inflammation, relieve pain, and result in a more stable and functional foot.
  • Reduce shock and shear. A reduction in the overall amount of vertical pressure, or shock, on the bottom of the foot is desirable, as well as a reduction of horizontal movement of the foot within the shoe, or shear.
  • Relieve areas of excessive pressure. Any area where there is excessive pressure on the foot can lead to skin breakdown or ulcers. Footwear should help to relieve these high pressure areas, and therefore reduce the occurrence of related problems.

Prescription Footwear

Many diabetics need special prescription footwear. The various types include:

  • Custom-made shoes. When extremely severe deformities are present, a custom-made shoe can be constructed from a cast or model of the patient's foot. With extensive modifications of in-depth shoes, even the most severe deformities can usually be accommodated.
  • External shoe modifications. In these cases, the outside of the shoe is modified in some way, such as adjusting the shape of the sole or adding shock-absorbing or stabilizing materials.
  • Healing shoes. Immediately following surgery or ulcer treatment, special shoes may be necessary before a regular shoe can be worn. These include custom sandals (open toe), heat-moldable healing shoes (closed toe), and post-operative shoes.
  • In-depth shoes. An in-depth shoe is the basis for most footwear prescriptions. It is generally an oxford-type or athletic shoe with an additional 1/4-inch to 1/2-inch of depth throughout the shoe. This extra volume accommodates inserts, or orthotics, as well as deformities commonly associated with a diabetic foot. In-depth shoes are usually designed to be light in weight, have shock-absorbing soles, and come in a wide range of shapes and sizes to accommodate virtually any foot.
  • Orthoses or shoe inserts. Also known as orthotics, an orthosis is a removable insole which provides pressure relief and shock absorption. Both pre-made and custom-made orthotics or shoe inserts are commonly recommended for patients with diabetes, including a special total contact orthosis, which is made from a model of the patient's foot and offers a high level of comfort and pressure relief.