I like to use the
The foot is the interface between the body and the phrase ; you ground . It is a complex structure , acted upon by hard , unyielding surfaces and by rotation and translation of
cannot drive a car the trunk and the leg to advance the body to move forward . with flat tyres , no
As the interface between the body and the ground , the foot is subject to tremendous stresses and loads matter how good during the gait cycle . It could not be truer than when dealing with diabetic foot , which is already
the engine is . So under compromise and is very vulnerable due to neuropathies . please look after your feet , as they will look after you . 1 .
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The Podiatry Corner
Biomechanics of the Foot
By Fabian Collis
This article will address the foot and preventative footwear ’ s biomechanics , particularly for diabetic feet and people with diabetes .
I like to use the
The foot is the interface between the body and the phrase ; you ground . It is a complex structure , acted upon by hard , unyielding surfaces and by rotation and translation of
cannot drive a car the trunk and the leg to advance the body to move forward . with flat tyres , no
As the interface between the body and the ground , the foot is subject to tremendous stresses and loads matter how good during the gait cycle . It could not be truer than when dealing with diabetic foot , which is already
the engine is . So under compromise and is very vulnerable due to neuropathies . please look after your feet , as they will look after you . 1 .
The biomechanical faults , primarily due to the Loss Of Protective Sensation ( L . O . P . S )) and motor neuropathy leads to osteo changes in the foot . In turn , it creates high-pressure areas that increase the risk of ulceration , followed by a flood of complications and can result in amputation . It also destroys the quality of life and adds a burden to the patient and the family . It is said that 60 % of Diabetic Foot Ulcer ( D . F . U ) can be prevented by simple offloading , and a good sensible pair of shoes is essential .
These should enable us to have even plantar pressures through the foot , create and relieve stress , friction , and allow good shock absorption and accommodate deformities and bony changes within the foot .
Diabetic patients that suffer from motor neuropathies are more likely to pronate or supinate . It is known as pes cavus or pes plano valgus , a high arch foot or a collapsing arcy . Poor biomechanics leave a patient with diabetes at extremely high risk , not only in developing a D . F . U ., but also other severe conditions such as the neuropathic joint , also known as the Charcot ’ s foot ( which I will address in the next edition ).
Orthotics / insoles give cushioning to the feet and allow the correct distribution of plantar pressures and throughout locomotion and gait . It lowers the patient ’ s risk of developing expensive foot complications .
Footwear should be acquired relating to risk – from low to high to extremely high . These can be categorized : -
2 .
3 .
4 .
No complication developed , can buy shoes over the counter and sports shoes for the activity .
Developed L . O . P . S . without deformity , should wear well-cushioned sports shoes preferably , and advised to stay away from flip flops , slippers , etc .
The patient has developed one or two risk factors and should be advised to wear protective bespoke footwear to accommodate the deformity with extra depth and cushioning .
As with category 3 , patients should acquire customized casted footwear to accommodate Charcot and severe deformity in this risk category .
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