The “Comfort Paradox”: Why Feeling Good Might Be Bad for the Diabetic Foot #ActAgainstAmputation @ALPSlimb @KeckSchool_USC #Shoes #Neuropathy

We often talk about the "Princess and the Pea" in our line of work, but for our patients with neuropathy, the story is reversed. The pea—or the rock, or the seam—is there, but the princess simply cannot feel it. A fascinating new narrative review just published in J. Clin. Med. by Carral-Sota and colleagues drives... Continue Reading →

Enhancing Foot Ulcer Prevention with Personalized Footwear: Insights from N-of-1 Trials

In the ongoing battle against diabetic foot ulcers, a recent study offers promising insights into the effectiveness of personalized footwear and insole designs. Conducted by Sayed Ahmed and colleagues, this research utilized a series of N-of-1 trials to explore how custom-tailored footwear can help prevent the recurrence of neuropathic plantar forefoot ulcers in individuals with... Continue Reading →

The Appropriateness of Footwear in Diabetic Patients Observed during a Podiatric Examination: A Prospective Observational Study #Shoes #PrescriptionShoes #DiabeticFoot #ActAgainstAmputation

This from our friend Luigi Uccioli and coworkers Abstract Background: Adequate compliance with wearing therapeutic footwear (TF) to prevent diabetic foot ulcers is known to be low. The primary aim of this study was to identify population awareness about the ulceration and/or recurrence risk according to footwear choice. The secondary aim was to evaluate the compliance... Continue Reading →

Effects of wear and tear of therapeutic footwear in patients remission. A 5-year follow-up study @ALPSlimb #ActAgainstAmputation #DiabeticFoot

From our colleagues in Madrid anchored by our long-time friend Jose Luis Lazaro Martinez. This was posted previously here. Aims To assesses the relationship between the wear and tear of therapeutic footwear (TF) and the risk of recurrence in diabetes remission patients. Methods Remission patients (N = 115) participated in this 5-year prospective study in a specialized Diabetic Foot Unit between... Continue Reading →

Effects of Special Therapeutic Footwear on the Prevention of #DiabeticFoot Ulcers: A Systematic Review and Meta-Analysis of Randomized Controlled Trials @ALPSlimb #ActAgainstAmputation

This manuscript from Luo and coworkers provides an update on one of the most important interventions we can provide our patients. Objective: To reduce diabetic foot ulcer (DFU) occurrence or recurrence, diabetic therapeutic footwear is widely recommended in clinical practice for at-risk patients. However, the effectiveness of therapeutic footwear is controversial. Thus, we performed a systematic... Continue Reading →

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