Hello esteemed colleagues.
I have recently had debate with a pedorthist who claims that in no case do
you ever use a stiff material in the foot orthosis on a diabetic. For
years, I have had success with thermolyn when having to extend trimlines
beyond the footprint of the shoe to prevent progression of deformity and
provide offloading to problem spots. I know it deviates from the “best
practice” of soft materials only, but there are instances where this (in my
opinion) serves the patient better than going softer- especially when there
is limited space in the footwear due to the odd shape of the foot.
I would like to know who else out there has deviated from the “best
practice” and what their rationale would be for doing so when selecting
materials for their diabetic patient.
We fabricate in house, so I have ultimate control over the finished product.
I thank you in advance for helping in this debate.
Take care friends,
Jen Halliday BSc CO(c)
Advanced Mobility Orthopaedics Ltd.
14 Glenwood St.