Abstract
With the increase in the incidence of diabetes, total patient numbers and the number of those patients requiring lower limb amputation are increasing. When treating patients to prevent diabetic foot ulcerations, it is important to use both suitable footwear in conjunction with orthoses in order to prevent recurrence of ulcerations and the amputations that can result. The value of using appropriate diabetic footwear and orthoses is not yet well understood in Japan. In order to make the correct footwear to assist the diabetic patient, it is important to do gait analysis and to understand the fundamental foot type of the patient. Another key to limb salvage is to not rely on just the footwear and orthotic. This treatment will get a better result when combined with a good, foot care, rehabilitation and management program.
