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Summary of Therapeutic Shoe Fitting
Therapeutic shoe fitting is a specialized process aimed at providing footwear that accommodates and supports individuals with medical conditions affecting the feet, particularly those with diabetes, arthritis, or foot deformities. The goal is to prevent complications, enhance mobility, and improve overall foot health.
Key Elements of Therapeutic Shoe Fitting:
Patient Assessment:
Evaluation of foot structure, gait, and pressure points.
Identification of conditions such as bunions, hammertoes, edema, ulcers, or neuropathy.
Shoe Selection:
Extra depth and width to reduce pressure and accommodate orthotic inserts or deformities.
Soft, seamless interiors to prevent skin irritation.
Firm heel counters for stability and support.
Customization and Modifications:
Use of custom orthotics, insoles, or toe fillers.
Adjustments like stretching, rocker soles, or heel lifts to enhance comfort and function.
Fitting Process:
Measurement of both feet (length, width, and girth) while weight-bearing.
Trial fitting to ensure proper fit with room for orthotics and foot swelling.
Education on proper shoe wear and care.
Follow-Up:
Regular monitoring to ensure fit remains appropriate.
Adjustments made as needed for changes in condition or foot shape.
Importance:
Proper therapeutic shoe fitting can help prevent foot ulcers, reduce the risk of amputation, and significantly improve quality of life for patients with high-risk feet.