The majority of plantar ulcerations in the insensate foot are precipitated, perpetuated or aggravated by mechanical dysfunction of the foot and ankle. Peak pressures, shear forces and hypermobile pedal segments all contribute to this pathology and result in stresses that are especially damaging to integumentary tissue. Since these forces are occurring under the foot inside the shoe while the patient is standing and walking it is only prudent that they be identified and addressed. Observational or Video Gait Analysis is not capable of revealing plantar pressures or measuring temporal parameters, both of which are critical components that must be assessed and addressed in the production and management of pedal ulcerations. In-shoe pressure testing is a practical, repeatable, relevant and reliable method of identifying and neutralizing these predisposing factors thereby improving not only improving patient outcomes but preventing them from occurring in the first place.

CME (Credits: 0.5) CEU (Credits: 0.75) 

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