How might diabetic neuropathy affect a patient's orthotic needs?

Diabetic neuropathy can significantly impact a patient's orthotic requirements due to the changes it causes in foot structure and function. One of the primary concerns for individuals with diabetic neuropathy is the increased risk of pressure ulcers. This condition can compromise skin integrity, especially in areas of high pressure or poor circulation, making specialized orthotics essential for offloading these areas and providing adequate support.

Additionally, patients with diabetic neuropathy often experience loss of protective sensation in their feet. This means they may not feel injuries or pressure, leading to undetected skin breakdown. As a result, orthotics must be designed to alleviate pressure and provide protection to vulnerable areas, thus minimizing the risk of ulcers and facilitating better healing.

Specialized orthotics can include features such as cushioning, offloading areas of high pressure, and accommodations for deformities that may arise from neuropathy, ensuring the patient’s comfort, preventing complications, and promoting foot health. Therefore, it is crucial for fitting professionals to closely assess the needs of patients with diabetic neuropathy to determine the most appropriate orthotic intervention.