Category: Health

Diabetic Foot and Footwear

Diabetic Footwear

Do people with Diabetes have to wear special shoes?

The answer is a simple : YES 

The reason to wear special shoes

People with diabetes may develop “Peripheral Neuropathy” in the feet (can also appear in the hands), due to high blood sugar levels. As mentioned in a previous article this may bring about nerve damage which can desensitise the feet in some areas and heighten sensitivity in other areas. Remember numb toes can’t talk and no message goes to the brain alerting the owner that blisters or hot spots are developing. Blisters or hot spots can lead to ulcers and in worse case scenarios may lead to amputations.

The special with this shoes

Special shoes in the sense that they must support the arches, ankles and heels.

They must
– be seam free to avoid rubbing
– have a higher toe box and give wiggle room to the toes
– be made from suitable materials

So while the shoes may not be the most fashionable they will be the most suitable. We will endeavour to accommodate requests regarding styles, depending on the condition of the feet as presented.

How to get suitable diabetic footwear

Following a full examination of the feet, a biomechanical analysis of pelvic and hip control, gait analysis and a foot pressure scan, we will advise on the best style of shoes. In all cases you will require special made to measure orthotics. The shoes may be modular shoes or made to measure bespoke shoes. That choice is at the discretion of the wearer, in all cases.

We will ensure that the shoes are the correct fit.
The orthotics are custom made, the materials used are best suited.
The overall combination will result in the best product, to assist in you maintaining your mobility.

For further information please contact : or
01 4434409/045 866887

Diabetic Foot–Please Act Now

diabetes headline

Diabetic foot disease is one of the most common, serious, feared and costly complications of diabetes. People with diabetes are at a 15 to 40 fold higher risk of a lower limb amputation than a non-diabetic person. 80% of lower limb amputations in diabetes are preceded by the development of a foot ulcer. It is estimated that the annual incidence of lower limb ulceration in people with diabetes varies between 2.2% to 7%. Diabetic foot disease is costly, with people frequently requiring admission to hospital, investigations, surgery and a prolonged hospital stay.

In order to look after your feet, you should follow these general rules:

  • Nail Care – check up with chiropodist monthly.
  • Footwear well fitting.
  • Daily self-examination of the feet checking for changes or breaks in the skin.
  • Never ever walk inside/outside in bare feet
  • Checking your footwear and socks/hosiery before putting them on to ensure all is in good order.
  • Check bath and shower temperatures to avoid scalding.
  • Avoid home remedies e.g. corn plasters etc

As diabetes develops our feet become less sensitive. One may be inclined to wear tight fitting shoes, but this is never a good idea. Never buy off the shelf shoes with the thinking you will “break them in”.

Remember : Improper or poorly fitting shoes are major contributors to diabetes foot ulcerations.

If your are in any doubt, please do not hesitate to contact us at 01 443 4409 to book an appointment – do not use that old Irish euphemism, “it will be grand”

What we will do

  • Check/Examine the feet We will check the feet for sensitivity, note any forms of structural foot deformity e.g Bunions, Toe deformities e.g. clawing toes, crossover toes, hammer toes, High Arch foot or Char cot Foot
  • Recommend/Supply the correct footwear specific to diabetes ensuring the correct size and shape to wear to suit your feet
  • Make alterations to accommodate deformities if necessary
  • Fit the correct orthotics to suit your feet and the shoes. Offloading in the event of current or previous ulcerations.
  • In the event that your foot is in the High Risk Zone we would refer you back to your Endcrinologist for their opinion, before proceeding to make bespoke footwear with materials specially designed for the diabetic foot.

Additional information for diabetic foot:

Diabetes Ireland

Knee Symposium Belfast 2017

The Knee Symposium Belfast 2017

Saturday 23rd September, 2017, Samuel Welter and Liz Dunbar attended The Belfast Knee Symposium, not that there is such thing as a Belfast knee but that the symposium was held at the Crowne Plaza in Belfast, sponsored by Ossur.

Leading consultants and specialists in the field provided presentations and discussions covering all aspects from imaging to operating on knees, busted knees, old knees, replacement knees etc to an a well attended audience of Physio’s and G.P.’s

Main speakers Mr. Mihai Vioreanu and Dr. Barry Sheane – Dublin, Mr Pooler Archbold and Mr. Noel Napier – Belfast

Painful Knees — The overriding message is – Prevention is better than Cure.

Avoid Surgery ….. Prevention

Surgery on the knees can mean you are off your feet for 12 weeks and even with that there is no guarantee that you will be as active as you were again. So damage to the meniscus or the cartilage, is to be avoided if at all possible. Apart from serious sports injuries and RTA’s, knees hitting the dashboards, damage to the knee is mostly brought about by wear and tear/degeneration presenting itself as a painful knee causing difficulty walking.

Cure …..

If painful knee causing difficulty walking is the case, please contact your G.P, or Physio for a referral letter and make an appointment at Welters to meet Samuel, with a view to having correctional orthopaedic insoles fitted. We guarantee that they will be made to measure and fitted to your shoes. It may be necessary to have two pairs of insoles one for your everyday shoes and one for your exercise shoes.

Once the insoles are fitted correctly they will assist you in relieving the pain in the knee, reduce pain relieving medication, improve your gait, allowing you to increase your daily exercise It is advisable to stick to cycling, swimming and/or brisk walking. This will also reduce your waist line. Its a win win.

However if you have to have surgery …

Locate the best orthopaedic knee specialist through your G.P.

New Knee, back on your feet after 12 weeks, and having followed the procedures laid down by the specialists. What next …..

Important Notice

In order to maintain the achieved improvement in the knee it is also necessary to wear orthopaedic insoles.

Where surgery is not possible there may be other options e;g. Shoe adjustments – combination of a lateral wedge and a soft heel strike.

For more details