Custom-made total contact insoles and prefabricated functional diabetic insoles: A case report

The Diabetic Foot Journal. Vol 10. No 3. 2007
Joanne Paton, Elizabeth Stenhouse, Ray Jones, Graham Bruce

Insoles are commonly prescribed to offload the mechanical stress transmitted to the plantar tissues of the foot. Traditionally, the custom-made total contact insole (TCI) is favoured over its prefabricated counterpart. The introduction of a new prefabricated diabetic insole (Algeos Ltd) designed to modify foot biomechanics may offer an instant, low-cost, clinically effective alternative.

We report on a comparison of the two insoles in the case of a 54-year-old lady with type 2 diabetes and peripheral neuropathy, presenting with ulceration overlying the third metatarsal region. The F-scan in-shoe pressure measurement system (TEKSCAN) provided an objective measure of effect.