THE USE OF ORTHOTIC DEVICES TO CORRECT PLANTAR CALLUS IN PEOPLE WITH DIABETES

Foot problems are a major cause of morbidity in people with diabetes. Plantar callus is common and is a sign of abnormal foot pressures. She ar stresses at these areas of high foot pressures may ultimately resul t in ulcer formation. This study compared the effect on plantar callus of the use of rigid orthotic devices and conventional pediatric care. Twenty diabetic subjects participated in the study and were randomly allocated to conventional treatment (n = 11) or orthotic device treatm ent (n = 9). After 12 months the patients in the orthotic group showed a significant reduction in callus grade, whereas the conventionally t reated group showed no significant change. There were no adverse effec ts from wearing the orthotic device. Rigid orthoses have a beneficial effect on plantar callus presumably through the lowering and redistrib ution of abnormal foot pressures.