A patient came to see me the other day with some callous. She is a diabetic, and has a forefoot valgus.
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Due to this foot structure, is it not best practise to suggest an orthotic for long term treatment? She will be more prone to developing callous problems, which may ulcerate.
She claims that she does not need an orthotic as "the NHS are stretched financially as it is" My viewpoint is that an orthotic will save the NHS money long term, by preventing problems.
What do others think please?
Neil Baker (who I hold a lot of respect for like Ivan Bristow) I'm sure said can't treat the diabetic foot, without considering biomechanics.
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