Foot Leveler's for diabetics?

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One of Foot Leveler's paid consultants is clearly soliciting the chiropractic profession to provide diabetic foot care. I'm very curious what you think about this article. He never mentions the product name of the company that employs him but suggests chiropractor's manage the diabetic foot:

Diabetic Ulcerations and Foot Care - Dynamic Chiropractic

http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=55607

Salient points:

Sorry, I haven't gotten around to informing them of the 3 arch myth or how truly embarrassing it is that they keep repeating it.

I'll be watching their marketing very carefully to see when they drop the bomb suggesting casting a diabetic using their "scanner", insoles and shoes.

Right and you should refer this out promptly to someone with training.

"stabilizing orthotics" is a buzzword for this company, clearly a plug for Foot Leveler's. here is the page of their shoe offerings.

http://www.footlevelers.com/products/orthotic-footwear

Some days I loathe having the capability to read and comprehend articles like this and smell the turd embedded within...

 

Are you trying to say that there is no truth in the claims of this company having a solution for diabetics or are you saying your tribe is the only ones capable of treating diabetics ?

I am intrested in a solution not the haggle and expert opinions of old timers punching each other, is there truth in this that if you are a diabetic can you get your feet scanned and use an orthotic that is milled for you and prevent foot complications.

Is there a science or is it only skill ?

 

What tribe would that be anonymous new poster? I happen to be a chiropractor and to my knowledge few if any allied professionals use that product, except the chiropractic profession. I am a part of their tribe in vocation; I am also part of a tribe with actual training in the manufacture, fitting and dispensing of therapeutic shoes and insoles for diabetics.

There exists many solutions, shoes, materials and methods already widely in use and acceptable to Medicare to dispense these items to prevent foot complications. Medicare, likewise group health plans mandate these services be provided by professionals with training and there is no training in the chiropractic curriculum to provide these services. I won't even go into their insoles but suffice to say what I've seen does not meet Medicare standards.

This at-risk diabetic population faces potentially grave consequences when professionals begin expanding their scope of practice beyond their training, utilizing inferior and substandard materials and methods. That is my concern here, I'm sure many others share that concern.

I question that their methods or products are appropriate for diabetics. They may offer a few diabetic shoes, but that does not mean that their limited selection will be appropriate for a large number of patients. Trust me, there is no haggling and there are no expert opinions of old timers punching each other here. I am not old and the author well, I'll consider his opinion when he ceases regurgitating the transverse arch myth and using 2-Dimensional scanners and one material for every patient.

I have in the past called that particular lab to inquire about their manufacturing process. No return call, twice. Their idea of a prescription is "is the arch high, medium or low, do they pronate, do they have back pain etc"?

Possessing no training and no earned skill level in footwear and orthosis fitting, design, manufacture, modification etc. will not be obviated by science, if there is any. Both are required or you are merely placing that patient at further risk. What would one of the providers lulled into thinking this potential cash cow is a good idea do when a patient's shoes needed modification or just plain didn't fit correctly, not to mention the patient's foot ulcerate?

The article should be titled "when to recognize a referral to a podiatrist is warranted"?

 

I'm not a big fan of foot levelers. Never really helped alot of people i know.