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Fig. 3.3 The patient is wearing his favourite trainers on which a pair of bespoke trainers have been modelled, which are deep enough to contain a cradled insole.

Fig. 3.3 The patient is wearing his favourite trainers on which a pair of bespoke trainers have been modelled, which are deep enough to contain a cradled insole.

Persuading patients to wear suitable shoes

There is a need for compromise, flexibility and imagination in footwear provision and education. Young and fashion conscious patients will want to look and dress the same as their peers, and use of trainers and Doc Marten's boots will make them feel less self-conscious. Where bespoke shoes are essential, they can be made in the above styles (Fig. 3.3).

If patients are reluctant to wear special shoes, then in-shoe pressure measurements can demonstrate that areas of the sole are at risk of ulceration because of high pressures.

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