Mechanical control

Ideally, ulcers must be managed with rest and avoidance of all pressure. However, total non-weightbearing is rarely practical and is difficult to achieve. For these reasons, ambulatory methods of achieving mechanical control are best.

In the neuropathic foot, the overall aim is to redistribute plantar pressures evenly, thus avoiding areas of high pressure which will prevent or delay healing.

In the neuroischaemic foot, the aim is to protect the vulnerable margins of the foot.

Thus, mechanical control will be considered separately in the neuropathic and the neuroischaemic foot.

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