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Please use this section to ask any questions about podiatric or biomechanical matters, or for any queries about the use of functional foot orthoses or our services.  

Whether you are a professional podiatrist or someone with a foot disorder, we will endeavour to clarify your doubts.  

The questions and answers in this section will be published provided that they are of general interest to the podiatry community or users.  

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Hi, good afternoon,

I have a diabetic patient who has cavus foot. They came to my practice because they suffered from painful feet at the end of the day working in the country. On examination, the tendons were noticeable, resembling taut guitar strings.

All that they wanted were insoles for rest.

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Good afternoon, In the case of this kind of patients with diabetes, the mechanical characteristics of their foot call for a functional insole with materials with greater mechanical strength (plastics). I recommend using a softer combination for the upper lining with more cushioning so that the first sensation for the patient is one of comfort.  […]

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Good afternoon,
In the case of this kind of patients with diabetes, the mechanical characteristics of their foot call for a functional insole with materials with greater mechanical strength (plastics). I recommend using a softer combination for the upper lining with more cushioning so that the first sensation for the patient is one of comfort. 

The materials that you can combine are 2 upper linings such as an intermediate layer of polyurethane (Poron) and an upper one of Plastazote. You must take the thickness into consideration; not so thick as to create rubbing or pressure at the front of the footwear. 

Don’t forget that another machined material exists, namely POLYURETHANE. You could use it lined with Plastazote for this kind of patients if corrective foot orthoses are not required. As you will be aware, it is recommended for this kind of patients due to its low resistance, which means that the whole insole has greater cushioning from impacts, and there is better dispersion of the plantar pressure. 

I hope my answer has helped you.