Bar vs pad—when to choose each?

A metatarsal bar spreads pressure across multiple met heads for general forefoot protection and is preferred for diabetic feet. A metatarsal pad targets specific pressure points and is better for focal pain areas. For diabetes, bars provide more diffuse pressure reduction which is safer than concentrated pressure from pads.

Can orthotics heal an ulcer?

No, orthotics cannot heal an existing ulcer. They help reduce pressure to prevent new ulcers or stop existing ones from getting worse. If you have an open wound, blister, or ulcer, you need immediate clinical care from a podiatrist or wound specialist.

What shoe features matter for offloading?

Look for shoes with extra depth to accommodate orthotics, wide toe boxes to prevent pressure, soft materials that won't create hot spots, and good cushioning. Avoid tight-fitting shoes, high heels, or anything that creates pressure points. Athletic shoes or diabetic-approved footwear work best.

How often to check skin and replace top covers?

Check your feet daily for redness, blisters, or pressure spots. Replace orthotic top covers every 6-12 months or sooner if they show wear, become rough, or lose cushioning. Worn covers can create pressure points that lead to skin breakdown.

Diabetic Foot Care

Custom orthotics can lower plantar pressure in diabetes by spreading load across a wider area and supporting the arch so the forefoot works less hard. We typically favor softer top covers and a metatarsal bar for diffuse pressure (vs a pad for focal pain). Avoid aggressive arch forcing. If you see redness, blisters, or wounds, contact a clinician.

Diabetic Foot: Safer Forefoot Offloading

Gentle pressure reduction and protection for diabetic feet. Custom orthotics designed to prevent complications while maintaining comfort and safety.

How This Helps

For diabetic feet, pressure reduction is the primary goal. Custom orthotics work by distributing weight more evenly across the entire foot, reducing concentrated pressure points that can lead to skin breakdown or ulceration.

Pressure Distribution

• Metatarsal bar spreads forefoot load
• Arch support reduces peak pressures
• Soft top covers provide cushioning
• Even weight distribution prevents hot spots

Safety Features

• Gentle arch approach (no forcing)
• Accommodative rather than corrective
• Regular monitoring recommended
• Focus on comfort over correction

When to Avoid or Get Help

Immediate Clinical Care Needed

Stop using orthotics and see a healthcare provider immediately if you notice any redness, blisters, open wounds, or changes in sensation.

Warning Signs

Any skin breakdown or wounds
Persistent redness after removing shoes
New areas of callus formation
Changes in foot shape or swelling

When Orthotics May Not Be Right

Active foot ulcers (need clinical treatment first)
Severe neuropathy with complete loss of sensation
Active Charcot foot changes
Poor circulation with cold, blue feet

What You'll Feel / Break-In

The break-in period is especially important for diabetic feet. You should feel gentle, even support without any pressure points or uncomfortable areas.

Normal Sensations

Gentle, even pressure across the foot
Slight awareness of arch support initially
Gradual reduction in tired feet
More comfortable walking over time

Break-In Schedule

Start with just 1-2 hours daily
Increase by 1 hour every 2-3 days
Check feet after each wear
Full adaptation in 2-3 weeks

Protect Your Feet with Safe, Custom Support

Get AI-designed orthotics specifically for diabetic foot care. Gentle pressure reduction with safety-first design.

Start Your Safe Assessment

Free analysis • $249 • 100% satisfaction guarantee

Download Break-In Protocol (PDF)