Use of plaster casts in the management of diabetic neuropathic foot ulcers

A. J.M. Boulton, J. H. Bowker, M. Gadia, R. Lemerman, K. Caswell, J. S. Skyler, J. M. Sosenko

Research output: Contribution to journalArticle

58 Scopus citations

Abstract

Neuropathic foot ulceration is a major medical and economic problem among diabetic patients, and the traditional treatment involves bed rest with complete freedom from weight-bearing. We have investigated the use of walking plaster casts in the management of seven diabetic patients with long-standing, chronic plantar ulcers. Although all ulcers healed in a median time of 6 wk, this therapy was not without side effects, which are described in detail. We conclude that casting is a useful therapy for neuropathic ulcers, although several clinic visits, including cast removal and foot inspection, are necessary to avoid potential side effects caused by the casting of insensitive feet.

Original languageEnglish (US)
Pages (from-to)149-152
Number of pages4
JournalDiabetes care
Volume9
Issue number2
DOIs
StatePublished - Jan 1 1986
Externally publishedYes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

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