27/02/2026
Not just a Charcot deformity: Other than the obvious deformity to the foot, in this case a significant rocker plantar aspect of the right due to complications of diabetes, but there is also significant changes in movement, their gait, balance and in their confidence.
In gait, we can see the heel is not taking first load and the hallux is not taking last load, very short steps are been taken.
Part of this is due to poor balance or even a fear of a falling. This can be seen in the CoF trajectory line.
Some of this has come about from the lack of activity during the hospital stay and the healing process and often wearing CAM boot for long periods and a lack of symmetry in movement, something Ryan Crews talks about in his 2018 paper, Crews, R. T., & Candela, J. (2018). https://diabetesjournals.org/care/article-abstract/41/7/1400/36424/Decreasing-an-Offloading-Device-s-Size-and?redirectedFrom=fulltext
So what is next, how do we help these patients to improve their confidence, their balance and increase their activity levels?
For my part, its about sharing the data, the improved off loading shown in the ISPM, 162kPa for the right and 139kPa for left and instilling in them that they should now slowly and gradually improve their activity levels with confidence.
Other than sharing the data, we also ask them to show us if they can stand on one foot, for 3 seconds, this request is often met with "l cant" but we explain they stand on one foot during their gait cycle and that we will support them in their attempts, they are often surprised at what they can actually achieve.
This was achieved by utilizing our Australain made custom footwear and custom orthosis.
So, if you or someone you know has issue with their feet and needs help, come and see us.
Call Rebekah on 9465 0880 to book an appointment.
*ISPM is a measure of 8 steps of each foot and the average is then considered, with