Treating Foot Ulcers and Wounds with Total Contact Casting

The Total Contact Cast system is considered to be the gold standard among most experts, believing it to be the best method – for achieving proper off-loading to help heal diabetic foot ulcers. Learn more about TCC here:  http://www.healyourulcer.com/total-contact-casting/.

The most important aspect to healing an ulcer or wound on the bottom of the foot is to reduce weight bearing pressure on the area. Research tells us that a Total Contact Cast is by far the most effective way of achieving that reduction in pressure. Want to see how a Total Contact Cast is applied? Watch this video.

Currently, diabetic patients must travel to Toronto Women’s Hospital or St. Michael’s Hospital where the Ministry of Health covers the fees. However, patients wanting shorter wait times, easier access and less travel headaches can have it done on a fee-for-service basis in our Oakville office with Kaitlin Boven (nee:Werkman). Kaitlin is a Registered Chiropodist, MSc Diabetes and completed training on Total Contact Casting (TCC) in January of 2017.

TCC is a casting technique that is used to heal diabetic foot ulcers, with reported healing rates of about 90% in 6 weeks. The Total Contact Cast closely conforms to the exact shape of the foot – creating a chamber just right for healing. It works by redistributing weight off of your foot ulcer so it can heal.

A typical six-week treatment plan covers:

TCC casting TCC Cast

Appointment 1:  Debridement of ulcer and place casting
Appointment 2:  (within 3-5 days of first): Check ulcer, debride if necessary, recast
Appointment 3-6: (weekly): Check ulcer, provide treatment until ulcer is healed – usually six weeks.

Indications/intended use:

Non infected neuropathic foot ulcers, post op care, charcot neuropathy, pre ulcerative conditions.

To learn more about how the Total Contact Casting system can help you, contact us today. Learn more about Diabetic Footcare and Education at the Werkman Foot & Orthotic Clinic in Oakville.

Do you have any questions or suspect you may have an ulcer? Don’t let your foot condition worsen. Please give our office a call and have it assessed by a professional.

Visit our blog for more information on  Causes, Symptoms and Treatment Options for Foot Ulcers and Wounds.

Offloading Devices and Supports

Posted by Optima Molliter on Saturday, January 6, 2018

Optima Molliter MOTUS 2.0 – treatment of diabetic plantar ulcer/lesion

  • customizable fixing system
  • removable fully rocking sole for the management of the plantar lesion of the foot
  • adjustable strap fixing system
  • rigid anterior protection for tibia
  • includes a Puzzle Kit insole to locally decompress the lesion and a protective sock

Optima Molliter DIAB – treatment of diabetic plantar ulcer, postoperative/trauma phases and foot fractures

  • high leg-foot walker with components directly attached that can be
  •  adapted to the patient, high heat-mouldable stiffener, breathable and washable upper
  • rigid anti-flexion and anti-torsion insole
  • fully rocking sole, with movement control and redistribution of the pressure load
  • includes 1 puzzle kit insole to locally decompress the lesion

Optima Molliter CLHEEL – treatment of heel plantar diabetic ulcer, heel pressure injury during bed-ridden status and lesion/trauma of heel/tendon

  • high leg-foot walker with components directly attached that can be adapted to the patient, high heat-mouldable stiffener, breathable and washable upper
  • rigid anti-flexion and anti-torsion insole
  • fully rocking sole, with movement control and redistribution of the pressure load
  • includes 1 puzzle kit insole to locally decompress the lesion

 

Speak with your chiropodist to determine a treatment plan for your diabetic ulcer, whether that be removable offloading devices or Total Contact Casting.

EVENup™ Shoe Lift

EVENup™ is an orthotic shoe lift that is used for compensating temporary leg length discrepancy. Pain in the back, hip and/or knee due to uneven gait when walking with an orthotic walking book or wound care shoe is relieved. Evenup easily attaches to the shoe of the non-affected limb for improved balance, gait and reduced body strain. Its specially designed rubber and hook and loop straps hold it in place on the shoe.

Product Highlights:

  • adds 1.3 cm (1/2 inch) or 2.1 cm (3/4 inch) to compensate for a shorter limb length when wearing a walking boot, cast or fracture boot
  • improves uneven gait and balance
  • eliminates low back pain and hip pain often associated with a walking cast
  • includes a 2-layer non-skid rubber outsole
  • can be used for the left or right foot

Continue the conversation by calling 905.845.4817, emailing, or visiting the Werkman, Boven Foot & Orthotic Clinic today. We’re a friendly bunch!

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