Total Contact Casting & Alternatives
Total Contact Casting (TCC) remains the gold standard for offloading pressure from diabetic foot ulcers (DFUs). TCC evenly distributes weight and reduces pressure on ulcerated areas by moulding closely to the foot and leg, promoting faster healing. It is particularly effective for patients with neuropathy, as it protects insensitive feet from further injury. However, TCC application can be labour-intensive, requiring frequent follow-ups and adjustments.
Alternatives to TCC, such as offloading boots, have emerged as practical solutions, offering comparable benefits while addressing some of TCC’s drawbacks. One notable option is the Optima line; these specialized offloading boots are designed specifically for patients with diabetic foot conditions. Offloading boots like this provide pressure redistribution similar to TCC but offer more flexibility. They are easier to apply and remove, allowing for regular wound inspection, which is crucial for monitoring healing progress and preventing infection. The Optima boots also provide a balance of mobility and offloading, making it a practical choice for patients who may struggle with the complete immobility of a cast.
Despite these benefits, patient compliance remains a critical factor. Unlike TCC, which is non-removable, offloading boots can be taken off, which may reduce their effectiveness if not worn consistently. Their ease of use and adaptability to changes in foot swelling or discomfort make them a highly viable option for many patients.
In choosing between TCC and alternatives like the Optima offloading boots, your chiropodist at Werkman, Boven & Associates can offer guidance based on the severity of the ulcer, patient lifestyle, and treatment goals.
For more information, visit Werkman, Boven & Associates.
