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Total Contact Casting & Offloading Devices2021-10-28T15:06:50-04:00
Foot Related Treatments

Treating Foot Ulcers & Wounds with Total Contact Casting

The Total Contact Cast system is considered the gold standard among most experts, believing it to be the best method for achieving proper off-loading to help heal diabetic foot ulcers.

Total Contact Casting & Offloading Devices

Pressure-relieving (offloading) devices such as casts, removable casts or specialized shoes for treatment of foot ulcers, promoting healing of the affected area

The most critical 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, patients with diabetes 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 fewer travel headaches can have it done on a fee-for-service basis in our Oakville office with Kaitlin Boven. She is a Registered Chiropodist, MSc Diabetes Student and completed training on Total Contact Casting (TCC) in January of 2017.

TCC is a casting technique used to heal diabetic foot ulcers, with reported healing rates of about 90% in 6 weeks. The Total Contact Cast closely conforms to the foot’s exact shape, 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 includes:

Appointment 1: Debridement of ulcer and plaster casting

Appointment 2: (within 3-5 days of first): Check ulcer, debride if necessary, recast

Appointment 3-6 (weekly): Check ulcer, provide treatment until the ulcer is healed – usually six weeks.

Indications and intended use:

  • Non-infected neuropathic foot ulcers
  • Post-op care
  • Charcot neuropathy
  • Preulcerative conditions

To learn more about how the Total Contact Casting system can help you, contact us today. Learn more about Diabetic Footcare 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.

Offloading Devices and Supports

What are these devices for?

Just as the Total Contact Casting system is for the treatment and aid of healing diabetic ulcers, the following devices can be used as an alternative. Each of the devices is designed to aid in a specific treatment that a chiropodist can best determine. Schedule an assessment today to determine which device is best for you.

SBI MOTUS
Diabetic Plantar Ulcer or Lesion
  • Removable rocking sole for customization
  • Adjustable strap system
  • Customizable insole
  • Rigid protection to limit limb motion
  • Customizable locking system
Optima DIAB
Diabetic Plantar Ulcer, Postoperative, Charcot Foot Management, or Foot Fractures
  • Customizable walker with breathable and washable upper
  • Sole that is specifically designed to prevent movement
  • Rocking sole
  • Customizable insole
  • Customizable locking system
Optima CLHEEL
Plantar Diabetic Heel Ulcer, Heel Pressure Injury During Bed-ridden Status, or Lesion or Trauma of Heel or Tendon
  • Customizable walker with breathable and washable upper
  • Sole that is specifically designed to prevent movement
  • Sole with movement control and redistribution of pressure load
  • Customizable insole

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
Plantar Diabetic Heel Ulcer, Heel Pressure Injury During Bed-ridden Status, or Lesion or Trauma of Heel or Tendon

EvenUp™ Shoe Balancer is a shoe lift that is used for compensating temporary leg length differences. Pain in the back, hip and knee due to uneven gait when walking with a walking boot 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.

Product Features:

  • Reduces hip, back, and knee strain
  • Improves uneven gait and balance
  • Rubber outer sole is lightweight and nonskid
  • Available in various sizes for both right and left foot

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