Offload First: The Antidote to Neuropathic Plantar Ulcers
Update: 2025-11-07
Description
In this episode Dr. G explains why offloading — removing pressure from the ulcer site — is the single most important intervention for neuropathic plantar diabetic foot ulcers. He reviews evidence and guidelines that favor non-removable total contact casts, practical offloading options, and how to integrate offloading into a full treatment plan.
Key points include screening and treating infection and ischemia, sharp debridement, ensuring patient adherence through non-removable devices, and using adjunctive therapies when appropriate. The episode emphasizes multidisciplinary care, patient education, and frequent monitoring to optimize healing.
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