Diabetic shoes, prescription footwear, and orthotics

diabetic shoes

The importance of using the right diabetic shoes can never be overstated. Just imagine if Cinderella had been diagnosed with diabetes. Her doctor would have strictly forbidden her from wearing glass slippers; they might have broken and cut her feet, and she might have never known due to loss of sensation caused by neuropathy. As a result the cut might have become infected, possibly leading to the amputation of her foot – a fate which I believe was reserved for the wicked stepsisters (who by the way were also blinded at the end of the tale; another potential though rare complication of diabetes).+
Check out our Diabetic Shoes by clicking below 

Diabetes footwear has four main goals:

Reliving pressure

Undue pressure on any area of the foot can cause skin breakdown or ulcers.

Decreasing shock and shear

Shock is the overall amount of vertical pressure on the bottom of the foot, while shear is the horizontal movement of the foot inside the shoe. Reduction of both is beneficial.

Accommodating, stabilizing  and supporting deformities

Stabilization of deformities alleviates pain and prevents further damage to the foot.

Restricting joint motion

Stopping certain joints from moving can result in decreased swelling, pain relief, and a more functional and stable foot.


In patients with early diabetes with no history of foot problems or sensation loss, a well-fitting shoe made with soft fabrics and a shock-absorbing sole can help avoid future problems. On the other hand, patients with foot-insensitivity should rely on a professional shoe-fitter or certified pedorthist, as they have a tendency to pick smaller sizes than they should. And while size matters, shape does too. The shape of the shoe should match that of the foot, including ample space in the toe area – at least 3/8 to ½ inches between the end of the shoe and the longest toe –, over the instep, and across the ball of the foot, as well as a comfortable fit around the heel. Length and width are also essential factors. The widest part of the foot – across the foot at the base of the toes – should go in the widest part of the foot. Ill-fitting diabetic shoes can cause blisters, calluses and ulcers in both insensitive and sensitive feet.

     Special prescription shoes

Healing shoes

Open toe sandals, heat-moldable healing shoes and post-operative shoes worn right after surgery or ulcer treatment.

In-depth shoes

Usually a lightweight, shock-absorbing oxford-style or athletic shoe with an extra 1/4- to 1/2-inch of depth throughout the shoe to accommodate inserts or orthoses, and deformities associated with a diabetic lower limb.

External shoe modifications

Reshaping the sole, adding shock-absorbing materials, or any other modification of the outside of the shoe.


Pre-made or customized removable insoles that relieve pressure and absorb shock.

Customized shoes

Rarely, a shoe may be personalized from a patient’s foot cast to accommodate severe deformities.



These are foot pads, shoe inserts, ankle braces, and other devices intended to treat a variety of conditions including metatarsal and sesamoid pain, foot arthritis and flat feet, and ankle arthritis, foot drop and tendinitis.