Offloading Orthotic Insoles

Published studies already report that insoles reduce peak plantar pressure and lower ulcer recurrence risk. The review aims to compare different insole materials for effects on healing outcomes and patient satisfaction. Insoles may improve adherence because they can be customized for an active wound and used in standard therapeutic footwear. Offloading is described as a cornerstone of diabetic foot ulcer management because it redistributes plantar pressure away from the ulcer. Orthotic insoles shift peak pressure from the ulcer to surrounding healthy tissue by reshaping the foot contact surface. The review focuses only on customized offloading orthotic insoles for active existing ulcers.