Use of plaster casts in the management of diabetic neuropathic foot ulcers

Diabetes Care. 1986 Mar-Apr;9(2):149-52. doi: 10.2337/diacare.9.2.149.


Neuropathic foot ulceration is a major medical and economic problem among diabetic patients, and the traditional treatment involves bed rest with complete freedom from weight-bearing. We have investigated the use of walking plaster casts in the management of seven diabetic patients with long-standing, chronic plantar ulcers. Although all ulcers healed in a median time of 6 wk, this therapy was not without side effects, which are described in detail. We conclude that casting is a useful therapy for neuropathic ulcers, although several clinic visits, including cast removal and foot inspection, are necessary to avoid potential side effects caused by the casting of insensitive feet.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Casts, Surgical* / adverse effects
  • Diabetic Neuropathies / complications*
  • Female
  • Foot Diseases / etiology
  • Foot Diseases / therapy*
  • Humans
  • Male
  • Middle Aged
  • Skin Ulcer / etiology
  • Skin Ulcer / therapy*