Footwear should be designed to cushion areas of high pressure on the plantar surface. Shoes that have inadequate support are unacceptable . Patients should have at least 2 pairs of shoes at all times and change at least once daily, checking their feet at the time of the change of footwear.
Different patients desire different activity levels.
Each type of activity must be either addressed with appropriate footwear, or the patient must make a decision not to engage in that activity any more. The simplest is footwear for night-time trips to the bathroom. Standing barefoot in the shower may be a problem for a very high risk foot and this is easily dealt with by using a shower chair. Many patients want to get in the pool in the summer and need footwear for that activity. Over the years we have made 'prescription' shoes for golf, horse riding and skeet shooting.