Reducing Foot Pressure
Wounds which are located over bony parts of the foot are usually caused by pressure to the area. Common locations for this to occur are the bottom of the foot at the ball of the foot, tips of the toes, at the first (big) or fifth (baby) toes along the inner or outer edge of the foot, or the heel. This pressure may also be complicated by poor sensation in the feet, and prevents them from sensing the uncomfortable nature of this pressure.
Pressure may exist in various forms. A poorly fitted shoe or long periods of time spent with an area of the foot pressing against an object, such as a brace or mattress can create enough pressure to cause a wound. Once the wound has formed it is critical to remove this pressure in order to allow the healing process to occur.
The best way to heal a pressure wound is to completely remove all pressure from the wound. However this is not always possible. Instead we may have to compromise with the reduction of pressure, and the more reduction you can achieve, the better results you will have. It is quite safe to say that continuing to walk on a wound which is located on the foot will almost guarantee its failure to heal!
Successful pressure reduction depends upon a commitment from you to limit daily activities, which require standing or walking. This means staying at home as much as possible with your feet positioned so that no pressure is touching the wound. When walking is essential, it is important to use the aides that your doctor and nurse have recommended to reduce the amount of pressure, which is put on the wound. These aides may consist of a specially made shoe or shoe insert, along with the use of a walker or cane.