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Jan 10

Written by: Larry Huppin, DPM
1/10/2011 3:05 PM

Do you recommend specific socks to your patients? The proper socks can make a tremendous difference in foot comfort and your patient’s perception of orthotic function.

For example, if you are using orthoses for treatment of metatarsalgia, the proper socks can decrease force under the ball of the foot by providing greater cushion. Studies are clear that acrylic socks provide greater protection against shock and shear than do cotton socks (1-7). So, anytime you are prescribing orthoses for metatarsalgia, you should also be telling your patient to switch to acrylic socks. Because these socks are often thicker than the cotton socks your patient is currently wearing, it is critical to have them try on any new shoes with both the orthoses AND with the thickest socks they will be wearing.

By wearing the proper socks, your patient will see improvement in symptoms and find more satisfaction with their orthoses and their overall treatment plan.

This video from Thor-Lo demonstrates the cushion available from acrylic socks




REFERENCES

  1. "Use of Experimental Padded Hosiery to Reduce Abnormal Foot Pressures in Diabetic Neuropathy" Aristidis Veves, MD; Ewan Masson, MRCP; Devaka Fernando, MRCP; Andrew J.M. Boulton, MD (published in Diabetes Care, vol. 12, No. 9. October, 1989).
  2. "Studies of Experimental Hosiery in Diabetic Neuropathic Patients with High Foot Pressures" Aristidis Veves, MD; Ewan Masson, MRCP; Devaka Fernando, MRCP; Andrew J.M. Boulton, MD. Published in Diabetic Medicine, vol. 7, pgs 324-326. January, 1990.
  3. "Friction Blisters and Sock Fiber Composition, a Double Blind Study"  Kirk M. Herring, DPM and Douglas H. Richie, Jr., DPM; published in the Journal of the American Podiatric Medical Association, Vol. 80 no. 2, February, 1990.
  4. Friction Blisters and Sock Fiber Composition, a Single Blind Study (Part 2)  Authors: Kirk M. Herring, DPM, Douglas H. Richie, Jr, DPM. Presented at 75th Annual Meeting of the American Podiatric Medical Association, Las Vegas, NV, August, 1990. Also published in the Journal of the American Podiatric Medical Association, Volume 83
  5. "The Use of Specially Padded Hosiery in the Painful Rheumatoid Foot"  Veves, E.M. Hay, A.J.M. Boulton; University Departments of Medicine and Rheumatology, Manchester Royal Infirmary, Manchester, UK, 1992. Published in The Foot, International Journal of Clinical Foot Science Vol. 1, 1992.
  6. "Role of Experimental Socks in the Care of the High Risk Diabetic Foot"  A multi-center patient evaluation study. Heather J. Murray, DPOD M, Aristidis Veves, M.D.; Matthew J. Young, M.D.; Douglas H. Richie, DPM; A.J.M. Boulton, MD. American Group for the Study of Experimental Hosiery in the Diabetic Foot. Published in Diabetes Care, August, 1993/Erratum February, 1994.
  7. "The Effect of Padded Hosiery in Reducing Forefoot Plantar Pressures" Authors: Shawn Flot, MPT; Von Hill, MPT; Wesley Yamada, DPM; Thomas McPoil, PhD, PT, ATC; Mark Cornwall, PHD, PT. Published in The Lower Extremity Vol. 2, No. 3; September, 1995.

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