The economical way to off-load diabetic foot ulcers [Mandakini off-loading device]

We all know that increased plantar foot pressure is a leading cause of ulceration in the diabetic population. Healing of these ulcers requires adequate blood supply, control of infection, excellent wound care and 'offloading' or pressure redistribution of the ulcerative area [1, 2]. Out of all these factors, 'offloading' is a unique challenge in treating chronic wounds. As diabetic foot care has evolved over the years, podiatrists have used numerous approaches including complete bed rest, cutout felt pads, crutches, wheelchairs, zimmer frame, temporary shoes, ortho wedge shoes like rocker-bottom wedge design shoes and total contact casting to offload these wounds [3, 4, 5].