Diabetic & Orthopedic Footwear
Frequently Asked Questions
Will my insurance cover the cost of my shoes?
Diabetic shoes are covered by Medicare, Medi-Cal, and some private insurances given that their requirements and documentation needs are satisfied. We offer Private Pay options to those who do not have coverage, or whose insurance provider denies coverage of their diabetic shoes and inserts.
What other pedorthic services does Ray Tegerstrand's provide?
RTOA provides services for shoe lifts, wedges, shoe stretching, and resoling, as well as custom foot orthotics and UCBL's.
Is a prescription required to obtain diabetic or orthopedic shoes?
For services that you wish to be billed directly to Medicare, Medicaid, or any private insurance provider, a prescription is necessary as well as clinical documentation, plus a signed and completed diabetic verification form.
What variety of shoes are offered for diabetic and orthopedic shoes?
We offer many different varieties of shoes from the following companies. Please stop into our office for complete brochures from each company.
Tips for Diabetic Feet
The diabetic foot care program is a comprehensive approach to maintaining the health of your feet. diabetes affects approximately 26 million people in the United States, and a staggering 79 million who have been diagnosed with prediabetes.
A very large percentage of these patients experience problems with their feet. Knowledgeable and consistent care can avoid potential problems which may lead to amputation.
- Basic care includes washing your feet everyday and drying them thoroughly, especially between the toes.
- NEVER cut or use over-the-counter removal products for corns or calluses. Make an appointment with your podiatrist instead.
- Protect your feet by wearing socks and shoes at all times. NEVER GO BAREFOOT!
- Keep shoes next to the bed and get in the habit of automatically slipping them on as soon as you stand up.
- It is also important to protect your feet from hot and cold. Always wear shoes at the beach or on hot pavement. NEVER put your feet into hot water!
- Test the water before putting your feet in just as you would before bathing a baby.
- Do not use a hot water bottle, heating pad, or electric blanket on your feet...you could burn the skin without even realizing it.
If you are an older adult you will probably need both a physician and a family member to help you maintain your foot care program. This is particularly true if you have problems with your eyesight. Don't be embarrassed about needing extra help: protecting your sound foot is too important to leave to chance. Older adults with peripheral neuropathy need to have their sound foot examined daily by someone else.
Patients with diabetes, and particularly diabetic neuropathy, need to pay special attention to the style and fit of shoes they wear. Patients should select comfortable shoes that fit properly and do not create focused pressure points.
Weight-bearing forces should be evenly distributed across the bottom of the foot. Insoles should be made of a cushioning fiber or gel and should be replaced once they have become compressed.
Special diabetic shoes may be recommended in some cases, but are not always necessary Get in the habit of checking the inside of your shoes before putting them on to make sure the lining is smooth and that there are no objects inside.
What We offer
Ray Tegerstrand's offers a line of shoes and inserts that are made from breathable materials and are designed to cushion while providing extra support to the ankle, arch, and heel.
By evenly distributing body weight across the foot, these shoes help prevent painful pressure points, blisters, and sores from developing. The extra depth shoe design allows room for special orthoses.
Common Foot Problems
Plantar fasciitis is the most common cause of heel pain. The plantar fascia is the flat band of tissue (ligament) that connects your heel bone to your toes. It supports the arch of your foot. If you strain your plantar fascia, it gets weak, swollen, and irritated (inflamed). Then your heel or the bottom of your foot hurts when you stand or walk.
Plantar fasciitis is common in middle-aged people. It also occurs in younger people who are on their feet a lot, like athletes or soldiers. It can happen in one foot or both feet.
What causes plantar fasciitis?
Plantar fasciitis is caused by straining the ligament that supports your arch. Repeated strain can cause tiny tears in the ligament. These can lead to pain and swelling. This is more likely to happen if:
- Your feet roll inward to much when you walk (excessive pronation).
- You have high arches or flat feet.
- You walk, stand, or run for long periods of time, especially on hard surfaces.
- You are overweight.
- You wear shoes that don't fit well or are worn out.
- You have tight Achilles tendons or calf muscles.
What are the symptoms?
Most people with plantar fasciitis have pain when they take their first steps after they get out of bed or sit for a long time. You may have less stiffness and pain after you take a few steps. But your foot may hurt more as the day goes on. It may hurt the most when you climb stairs or after you stand for a long time.
If you have foot pain at night, you may have a different problem, such as arthritis, or a nerve problem such as tarsal tunnel syndrome.
How is plantar fasciitis diagnosed?
Your doctor will check your feet and watch you stand and walk. He or she will also ask questions about:
- Your past health, including what illnesses or injuries you have had.
- Your symptoms, such as where the pain is and what time of day your foot hurts most.
- How active you are and what types of physical activity you do.
Your doctor may take an X-ray of your foot if he or she suspects a problem with the bones of your foot, such as a stress fracture.
How is it treated?
No single treatment works best for everyone with plantar fasciitis. But there are many things you can try to help your foot get better:
- Give your feet a rest. Cut back on activities that make your foot hurt. Try not to walk or run on hard surfaces.
- To reduce pain and swelling, try putting ice on your heel. Or take an over-the-counter pain reliever like ibuprofen (such as Advil or Motrin), naproxen (such as Aleve), or aspirin.
- Do toe stretches, calf stretches and towel stretches several times a day, especially when you first get up in the morning.
- Get a new pair of shoes. Pick shoes with good arch support and a cushioned sole. Or try heel cups or shoe inserts (orthotics). Use them in both shoes, even if only one foot hurts.
What is a Bunion?
A bunion is an unnatural, bony hump that forms at the base of the big toe where it attaches to the foot. Often, the big toe deviates toward the other toes. When this occurs, the base of the big toe pushes outward on the first metatarsal, it's called a bunionette.
Because a bunion occurs at a joint, where the toe bends in a normal walking, your entire body weight rests on the bunion at each step. Bunions can be extremely painful. They're also vulnerable to excess pressure and friction from shoes and can lead to the development of calluses.
What Causes Bunions?
Foot problems typically develop in early adulthood and get worse as the foot spreads with aging. For many people, bunions run in the family. They may be just one of several problems due to poor foot structure. Bunions sometimes develop with arthritis. In people with leg length discrepancies, bunions usually form in the longer leg.
Women are especially prone to developing bunions. Years of wearing tight, poorly fitting shoes -- especially high-heeled, pointed shoes -- can bring on bunions. Such shoes gradually push the foot bones into an unnatural shape.
What Are the Treatments for Bunions?
To treat bunions, your doctor may recommend a prescription or over-the-counter pain reliever, as well as a medication to relieve swelling and inflammation. A heating pad or warm foot bath may also help relieve the immediate pain and discomfort. A few people may find relief with ice packs.
If the bunion isn't persistently painful and you catch it early, changing to well-made, well-fitting shoes may be all the treatment needed. Some doctors advise bunion pads, splints, or other shoe inserts, provided they don't exert pressure elsewhere on the foot and aggravate other problems.
In some cases, an othotic specialist can prescribe shoes with specially designed insoles and uppers that take the pressure off affected joints and help the foot regain its proper shape.
Neuropathy is best described as a reduction of sensation or altered sensation. Diabetics have historically been the bearers of this condition, based on the lack of circulation. But over the last several years the medical community has been correctly diagnosing neuropathy in the general population.
Neuropathy can feel like partial numbness or even complete numbness. Many patients have stated that it feels as if there is a sock "wadded up" under the toes. When the foot is constricted, blood flow is compromised to produce symptoms.