The total contact cast: A method for treating neuropathic diabetic ulcers

Gregory M. Caputo, Jan S. Ulbrecht, Peter R. Cavanagh

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Plantar ulcers that do not heal in patients with diabetes and peripheral sensory neuropathy have been shown to be precursors of lower extremity amputation. The total contact cast is considered by many authorities to be the most effective technique for healing of wounds in the neuropathic extremity, yet it still is not widely used in clinical practice. Use of the total contact cast allows mobilization and results in diminished edema and decreased pressure over the ulcerated area. Complete healing usually occurs in eight weeks or less. Total contact casting with careful follow-up should be considered as a useful modality for healing planter ulcers in diabetic patients with neuropathy of the extremities.

Original languageEnglish (US)
Pages (from-to)605-611
Number of pages7
JournalAmerican family physician
Issue number2
StatePublished - 1997

All Science Journal Classification (ASJC) codes

  • Family Practice


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