When worn consistently, Removable Cast Walkers are quite effective in healing plantar ulcerations. However, the RCW is not nearly as successful as the Total Contact Cast because patients frequently remove the device.
The Total Contact Cast has long been considered the best method for off-loading and healing open wounds. The TCC works by ensuring contact over a larger surface area, decreasing peak pressure at any one location.
How to deal with Leg Length Discrepancies, from determining the amount of discrepancy to deciding whether it be making a custom molded shoe or a custom foot orthotic to solve the problem.