Current Pedorthics | May-June 2018 | Vol.50, Issue 3 | Page 23

ankle problem, but sometimes these deficits may have been what led to the foot/ankle problem. When the foot/ankle is “healed” that doesn’t always mean the person starts to immediately walk properly again. Depending on how long he or she may have been compensating, the body will have learned this movement pattern as the “right” pattern. The body and brain need to be retrained to adopt more normalized gait and movement patterns. Not addressing these gait deficits puts the client at risk for falls and risks compensatory injuries/strains up the kinetic chain. Physical therapy can assess gait mechanics, falls risk, leg strength deficits and then start an individualized care plan to restore functional mobility, patient safety and minimize likelihood of further injury. Clients coming in for diabetic footwear and inserts often have deficits in balance related to neuropathy, and impaired functional mobility related to leg weakness and decreased cardiovascular health/fitness. Unaddressed, these deficits can relate to further complications in ambulation, mobility, skin integrity and falls risk. Decreased mobility is directly related to increased mortality rate. A suggestion to be evaluated by a physical therapist will help to improve the client’s safety and quality of life. All the clien