ABSTRACT
The goal of this paper is to provide an overview of common foot problems seen in diabetic individuals. Initial therapeutic intervention such as debridement ofpre-ulcerative lesions may prevent limb-threatening ulcerations from occurring. It is also essential that an understanding of the foot deformity and imbalance responsible for the high ulcerating pressures be identified and addressed for long-term treatment of these patients. The nature of compensatory foot imbalance with recommended re-alignment and balance therapies to prevent pathologic foot compensation and principles of padding and specific off-loading techniques are highlighted. Evaluation and therapy of often neglected digital deformities and treatment of nail pathology are reviewed.