Coleman W C
Clin Podiatr Med Surg. 1987 Apr;4(2):459-70.
People with insensitive feet have lost most of the natural mechanisms that the rest of us use to protect our feet from injury. With normal sensation, we feel discomfort which causes us to change our gait pattern or to remove our shoes. These incidents which seem so minor are the exact occurrences which are unfelt by the insensate person and are responsible for the vast majority of foot injuries. Since these patients cannot tell where injury is occurring, precise shoe fitting is essential. Also, to effectively maintain the insensitive feet intact, additional objective evaluations should be included during the examination of these patients. Shoe pressure testing and thermometry help to identify regions of excessive pressure on the foot before ulceration occurs. A person with sensory loss in the foot often does not seek consultation for foot care until an open wound or neuropathic fracture is already present. These people need a regular schedule of prophylactic management. Their shoes need to be prescribed and worn, not after an ulcer has occurred, but to prevent it from ever forming.
脚部感觉不敏感的人已经失去了我们其他人用来保护脚部免受伤害的大部分自然机制。在正常感觉下，我们会感到不适，这会促使我们改变步态或脱掉鞋子。这些看似微不足道的情况，正是感觉迟钝的人所感觉不到的，却是绝大多数脚部受伤的原因。由于这些患者无法说出受伤发生在哪里，精确的鞋子适配至关重要。此外，为了有效地保持感觉不敏感的脚部完好无损，在对这些患者进行检查时应包括额外的客观评估。鞋压力测试和体温测量有助于在溃疡发生前识别脚部压力过大的区域。脚部感觉丧失的人通常直到出现开放性伤口或神经性骨折才会寻求足部护理咨询。这些人需要定期进行预防性管理。他们需要定制并穿着合适的鞋子，不是在溃疡发生之后，而是为了防止溃疡形成。
