A plantar foot ulcer is an open wound on the bottom of the foot, most commonly caused by diabetic peripheral neuropathy — nerve damage that reduces sensation and allows repetitive pressure to break down skin tissue without the patient feeling pain. Offloading — removing pressure from the wound site — is the single most important factor in diabetic foot ulcer healing. Without adequate offloading, ulcers fail to heal and are at high risk of infection, which can lead to amputation. The DH shoe’s modular insole system allows clinicians to create a precise pressure-free zone directly beneath the wound.

The DH shoe insole is made up of individual removable plugs arranged in a grid pattern. Your clinician identifies the exact location of the ulcer on the plantar surface and removes the corresponding plug(s) from the insole. This creates a cavity beneath the wound, eliminating direct pressure contact while the patient walks. As the wound heals and migrates, plugs can be repositioned accordingly.

The DH Offloading Shoe is a lower-profile shoe design suitable for patients who can tolerate a shoe rather than a full boot. The Rebound Diabetic Walking Boot provides more ankle immobilization and is used for more severe cases or when greater offloading and compliance monitoring is required. Your wound care clinician or podiatrist will determine which device is appropriate for your wound grade and activity level.

The Ossur DH Diabetic Offloading Post-Op Shoe is classified under HCPCS code L3000. Medicare Part B and most commercial insurance plans cover diabetic offloading footwear when prescribed by a licensed healthcare provider for a covered diagnosis. Coverage typically requires a written prescription and documentation of medical necessity. This product is also FSA/HSA eligible for out-of-pocket purchases.

With consistent offloading and appropriate wound care, most Grade 1 and Grade 2 diabetic foot ulcers heal within 6–12 weeks. Deeper or infected ulcers may take longer. Healing time depends on blood glucose control, circulation, wound depth, and patient compliance with offloading. Your wound care team will monitor progress and adjust the treatment protocol as needed.