Osteomyelitis refers to a progressive bone tissue inflammation that is caused by infection either through haematogenous or contiguous bacterial inoculation.
This could affect only a part of a single bone section or multiple sections such as the periosteum, cortex or marrow; osteomyelitis could also involve more than one bone as in the case of a septic joint, infected prostheses or a Charcot neuroarthropathy-related infection.
Acute osteomyelitis, if left untreated for a significant period of time, can result in the formation of necrotic bone segments which contribute to continual or chronic infection ultimately causing chronic osteomyelitis.
As described by Marais et al., “osteomyelitis typically occurs in the setting of a large bacterial inoculation in combination with trauma, necrosis or ischaemia of tissue and/or the presence of foreign material”.
Caitlin Garwood and Paul Kim state the lower extremity as the most susceptible to infection due to a number of factors such as thin soft tissue layers, poor vascular supply, neuropathy, structural deformity, boney prominences and poor fitting shoes.
The authors attribute the destructive appearance of the bone to osteoclastic activity stimulated by inflammatory factors such as interleukin-1 and tumour necrosis which cause loss of bone.
The lack of standardised tests and prevalence of nonspecific clinical signs and symptoms makes the diagnosis of osteomyelitis challenging, necessitating a combination of different modalities such as history, physical examination, laboratory values, imaging, microbiology and bone biopsies.
Depending on the severity and extent of the condition, management and treatment strategies would have to be individualised in order to eliminate infection and to prevent the development of chronic infection or recurrence.
MASS4D® customised foot orthotics should be introduced as a prophylactic measure especially for high-risk populations such as diabetic patients.
This is primarily because of complicating factors such as peripheral neuropathy, peripheral vascular disease and underlying immunocompromise increasing the incidences of foot ulcerations and infections.
The full-contact MASS4D® foot orthotics relieve pressure from the at-risk areas of the foot by distributing weight more evenly along the plantar surface of the foot; this allows the ulcer to heal whilst permitting the patient to remain ambulatory during treatment.
The special Bi-Lam cushion top cover helps patients suffering from insensate foot symptoms and protects against any unnoticed blistering or ulcerations.
The use of therapeutic shoes with pressure-relieving orthotics can help significantly reduce the development of diabetic foot ulcers by properly distributing weight along the plantar surface of the foot and maintaining joint range of motion.
With a reduction of ulcerations, there is limited bacterial exposure that helps in the prevention of osteomyelitis.
Copyright 2018 MASS4D® All rights reserved.
Rehabilitation of Your Foot and Lower Back Conditions.
Long Lasting Wear
Strong Foot Support
Easy to use
Handmade MASS4D® Quality
Sign up for free recommended foot exercises, stretching, medical news and everything good for your feet
Please have a a look at our medical reviews and clinical articles on everything about lower biomechanics.
You should always seek the advice of a physician or other qualified healthcare provider with any questions regarding personal health or medical conditions.
The content, products and services offered herein, are here to educate consumers on healthcare and medical issues that may affect their daily lives. Nothing in the content, products or services should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional healthcare advice, diagnosis or treatment.
The marks "MASS4D" and the MASS4D logo are trademarks. The content and design of MASS4D.com is protected by U.S. and international copyright laws. You may not copy, reproduce, republish, upload, post, display, transmit or frame any of these materials without prior written consent from MASS4D®.
The content, products or services on this site should not be considered or used as a substitute for medical advice, diagnosis or treatment and is not intended to provide individual medical advice. Included materials and conversations do not imply a personalised doctor-patient relationship.
Copyright and Intellectual property
MASS4D® is owned and operated by Scheibye General Trading LLC - Licence no: 853463
MASS4D® and Logo are registered trademarks of MASS4D Inc. All content, trademarks, artwork, and associated imagery are trademarks and/or copyright material of MASS4D® Inc.