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Table 4—

Risk classification based on the comprehensive foot examination

Risk categoryDefinitionTreatment recommendationsSuggested follow-up
No LOPS, no PAD, no deformity 
  • Patient education including advice on appropriate footwear.

 
Annually (by generalist and/or specialist) 
LOPS ± deformity 
  • Consider prescriptive or accommodative footwear.

  • Consider prophylactic surgery if deformity is not able to be safely accommodated in shoes. Continue patient education.

 
Every 3–6 months (by generalist or specialist) 
PAD ± LOPS 
  • Consider prescriptive or accommodative footwear.

  • Consider vascular consultation for combined follow-up.

 
Every 2–3 months (by specialist) 
History of ulcer or amputation 
  • Same as category 1.

  • Consider vascular consultation for combined follow-up if PAD present.

 
Every 1–2 months (by specialist) 
Risk categoryDefinitionTreatment recommendationsSuggested follow-up
No LOPS, no PAD, no deformity 
  • Patient education including advice on appropriate footwear.

 
Annually (by generalist and/or specialist) 
LOPS ± deformity 
  • Consider prescriptive or accommodative footwear.

  • Consider prophylactic surgery if deformity is not able to be safely accommodated in shoes. Continue patient education.

 
Every 3–6 months (by generalist or specialist) 
PAD ± LOPS 
  • Consider prescriptive or accommodative footwear.

  • Consider vascular consultation for combined follow-up.

 
Every 2–3 months (by specialist) 
History of ulcer or amputation 
  • Same as category 1.

  • Consider vascular consultation for combined follow-up if PAD present.

 
Every 1–2 months (by specialist) 
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