Total contact casting for diabetic neuropathic ulcers.

Despite its limited therapeutic use, several research reports indicate that TCC is currently the most rapid and effective technique for healing diabetic neuropathic ulcers. Skilled application and careful follow-up of the wound are necessary to avoid complications and minimize the risks for reulceration. As more clinicians adopt this form of therapy, the successful treatment of neuropathic ulcers using TCC should result in a lower incidence of infection, hospitalization and lost income in patients with chronic sensory neuropathies.