What type of rocker sole is most effective for enhancing off-loading and healing of ulcers in a diabetic patient?

The most effective type of rocker sole for enhancing off-loading and healing of ulcers in a diabetic patient is the toe-only rocker. This design specifically allows for a smooth transition during the push-off phase of gait, which minimizes pressure on the forefoot and reduces weight bearing on ulcerated areas. By facilitating a more natural foot movement while simultaneously limiting the stress on the toes and forefoot, the toe-only rocker helps promote healing in patients with diabetic foot ulcers.

While other rocker sole designs serve specific purposes, they may not provide the targeted relief needed for off-loading in cases of forefoot ulcers. For example, a double rocker provides a more balanced distribution of forces and can assist overall gait, but may not focus on reducing pressure in the same manner as the toe-only rocker. Similarly, a heel-to-toe rocker and metatarsal rocker have their own benefits, but they tend to facilitate a more uniform weight-bearing across the entire foot, which might not provide the localized off-loading required for healing ulcers in sensitive areas.