Christiana Care Health System’s Department of Orthopaedic Surgery announced that it recently provided new shoes, socks and foot exams for free to nearly 120 people—many of them homeless—at the Sunday Breakfast Mission, a homeless shelter in Wilmington, Delaware. The event is part of a campaign by a national organization known as Our Hearts to Your Soles, whose mission is to provide indigent people with shoes and free foot examinations. Red Wing Shoes donated new shoes through the organization, and Independence Prosthetics-Orthotics is donating 20 pairs of specialty shoes for people with advanced diabetic foot needs.
Christiana Care Donates for Foot Health

Paul Kupcha, M.D., section chief of Foot and Ankle Surgery at Christiana Care and an orthopedic surgeon, was the local coordinator for the event. Dr. Kupcha said that foot health provides a clue to a person’s overall health. Joint stiffness, for example, can indicate arthritis; tingling and numbness can be connected to diabetes; swelling can indicate high blood pressure or diseases of the heart and kidneys.
Jennifer Baldino Bonett, senior manager of Communications and Marketing at Christiana Care Health System, told OTW, “Our Hearts to Your Soles is a national organization with the mission of providing people in need with shoes and free foot examinations. Red Wing Shoes donated 95 pairs of new shoes through the organization to the Christiana Care event.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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