DFU Offloading With The FORS Insole! - TEST

If you have a diabetic foot ulcer, you should know about "offloading"

It is well known that Plantar Diabetic Foot Ulcers (DFUs) heal more reliably and quickly when properly "offloaded".  ("Plantar" refers to the bottom of the foot.)  It is also well known that most patients with DFUs do not receive adequate off-loading therapy.  In fact, fewer than 10% of patients with plantar diabetic foot ulcers receive the most frequently recommended offloading therapy - Total Contact Casting (TCC).

TCC is often referred to as the "gold standard" for offloading diabetic foot ulcers.  However, it is estimated that fewer than 10% of patients are offloaded using TCC.  Why is this?  Because many patients and physicians reject TCC as being "impractical" or inappropriate, and many patients are not good candidates.

So what offloading therapy do DFU patients actually receive?  The answer is a "hodge-podge" of approaches that are used inconsistently among health care practitioners, and in many cases for which little or no evidence of effectiveness exists, or consensus among health care providers on what actually works.

If you have a plantar diabetic foot ulcer, you should know your offloading options.


Introducing a new standard in diabetic foot ulcer offloading - the FORS™ Insole!

FORS - Better Offloading. Better Outcomes.

1).  No Edge Effect

  • The patented design of FORS moderates pressure on edges of offloaded areas.  It has long been established that shifting pressure to the edges can cause neuropathic ulcers to increase in size.10
  • In a recent peer-reviewed study, NO increased edge pressure was observed with FORS, whereas significantly increased edge pressure was observed in the market leading product1.
  • FORS has been repeatedly proven effective for treating plantar diabetic foot ulcers in multiple evaluations by leading podiatrists.1,3,4,5
  • The configuration of fabric and foam layers prevents collapse and bottoming out (fabric / foam / fabric / foam)
  • Even after plug removal, there are 3 remaining protective layers over the ulcer area (fabric / foam / fabric).
  • Clinicians around the country are seeing improved healing times using FORS.  Don't you think your patients deserve the best offloading too?


2).  Last Up to 3x Longer


 Images courtesy of Dr. S A Schumacher, Surrey BC Canada.  www.CanadianMaple.org


3). Less Likely to Bottom Out


  • The quality material in the FORS not only holds out better over time, but is also less likely to bottom out for heavier patients


4). Plugs Won't Shift or Fall Out


  • Another problem with competitor insoles is that plugs shift and fall out over time
  • Shifting plugs means the offloading distribution changes over time, and is not the same as at the time of fitting
  • FORS plugs are permanent and will not fall out or shift, yet they can be removed easily at time of fitting
  • The result is an insole that maintains its offloading the same as at time of fitting


5). Premium Performance and Durability

  • FORS insoles are made of premium material in Italy by Saluber - a name podiatrists trust
  • Increased performance and durability means your patients are more likely to heal


Selected Case Studies

 Case studies courtesy of Payam Rafat, DPM.


Diabetic Foot Ulcers result in over 100,000 amputations per year in the U.S. 

If you are concerned with how your ulcer is being offloaded, you may want to consult with your physician about of FORS?

Available FORS Product Options


(Bonapeda does not provide medical advice, and we strongly recommend consulting with your healthcare provider before using FORS or any other offloading products.)

Limited Time Offer: 15% Off Your First Order With 100% Money Back Guarantee. (Coupon Code - "Heal-Now!")






Dr. James McGuire, Dr. Harry Penny, Dr. Scott Pickett, and 4th year medical student Son Tran discuss the FORS-15 Offloading Insole at the APWH.  Philadelphia, PA, 10/20/2019.




  1. "Comparison of two pixelated insoles using in-shoe pressure sensors to determine percent offloading: case studies"; H. Penny at al, Journal of Wound Care, Feb 2020  (JUST RELEASED!!)
  2. "Who Should Pay For Offloading Footwear To Treat DFUs?", M. Goldberg, Todays Wound Clinic, Jan 20184
  3. "Charcot  Versus Osteomyelitis""(FORS Used For Charcot), H. Penny et al, APWH poster, Oct 2019,
  4. "FORS-15 Clinical Evaluation - Multicenter" poster presentation, H. Penny, J. McGuire et al, A-DFS, Nov 2017,
  5. "FORS-15 Clinical Evaluation, Montefiore Mt. Vernon Hospital", P. Rafat et al, SAWC poster, Nov 2016
  6. "The DFU Dilemma: Is the Total Contact Cast a True “Gold Standard?", H. Penny, Lower Extremity Review (LER), September 2018,
  7. "Expert Opinion, Advances and alternatives in diabetic ulcer offloading", Lower Extremity Review, J McGuire et al, August 2018
  8. "Reexamining The Gold Standard For Offloading Of DFUs"; J. McGuire et al, Podiatry Today, March 2017
  9. "DFU offloading: we know what works, why don’t we do it?", H. Penny; Journal of Wound Care, North American Supplement, Vol 28, #5, May 2019
  10. A Guide To Offloading The Diabetic Foot, N. Martin et al, Podiatry Today (Continuing Education), Vol 18, #9, September 2005


The videos, presentations, and posters listed above have been contributed by leading healthcare practitioners.  Bonapeda Enterprises LLC has no financial relationship with any of the practitioners whose documents and comments are presented on this website (other than as a supplier).