FORS™, The Best Diabetic Offloading Insole Available.*

Diabetic Foot Ulcers Are Complicated. Offloading With FORS™ Is Simple.

• Easy: For most people, getting effective offloading with FORS is as simple as wearing a post-op surgical shoe.
• Comfortable: FORS can be worn comfortably all day, every day.
• Stable: For people who have lost sensation in their feet, offloading boots and casts may increase risk of falling and injury. The FORS insole in a surgical shoe may be a safer option.
• Durable: A single FORS Insole will typically last far longer than is necessary to heal most ulcers.
• Affordable: The durability of the FORS often means saving time and money versus frequently replacing insoles.
• Proven: FORS has been shown in multiple studies to provide clinically effective offloading.

Why Does Offloading Matter?

How Is FORS Superior To Other Offloading Insoles?

Courtesy Dr. S A Schumacher, Surrey BC Canada. www.CanadianMaple.org, and David Freeman, Onalaska, TX

1).  Superior Pressure Mitigation

• Successful offloading involves moving pressure away from high pressure areas without creating new high pressure areas. In fact, devices that shift high pressure away from the middle of ulcers but create increased pressure along the outer edges of ulcers can actually cause the ulcers to increase in size!
• In a recent scientific study, the FORS insole was proven to reduce pressure on ulcerated areas by over 40%, without increasing pressure on the edges of the ulcerated areas.
• In the same study, the leading competitor was shown to shift pressure from the center of ulcers directly to the edges of the ulcerated areas; and in fact, the highest pressure measurements in the entire study were observed along on the edges of the offloaded areas when that product was used.

2).  Lasts Up to 5x Longer

• FORS plugs won't shift or fall out, yet can be removed easily at the time of fitting.
• Made using a patented** design and superior materials, FORS Insoles hold up longer, are less likely to "bottom out", and provide effective offloading for heavier patients.

What Physicians Are Saying

FORS FAQS

Should I use the FORS Insole to offload my diabetic foot ulcer? (Is FORS appropriate for my personal situation?)

• Please consult with your healthcare provider before using the FORS Insole to determine whether it is appropriate for you.
• Please also consult with your healthcare provider to ensure that the FORS Insole is properly modified and fitted to your foot.

Can I use the FORS Insole in my regular shoes?

• We do NOT recommend using the FORS Insole with standard shoes. FORS Insoles should only be used with shoes that are designed to accommodate extra thick insoles (15mm / 0.6 inch or greater).

Is FORS covered by my insurance?

• In most cases, FORS is not covered by insurance. FORS is used to offload active ulcers or wounds. Medicare, Medicaid, and most private insurances do not cover offloading footwear.
• While you may have coverage for "diabetic shoes" designed to help prevent ulcers; those shoes are not intended to offload active ulcers. In fact, if your ulcer developed while wearing diabetic shoes, you may want to consider replacing those shoes before you return to wearing permanent footwear.

Can I drive while wearing the FORS Insole?

• For the foot used to drive (typically the right foot), we do not recommend wearing FORS footwear while operating a vehicle. We suggest wearing appropriate footwear while driving, and changing to FORS footwear when not operating a vehicle.

How long will a FORS Insole typically last?

• In most cases, a single FORS Insoles will last longer than is required to heal a diabetic foot ulcer.
• We recommend keeping the FORS Insole and shoe after ulcers have healed in the event it is needed again.

For How long will I need to wear the FORS Insole?

• With proper treatment and offloading, most diabetic foot ulcers heal within 12 weeks, and often more quickly. Individual results will vary.
• It is recommended to wear offloading footwear (such as the FORS Insole) as much as possible when walking or standing, including inside the home and even for short distances such as for bathroom visits.
• A serious issue for many people is recurrence of ulcers after healing (e.g. ulcers come back). New skin following ulcer healing is typically fragile and vulnerable to re-ulceration for a number of weeks. It may be beneficial to wear the FORS Insole until appropriate permanent footwear is obtained that is designed to prevent re-ulceration (e.g. diabetic shoes with diabetic inserts).

How can I clean the FORS Insole?   Click here for cleaning instructions.

My foot is not making full contact with the FORS Insole, what can I do?

• “Orthopedic wool felt” may be used to supplement the FORS Insole. Orthopedic wool felt is available from many online sellers.

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Educational Videos

Click Here to visit Our YouTube Channel with complete Interviews and additional information.

CLINICAL EVIDENCE & ADDITIONAL INFORMATION

1. Comparison offloading provided by FORS insole versus similar products, case studies, and more, Multiple article series, Journal of Wound Care / Wound Central, May 2021
2. Who Should Pay For Offloading Footwear To Treat DFUs?, M. Goldberg, Todays Wound Clinic, Jan 2018
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
11. The Edge Effect, How And Why Wounds Grow In Size And Depth, D. Armstrong et al, Clinics In Podiatric Medicine and Surgery, Vol 15, No. 1, January 1998
12. Use of Pressure Offloading Devices in Diabetic Foot Ulcers, Wu et al, Diabetes Care, VOL31, #11, Nov 2008
13. Why is it so hard to do the right thing in wound care?, Fife C. et al, Wound Rep Reg (2010) 18 154–158

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