Where Technology Meets Clinical Craft

How do we combine technology with clinical expertise? We combine clinical decision-making with technology: plantar pressure mapping for ulcer risk and offloading efficacy, 3D gait/video analysis for alignment and step mechanics, InBody-270 body composition analysis for targets pre/post amputation, and EMG biofeedback for selective muscle activation during training when indicated. What is plantar pressure mapping? Plantar pressure mapping identifies high-pressure areas on the foot that increase ulcer risk, guiding custom insole and footwear design. What is 3D gait analysis for prosthetics? 3D gait analysis evaluates walking patterns, step symmetry, and energy efficiency to optimize prosthetic alignment and socket fit. What are the outcomes? The result is safer offloading for diabetics, more stable Charcot management with CROW walker, and faster functional gains for amputees with fewer gait deviations and lower fall risk. Living with diabetes means protecting your feet every day. Diabetic foot ulcers can lead to serious complications, including amputation. At DakshinRehab Moosapet, Hyderabad, our comprehensive diabetic foot care program combines plantar pressure mapping, custom offloading footwear, and preventive screening to identify risk zones before ulcers develop. We use advanced RPMS therapy for neuropathy pain relief and create personalized care plans that keep you mobile and active. Don't wait for complications—schedule your diabetic foot assessment today. For patients requiring intensive post-amputation rehabilitation, our post-amputation rehabilitation program provides comprehensive inpatient care including socket fitting, gait training, and functional recovery support.

  • Diabetic foot screening and offloading
  • Total contact insole and custom footwear
  • CROW walker for Charcot foot
  • AFO, KAFO, spinal and upper-limb orthoses
  • Pressure mapping and gait analysis
  • InBody body composition tracking
  • Transtibial/transfemoral prosthetics
  • Socket options: PTB, TSB, liner systems
  • Feet: SACH, multi-axial, carbon ESR
  • Alignment tuning and energy efficiency
  • Amputee gait and balance training
  • Outcomes: AMP, LCI-5, TUG, 6MWT

Care pathway: Risk screening → Device prescription (offloading/orthosis/prosthesis) → Fabrication & fitment → Alignment & gait training → Strength & balance → Outcomes tracking (AMP, LCI-5) → Long-term prevention.

- DakshinRehab P&O Team

1

Comprehensive Assessment

Medical history, foot and limb examination, vascular/neuropathy screens, residual limb assessment post-amputation. Pressure mapping and gait analysis to identify ulcer risk, deformity, limb length, step mechanics and compensations.

2

Device Selection & Prescription

Orthotics: total-contact insoles, custom diabetic footwear, AFO/KAFO, spinal braces, CROW walker for Charcot. Prosthetics: socket (PTB/TSB, liner systems, suction/pin-lock), components (pylons, single-/multi-axial or carbon energy-storing feet).

3

Fabrication, Fitment & Alignment

Casting/scanning, trial fit, trim lines and pressure reliefs, static/dynamic alignment. Validate offloading (for ulcers/Charcot) and tune prosthetic biomechanics for symmetry, comfort and energy efficiency.

4

Training, Strength & Balance

Amputee gait training (parallel bars → aids → community), balance, limb loading, core and hip strengthening, step strategy and fall prevention. Neuromuscular re-education and EMG biofeedback when indicated.

5

Follow-up & Outcomes

Review skin integrity and device wear, re-check pressure points, alignment and gait. Track AMP/AMPPRO, LCI-5, TUG, 6MWT, and patient-reported outcomes. Update device and program as goals progress.

01

Phase 1: Assessment & Casting/Scanning

Diabetic/vascular screening, neuropathy tests, pressure mapping and gait analysis. Residual limb exam post-amputation, volume, skin, bony prominences. Casting or digital scanning for orthoses/prostheses; select materials and liners.

02

Phase 2: Device Fabrication & Trial

Orthotics: total-contact insole, custom footwear, AFO/KAFO, CROW walker for Charcot. Prosthetics: diagnostic socket, component selection (foot/ankle), suspension (suction, pin). Trial fit to evaluate comfort, skin protection and offloading.

03

Phase 3: Fitment, Alignment & Education

Trim lines and reliefs, static/dynamic alignment with video feedback. Education on don/doff, skin checks, sock management, wear schedule, offloading adherence. Immediate adjustments to optimize comfort and safety.

04

Phase 4: Training & Outcomes

Amputee gait progression, stairs/ramps, uneven surfaces, aid weaning, hip/core strengthening, balance strategies. Orthotics pathway: offloading verification and progressive return-to-walk. Outcome measures: AMP/AMPPRO, LCI-5, TUG, 6MWT with re-test every 4–6 weeks.

Clinical Pathways: Orthotics & Prosthetics

Why a Pathway Approach Works

Diabetic feet need pressure relief at risk zones to prevent ulceration and progression to Charcot or amputation. Amputees need a socket that protects tissues, components that match activity level, and training that restores symmetry. Technology—pressure mapping, gait video analysis, InBody, EMG—lets us quantify offloading efficacy, tune prosthetic alignment, and ensure training changes real-world function. Validated scales (AMP/AMPPRO, LCI-5) and functional tests (TUG, 6MWT) confirm progress, reduce complications, and accelerate safe return to community mobility.

Example:
Clinical example: A Charcot foot with midfoot collapse managed in a CROW walker shows >30% pressure reduction at plantar hot-spots and improved midfoot stability, halting ulcer recurrence. A transtibial amputee progressed from AMP 27→41 and LCI-5 38→54 over 12 weeks with alignment tuning, hip strengthening and cueing to eliminate vaulting and circumduction.

Serving Areas

We serve patients from the following areas within 5km radius:

  • Moosapet
  • Kukatpally
  • SR Nagar
  • Nizampet
  • KPHB Colony
  • Balanagar
  • JNTU
  • Hyder Nagar

All areas within 5km radius of our clinic at ARD Magnum, Moosapet

Orthotics support or correct an existing limb or joint (e.g., total-contact insoles, custom diabetic footwear, AFO/KAFO, spinal braces, CROW walker). Prosthetics replace a missing limb after amputation (e.g., transtibial or transfemoral prosthesis) and require fitment, alignment and gait training.
A CROW (Charcot Restraint Orthotic Walker) is a custom, total-contact, rigid boot used to immobilize and offload the foot/ankle in Charcot neuroarthropathy. It reduces plantar pressures, protects midfoot collapse, prevents ulceration and allows safer ambulation during consolidation phases. At DakshinRehab Moosapet, Hyderabad, our prosthetics and orthotics services include custom CROW walker fabrication and management for Charcot foot patients.
We screen neuropathy and pressure hot-spots, prescribe total-contact insoles and custom offloading footwear, correct gait deviations, and educate on skin checks and footwear hygiene. We verify pressure reduction with mapping and adjust until risk zones are adequately offloaded.
Timelines vary by level and healing. Typical transtibial pathway: diagnostic socket within weeks of wound closure, definitive socket at 3–6 months as volume stabilizes, gait training 2–3 sessions/week initially. Many progress to community ambulation over 8–12 weeks, tracked with AMP/LCI-5.
Selection is based on activity level, terrain and goals. Options include SACH (simple and durable), single-/multi-axial for uneven ground, and carbon energy-storing/return (ESR) feet for efficiency. We align components to minimize vaulting, circumduction and hip hike.
We use Amputee Mobility Predictor (AMP/AMPPRO), Locomotor Capabilities Index (LCI-5), Timed Up and Go (TUG), 6-minute walk test (6MWT), and patient-reported measures. Orthotics pathway uses pressure mapping changes, ulcer-free days and return-to-walk tolerance.
Yes. We deliver individualized strengthening (hip, core, residual limb), balance strategies, aid-weaning protocols and falls prevention. EMG and video feedback are used when needed to improve selective activation and movement quality.
Orthotics: initially every 2–4 weeks to verify offloading and adjust fit, then every 3–6 months. Prosthetics: more frequent during early volume changes, then quarterly or as activity increases. We encourage earlier review with any skin changes, pain, or device concerns.