▁enc asing ▁the ▁patient ’ s ▁complete ▁foot ▁— ▁including ▁the ▁to es ▁and ▁lower ▁leg ▁— ▁in ▁a ▁special ist ▁cast ▁to ▁red ist ribute ▁weight ▁and ▁pressure ▁from ▁the ▁foot ▁to ▁the ▁lower ▁leg ▁during ▁every day ▁movements , ▁patients ▁can ▁remain ▁mobile . ▁The ▁manner ▁in ▁which ▁T CC ▁red ist ributes ▁pressure ▁protect s ▁the ▁w ound , ▁letting ▁dam aged ▁t issue ▁reg ener ate ▁and ▁he al . ▁T CC ▁also ▁keeps ▁the ▁an k le ▁from ▁rot ating ▁during ▁walking , ▁which ▁helps ▁prevent ▁she aring ▁and ▁tw isting ▁forces ▁that ▁can ▁further ▁damage ▁the ▁w ound . ▁ ▁Effect ive ▁off ▁loading ▁is ▁a ▁key ▁treatment ▁mod ality ▁for ▁D F Us , ▁particularly ▁those ▁where ▁there ▁is ▁damage ▁to ▁the ▁n erves ▁in ▁the ▁feet ▁( per i pher al ▁ne urop ath y ). ▁Al ong ▁with ▁in fection ▁management ▁and ▁v asc ular ▁assess ment , ▁T CC ▁is ▁vital ▁aspect ▁to ▁effectively ▁man aging ▁D F Us . ▁T CC ▁is ▁the ▁most ▁effective ▁and ▁reliable ▁method ▁for ▁off - loading ▁D F Us . ▁ ▁A ▁ 2 0 1 3 ▁meta - analysis ▁by ▁the ▁C och rane ▁Coll abor ation ▁compared ▁the ▁effect iveness ▁of ▁non - rem ov able ▁pressure ▁rel ieving ▁inter vent ions , ▁such ▁as ▁cast s , ▁with ▁th era pe ut ic ▁sho es , ▁dress ings , ▁remov able ▁pressure ▁rel ieving ▁orth otic ▁devices , ▁and ▁surg ical ▁inter vent