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Total Contact Cast Components

Effective pressure relief is a key part of managing diabetic foot complications, particularly where ulceration or areas of high plantar pressure are present. 

The Algeos Diabetic Foot Offloading & Casting range brings together the products clinicians need to help protect vulnerable tissue, redistribute load and support effective wound management.

Our range includes casting materials, padding, stockinette, adhesive felt, protective foams, cast shoes and offloading devices suitable for use across diabetic foot, podiatry and wound care services.

Total Contact Cast Components
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Diabetic Foot Offloading & Casting

Effective offloading is an important part of diabetic foot management, particularly where a patient has a plantar ulcer, areas of high pressure, reduced protective sensation or tissue at risk of breakdown.

The Algeos Diabetic Foot Offloading & Casting range brings together specialist products used by podiatrists, diabetic foot teams, orthotists and wound care clinicians to help redistribute pressure, protect vulnerable tissue and support wound management.

The range includes casting materials, padding, stockinette, adhesive felt, protective foams, cast shoes and offloading devices suitable for use across hospital, community and private practice settings.

What is diabetic foot offloading?

Offloading means reducing or redistributing pressure away from vulnerable, ulcerated or high-pressure areas of the foot.

For people with diabetes, particularly those with peripheral neuropathy, repeated loading during standing and walking can contribute to delayed healing and further tissue damage.

Offloading devices and materials are used to reduce pressure while helping protect the surrounding tissue and support mobility.

Total Contact Casting

A Total Contact Cast, or TCC, is a specialist lower-leg cast designed to distribute pressure across a larger surface area of the foot and lower limb.

A TCC may be constructed using a combination of:

  • Tubular stockinette
  • Cast padding
  • Adhesive felt
  • Protective foam
  • Plaster of Paris
  • Flexible or semi-rigid casting tape
  • Rigid fibreglass casting tape
  • Cast shoes or walking soles

The precise materials and technique used will depend on the patient, clinical assessment and local protocol.

Total Contact Casting should only be undertaken by appropriately trained healthcare professionals.

Casting and pressure-relief materials

Stockinette and cast padding

Tubular stockinette provides a smooth protective layer against the skin, while undercast padding helps cushion the foot, ankle and lower leg and protect vulnerable areas.

Adhesive felt and foam

Adhesive felt and protective foam are widely used in podiatry to provide local cushioning and pressure redistribution.

They can be cut and shaped around areas such as:

  • Plantar pressure points
  • Metatarsal heads
  • Heels
  • Malleoli
  • Bony prominences
  • Areas surrounding a wound or dressing

Fibreglass and plaster casting

Synthetic casting tapes provide lightweight structural support and can be used to construct or reinforce offloading casts.

Flexible materials provide close conformity around the foot and ankle, while rigid fibreglass can provide greater structural strength.

Plaster of Paris remains useful where precise moulding and close contouring are required.

Cast shoes and walking soles

Cast shoes and walking soles help protect the underside of the cast and provide a more durable and stable surface for mobilisation.

They can help improve grip, reduce cast wear and support safer movement during treatment.

Removable and non-removable walkers

Removable knee-high walkers provide another option for reducing plantar pressure and protecting the foot.

Depending on the clinical situation, a removable walker may also be adapted into a non-removable offloading system, sometimes referred to as an instant Total Contact Cast.

This approach combines the pressure redistribution of a walker with reduced opportunity for the patient to remove the device.

Wound care and offloading

Offloading and wound management frequently need to work together.

Depending on the wound and treatment plan, clinicians may use combinations of:

  • Wound dressings
  • Protective padding
  • Felt and foam
  • Stockinette
  • Casting materials
  • Offloading devices

Careful product selection is important to avoid creating unnecessary bulk or additional pressure points.

Supporting diabetic foot services

The Algeos range supports professionals working across:

  • NHS diabetic foot services
  • Multidisciplinary diabetic foot teams
  • Podiatry departments
  • Community podiatry
  • Tissue viability services
  • Orthotic departments
  • Wound care clinics
  • Private practice

By bringing together casting materials, pressure-relieving products and offloading devices, Algeos helps clinicians source products for different stages of the diabetic foot pathway.

Choosing an offloading solution

There is no single offloading system suitable for every patient.

Selection should form part of a wider clinical assessment considering factors such as wound location, neuropathy, vascular status, infection, foot shape, mobility, balance, dressing requirements and patient adherence.

Regular clinical review is essential to monitor the skin, wound progress and fit of the device.

Why choose Algeos?

Algeos has supplied podiatry, orthotic and healthcare professionals with specialist clinical products for decades.

Our Diabetic Foot Offloading & Casting range brings together practical solutions for pressure redistribution, wound protection, Total Contact Casting and walker-based offloading.

Explore the range

Browse products for:

  • Total Contact Casting
  • Fibreglass and plaster casting
  • Stockinette and cast padding
  • Adhesive felt and protective foam
  • Cast shoes and walking soles
  • Offloading walkers
  • Diabetic foot protection
  • Wound care

Professional solutions for pressure redistribution, wound protection and diabetic foot offloading.