Table 4—

Risk classification based on the comprehensive foot examination

Risk categoryDefinitionTreatment recommendationsSuggested follow-up
0No LOPS, no PAD, no deformity
  • Patient education including advice on appropriate footwear.

Annually (by generalist and/or specialist)
1LOPS ± deformity
  • Consider prescriptive or accommodative footwear.

  • Consider prophylactic surgery if deformity is not able to be safely accommodated in shoes. Continue patient education.

Every 3–6 months (by generalist or specialist)
2PAD ± LOPS
  • Consider prescriptive or accommodative footwear.

  • Consider vascular consultation for combined follow-up.

Every 2–3 months (by specialist)
3History of ulcer or amputation
  • Same as category 1.

  • Consider vascular consultation for combined follow-up if PAD present.

Every 1–2 months (by specialist)