Diabetic Foot Rehabilitation in Cuba for Maryland Families

Healing a diabetic foot ulcer is only the first step. Without proper rehabilitation, patients are at high risk of recurrence — up to 40% of healed diabetic foot ulcers recur within one year. Cuba's diabetic foot rehabilitation program addresses the full spectrum of post-healing care to restore mobility, prevent recurrence, and maintain quality of life.

The rehabilitation program includes: gait training (to correct walking patterns that may have developed to compensate for the wound), physical therapy (to restore strength, range of motion, and balance), orthotic assessment and fitting (custom insoles and footwear to redistribute pressure and prevent recurrence), vascular and neurological monitoring (ongoing assessment of circulation and sensation), diabetic foot care education (daily foot inspection, proper footwear, skin and nail care, blood sugar management), and gradual return to activity (structured progression from non-weight-bearing to full activity).

This rehabilitation is integrated into the overall diabetic foot treatment program — it begins while the wound is still healing and continues after the wound has closed. For American patients who have received Heberprot-P treatment, the rehabilitation phase is essential to ensure that the healed wound stays healed and that the patient can return to normal activity. The program also includes a home care plan coordinated with the patient's U.S. podiatrist and endocrinologist.