The Optima Molliter Treatment Algorithm

This is a brief guide which helps to show you the main benefits of using the algorithm and attempts to gives you a better understanding of why it is so effective.

The algorithm is a method by which a professional practitioner can assess which product you need depending on the seriousness of your foot condition. It is used mainly either when there is a Diabetic Ulcer present on your foot which needs to be offloaded, or when you are at a heightened risk of developing one.

It is recognised as the International Gold Standard for the treatment of the diabetic foot and its complications.

Here Prof. David Armstrong, Professor of Surgery, University of Southern California, USA discusses why this is the case:


Explaining the algorithm in more detail

If you look below you can see a various coloured headings ranging from Orange through to Red. These headings mark where you are along the algorithm, for example the first line is marked: PREVENTION, which means that if you are in this particular bracket then you are at a lower or zero risk of developing complications related to your diabetes such as a diabetic ulcer.

The algorithm then identifies more CHRONIC and ACUTE phases and indicates which products are recommended within these various phases.

You can stay in the PREVENTION phase if you heed the advice of your health professional, but if your diabetes is proving more troublesome and you are in the CHRONIC phase, it is possible to move from CHRONIC to PREVENTION depending on how your treatment is progressing and also from ACUTE to CHRONIC too.

The products within the algorithm are specifically designed and tested to help your foot complications resolve within an overall treatment program that you and your health professional work on together.

Using this algorithm in partnership with your health professional enables both of you to map out a treatment program that can deliver tangible results for you, and help you manage your condition in a more holistic way.

Ask your healthcare professional for more information.

Here is some further information about some of the products used in the algorithm:

YDA Trainers

Part of the PREVENTION phase of the algorithm the YDA trainer has several unique benefits to help prevent a Diabetic Ulcer from forming including:

  • Stimulating your foot and leg muscles
  • Improving posture and circulation
  • Accommodating custom insoles
  • Activating the foot using a controlled rolling point
  • Spring system in the heel helping deal with impact pressure



Here Dr David Armstrong, Professor of Surgery, University of Southern California, USA discusses YDA Footwear:

WCS Shoe

Part of the CHRONIC phase of the algorithm the WCS Shoe is a product manufactured by DARCO and is well used and respected across the NHS and in Private Practice as an effective method of offloading the “at risk foot”

  • Includes customisable 4-layer insoles for selective off-loading.
  • Rocker sole provides an ergonomically correct walking pattern.
  • Easy entry & room for bandages.
  • 7 sizes available in black (adults).

Low rehabilitation leg/foot walker used in the ACUTE phase of the algorithm for the treatment of diabetic plantar lesions (the ones on the bottom of the foot), after surgery or for treating foot fractures. Widely used across the NHS and in Private Practice.

SBI MOTUS 2.0 Walker Boot

Used in the ACUTE phase of the algorithm the MODUS 2.0 is a high leg/foot walker for woundcare and diabetic foot ulcer management.

  • Customisable locking system.
  • Removable full rocking sole for the management of plantar lesions of the foot.
  • This sole unit allows for progression from ACUTE to CHRONIC phases as mentioned in the explanation above.
  • Adjustable strap fixing system.
  • Removable heat mouldable breathable liner.
  • Rigid anterior protection for tibia – strengthened front partition.
  • Protective sock supplied.

NB. If you in any doubt, or need additional advice, regarding the best methods to manage your condition, then please make sure that you consult with a suitably qualified allied healthcare professional, such as a Podiatrist, Orthotist or Physiotherapist.