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Shoes that can warn you about injuries? How wearable technology is transforming foot care

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Craig Gwynne

Your feet work hard every day supporting your body, absorbing impact and adapting to different surfaces. But they often get ignored until something goes wrong. Imagine your shoes alerting you to foot injuries before you feel any pain, or your socks warning you about the risk of an ulcer before symptoms even appear. This is the promise of new wearable foot technology .

About one in five adults in middle and old age experiences foot pain, ranging from minor aches to problems that limit daily activities. Some foot conditions, particularly linked to diabetes, can be life-threatening. Patients with foot ulcers caused by diabetes have a 40% chance of dying within five years of symptoms appearing, which is higher than many cancers. If untreated, ulcers can lead to severe infections and even necessitate amputation.


New wearable devices such as smart insoles and socks can prevent these serious complications through early detection. They work by constantly tracking your foot pressure, walking patterns and even skin temperature. The collected information is analysed using advanced algorithms and AI, providing timely warnings about potential foot problems. Machine learning, for instance, has successfully predicted diabetic foot ulcers from this wearable data, helping healthcare providers intervene before complications occur.


Smart insoles contain tiny sensors that measure how pressure spreads across your feet when you walk or run. They can detect abnormal walking patterns with over 90% precision, spotting issues before they cause pain or injury.

Diagnosing devices

These devices have proven especially useful for older adults and people with neurological conditions like stroke, multiple sclerosis, or movement disorders such as Parkinson’s disease.

Smart socks use sensors to measure foot temperature and pressure, detecting early signs of inflammation. Research shows these socks can predict and help prevent foot ulcers among diabetics. Smart compression socks, which also monitor blood oxygen levels, can identify important changes during daily activities. This reduces risk of severe complications such as poor circulation, tissue damage and infection.

Wearable foot technology offers advantages for groups like athletes and people with chronic conditions. Athletes, especially those involved in high-impact sports like running, often put immense stress on their feet, increasing injury risk. Smart insoles provide immediate feedback, allowing athletes to adjust their running technique. Studies show that athletes using these insoles improved their running form and experienced fewer injuries. One study found that high-risk patients with diabetes who used smart socks with continuous temperature monitoring experienced a 71% lower rate of foot ulcers and a 52% lower rate of amputations. This improvement was linked to earlier detection and intervention.

Potential challenges

Privacy remains a significant issue with these devices, as they constantly collect sensitive health data. Ensuring data is secure is therefore crucial. Accuracy is also important, as devices must reliably avoid false alarms or missed warnings. And although prices have decreased, wearable technology may still be expensive for many people, limiting its widespread use.
The future of wearable foot technology is promising, however. Devices are becoming smaller, more affordable and easier to use. Innovations like 3D printing now enable customised smart insoles that perfectly match a person’s foot shape, boosting comfort and accuracy. Upcoming developments also include flexible sensors that can connect to smartphones and healthcare systems. These allow for remote monitoring and personalised care, moving toward more flexible, user-friendly designs that can integrate into everyday life. The goal is the same — to make health monitoring more accessible, comfortable and proactive without the need for bulky equipment or clinic visits. Wearable tech is a significant step forward for foot health. These devices could soon become part of everyday healthcare.

The Conversation
The writer is a senior lecturer in Podiatry, Cardiff Metropolitan University

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