novel pedography® system:

Preventing diabetic foot ulcers


preventing diabetic foot ulcers with novel pedography - foot pressure mapping in diabetic patient

To prevent ulceration at the feet of diabetes patients, pressure peaks, which the patients themselves cannot feel, must be detected with precise pressure sensors. 

The novel pedography system is worldwide the gold-standard of pressure peak detection for diabetes patients.

Pedography systems: A diagnostic tool for the early recognition of altered load patterns in the diabetic patient. The objective for health professionals dealing with diabetics is to reduce ulceration and amputations in the diabetic population. Pedography is a quick and cost effective method to help reaching this goal.

How to use the system:

Get accurate analysis for your patient in less than 5 minutes

  1. Scan the foot in motion on an emed® pedography platform: The patient walks across the platform three times with each foot. The novel expert software helps you with the analysis of the foot print and creates a visual foot print.diabetic foot ulcer prevention - diagnosis & treatment |
  2. Look for high pressure areas: You can find pressure peaks simply by looking at the 3D pressure picture. High peaks could be signs for an altered gait due to neuropathy and foot malfunction.
  3. Forward the information to an orthopedic shoe maker.

Note: This service is an IGEL- approved service in Germany (individual health care services not covered by the compulsory national health insurance scheme).

More info:

  • If ulceration on the plantar aspect of the foot has already occurred, supply a total contact cast or a diabetic walking boot to the patient until the ulcer has healed.
  • If high pressure points have occured but no ulcers are visible, supply appropriate extra depth shoes for diabetics.
    Pedography helps the healthcare professional monitor the diabetic foot. High local pressure on the plantar side of the foot can cause ulceration.
    A stiff sole and a rocker shape improve the offloading of the foot.
  • Send the pedography data to a CAD/CAM system for the manufacturing of custom made inserts. Orthopaedic inserts reduce local high pressure obtaining a better distribution of foot pressure.
  • Prove pressure reduction of the footwear by measuring inside the shoe with a pedar® in-shoe pressure measuring system during normal free gait in repeated steps.


The emed® platform measurement system has proven to be the most accurate pedography system in foot diagnostics. emed® measures the dynamic load distribution under the foot and provides detailed local plantar pressure, foot structure, and function information.

emed® measurement outcomes are used in combination with CAD/CAM systems for selecting the appropriate footwear and for constructing pressure relieving insoles. During this process the real size print out and dynamic playback of the foot‘s loading pattern are especially helpful.

The pedar® in-shoe measurement system is the lightest and most versatile portable foot load measuring system. pedar® works with Bluetooth®. Allowing free movement of patients, it provides detailed and accurate information on foot function as well as the functions of shoe and shoe insert. In addition, the pedar® system is able to measure and quantify pressure relief from inserts in modified shoes.

Since 1983, novel has developed pedography systems for the diabetic foot. Additionally, for more than 30 years, novel’s partners from all around the world have conducted extensive research on this subject.

As a result, novel has acquired valuable know-how in the treatment of the diabetic foot and in the prevention of ulcer- ation and amputations.

emed - pressure measurement under foot
pedar: Dynamic pressure distribution inside the footwear |


TopicTitleAuthors Of PublicationYear Of PublicationDownload
Diabetes3D-Printed Insoles for People with Type 2 Diabetes: An Italian, Ambulatory Case Report on the Innovative Care ModelMarco Mancuso, Rocco Bulzomi, Marco Mannisi, Francesco Martelli & Claudia Giacomozzi2023


DiabetesReliability of the Pedar in-shoe system for plantar pressure measurement in diabetic patients with and without neuropathy: a prospective studyForogh Bijan, Raissi Gholam Reza, Soleymanzadeh, Hosnieh & Bagherzadeh Cham, Masumeh2022

Link to paper

DiabetesFoot ulcer recurrence, plantar pressure and footwear adherence in people with diabetes and Charcot midfoot deformity: A cohort analysisR. Keukenkamp, T. E. Busch‐Westbroek, R. Barn, J. Woodburn, S. A. Bus2020


DiabetesTreatment for diabetic foot ulcersProf, Dr Peter R Cavanagh, DSc Prof Benjamin A Lipsky, MD Prof Andrew W Bradbury, FRCS Georgeanne Botek, DPM2005

Link to paper

DiabetesClinical plantar pressure measurement in diabetesP.R. Cavanagh, J.S. Ulbrecht1994

Link to paper

DiabetesTwelve steps per footM.L.J. Arts, S.A. Bus2011


DiabetesPlantar pressures in diabetic patients with foot ulcers which have remained healedT. M. Owings, J. Apelqvist, A. Stenström, M. Becker, S. A. Bus, A. Kalpen, J. S. Ulbrecht, P. R. Cavanagh2009

Link to paper

DiabetesDiabetic Foot Ulcers and Their RecurrenceDavid G. Armstrong, D.P.M., M.D., Ph.D., Andrew J.M. Boulton, M.D., and Sicco A. Bus, Ph.D.2017


DiabetesEffect of Custom-Made Footwear on Foot Ulcer Recurrence in DiabetesSicco A. Bus, PHD, Roelof Waaijman, MSC, Mark Arts, MSC, Mirijam de Haart, MD, PHD, Tessa Busch-Westbroek, MD, MSC, Jeff van Baal, MD, PHD, Frans Nollet, MD, PHD2013


DiabetesRisk Factors for Plantar Foot Ulcer Recurrence in Neuropathic Diabetic PatientsRoelof Waaijman, Mirjam de Haart, Mark L.J. Arts, Daniel Wever, Anke J.W.E. Verlouw, Frans Nollet, and Sicco A. Bus2014


DiabetesInnovations in plantar pressure and foot temperature measurements in diabetesS.A. Bus2016


DiabetesTotal contact cast wall load in patients with a plantar forefoot ulcer and diabetesLindy Begg, Patrick McLaughlin, Mauro Vicaretti, John Fletcher and Joshua Burns2016



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