Forefoot posting is contraindicated in which condition?

• A. Insensitive foot
• B. Diabetic neuropathy
• C. Pes planus
• D. Plantar fasciitis

Answer: (A)

When the foot lacks protective sensation, forefoot posting becomes risky because any new pressure point created by the posted forefoot cannot be felt by the patient. Forefoot posting alters load distribution under the forefoot to offload or correct alignment, but in an insensate foot, localized high pressure or shear can go unnoticed, leading to skin breakdown and ulcers. This reduced tissue tolerance and absence of feedback make forefoot postings contraindicated, since the goal is to protect tissue and avoid hidden pressure hotspots.