Lightweight mobility and superior offloading

VACOcast Diabetic Boots are engineered specifically for diabetics who need the best removable alternative to a Total Contact Cast. The Vacuum Relief  insert quickly molds to the foot, with maximum surface contact and no pressure points. Better than a Total Contact Cast because VACOcast Diabetic Low Rise can be removed and re-applied in less than 3-minutes with no cleanup.

Why VACOcast Diabetic?

All VACOcast Diabetic boots have 40g more micro beads to provide a  comprehensive fit after excision or partial amputation. More beads means   far less shifting of pressure points, to reduce shear forces; the air gets sucked out of the Vacuum Relief Insert, so the beads will stay in place to stabilize the entire foot. Learn more about how vacuum works here.

Important features

Natural Gait

Easier for patients to walk.

Adjustable Toe Plate

Extendable to protect toes.

Robust Durability

The outer shell, combined with VACOcast’s patented vacuum technology, creates a remarkably stable and secur

e fit, protects the foot from further trauma, and enables the foot to heal as fast as possible.

Each boot includes

  • One diabetic vacuum relief insert
  • One vacuum pump
  • One removable velour liner
  • One detachable rocker sole
  • One diabetic foam insole (excisable for wound care)


  • Additional Black Velour Liners can be purchased, to make sure a patient always has a fresh liner available, to maximize hygiene.
  • EvenUp Limb Height Equalizer attaches to the patient’s other shoe, to make the step height of both feet the same.

All accessories are available in the web shop.


Order now $239




Medical Indications

  • Diabetic ulcers
  • Charcot foot
  • Metatarsal 1-4 fractures
  • Plantar fasciitis
  • Foot surgery
  • Bunion surgery
  • Hammer toe repair

Ask your doctor for VACOcast

Patients always have the right to ask for the best product available   for any injury or medical indication. VACOcast is covered by Medicare and most health insurance programs.

Show your doctor this VACOcast Low Rise product overview and VACOcast Diabetic product overview.

Sizing Chart

Shoe Size M 5-8 | W 6.5-9.5 M 8-11 | W 9.5-13 M 11+ | W 13+
Length Positions (Min/Mid/Max) 9.3" / 9.7" / 10.1" 10.4" / 10.8" / 11.2" 11.3" / 11.7" / 12.2"
Foot Width 4.1" 4.7" 5.3"
Ankle Circumference 5.5-11" 12-18"
If you have any questions about sizing please don't hesitate to contact us at for assistance. If you are in between sizes we generally recommend that you choose the smaller size.