Functionality meets maximum offloading

The VACOcast Diabetic Pro is an ideal solution for patients who need excellent offloading and protection, but suffer from ankle flexion issues such as plantar contracture.  The ankle angle can be adjusted from 30 degrees plantar flexion to 15 degrees dorsiflexion in 5 degree increments, maintaining an excellent total contact fit through the entire range of motion.  Interchangeable rocker and 15 degree wedge soles are included to help walking gait at different angle settings.

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.

Quickly and easily increase or decrease flexion in 5º increments from 30º plantar flexion to 15º dorsi flexion

 VACOcast Diabetic Pro at 30º | 15º | 0º

VACOcast Diabetic Pro at 30º | 15º | 0º

Each boot includes

  • One adjustment key
  • 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.
  • Additional Adjustment Keys are available in case you need extra or lose the set that came with the boot.

All accessories are available in the web shop.


Order now $339




Medical Indications

  • Diabetic foot ulcers
  • Achilles tendon rupture
  • Achilles tendonitis
  • Ankle fractures
  • Ankle joint replacement
  • Arthrodeses of the upper ankle joint
  • Arthrodeses of the lower ankle joint
  • Calcaneus fractures
  • Complex ligament injuries
  • Metatarsal fractures
  • Severe sprains
  • Soft tissue injuries with impaired healing
  • Splinting of foot & lower leg

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 Diabetic Pro/Achilles 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" 8-16" 12-18"
Calf Circumference 9-15" 13.5-20" 15-23"
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. If you have a very large calf you may require additional accessories to accommodate (Liner Extension and Extra Long Strap).