Foot-at-risk platform

Foot risk is a mechanism, not a diagnosis.

OpenFootLab is a foot-at-risk platform built around one durable asset: your owned, portable foot record.

You don't have to be diabetic to need it.

"I personally see my foot health as my #1 condition — not diabetes. Diabetes increases complications and risk — yes. But the foot is what I manage."

— the founder, a type-1 diabetic, post-amputation, healing

Whether risk comes from diabetes, poor circulation, neuropathy, surgery, prior wounds, amputation, deformity, pressure, aging, or mobility challenges, the problem is the same: small changes can become serious when they are missed.

OpenFootLab helps people and caregivers document the foot over time — and turns that record into something a clinician can read in minutes.

Photos over time

Notes & daily checks

Footwear records

Offloading history

Wound history

Temperature observations

Clinician-ready timelines

The goal is simple: preserve the record, notice change earlier, and make foot care easier to communicate.

Three ways a foot goes at-risk — none require diabetes

A foot becomes high-risk through a mechanism. Diabetes is dangerous because it can hit all three at once — but every mechanism has non-diabetic causes that produce the same foot and the same need to monitor.

01 · can't feel it

Loss of protective sensation

You can't feel the injury, so a blister or pressure point becomes a wound before it's noticed.

diabetes · chemo neuropathy · Charcot-Marie-Tooth · spinal cord injury · spina bifida · leprosy

02 · can't heal it

Poor perfusion (ischemia)

Blood can't reach the tissue, so a small wound won't heal and spreads.

peripheral arterial disease · critical limb ischemia · vasculitis · scleroderma

03 · can't take the pressure

Altered structure & mechanics

Deformity, scarring, missing tissue, or a prosthetic interface concentrates load where skin can't tolerate it.

trauma / amputation · rheumatoid arthritis · Charcot · stroke · athletes

The defendable data

"Other conditions require foot-health monitoring" isn't a claim — it's the epidemiology.

~45%

of people living with limb loss is trauma — mostly young, not diabetic

Ziegler-Graham; NTDB

~52%

of chemotherapy patients develop peripheral neuropathy (insensate feet)

CIPN meta-analysis

~20%

of all sports injuries are the foot — plantar fasciitis hits ~17% of runners

NCAA data

leprosy is the leading cause of the insensate foot worldwide

Charcot etiology reviews

Full sourcing in the Intel — beyond-diabetes epidemiology, athletes, and the owned-record thesis.

The intelligence it feeds

🗂 The Foot Passport

An open, portable, owner-owned format for a lifelong foot record — like PDF for feet. Any software can read or write it.

Read the spec →

🔬 LocalStudy

Real, pre-registered model evaluations — deterministic gates, hash-chained receipts, photos kept local. Is it defendable?

See the studies →

📄 The intel

The deep dives: foot risk beyond diabetes, athletes, the record you own, and the MedGemma accuracy roadmap.

Read the intel →

Open by design

OpenFootLab is the platform and the proof: the owned foot record people and caregivers build, plus the open Foot Passport format, the open studies, the models, and the clinician review that make it defendable — kept in one place and shared. LocalDiabetic is the diabetes front door built on it.

OpenFootLab · the lab feeds → LocalDiabetic · the flagship product Athletes Amputees Neuropathy

Models commoditize. A five-year, patient-owned foot record that survives every doctor and address change does not. The AI populates the record; the record is the moat.