Reducing large areas of extravasation

Hi all, I’ve been seeing a patient who has presented with multiple areas of extravasation with overlying callus. I had tried debriding the areas and using various orthotics and padding to reduce the intermittent pressure on those areas- however, at follow up appointments the areas of extravasation and callus were in a different place! Any thoughts or ideas would be greatly appriciated!!

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Reducing large areas of extravasation

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