Diabetes has been the silent killer disease for many years and on the rise due to an increase in our body mass index. One of the most reported complications with diabetes is lower limb ulceration and amputation. The pathophysiology leading to ulceration is not fully understood. However ulceration has been associated with several risk factors which are neuropathy, ischaemia, foot musculoskeletal deformity resulting in an increase plantar pressure at the site of deformity. Patient with more than one risk factor is at a higher chance of developing foot ulcers and for this reason the patient should be assessed thoroughly in regards to their medical history when being evaluated by a specialist.