Skip to main content

Table 1 The modified Simms’ classification

From: Laser therapy for onychomycosis in patients with diabetes at risk for foot complications: study protocol for a randomized, double-blind, controlled trial (LASER-1)

Simm’s classification

Risk profile

Control frequency

Simm’s 0

No loss of PS or PAV

Once in 12 months

Simm’s 1

Loss of PS or PAD, Without signs of local increased pressure

Once in 6 months

Simm’s 2

Loss of PS and PAD. Loss of PS and/or PAD in combination with signs of local increased pressure.

Once in 3 months

Simm’s 3

Ulcer or amputation in the medical history

Once in 1 to 3 months

  1. PAD, peripheral arterial disease; PS, protective sensibility.