Understanding The Impact Of Diabetic Neuropathy On Gait

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By Gordon Zernich, CP, BOCPO, Tomas Dowell, CPO, LPO, and Ronald B. Tolchin, DO, FAAPM&R

Mr. Zernich is a certified Orthotist-Prosthetist at the Veterans Affairs Medical Center in Miami. He frequently writes on orthotic, prosthetic and rehabilitative medicine subjects.
Mr. Dowell is Chief of the Orthotic and Prosthetic Lab at the Veterans Affairs Medical Center in Miami.
Dr. Tolchin is the Chief of Physical Medicine and Rehabilitation for the Miami VA Healthcare System. He is also a Voluntary Clinical Assistant Professor of Rehabilitation Medicine within the Miller School of Medicine at the University of Miami.

Dr. Steinberg is an Assistant Professor in the Department of Plastic Surgery at the Georgetown University School of Medicine in Washington, D.C. Dr. Steinberg is a Fellow of the American College of Foot and Ankle Surgeons.



1. Armstrong DG, Holtz-Neiderer K, Wendel C, Mohler MJ, Kimbriel HR, Lavery LA. Skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients. Am J Med 120(12):1042-6, Dec 2007.
2. Casellini CM, Vinik AI. Clinical manifestations and current treatment options for diabetic neuropathies. Endocrine Practice, 13(5) 550-66, Sept 2007.
3. Chantelau E, Richter A, Ghassem-Zadeh N, Poll LW. “Silent” bone stress injuries in the feet of diabetic patients with polyneuropathy: a report of 12 cases. Arch Orthopaedic Trauma Surg 127(3):171-7, April 2007.

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