Are DPMs Underusing The TCC To Offload Diabetic Foot Ulcers?

David G. Armstrong DPM MD PhD
7/15/14 | 335 reads | 0 comments
Despite the evidence supporting the efficacy of total contact casts (TCC) to offload diabetic foot ulcers, podiatric physicians may not be putting this evidence into practice, according to a recent study. Read More.

How Do We Ensure Adherence In Patients With Diabetes For A Better Quality Of Life?

David G. Armstrong DPM MD PhD
6/19/14 | 354 reads | 0 comments
Given the mounting evidence that patients with diabetes have a lower quality of life if they do not adhere to their foot care regimens, how can physicians drive home the importance of adherence? Read More.

Is It Time For An MRI-Based Charcot Classification?

David G. Armstrong DPM MD PhD
5/14/14 | 553 reads | 0 comments
After decades of use, does the Eichenholtz classification for Charcot foot still hold up? A recent review in Swiss Medical Weekly argues that it is time for a new system.1 Read More.

Are Lower Diabetic Amputation Rates In Italy A Cause For Hope?

David G. Armstrong DPM MD PhD
4/16/14 | 1010 reads | 0 comments
As the prevalence of diabetes rises, more people will face the complications of diabetes, including lower extremity amputation. However, there may be a ray of hope in the form of a recent study in PLOS One that notes a significant reduction in amputation rates among patients with diabetes in Italy.1 Read More.

Is 3D Printing Of Surgical Instruments Incision or Retraction?

David G. Armstrong DPM MD PhD
3/12/14 | 1099 reads | 0 comments
Although three-dimensional printing technology is an emerging solution for a number of real world problems, there has not been much research into the viability of 3D printing of surgical instruments. However, my colleagues and I recently conducted a study in the Journal of Surgical Research showing that 3D printers can produce durable, sterile surgical instruments at a cost of about 10 percent of the price of stainless steel OR tools.1 Read More.

Emphasizing Multidisciplinary Teams And More Research On DFUs

David G. Armstrong DPM MD PhD
2/4/14 | 1478 reads | 0 comments
The increasing prevalence of diabetes demands more multidisciplinary care and more research into the topic of preventing diabetic foot ulcers (DFUs). In a recent review in Diabetic Foot and Ankle, my co-authors and I tackled this issue.1 Read More.

How Reactive Oxygen Species Can Lead To A Chronic Wound

David G. Armstrong DPM MD PhD
12/23/13 | 1750 reads | 0 comments
What factors can complicate the healing of a chronic wound? A recent presentation at the American Society for Cell Biology points to reactive oxygen species reacting with biofilm as a factor. Read More.

Can Muscle Strengthening Relieve Plantar Pressures In Patients With Diabetic Polyneuropathy?

David G. Armstrong DPM MD PhD
11/15/13 | 5847 reads | 0 comments
For patients with diabetic polyneuropathy, plantar foot ulcers can develop due to higher plantar pressures. Is muscle strengthening the answer to relieving such pressures? The results of a new study in the Journal of Foot and Ankle Research cast some doubt on this question, which many have had for some years.1 Read More.

Exploring New Technologies For Healing Wounds And Diabetic Foot Ulcers

David G. Armstrong DPM MD PhD
9/20/13 | 4451 reads | 0 comments
At the University of Arizona Medical Center, we are recruiting patients for two studies, among many others, that may have the potential to lead to improved healing of wounds and diabetic foot ulcers. The first study involves a spray-on skin solution. The technology works in a similar way to bioengineered tissues. The big difference is that because it has a spray-on quality, the skin solution can go over a larger surface area and perhaps the contact with wounds and delivery may be better than previous iterations. Read More.