Tending The Goalpost Against Diabetic Foot Complications

David G. Armstrong DPM MD PhD
2/18/11 | 2878 reads | 0 comments
I am something of a podcast junkie. I generally listen at night, trying to capture the feeling my mother and father told me about when they curled up next to radio sets as kids. In fact, I have listened to shortwave radio (and later podcasts) ever since my childhood. Read More.

Eleven Resolutions For Preventing And Treating DFUs In 2011

David G. Armstrong DPM MD PhD
1/6/11 | 3798 reads | 3 comments
As we begin 2011, we all want to put together our list of resolutions to accomplish in the new year. Lee C. Rogers, DPM, suggested we do the same for the diabetic foot and even got things started with a few of his own. Read More.

Different Perspectives On Debridement And Wound Flora Identification

David G. Armstrong DPM MD PhD
12/1/10 | 3626 reads | 0 comments
Looking at medical disciplines outside of podiatry may give us new perspectives in our approach to wound care. I was having a chat recently in New York with Marjana Tomic-Canic, PhD, a Professor in the Department of Dermatology at the University of Miami. It triggered an idea that we'd discussed some years ago but I think it rather apropos now. Read More.

Rising Incidence Of PAD Should Spur Greater Diagnostic Vigilance And Multidisciplinary Cooperation

David G. Armstrong DPM MD PhD
10/26/10 | 3232 reads | 0 comments
Evidence continues to mount that the incidence of peripheral arterial disease (PAD) is a devastating complication of diabetes. In the United States, PAD afflicts 2 million to 3.7 million people with diabetic foot ulcers (DFU), according to an analysis published by the Sage Group.1 The group adds that approximately 1 million patients with DFUs suffer from critical limb ischemia. Read More.

Advances In Ambulation Monitoring May Benefit Patients With Diabetes

David G. Armstrong DPM MD PhD
9/29/10 | 3088 reads | 0 comments
Researchers in the University of Arizona Department of Surgery have received a $1.2 million grant to use cutting-edge technology in the form of a simple computerized undershirt to monitor activity in patients with diabetic foot wounds. The study, funded by the Qatar National Research Fund, will determine the role activity plays in the formation of sores to better understand how to prevent wounds from occurring. Read More.

Will Tough Fiscal Choices In Arizona Hamper Patient Access To Podiatric Care?

David G. Armstrong DPM MD PhD
8/23/10 | 3173 reads | 1 comments
I was asked by the editorial staff of Podiatry Today to summarize our thoughts regarding recent fiscal rulings to reduce the weight of the Arizona Health Care Cost Containment System (AHCCCS) on the state of Arizona’s budget. One of those rulings eliminated all state Medicaid coverage of foot care provided by podiatrists. Read More.

Does Stress During Walking Occur During Foot ‘Takeoff’ And ‘Landing’ Rather Than ‘Midflight’?

David G. Armstrong DPM MD PhD
7/27/10 | 2319 reads | 1 comments
At this year's American Podiatric Medical Association (APMA) meeting in Seattle, Bijan Najafi, PhD, presented some very compelling data that may force us to rethink what we know about repetitive stress in walking. For many years, we have posited that plantar pressure x cycles of stress = ulcer. More recently, this has been refined to theoretically include shear stress along with normal stress. This begs the question: where does damage occur? Read More.

Can Doxycycline Have An Impact As An Agent For ‘Wound Chemotherapy’?

David G. Armstrong DPM MD PhD
7/2/10 | 2836 reads | 0 comments
Editor’s note: This blog is co-authored by Nicholas A. Giovinco, DPM, and Julia Bernardini, DPM. Read More.

Can 'Chemovac' Dressings Be A Valuable Addition To Wound Care?

David G. Armstrong DPM MD PhD
4/27/10 | 3180 reads | 1 comments
Editor's note: This blog entry is co-authored by Nicholas Giovinco, BS. As one might imagine, the use of chemotherapeutic modalities is generally easy. Topical applications and traditional dressing modifications are, in many instances, technically unchanged from standard practice. Our experience with the application of “chemovac” dressings (combining chemotherapeutic dressings with negative pressure wound therapy (NPWT)). Read More.