DPM Blogs

Skin Grafts Or Skin Substitutes: What Is Your Preference?

Desmond Bell DPM CWS FACCWS
6/1/12 | 4281 reads | 0 comments
Over the past decade, we have witnessed the emergence of several technological advances that have had a direct impact on healing wounds that previously would have resulted in amputation or even death. Three areas in which we have seen the greatest impact in wound healing in the past decade have been in the realms of negative pressure wound therapy, endovascular procedures and skin substitutes. Read More.

Can A Shoe Lift Ease Back Pain From CAM Walkers?

Jenny L Sanders DPM
5/31/12 | 4064 reads | 2 comments
Low back pain represents 2.3 percent of all physician visits and about one-fourth of U.S. adults reported having low back pain in the past three months.1 Podiatrists routinely immobilize their patients with controlled ankle motion (CAM) walkers. These walkers inevitably contribute to limb length inequality, resulting in low back pain. Even Up™ is a patented shoe lift device that minimizes back strain due to cast immobilization. One can easily apply Even Up externally to a shoe and the device can accommodate a wide variety of shoes. Read More.

Evaluating Diabetic Foot Infections With The New IDSA Guidelines

Warren S. Joseph DPM FIDSA
5/29/12 | 4949 reads | 0 comments
I promised I would post a link to the newly revised, updated Infectious Diseases Society of America (IDSA) Diabetic Foot Infection Guidelines as soon as they were available. Read More.

Encouraging Signs Of Interest In AFO Therapy At A Podiatric Medical School

Doug Richie Jr. DPM FACFAS
5/24/12 | 3098 reads | 0 comments
This past week was a rewarding time for me in terms of medical education. First, I had the pleasure of giving a lecture to the second-year class of podiatric medical students at the Western University of Health Sciences. Additionally, a third-year resident in family medicine from a nearby teaching hospital finished a two-week rotation in my office. Finally, I had a second-year resident from our Podiatry Surgical Residency (PSR-36) Program scrub three surgeries with me. Read More.

Podiatric Dermatology Quiz: What Kind Of Lesion Is This?

Tracey Vlahovic DPM
5/23/12 | 4487 reads | 5 comments
Can you identify the type of lesion shown in the photo at the left? These atypical moles differ from common nevi as they are usually larger in size and lack pigment uniformity. Color ranges from reddish hues to brown to blue-black. The clinical appearance of a popular, pigmented central portion surrounded by a less pigmented macular border gives rise to the “fried egg” nomenclature. Read More.

Expanding The Use Of NPWT Beyond DFUs: What The Literature Reveals

David G. Armstrong DPM MD PhD
5/22/12 | 3148 reads | 1 comments
Recently, the use of NPWT has expanded beyond the treatment of diabetic foot ulcers. Negative pressure wound therapy improves the take of split-thickness skin grafts by acting as a bolster and preventing an accumulation of fluid beneath the graft site.1 In 2004, Moisidis and co-workers found that the quality of take for split-thickness skin grafts subjected to NPWT was qualitatively improved in 50 percent of the cases they studied.2 Read More.

Is It True That Only Sprinters Run With Forefoot Striking?

Nicholas A Campitelli DPM FACFAS
5/17/12 | 5052 reads | 4 comments
Continuing with the discussion on how people should land when they run, it is very interesting to look at the elite marathoners and what particular form they use. Many of those against forefoot striking have sent me videos and pictures of these athletes claiming they are “heel striking.” It almost turns into a he said/ she said type of argument because these runners are moving so fast that it is difficult to slow the video down or alter the video angle to yield a black and white answer. There are, however, many videos on You Tube that show strike patterns of various marathon runners. Read More.

Should Podiatric Physicians Monitor HBOT?

Patrick DeHeer DPM FACFAS
5/16/12 | 4953 reads | 0 comments
“First do no harm.” Many often refer incorrectly to this phrase as part of the Hippocratic Oath. (In fact, the quote is “to do good or to do no harm.”) This phrase actually comes from the Hippocratic writing Epidemics. The meaning of this statement is of the utmost importance no matter the origin. I am proud to be part of the progress of the podiatric profession in its quest of the American Podiatric Medical Association (APMA) Vision 2015. In my opinion, however, some of these professional advancements violate the aforementioned quote. Read More.

Why Focusing On Tidbits Of Information Can Lead You Down The Wrong Diagnostic Path

Stephen Barrett DPM FACFAS
5/11/12 | 3548 reads | 0 comments
I had a very interesting patient come in last month. Sadly, she was in an automobile accident about four years ago, which resulted in an intracranial bleed. She ended up with severe vertigo and loss of strength on her left side. The car hit her from the left side, causing trauma to the entire aspect of her left side, including an ulna fracture as well as a tibial plateau fracture of the left knee. Read More.