DPM Blogs

Are Mild Wound And Diabetic Foot Infections Like Mild Cancers?

David G. Armstrong DPM MD PhD
4/18/12 | 3719 reads | 0 comments
I was listening to a superb talk recently by Otis Brawley, MD, for our TEDMED at University of Arizona simulcast. Dr. Brawley, the Chief Medical Officer for the American Cancer Society, was speaking about the dramatic overtreatment of prostate and some breast cancers when they were in their early stages. Late in the 18-minute talk, he recounted an anecdote that I had not heard. It had to do with Donald Gleason, MD, PhD, and a meeting he had more than 50 years ago. Dr. Gleason is best known for the eponymous "Gleason Score" for prostate cancer. Read More.

Transitioning A Runner With A Flatfoot Deformity Into A Minimalist Running Shoe

Nicholas A Campitelli DPM FACFAS
4/17/12 | 6087 reads | 3 comments
Initiating a long-term conservative treatment plan for any patient can be a very difficult and challenging process for both the physician and the patient. When we ask runners to back off their mileage or stop running altogether for a period of time to overcome an overuse injury, they often look for other treatment options. Many times, this treatment option becomes a new running shoe. Read More.

Should We Run Barefoot?

Stephen Barrett DPM FACFAS
4/13/12 | 5117 reads | 0 comments
A few weeks ago while on a flight to some forgotten city from another forgotten city, the gentleman next to me started up a conversation. As I recall, it was one of those deals where I wanted to sleep as it was an early morning flight. Unfortunately, the conversant was not of high enough social IQ to discern this so he pressed on. “What do you do?” he asked. Still trying to scratch the sand out of my eyes, I replied, “I’m a podiatric surgeon.” Read More.

What You Should Know About Antibiotic Bone Penetration And Osteomyelitis

Warren S. Joseph DPM FIDSA
4/9/12 | 6292 reads | 0 comments
Steven Klein, DPM, a reader of this blog, emailed me to ask the following questions. I have obtained his permission to use his excellent thoughts as a “jumping off” point for this post and some subsequent ones to follow. Read More.

Highlights From The Recent DFCon Meeting

David G. Armstrong DPM MD PhD
4/6/12 | 3770 reads | 0 comments
Diabetes and diabetic foot experts from around the globe met March 15 to 17 at the tenth DFCon Global Diabetic Foot Conference in Los Angeles to share ideas on how to prevent lower limb amputations due to the complications of diabetes. Lee C. Rogers, DPM, and Joseph L. Mills, Sr., MD, were the course directors. More than 30 internationally known experts from 11 countries served on the DFCon faculty. The speakers offered a number of insights. Dr. Mills presented the details on WIFI, a proposed classification for diabetic foot ulcers: Read More.

A Closer Look At Exercise For Patients With Diabetic Wounds

Desmond Bell DPM CWS FACCWS
4/2/12 | 6484 reads | 0 comments
Let me begin by stating that exercise and patients with diabetes are not mutually exclusive. This also holds true for a patient with diabetes who has a non-healing foot ulcer. Preliminary research suggests that exercise may work to increase the rate of wound healing in such patients. That being said, many patients seeking treatment for diabetic foot ulcers are not the most disciplined when it comes to lifestyle choices. Exercise and the lack thereof is often a contributing factor to the declining quality of life that affects many patients with diabetes. Read More.

Comparing Soccer Cleat Widths To Help Ensure An Ideal Fit

Jenny L Sanders DPM
3/28/12 | 7157 reads | 0 comments
Soccer cleat sizes do not indicate widths, and this can make it difficult to obtain a good fit. Since many medium width cleats will run either wide or narrow, you can use a side-by-side comparison to identify volume differences among different pairs of shoes. Read More.

What You Should Know About Peroneal Tendon Disorders

William Fishco DPM FACFAS
3/26/12 | 16835 reads | 0 comments
Lateral ankle pain and hindfoot conditions can be difficult to diagnose through a history and physical exam. Often, multiple anatomic areas are painful with palpation or motion. To that end, it is common to order magnetic resonance imaging (MRI) for a “lateral ankle pain.” Read More.

Why Are We Missing The Boat When Offloading Diabetic Foot Ulcers?

Doug Richie Jr. DPM FACFAS
3/22/12 | 6627 reads | 1 comments
I am presenting a lecture about offloading diabetic foot ulcerations at this year’s Midwest Podiatry Conference. In preparation, I reviewed a recent review paper by Peter Cavanagh, PhD, a respected authority on the subject of offloading the diabetic foot.1 He is also one of the pioneers of research in lower extremity biomechanics. Cavanagh’s findings are astounding. Read More.