DPM Blogs

A Review Of Treatment Options For Pitted Keratolysis

Tracey Vlahovic DPM
4/26/12 | 39814 reads | 0 comments
Lately at the Foot and Ankle Institute, we have had a “rash” (pun intended) of patients presenting with erythrasma and/or pitted keratolysis. Let’s focus on pitted keratolysis. Pitted keratolysis is a condition characterized by superficial erosions and 1 to 3 mm discrete crateriform pits along the sole of the foot due primarily to prolonged bromhidrosis.1 Although typically asymptomatic and non-inflammatory, patients with this condition often seek treatment because of the associated psychosocial factors such as odor and embarrassment. Read More.

Can Foot Orthotics Relieve The Pain Of Hallux Rigidus?

Doug Richie Jr. DPM FACFAS
4/25/12 | 15550 reads | 2 comments
I am always interested in theories and advice my colleagues post on the Internet regarding the use of custom foot orthoses to treat common pathologies. It is amazing to see the divergence of opinion regarding selection of materials, casting technique and prescription criteria to treat any single condition. Leading the list of pathologies that has the least agreement for orthotic therapy is hallux rigidus. Read More.

My Top 10 Essential Podiatric Textbooks

Patrick DeHeer DPM FACFAS
4/20/12 | 43622 reads | 1 comments
I love books — both hard copy and digital. I can get lost in a bookstore for hours. My love of books prompted me to put together a list of my top 10 podiatric textbooks. In no particular order, I consider these essential to any podiatric library. I have no vested interest in any of these textbooks. This list is based solely on my personal opinion. I love the discussion and debate that book lists create so bring it on. Foot and Lower Extremity Biomechanics: A ten-year collection of Precision Intricast, Inc. newsletters, Volume 1 (Precision Intricast, 1997) by Kevin Kirby, DPM, MS Read More.

Are Mild Wound And Diabetic Foot Infections Like Mild Cancers?

David G. Armstrong DPM MD PhD
4/18/12 | 3752 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 | 6197 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 | 5165 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 | 6427 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 | 3807 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 | 6639 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.