Volume 21 - Issue 3 - March 2008
Diabetes Watch »
Diabetic neuropathies are a consequence of long-term hyperglycemia and occur in patients with type 2 diabetes, usually those who are 40 years of age or older. Diabetic neuropathy may occur regardless of whether a patient has insulin-dependent or non-insulin dependent diabetes.
Bear in mind that diabetic neuropathy may have a variety of clinical characteristics. Patients may have a symmetric or asymmetric presentation. They may have sensory or autonomic neuropathy. Read the full story »
A fellow podiatrist recently called and wanted my advice on what to do after retirement. In the course of our conversation, we talked about our journey during the first years of practice. He commented that he had struggles with discrimination by hospitals. He assumed that I had these problems based on my previous “Forum” columns.
I assured him that I did have challenges but never considered them interesting enough to write about.
However, the call did spark my curiosity so I dug out an old file titled “Hospital Privileges Fiasco.” It contained letters that I wrote and
The patient with diabetic neuropathy is truly overwhelmed.
He or she has gone through the discovery of the disease and perhaps a subsequent refusal to believe it. The patient may not have been following the diet or medication regimen, and now he or she is facing neuropathy and other complications. These patients are now facing decisions about shoes, medications and perhaps even surgical decisions. There may have been career changes, difficulty paying bills and even shifting relationships.
Read the full story »
New Products »
A Unique Dressing
A new dressing attacks wounds from more than one angle.
Biostep™ Ag Collagen Matrix Dressings use a unique dual-action approach to target and deactivate excess matrix metalloproteinases (MMPs), according to the manufacturer Smith and Nephew Wound Management.
The company says the dressings also use the antimicrobial effects of silver to minimize the chance of infection.
Smith and Nephew says Biostep has a six-day wear time and is more absorbent than other dressings.
News and Trends »
Two abstracts, which will be presented at the upcoming Symposium on Advanced Wound Care (SAWC), seek to address the impact of dialysis upon diabetic wound healing and the long-term mortality rates of those who undergo non-traumatic amputation.
For the one abstract’s retrospective review, researchers evaluated 150 patients with diabetes on hemodialysis. These patients had 30 months of follow-up for foot ulcers, infections, amputations and death. The abstract authors sought to determine if the patients received “standard preventative care” consistent with patien
Surgical Pearls »
Tarsal tunnel syndrome is an entrapment of the posterior tibial nerve or its branches within the tarsal tunnel.1 This syndrome is most frequently unilateral as opposed to carpal tunnel syndrome in the upper extremity, which is typically bilateral.2 Keck and Lam first described the term “tarsal tunnel syndrome” in 1962.3,4
Malaisé first described the clinical signs and symptoms of tarsal tunnel syndrome in 1918. Some of the symptoms include numbness or tingling in the soles of the feet and toes or a burning pain in the ankles.
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