Volume 15 - Issue 11 - November 2002
Wound Care Q&A »
Neuropathic ulcers can be extremely problematic for diabetes patients and podiatrists alike. Exploring the ins and outs of surgical treatment, our expert panelists take a closer look at specific ulcers, helpful techniques, the merits of preoperative vascular testing and postoperative protocols.
Q: Do you perform prophylactic diabetic foot surgery? If yes, what are the common types of situations in which you would use this treatment option?
A: All of the panelists consider prophylactic surgery in diabetes patients when conservative treatment options have failed to resolve an ulcer.
In a survey of professional athletic trainers and team physicians, Achilles tendonitis ranked third behind ankle sprains and plantar fasciitis as the primary presenting complaint within the athletic population.1 Additionally, it accounts for up to 18 percent of all running injuries.2 The condition is highly prevalent among runners, but it is also common in any athlete who endures repetitive high impact microtrauma.3
Pressure ulcer disease represents a significant medical problem both nationally and internationally. Approximately 1.7 million people in the United States develop these maladies at an annual cost of between $2.2 billion and $3.6 billion.1 With the population aging, assisted living and nursing facilities flourishing and obesity creating catastrophic increases in diabetes and other diseases, it is likely the number of ulcerations will continue to increase.
The pressure ulcer is an area of localized damage to the skin and underlying tissue caused by pressure, sheer, friction and/or a
Some days, it seems to be an epidemic. As you read the patient information sheet prior to entering the examination room to meet a patient for the first time, you start to wonder if everyone will eventually wind up with heel pain at some point in their lives. Sometimes it is easy to see why a person might be suffering with heel pain. Obesity, poor shoe selection and a job that requires extensive standing or walking are obvious contributing factors.
In other situations, the cause(s) might be more perplexing. For instance, when a patient who has already received orthotic devices or even one who
As podiatric physicians and surgeons, we would like to treat chronic plantar fasciitis without the risks and complications that are inherent to common plantar fascia releases. We have studied lower extremity biomechanics and have been taught that with all surgical procedures, we must understand and respect the function of the human foot and how each surgical procedure changes its specific function and stability.
However, studies of extracorporeal shockwave therapy (ESWT) have proven that we can cure chronic, insertional plantar fasciitis without exposing patients to any of the known risks (r
Plug “podiatry” or “foot” into a Web search engine and thousands of entries can surface. In order not to get lost in the ocean of Web sites, there are numerous factors to consider. When potential patients have concerns about their feet or need treatment, the Internet may be the first environment to which they turn for information. Indeed, your site may be the first impression patients have of your practice.
“A Web site should be a working part of your practice and not just a vanity site,” says Kirk Koepsel, DPM. “It’s like a welcome mat for your patients.”
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