Volume 23 - Issue 1 - January 2010

Diabetes Watch »

Can Curative Foot Surgery Facilitate The Healing Of Diabetic Foot Ulcers?

Nicholas J. Bevilacqua, DPM, and Lee C. Rogers, DPM | 12463 reads | 0 comments

   Up to 25 percent of people with diabetes will develop a foot ulceration at some point during their lifetimes.1 There are a number of component causes that interact to complete the causal pathway to foot ulceration. However, the most frequent component causes are peripheral neuropathy, deformity and trauma.2,3

   Deformity leads to increased plantar pressures and when these are combined with sensory neuropathy, ulcer formation is likely. Therefore, one must consider foot deformities as a possible cause for all foot ulcers.

News and Trends »

January 2010

4728 reads | 0 comments

Study Predicts Dramatic Diabetes Increases By 2034

By Brian McCurdy, Senior Editor

   A new study in Diabetes Care predicts the rate of diabetes will nearly double in the next 25 years and total healthcare spending for diabetes will nearly triple in the same period.

Point-Counterpoint »

Asymptomatic Flatfoot In Kids: Should You Treat It?

Ron Raducanu, DPM, FACFAS and Angela Margaret Evans, PhD, GradDipSocSc, DipAppSc(Pod) | 11650 reads | 0 comments

Yes. Ron Raducanu, DPM, FACFAS notes that orthotic treatment may help correct pediatric flatfoot and potentially prevent related biomechanical dilemmas as children move into adulthood.

   There continues to be quite a bit of controversy surrounding the treatment of pediatric flatfoot with custom orthotics. Given the continued emphasis on evidence-based medicine, this controversy is largely fueled by the lack of any empiric data to support the use of custom orthotics as a means to prevent future podiatric abnormalities or symptoms.

Feature »

Keys To Treating Plantar Fasciitis In Runners

Brian Fullem, DPM, FACFAS | 28693 reads | 1 comments

Treating plantar fasciitis in this patient population can be particularly challenging. Accordingly, this author offers insights on initial conservative care, weighs in on the merits of orthotics, and reviews pertinent issues in addressing recalcitrant plantar fasciitis.

Feature »

How To Address Hypertrophic And Keloid Scars

Andrew Rice, DPM, FACFAS | 16759 reads | 0 comments

The management of scars has come a long way over the years but still poses a significant problem both to the physician and the patient. This author reviews the clinical presentation of abnormal scars as well as the development of numerous treatments for the management of hypertrophic and keloid scars.

Feature »

Keys To Preventing Complications With Subtalar Joint Implants

Patrick A. DeHeer, DPM, FACFAS, and Eugenia Malenkos, DPM | 26278 reads | 0 comments

In order to reduce the risk of potential complications with subtalar joint implants, these authors offer salient tips on the diagnostic workup, an overview of the currently available implants and how to facilitate appropriate procedure selection.