Volume 23 - Issue 1 - January 2010
Diabetes Watch »
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 »
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.
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.
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.
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.
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.
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