Volume 17 - Issue 3 - March 2004
Editor's Perspective »
The sheer numbers continue to astonish and surprise. During a lecture at the recent Annual Meeting of the American College of Foot and Ankle Surgeons, John Steinberg, DPM, noted 18.2 million people in the United States have diabetes and approximately half of them are undiagnosed. The associated complications with this disease are well known, but the latest statistics are particularly chilling.
Heart disease reportedly affects people with diabetes twice as often as those who do not have diabetes. Current statistics also reveal that two out of three people with diabetes will die from a heart
Many sources in the literature describe the presence of pedal deformity and recurrent ulcerations associated with diabetes mellitus.1-4 Establishing a multidisciplinary team of physicians is essential for avoiding complications among these patients with diabetes.5,6 Unfortunately, the pedorthotist/orthotist is a frequently underutilized member of this team. Indeed, certified CPeds can make the difference between success and failure of diabetic limb salvage and ulcer prevention.
Certainly, the importance and impact of diabetic footwear cannot be ignored as a key componen
Grover, a 61-year-old African-American male, peered down at me through what looked like magnifying glasses inside black frames. He either had his cataracts removed before intraocular lens implants were available or had seen a local ophthalmologist who made his money removing cataracts the old-fashioned way.
Although Grover built pumps down at the Gorman Rupp plant, his real passion in life was being one of the pastors at his church. A simple man without pretense or excuse, he often referred to his “Lord” in our conversation and how good he was to us.
Grover told me Dr. Truberry wanted t
Diabetes Watch »
We have all heard about the concept of moist wound healing. We know that the right moisture balance is critical to the healing of chronic wounds because it promotes a healthy wound environment. We have modalities such as hydrogels and hydrocolloids, as well as normal saline and gauze. The latter is becoming antiquated but nonetheless continues to support the theory of moist wound healing principles.
The new modality to emerge in wound care is the XCell® Cellulose Wound Dressing (Xylos Corporation). This product reportedly provides both hydration and absorption to achieve the moist
Diagnostic Dilemmas »
Benign and bony outgrowths can be frequently misdiagnosed. With this mind, let us consider an unusual case involving a painful digital tumor that is gradually growing larger. Prior to presenting to our office, the patient had been evaluated by a couple of other physicians but the diagnosis had remained unclear.
The 19-year-old patient was an obese, non-diabetic female who had a chief complaint of a slowly enlarging painful tumor on the second left digit. She noted the lesion started approximately four months ago but recalled no trauma to this area.
The nodule, which had a reddish keratoti
New Products »
If your patient’s feet need a warm up and better circulation to relive pain, a new kind of footgear may be the remedy.
The AFG™ Ankle/Foot Gauntlet can raise your patients’ skin surface and subcutaneous temperature by two to three degrees as part of heat therapy. Manufacturer Swede-O, Inc. says the gauntlet can relieve the pain associated with diabetes, arthritis and Raynaud’s disease.
AFG’s Trioxon lining wicks moisture away from the skin and allows the skin to breathe. The company says the product is anatomically shaped and comes with a side stabilizer insert for a