Volume 17 - Issue 8 - August 2004
Continuing Education »
Charcot neuroarthropathy and the complications of longstanding diabetes are perhaps the greatest challenge for the foot and ankle specialist. These conditions are of principal concern given the limb threatening consequences when a diagnosis of Charcot foot is delayed or missed completely. Though there is no modern revelation in identifying the Charcot foot, there has been rejuvenated interest behind the continued study of this neuropathic entity.1-22 Subsequently, the slow rise in the number of reported cases of Charcot neuroarthropathy is likely due more to increased awareness
Intriguing new treatments and devices abound in this yearly review. We take a closer look at promising therapies for diabetic neuropathy and osteoarthritis of the ankle. Wound care specialists weigh in on new approaches to optimizing wound beds and closing stubborn wounds. Podiatric surgeons discuss time-saving devices for facilitating tendon transfers and leading voices in biomechanics offer their respective takes on a helpful orthotic modification, a re-emerging pediatric orthotic and a new athletic shoe that is generating a lot of buzz.
Without further delay, here is what the experts had t
I enjoyed finally being able to see patients in my third year of podiatry school. The college clinic was clogged with students in white coats and a few patients. Most students were considered fortunate if they cared for one patient on a typical clinic day.
I always dragged neighbors from my East Cleveland apartment complex where I worked as a night maintenance man. While I fixed their appliances and unclogged their plumbing, I always inquired about any foot problems. I usually saw at least five patients every clinic day.
Since I developed my rapport with these patients as neighbors, they add
Diabetes Watch »
Diabetes mellitus is said to be a disorder of glucose metabolism, but it can be so much more for those individuals who have the disease and the families with whom they share their lives. The sequelae of diabetes involve vascular changes in the large and small vessels, and produce disorders of the retina, the kidneys and the coronary arteries, not to mention the peripheral vascular tree. While serum glucose management is critical, it is only one part of the total picture in managing patients with diabetes.
In order to adequately protect the patient from the ravages of diabetes, a well-integrat
Sports Medicine »
Stinging insects and ticks can cause problems for athletes who participate in outdoor sports or activities. At the very least, these stings or bites can lead to itchy and irritating skin conditions. On the more extreme end, these stings or bites may lead to serious anaphylactic reactions or Lyme disease. Therefore, it is important for sports medicine practitioners to recognize the potential conditions and dangers that may come from these insect bites and stings, and know how to institute appropriate treatment.
Stinging insects belong to the order Hymenoptera, which includes bees, wasps and st
Orthotics Q&A »
With summer in full swing, more and more patients are moving from the rigidity of dress shoes into the comfort of sandals. Fitting orthotics into both types of footwear has its own unique challenges as the sizes of each vary and the amount of control is also different between shoe types. With this in mind, our expert panelists offer pearls on how they alter orthotic prescriptions for dress shoes or sandals.
Q: What are important concepts to keep in mind when prescribing orthoses for women’s dress shoes?
A: Lawrence Huppin, DPM, says patient education is of paramount importance