Volume 18 - Issue 10 - October 2005
One of the first patients I saw when I started practice many years ago was a diabetic patient who presented with medial ulcerations on both great toes. I aggressively treated the ulcerations and offloaded the toes. After the lesions had healed, I triumphantly told the patient she could go back to wearing her regular shoes.
Two weeks later, she returned to the office with the ulcers back in full bloom. As I should have done earlier, I had a discussion with the patient about shoes and found out she was wearing the same shoes she had worn for many years and
New Products »
Protecting Diabetic Feet
Patients with diabetes now have two new options when it comes to protective footwear.
The T1230 and T1220 are the latest additions to the Ambulator Stretcher footwear series manufactured by Aetrex Worldwide. The shoes provide comfort and protection for patients who are diabetic or arthritic, and the shoes can accommodate a variety of foot injuries or conditions, according to the company.
Aetrex says the shoes feature high toe boxes, seamless spandex uppers and a removable depth of a half inch. The c
I entered a room in the bowels of the hospital marked “administrative conference room.” It was 7 a.m. on a Friday. I usually have a cup of coffee and read a book at that hour. There was a coffee pot and some bagels but the reading material was patient charts stacked at one end of the table.
All physicians are invited to participate in chart review but it is a tedious and often unpleasant task generally known as peer review. Three of us showed up on this day. One was a young OB-GYN who has been with us for a year. One was a urologist who has been here
Diabetes Watch »
In spite of efforts to control diabetes and improve limb salvage rates, the number of diabetes-related amputations continues to rise in the United States. Over 80,000 amputations are performed each year, with approximately one-half being partial foot procedures and one-half being transtibial or higher amputations.1 By evaluating and identifying patients at risk for amputation, podiatrists may initiate simple, preventive interventions that can help lower these dismal statistics.
Patients with diabetes suffer from macrovascular and microvascular
Continuing Education »
The initial presentation of an acute lateral ankle injury may be deceptive. What appears to be a simple ankle sprain may represent a fracture of the ankle or hindfoot. A tendon or impingement-type injury may not present until later in the healing process. One may not be able to appreciate other intraarticular injuries without advanced imaging studies. Nerve injuries may offer the greatest diagnostic challenges of all (see “A Guide To Differential Diagnosis Of Inversion Ankle Injuries” below).
The ankle is the most common joint injured in sports and an
News and Trends »
Officials of the International Olympic Committee (IOC) are already in the midst of planning for the 2008 Olympics in Beijing. In order to facilitate improved treatment for athletic injuries, they recently sought out the suggestions of a United States podiatrist who treated athletes at the Athens Olympiad last year. Nicholas Romansky, DPM, who headed up the U.S. podiatry contingent at the 2004 Olympics, spoke recently to the IOC regarding his clinical experiences and made suggestions for the next games.
Dr. Romansky reviewed injury trends, noted how the c
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