Volume 21 - Issue 8 - August 2008
There are 15 million people in the United States with diabetes mellitus, half of whom are undiagnosed. Diabetic foot ulcers (DFUs) occur in 12 percent of these individuals, accounting for 60 percent of lower extremity amputations and costing more than $1 billion annually.1
Diabetic foot ulcers have various mechanisms including:
• microneurovascular dysfunction with loss of the nociceptive reflex and an exacerbated inflammatory response;
• vasomotor dysfunction with arteriovenous shunting;
Continuing Education »
Please click here for the full Continuing Medical Education article:
Given the significant dilemma of peripheral arterial disease and its strong association with diabetic complications in the lower extremity, this author reviews pertinent diagnostic keys and assesses the current research on treatment options.
The Charcot syndrome is a devastating condition that can affect the feet or ankles of those with diabetes and peripheral neuropathy. The reports on the incidence and prevalence of Charcot foot vary widely, and range between 0.1 to 29 percent among people with diabetes. These studies indicate a trend for a higher frequency in those with peripheral neuropathy and in specialty clinics.1 The specialty clinic providers may have a higher clinical suspicion and may accordingly arrive at a diagnosis more rapidly and definitively.
The risk of amput
Diabetes Watch »
Lower extremity complications associated with diabetes present a special challenge to any physician contemplating surgical management. Prophylactic foot surgery can be described as a procedure to prevent ulceration or re-ulceration in patients with diabetes without significant vascular compromise. This concept is part of a larger classification system, which stratifies the risks associated with various types of foot surgery.1
Why and when would you consider prophylactic surgery? A history of previous ulceration and/or amputation is an impo
Sports Medicine »
Among all the things that I learned during my sports medicine fellowship at the Barry University School of Podiatric Medicine, I became fascinated by one particular phenomenon. There seems to be a relationship between foot type and specific sporting events. After close observation and an ongoing study, I have noticed that athletes with tibia varum, cavus foot type and, sometimes, an in-toe gait tend to excel in sporting events that primarily involve quickness in acceleration, stop and go maneuvers, and cutting.
Researchers have made correlations betwe
New Products »
A Helpful Night Splint
Patients with various types of heel pain may get relief from a new night splint.
The Exoform® Dorsal Night Splint can be helpful in treating plantar fasciitis and related types of heel pain, according to the product’s manufacturer Ossur.
The company says the product can address issues that commonly arise with other braces. These issues include a lack of adjustability, pressure points, product migration and rotation.
Furthermore, Ossur notes the Exoform has a support shell th
- « Previous
- | Page 1 of 2 |
- Next »