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Are We Overdoing It With Antibiotics When Treating Osteomyelitis In The Diabetic Foot?

David G. Armstrong DPM MD PhD | 3,061 reads | 2 comments | 12/05/2014

Are we overmedicating patients with osteomyelitis in the diabetic foot? A new study in Diabetes Care suggests this is the case, noting that a six-week antibiotic regimen works just as well a 12-week course.1

Compounding Meds For Diabetic Neuropathic Pain: Can They Have An Impact?

Allen Jacobs, DPM, FACFAS | 14,030 reads | 1 comments | 02/23/2015

Topical compounded medications may play a key role in the armamentarium of treatments for diabetic neuropathy, particularly patients who have multiple comorbidities and polypharmacy issues. Accordingly, this author demonstrates how compounding can optimize drug concentration at the site of pain with a lower risk of adverse sequelae.

How Combining Two Meetings Will Enhance Treatment Of The Diabetic Foot

David G. Armstrong DPM MD PhD | 3,800 reads | 0 comments | 03/27/2015

I recently returned from co-chairing the annual Diabetic Foot Global Conference (DFCon) meeting after attending many exemplary sessions. This meeting was so extraordinary this year both for its novelty and its breadth. We had sessions that covered a full range of innovations for the diabetic foot. There were talks on the latest in wearable exoskeletons, which I believe will in the not too distant future help our patients out of bed and also help them be more stable and active at home.

Are DPMs Underusing The TCC To Offload Diabetic Foot Ulcers?

David G. Armstrong DPM MD PhD | 1,987 reads | 0 comments | 07/15/2014

Despite the evidence supporting the efficacy of total contact casts (TCC) to offload diabetic foot ulcers, podiatric physicians may not be putting this evidence into practice, according to a recent study.

Can Ultrasound Debridement Facilitate Biofilm Removal From Diabetic Foot Ulcers?

Melinda Bowlby, DPM, and Peter Blume, DPM, FACFAS | 9,705 reads | 0 comments | 07/23/2014

A patient with diabetes mellitus has a 15 to 25 percent chance of developing a diabetic foot ulcer during his or her lifetime.1 Once the patient with diabetes develops an ulcer, there is an even higher rate of ulcer recurrence at 50 to 70 percent over five years.1    Diabetic foot ulcers are n

Emphasizing The Fundamentals And Patient Education In Diabetic Foot Care

Perry Mayer, MB, BCh, CCFP | 6,174 reads | 0 comments | 08/20/2014

Treating the diabetic foot is relatively straightforward. We need to ensure that blood flow is adequate, eradicate infection, eliminate pressure from the wound site and regularly remove the dead and devitalized tissue from the affected area. If we do all those things, the wound heals. It really is that simple.    

Are We Making Progress In Healing Diabetic Foot Ulcers?

David G. Armstrong DPM MD PhD | 3,275 reads | 0 comments | 10/17/2014

Acknowledging the high failure rate in healing diabetic foot ulcers and preventing lower extremity amputations, a recent study in Advances in Therapy acknowledges an “urgent need for new treatment strategies.”1 Are we meeting that need or has our progress halted?

Overall, peripheral neuropathy decreases the quality and length of life for our patients. This nerve disease affects millions of Americans and can cause multiple foot and ankle disorders.

Waveform Electrostimulation: Can It Be Another Option For Painful Peripheral Neuropathy?

Raymond Abdo, DPM, and Jaret Walker, DPM | 30,380 reads | 0 comments | 04/03/2008

According to the Centers for Disease Control and Prevention (CDC), approximately 7 percent of the population in the United States has diabetes mellitus. Approximately 30 percent of patients with diabetes over the age of 40 have some kind of impaired sensation of the foot. Sensorimotor neuropathy is the primary risk factor for developing a diabetic foot ulcer, which leads to 85 percent of diabetic lower extremity amputations.1

Leading Authors Criticize Surgical Decompression For Diabetic Neuropathy

By Brian McCurdy, Senior Editor | 6,890 reads | 0 comments | 04/03/2007

While some have touted surgical decompression as a possible treatment option for diabetic sensorimotor polyneuropathy (DPN), authors of a recent Diabetes Care commentary have challenged the validity of this procedure, calling it an unproven modality based on flawed hypotheses.

A New Approach To Treating Painful Diabetic Neuropathy

By David Lambarski, DPM, and Martin E. Wendelken, DPM, RN | 30,096 reads | 0 comments | 01/03/2007

      The use of musculoskeletal ultrasound provides podiatric practitioners with non-invasive diagnostic capabilities in the office setting. In addition, this diagnostic tool can also assist with interventional medical techniques for treating a number of pathologic conditions. One may also combine ultrasound with duplex imaging and color Doppler to provide a vascular assessment tool.       For this article, we will offer a closer look at the potential of combining musculoskeletal ultrasound with cryosurgery to treat tarsal tunnel syndrome.