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Emerging Supplement Offers Benefits In Treating Diabetic Neuropathy

By Anthony Leone, Special Projects Editor | 7,234 reads | 0 comments | 04/03/2006

When it comes to adjunctive modalities for the treatment of diabetic neuropathy, podiatrists may want to consider the supplement Metanx (Pamlab). Two podiatrists cite the modality as a safe and effective treatment option for those with diabetic neuropathy. Comprised of 2.8 mg of L-methylfolate, 25 mg of pyrioxal 5’-phosphate (B6) and 2 mg of methylcobalamin (B12), Metanx has been proven to increase nitric oxide (NO) synthesis and improve endothelial function, according to Allen Jacobs, DPM, and Theodore Varoz, DPM, PCPM, DFW. Dr.

Can A Hybrid Imaging Technology Be Beneficial In Diagnosing And Monitoring Diabetic Foot Osteomyelitis?

Javier La Fontaine, DPM | 4,633 reads | 0 comments | 12/30/2014

The global prevalence of diabetes mellitus is rising with a global estimate of 366 million people diagnosed with the disease in 2011 and expert predictions that 552 million individuals will be diagnosed with diabetes worldwide by 2030.1

Can Nerve Fiber Density Testing Facilitate Earlier Treatment Of Diabetic Neuropathy?

By Allen Mark Jacobs, DPM, FACFAS, FAPWCA­­ | 22,501 reads | 0 comments | 11/26/2008

   Intraepidermal nerve fiber density testing is gaining enthusiastic acceptance for the diagnosis as well as the staging of diabetic neuropathy. Studies have demonstrated reduced intraepidermal nerve fiber density in patients with diabetes type 1 and type 2.1 One major advantage of intraepidermal nerve fiber density testing is the ability to detect the presence of evolving peripheral neuropathy in the presence of normal neurophysiologic studies. 2

Essential Pearls On Treating Diabetic Ankle Fractures

Keith D. Cook, DPM, FACFAS, Carl Brandon Lindberg, DPM, and Joseph Genualdi, DPM | 6,333 reads | 0 comments | 02/24/2014

Ankle fractures are very common injuries that foot and ankle surgeons see. An estimated 585,000 ankle fractures occur in the United States each year and 25 percent receive surgical intervention.1 Ankle fractures are the most common intraarticular fracture of a weightbearing surface and account for 9 percent of all fractures.1

Current Concepts In Diagnosing Chronic Diabetic Foot Ulcerations

Molly Judge, DPM, FACFAS | 13,748 reads | 0 comments | 02/24/2014

Offering pearls from the literature as well as her clinical experience, this author discusses the impact of infection, reviews common diabetic dermatopathology and notes other pertinent diagnostic keys.

Beginning with the initial patient presentation, there are a number of keys to manage chronic diabetic foot ulcerations. The first of these is the ability to make a definitive diagnosis.

A Closer Look At Beaming The Columns In The Charcot Diabetic Foot

William P. Grant, DPM, FACFAS, Bryan Barbato, BS, and Lisa M. Grant-McDonald, BS | 23,389 reads | 0 comments | 02/24/2014

In the unstable Charcot foot, the concept of beaming may help patients with diabetes attain stability and greater weightbearing. These authors discuss the pathway of Charcot neuroarthropathy and offer essential surgical pearls.

A Unique Continuing Education Mission Opportunity To Improve Diabetic Foot Care In Haiti

Patrick DeHeer DPM FACFAS | 3,477 reads | 0 comments | 04/15/2014

I love it when solutions to problems evolve naturally and you get the “light bulb” appearing above your head. I have been working on a solution for the Haiti Diabetic Foot Program located in the Hospital Bernard Mevs Project Medishare Program in Port-au-Prince, Haiti for some time. This is a comprehensive diabetic foot program run by Haitians for Haitians and supported by doctors from the United States.

Are Lower Diabetic Amputation Rates In Italy A Cause For Hope?

David G. Armstrong DPM MD PhD | 2,521 reads | 0 comments | 04/16/2014

As the prevalence of diabetes rises, more people will face the complications of diabetes, including lower extremity amputation. However, there may be a ray of hope in the form of a recent study in PLOS One that notes a significant reduction in amputation rates among patients with diabetes in Italy.1

Can Muscle Strengthening Relieve Plantar Pressures In Patients With Diabetic Polyneuropathy?

David G. Armstrong DPM MD PhD | 6,657 reads | 0 comments | 11/15/2013

For patients with diabetic polyneuropathy, plantar foot ulcers can develop due to higher plantar pressures. Is muscle strengthening the answer to relieving such pressures? The results of a new study in the Journal of Foot and Ankle Research cast some doubt on this question, which many have had for some years.1

Exploring The Potential Of Advanced Wound Care Products For Diabetic Wounds

E. Giannin Perez, DPM, MS, and Khurram H. Khan, DPM, FACFAS | 12,212 reads | 0 comments | 11/22/2013

Wound healing is a challenging task for any podiatric physician, especially for our high-risk patients with diabetes. Uncontrolled diabetes has consequences for all aspects of the body but is especially detrimental to wound healing. Patients with diabetes have a 15 to 25 percent lifetime risk of developing foot ulcers and their annual treatment costs are estimated to be about $30,000.1