Adding A Crest Pad To Custom Orthoses

Larry Huppin DPM | 3,388 reads | 0 comments | 06/04/2014

A patient recently came in to pick up her orthotic devices. She has worn orthoses for years for several pathologies. However, what we are addressing now is pain secondary to digital contracture. She is starting to get more pain at the distal aspect of her toes secondary to hammertoes and pressure on the distal aspect of the digits. In the past, she has found that shoes that have a crest in them tend to work well for her. In particular, she has found that the crest in Birkenstock sandals helps keep her toes straight and decreases her symptoms.

PAD Testing: Methods, Myths And Medicare Requirements

Lee C. Rogers, DPM | 15,500 reads | 0 comments | 05/26/2014

Podiatrists play a critical role in the identification, treatment and management of patients with peripheral arterial disease (PAD).

Recognizing The Damaging Impact Of PAD

Jeffrey Bowman DPM MS | 3,404 reads | 0 comments | 08/22/2013

A recent Lancet report noted that in 2010, 202 million people worldwide had peripheral artery disease (PAD).1 Consider the following statistics about PAD and related complications.2

• Those who smoke are two to three times more likely to have lower extremity PAD. • Patients with PAD are four to five times more likely to suffer a transient ischemic attack or stroke. • Those with PAD are two to six times more likely to die from coronary heart disease.

Current Insights On ABI And Diagnosing PAD

Michael DeBrule, DPM | 13,609 reads | 3 comments | 08/22/2013

This author offers pearls on how measuring the ankle brachial index (ABI) can facilitate the accurate diagnosis of peripheral arterial disease (PAD) and help salvage limbs.

Turbocharge PAD Treatment

hmpadmin | 5,107 reads | 0 comments | 05/03/2007

Clinicians have a new tool to treat the potentially serious peripheral arterial disease (PAD).     The new Turbo elite product line uses excimer laser ablation to treat PAD. The product line includes an enhanced outer jacket, an inner guide wire with optimized ablation efficiency and an energy output that facilitates increased rates of penetration, according to the product line’s manufacturer Spectranetics.

Study Shows One-Third Of Patients With Severe PAD And DFUs Die Without Revascularization

David G. Armstrong DPM MD PhD | 2,985 reads | 0 comments | 06/21/2013

A recent study published in the European Journal of Vascular and Endovascular Surgery shows that without revascularization, a significant number of patients with severe peripheral arterial disease will die before their diabetic foot ulcers heal.1

The study focused on 602 patients with ischemic diabetic foot ulcers who had systolic toe pressures of

Can A Novel Felt Pad Help Offload Plantar Ulcers?

Tracey Vlahovic DPM | 7,366 reads | 1 comments | 10/29/2012

On my recent journey to the Society for Chiropodists and Podiatrists 100th Anniversary Conference and Exhibition in Glasgow, Scotland, I saw the exhibit hall display for Hapla (Cuxson Gerrard) felt. My U.K. mentor, Dr M. Tariq Khan, PhD, uses this in his podiatric clinic. When I spent time training with Dr. Khan years ago, he introduced me to the Hapla 3D system.

Getting Quicker Answers On The Presence Of PAD

Danielle Chicano, Editorial Associate | 5,712 reads | 1 comments | 10/29/2012

The statistics on peripheral arterial disease (PAD) are staggering. The Centers for Disease Control and Prevention estimate that approximately 8 million people in the United States have PAD. This includes 12 to 20 percent of people over the age of 60. Accordingly, appropriate testing for this condition is essential.

Are Acellular Dermal Matrices Effective For Grade 0 Ulcers And Fat Pad Augmentation?

Jodi Schoenhaus Gold, DPM, FACFAS | 17,193 reads | 0 comments | 10/26/2012

Fat pad augmentation or the use of grafting in the ball of the foot and the heel has gained popularity over the past decade. The goal is simply to add cushioning or padding to areas that demonstrate a loss or displacement of natural fat due to an increased peak pressure.

How to Make A Sesamoid Pad

Jenny L Sanders DPM | 53,669 reads | 0 comments | 08/03/2012

Sesamoiditis can be a challenge for the physician and patient alike.

A simple way to alleviate sesamoiditis is to fabricate an offloading sesamoid pad and attach it to the underside of your patient’s sock liner or shoe insole. In just a few minutes’ time, you can fabricate a sesamoid pad and provide relief for this annoying, painful condition. We use these pads on a daily basis and it is nothing short of revolutionary.