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Can Traditional Herbal Medicine Help Heal Chronic Diabetic Foot Ulcers?

Alexander M. Reyzelman, DPM, and Irina Bazarov, MS | 38,279 reads | 0 comments | 05/23/2012

Despite the multitude of wound healing products and technologies that have come out in recent years, the treatment of chronic diabetic ulcers still remains a challenge. An evolving scientific understanding of wound physiology has led to the introduction of new wound care products targeting specific wound healing abnormalities.

Essential Insights On Treating Chronic Venous Stasis Ulcers

Nanjin J. Park, DPM, Latricia Allen, DPM, MPH, Guosheng Gu, MD, and Vickie R. Driver, DPM, MS, FACFAS | 53,713 reads | 0 comments | 06/22/2012

Given the common and chronic nature of venous stasis ulcers, these authors offer salient diagnostic insights, keys to selecting appropriate wound care dressings and a guide to choosing optimal compression modalities. They also emphasize the importance of patient education in reducing the risk of recurrence.

Is Tendon Lengthening The Best Treatment For Diabetic Foot Ulcers?

J. Monroe Laborde, MD, MS | 26,955 reads | 0 comments | 04/23/2012

Diabetic neuropathy results in tendon imbalance and decreased protective sensation.1,2 Tendon imbalance, especially Achilles or gastrocnemius-soleus tightness, causes or aggravates most foot problems.3-7 Achilles tendon or gastrocnemius-soleus tightness causes increased stress in the foot.8,9 This stress can cause a callus and a subsequent forefoot ulcer.8 Increased stress in the foot less commonly leads to the progressive deformity of Charcot arthropathy, most often in the midfoot.

Key Insights On Treating Chronic Venous Ulcers

Clinical Editor: Lawrence Karlock, DPM | 15,371 reads | 0 comments | 09/03/2008

Patients with venous ulcers can face daunting complications. Accordingly, our expert panelists provide pertinent pearls on diagnosis, compression therapy, debridement and how their patients have fared with vascular surgery procedures.

Q: How do you approach/work up the patient with a chronic venous ankle ulcer? Is there any need for venous ultrasound studies?

Understanding The Correlation Between PAD And Diabetic Foot Ulcers

By Kazu Suzuki, DPM, CWS | 2,924 reads | 0 comments | 08/03/2008

Please click here for the full Continuing Medical Education article: http://www.naccme.com/program/2008-pd-8/ 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.

CMS Expands Coverage Of HBO To Diabetic Foot Ulcers

By Gina DiGironimo, Production Editor | 8,784 reads | 0 comments | 04/03/2003

Beginning this month, the Centers for Medicare and Medicaid Services (CMS) will expand its coverage of hyperbaric oxygen therapy (HBO) to include the treatment of diabetic wounds in the lower extremities. According to the CMS, in order to qualify for this coverage, patients must have: type 1 or type 2 diabetes and a lower extremity wound due to diabetes; a wound that is classified as a Wagner grade III or higher; and have failed an adequate course of standard wound therapy.

How A New Dressing May Enhance Healing Of Heel Ulcers

By Brian McCurdy, Associate Editor | 7,855 reads | 0 comments | 12/03/2003

Ideally, a treatment should be quick and easy to use without sacrificing patient comfort. Negative pressure wound therapy can work well on wounds as it helps to remove exudate and enhance granulation. Continuing to improve upon its VAC therapy, KCI has introduced the new VAC® GranuFoam™ Heel Dressing. Designed just for heel wounds, the dressing has won raves from a few podiatrists for its quality, speed and ease of use. Colleen Schwartz, DPM, introduced the dressing at the American Podiatric Medical Association meeting in August and praises its benefits. Dr.

Plantar Skin Flaps On Diabetic Ulcers: Are They Worth It?

hmpadmin | 11,525 reads | 0 comments | 03/03/2004

Yes, the authors say skin flaps can be a viable option if conservative wound care fails. They emphasize that flaps can provide a unique match to the soft tissue properties of weightbearing areas and facilitate healing in wounds with exposed bone and tendon. By Gary P. Jolly, DPM, and Thomas Zgonis, DPM Historically, the treatment of chronic foot wounds has centered around aggressive debridement, pressure reduction and, lately, the application of wound healing accelerators such as various growth factors.

Managing Venous Ulcers In The Lower Extremity

Clinical Editor: Lawrence Karlock, DPM | 9,904 reads | 0 comments | 05/03/2004

Given the potentially serious nature of venous ulcers in the lower extremity, our expert panelists take a closer look at key risk factors and share their treatment approaches to this condition. Drawing from their experience, they also discuss topical treatments, the use of bioengineered skin substitutes and surgical procedures. Q: What risk factors predispose patients to the development of lower extremity venous ulcers?

Emerging Concepts In Healing Diabetic Foot Ulcers

Adam Landsman, DPM, PhD, FACFAS | 24,552 reads | 2 comments | 02/22/2011

Continued research in the arena of diabetic foot ulcers has led to a greater understanding of the etiologies of these wounds as well as the mechanisms of healing. With this in mind, this author raises questions on wound debridement, weighs in on the impact of quorum sensing and offers insights on the roles of allografts and advanced biologic therapies.