Noting the challenges and costs of attempting to heal chronic wounds, this author suggests that a minimally invasive alternative to skin grafting could provide a viable option for patients.  There is a chronic wound epidemic. Approximately 6.7…

Could mental health issues be having an adverse effect on your patient’s treatment outcomes? In a revealing look at the literature, this author says podiatrists should have a strong awareness of potential psychological issues in their patients and…

Due to a poor prognosis for healing and a high rate of recurrence, venous leg ulcers (VLUs) pose a significant challenge to clinicians. Accordingly, these authors present a case of chronic VLUs and how an emerging hydrosurgical debridement system…

What is your exit strategy from practice? Recognizing the hurdles and challenges with retiring from private practice, this author shares pertinent pearls on practice valuation, liquidation, hiring an associate, mergers and private equity…

Plantar first metatarsal head ulcerations can be challenging to treat. Ulcerations under the first metatarsal head reportedly represent the most common cause of lower limb amputations in patients with diabetes in the United States.1 Providers…

Commonly referred to as a part of Ehlers-Danlos or Marfan syndrome, ligamentous laxity comes in many forms and many levels of instability. The most minor level is a generalized hypermobility and instability of the joints of the body. The highest…

Rates of diabetic foot ulceration (DFU) recurrence reported at one, three and five years range from 25 to 40 percent, 50 to 60 percent and 65 to 80 percent respectively.1–6 Almost all patients with a history of a DFU will experience a recurrent DFU…

One of the most common patient complaints in podiatry offices, heel pain may result in significant discomfort and, at times, lead to disability. While plantar fasciitis is typically the cause, one cannot overlook other soft tissue, osseous and…

Plantar fascia pathology can pose a significant challenge for many providers and patients. With this in mind, this author reviews the most recent evidence for alternative treatments such as extracorporeal shock wave therapy (ESWT), laser therapy and…

The American College of Foot and Ankle Surgeons (ACFAS) recently published a clinical consensus statement on the diagnosis and treatment of ankle arthritis in the Journal of Foot and Ankle Surgery. The panel reached consensus on 12 “appropriate”…