Non-healing skin ulcerations of the lower extremities affect millions of people in the United States and impose tremendous medical, psychosocial and financial impact. These wounds may be secondary to a myriad of etiologies including pressure,…

Diabetic peripheral neuropathy (DPN) is a “diagnosis of exclusion.” Diagnostic challenges are one thing but few practitioners relish that phrase when it comes to DPN. For this condition, the practitioner needs to cast a very wide net of tests and…

   I have a small list of items that I prefer patients not bring to the office when they come for care. What is on the list?    • Supersized 32-oz. soft drinks    • Guns    • Pets    • Cell phones    The problem with 32-oz. soft drinks is obvious. I…

The goal of soft tissue coverage is to restore form and function. However, due to the anatomic complexity of the foot and ankle, soft tissue coverage in this area often falls short of Sir Harold Gillies’ adage to “… replace like with like.”1,2…

   I have long since given up looking for logic from the Bush administration. However, the recently proposed cuts in funding for diabetes research certainly fly in the face of very disturbing statistics about the prevalence and impact of this…

The benefits of exercise in preventing diabetes and improving general health are well established. Can exercise also facilitate improved wound healing among older adults? A recent study in the Journal of Gerontology: Medical Sciences found that…

Nearly 21 million people in the United States have diabetes, according to the Centers For Disease Control and Prevention (CDC). Approximately 6.2 million of these people are not aware they have the disease. The CDC also estimates that over 40…

I read the recent article “A New Solution For The Arthritic Ankle?” (see page 36, December 2005) with interest. I applaud the authors for their work and agree that this is an option for patients with degenerative joint disease of the ankle. George R…

Fees are down, expenses are up and the days of fat profit margins for physicians are over. Managed care in some form is here to stay. The tidal wave of baby boomers approaching retirement suggests the pendulum will not swing back to the “good old…

It is well established that poorly controlled diabetes mellitus leads to vasculopathy, immunopathy and neuropathy, all of which may contribute to osteopathy. However, in order to understand the nuances of bone healing in the diabetic population, one…