When Arteriovenous Malformation Arises In The Foot

Tanya M. Judd, DPM, and Lauren Thornberry, DPM, LT, MSC, USN NAS | 14,449 reads | 0 comments | 01/29/2016

These authors offer insights on the diagnosis and surgical excision of a rare presentation of arteriovenous malformation in the foot of a 51-year-old patient.

Can The Medical Home Model Reinvent Outpatient Diabetic Foot Care?

By Thomas Belken, DPM | 7,933 reads | 0 comments | 12/19/2012

There are certain protocols/algorithms that physicians follow within the hospital setting. When a patient with diabetes comes into the emergency department with an infected ulcer, a cascade of events takes place: lab tests, X-rays, wound cultures, blood cultures and consults to the appropriate specialists. Medicine, infectious disease, vascular, endocrinology and podiatry personnel usually comprise the “team” that assembles to take care of this patient while he or she is in-house.

Amniotic Membrane: Does It Have Promise For Diabetic Foot Ulcers?

Karen Shum, DPM, and Lee C. Rogers, DPM | 15,674 reads | 2 comments | 05/23/2013

The prevalence of diabetes, estimated at 14 percent in 2010, is projected to increase to 21 percent of adults in the United States by 2050.1 The Centers for Disease Control and Prevention (CDC) has projected that as many as one out of three U.S. adults could have diabetes by 2050 if current trends continue.1

Emerging Insights On Ex-Fix Offloading For Diabetic Foot Ulcers

William P. Grant, DPM, FACFAS, Lisa M. Grant, and Bryan R. Barbato, BS | 12,659 reads | 0 comments | 03/25/2013

It is well understood that unremitting pressure is a major etiologic factor in both the creation and persistence of diabetic foot ulcers. Sensory neuropathy in combination with autonomic and motor neuropathy readily produces foot deformities with bony prominences and skin lacking normal protective sensibility. Further complicating the problem, alteration in tendon morphology and its function produces increased plantar pressures as well as temporal alteration in the phasic gait cycle that can destroy the protective barrier of the skin beneath the foot.

Reducing Shear Pressure To Facilitate Healing Of A Dorsal Foot Wound

Lakshmi K. Shankhdhar, MD, PGDND, DMRE, MAMS, FICN, FHMI (Boston), Kshitij Shankhdhar, MBBS, MD, Dip Diab, FICN, FAPWCA, Uma Shankhdhar, MBBS, DND, DDM, and Smita Shankhdhar, MBBS, MUPMA, MICN | 3,345 reads | 0 comments | 04/28/2016

These authors address the impact of shear forces in the treatment of a dorsal ulcer initially caused by a toe ring worn by a 61-year-old patient.

Overcoming The Challenges Of Offloading Neuropathic Plantar Foot Ulcers

Alison J. Garten DPM | 2,044 reads | 0 comments | 11/11/2015

We all have had the challenge of trying to determine the best way to offload patients who are either non-adherent or unable to have appropriate offloading. I have been treating a young male who has neuropathy and an undiagnosed neurologic disease.

The left lower extremity with the plantar ulceration is the “good” foot. This extremity allows him to continue to ambulate. The other lower extremity is weak and has limited function.

What Is A ‘Normal’ Foot?

Kevin A. Kirby, DPM | 8,663 reads | 3 comments | 03/23/2015

Podiatrists commonly use the terms “normal” and “abnormal” to describe foot structure and foot function. We might look at a set of plain film radiographs and note that one foot has a hallux valgus angle that we call “normal” while the contralateral foot has a hallux valgus angle that we call “abnormal.” We might also do gait examinations in our office and tell one patient that his gait appears normal while in another patient, we may say that her gait appears abnormal.

Is Foot Type A Key Factor With Running Shoe Recommendations?

Nicholas A Campitelli DPM FACFAS | 1,305 reads | 0 comments | 12/11/2015

Think twice before advocating a running shoe based on a patient’s foot type.

Patients and consumers have often gotten running shoe recommendations based on their foot type as demonstrated by their arch height. When it comes to static arch measurement or assessment of someone's foot type, the patient usually stands barefoot while the clinician evaluates the amount of medial longitudinal arch present and measures his or her rearfoot position.

Treating Metatarsus Adductus Deformity In A Patient With Uncontrolled Diabetic Neuropathy

Naohiro Shibuya, DPM, MS, FACFAS, and Britton S. Plemmons, DPM | 4,811 reads | 0 comments | 08/31/2015

Comparing open versus minimally invasive procedures, these authors discuss whether reconstructing a non-compensating metatarsus adductus deformity is appropriate in a 52-year-old patient with a history of neuropathic ulcerations.

Can Foot Orthoses Have An Impact For Knee Osteoarthritis?

Kevin A. Kirby, DPM | 21,988 reads | 0 comments | 09/24/2015

Given the common nature of knee osteoarthritis, this author discusses the link with progressive genu varum deformity and shares insights from the literature as well as his clinical experience on the benefits of valgus-wedged insoles and orthoses for this patient population.