Point-Counterpoint: Is An Initial TMA Better Than A Partial Ray Amputation in Patients With Diabetic Neuropathy?

Valerie L. Schade, DPM, AACFAS, and Suhad Hadi, DPM, FACFAS | 7,981 reads | 0 comments | 05/26/2014
Yes. Surveying the research and drawing on her own experience, this author says partial ray amputations in this population can lead to complications and further amputation whereas initial TMA procedures can facilitate a durable and functional residual limb.

By Valerie L. Schade, DPM, AACFAS

Predicting Diabetic Foot Pathology: Can Thermograms Have An Impact?

David G. Armstrong DPM MD PhD | 339 reads | 0 comments | 09/15/2017

Could asymmetry in foot temperatures be predictive of diabetic foot pathology?

New research in Diabetic Foot and Ankle discusses thermograms of the plantar skin in the diabetic foot.1 They conclude that certain thermographic asymmetries may correspond with altered peripheral nerve function.

Practical Pearls On Plastic Surgery Techniques For The Diabetic Foot

Alan C. Stuto, DPM, Crystal L. Ramanujam, DPM, MSc, FACFAS, and Thomas Zgonis, DPM, FACFAS | 691 reads | 0 comments | 11/16/2017

Following primary procedures in the diabetic foot, reconstructive surgery may be required to ensure optimal wound closure. Accordingly, these authors discuss salient considerations for patient selection and wound preparation techniques, and offer pearls on a variety of flaps ranging from rotational flaps and local muscle flaps to pedicle flaps and perforator flaps.

Why Partial First Ray Amputations In Patients With Diabetic Neuropathy Do Not Work

Sara L. Borkosky, DPM, AACFAS, and Thomas S. Roukis, DPM, PhD, FACFAS | 35,111 reads | 2 comments | 09/24/2013

Diabetes mellitus with peripheral sensory neuropathy and the associated increased risk of ulceration continue to be growing issues in today’s society.1-28 Peak ambulatory forces occur about the first ray, creating a cycle of stresses, tissue buildup and eventual breakdown.2 Conservative therapies often fail due to an inability to offload the wound properly, poor pedal hygiene and inadequate distal blood flow. Many of these patients eventually progress to require an amputation.3

Can Benfotiamine Provide Relief For Patients With Painful Peripheral Neuropathy?

Jeffrey Bowman DPM MS | 32,042 reads | 1 comments | 05/22/2013

Do you have patients with diabetes, geriatric patients, patients with hypertension, patients who have had a gastric bypass or patients who suffer from alcoholism? These patients probably cover a large percentage of your patient demographic.

Treating Diabetic Foot Ulcers With HBOT And Topical Oxygen

Sarah Mohamed, DPM, and Khurram Khan, DPM | 1,481 reads | 0 comments | 07/19/2017

Diabetes mellitus continues to be a global health threat.

Keys To Assessing Peripheral Vascular Disease

Justin Kaminski, DPM, and Thanh Dinh, DPM, FACFAS | 19,476 reads | 0 comments | 03/20/2015

Peripheral vascular disease can be a critical factor with delayed wound healing. Accordingly, these authors offer pertinent diagnostic insights, review current concepts in revascularization and discuss the optimal timing of surgical intervention after revascularization.

Top 10 Antibiotics For Managing Diabetic Foot Infections

Peter Blume, DPM, FACFAS, Brittany Ciaramello, DPM, Michelle Kaufman, DPM, and Shane Reynolds, DPM | 6,919 reads | 0 comments | 07/19/2017

Given the potential risk of diabetic foot ulcers becoming infected, it is imperative to have a strong understanding of the current antibiotic options. These authors review 10 common antibiotics, discussing their efficacy, range of coverage and dosing.

Current Insights On Diagnosing And Treating Neuropathy

Saleena Niehaus DPM | 4,983 reads | 1 comments | 09/04/2015

Neuropathy is one of the most common problems podiatrists encounter in practice. Peripheral neuropathy has a prevalence of 2.4 percent in the general population and a prevalence of 30 to 50 percent in individuals with diabetes.1,2 It results from either central or peripheral damage to the somatosensory system.

Managing Neuropathy And Pain In Wound Care Patients

Clinical Editor: Kazu Suzuki, DPM, CWS | 3,635 reads | 0 comments | 08/18/2015

Given the challenges of addressing neuropathy in patients with wounds, these expert panelists discuss diagnostic keys and share insights on treatments including medications, non-pharmaceutical treatments and adjunctive options.


How often do you encounter neuropathic patients and how often do you schedule them for treatment?