Assessing The Evolution Of Advanced Products For Diabetic Foot Ulcers

Adam Landsman, DPM, PhD, FACFAS | 5,429 reads | 0 comments | 10/22/2014

Over the last 20 years, the treatment of diabetic foot ulcers has advanced beyond our greatest expectations.

Rectifying Inadequate Debridement And Delayed Tissue Repair In Diabetic Foot Ulcers

Gerit Mulder, DPM, PhD, MS, FRCST, MAPWCA | 6,408 reads | 0 comments | 02/20/2015

How Combining Two Meetings Will Enhance Treatment Of The Diabetic Foot

David G. Armstrong DPM MD PhD | 3,924 reads | 0 comments | 03/27/2015

I recently returned from co-chairing the annual Diabetic Foot Global Conference (DFCon) meeting after attending many exemplary sessions. This meeting was so extraordinary this year both for its novelty and its breadth. We had sessions that covered a full range of innovations for the diabetic foot. There were talks on the latest in wearable exoskeletons, which I believe will in the not too distant future help our patients out of bed and also help them be more stable and active at home.

In regard to patients with painful diabetic neuropathy, the authors assessed the effect of a nutritional supplement for eight parameters of pain, numbness and perceived impairment.

Nutritional Compounds: Can They Have An Impact With Diabetic Neuropathy?

Clinical Editor: John S. Steinberg, DPM | 8,410 reads | 0 comments | 03/03/2008

Diabetic neuropathies are a consequence of long-term hyperglycemia and occur in patients with type 2 diabetes, usually those who are 40 years of age or older. Diabetic neuropathy may occur regardless of whether a patient has insulin-dependent or non-insulin dependent diabetes.

Understanding The Impact Of Diabetic Neuropathy On Gait

By Gordon Zernich, CP, BOCPO, Tomas Dowell, CPO, LPO, and Ronald B. Tolchin, DO, FAAPM&R | 33,371 reads | 0 comments | 06/03/2008

Sensory neuropathy is the most common form of diabetic neuropathy. Nerve damage results from poorly managed and chronically high levels of blood sugar. In patients who have type 1 diabetes, which usually affects those 25 years and younger, there is insulin deficiency. In regard to people with type 2 diabetes, their insulin production inadequately meets the body’s daily need to metabolize sugar and starches found in such foods as bread, potatoes, rice and corn.

Essential Insights On Managing Symptomatic Diabetic Neuropathy

Stephanie Wu, DPM, MS | 14,255 reads | 0 comments | 09/22/2009

Given the common prevalence and debilitating effects of neuropathic pain, it is important to have a strong understanding of effective treatment options. Accordingly, this author reviews the literature on currently available modalities as well as emerging therapies.

   Chronic neuropathic pain is a significant public health issue, which is often associated with negative physical, psychological and social sequelae.1-3 Pain is considered the third most common healthcare problem and it disables more individuals than heart disease and cancer combined.1

Can Fibrates Help Improve Sensation In Patients With Diabetic Neuropathy?

David G. Armstrong DPM MD PhD | 3,870 reads | 1 comments | 04/06/2011

At last year's Diabetic Foot Global Conference (DFCon10), Professor Tony Keech of Sydney, Australia, offered us some tantalizing evidence that fenofibrate had a net protective effect on preventing low-level amputations. While the rationale behind this was not entirely clear, further information at DFCon11 and further data seems to suggest the answer may lie in fenofibrate’s potential microvascular benefits.

Can Metformin Use Increase The Risk Of Diabetic Neuropathy?

Allen Jacobs DPM FACFAS | 22,911 reads | 1 comments | 03/01/2010

Metformin (Glucophage, Bristol-Myers Squibb) is a commonly utilized biguanide agent for the treatment of diabetes. Increasingly, it appears that metformin may paradoxically increase the risk of neuropathy in the patient with diabetes. Therefore, when you see a patient with diabetes who is taking metformin, greater surveillance may be necessary for the presence of sensory, autonomic and motor neuropathy.

Compounding Meds For Diabetic Neuropathic Pain: Can They Have An Impact?

Allen Jacobs, DPM, FACFAS | 14,598 reads | 1 comments | 02/23/2015

Topical compounded medications may play a key role in the armamentarium of treatments for diabetic neuropathy, particularly patients who have multiple comorbidities and polypharmacy issues. Accordingly, this author demonstrates how compounding can optimize drug concentration at the site of pain with a lower risk of adverse sequelae.

A New Approach To Treating Painful Diabetic Neuropathy

By David Lambarski, DPM, and Martin E. Wendelken, DPM, RN | 30,583 reads | 0 comments | 01/03/2007

      The use of musculoskeletal ultrasound provides podiatric practitioners with non-invasive diagnostic capabilities in the office setting. In addition, this diagnostic tool can also assist with interventional medical techniques for treating a number of pathologic conditions. One may also combine ultrasound with duplex imaging and color Doppler to provide a vascular assessment tool.       For this article, we will offer a closer look at the potential of combining musculoskeletal ultrasound with cryosurgery to treat tarsal tunnel syndrome.