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Can A Hybrid Imaging Technology Be Beneficial In Diagnosing And Monitoring Diabetic Foot Osteomyelitis?

Javier La Fontaine, DPM | 4,743 reads | 0 comments | 12/30/2014

The global prevalence of diabetes mellitus is rising with a global estimate of 366 million people diagnosed with the disease in 2011 and expert predictions that 552 million individuals will be diagnosed with diabetes worldwide by 2030.1

Are We Making Progress In Healing Diabetic Foot Ulcers?

David G. Armstrong DPM MD PhD | 3,329 reads | 0 comments | 10/17/2014

Acknowledging the high failure rate in healing diabetic foot ulcers and preventing lower extremity amputations, a recent study in Advances in Therapy acknowledges an “urgent need for new treatment strategies.”1 Are we meeting that need or has our progress halted?

Emphasizing The Fundamentals And Patient Education In Diabetic Foot Care

Perry Mayer, MB, BCh, CCFP | 6,346 reads | 0 comments | 08/20/2014

Treating the diabetic foot is relatively straightforward. We need to ensure that blood flow is adequate, eradicate infection, eliminate pressure from the wound site and regularly remove the dead and devitalized tissue from the affected area. If we do all those things, the wound heals. It really is that simple.    

Keeping Patients With Diabetic Foot Ulcers In Remission

David G. Armstrong DPM MD PhD | 3,857 reads | 1 comments | 11/14/2014

The presence of a diabetic foot ulcer (DFU) often leads to re-ulceration. A new study in the International Journal of Lower Extremity Wounds notes that the complication of DFUs will require more healthcare resources and also reaffirms the importance of podiatric physicians in keeping patients with ulcers in remission.1

How To Influence The Overwhelmed Patient With Diabetic Neuropathy

Kathleen Satterfield, DPM, FACFAOM, FAPWCA | 5,981 reads | 0 comments | 03/03/2008

The patient with diabetic neuropathy is truly overwhelmed. He or she has gone through the discovery of the disease and perhaps a subsequent refusal to believe it. The patient may not have been following the diet or medication regimen, and now he or she is facing neuropathy and other complications. These patients are now facing decisions about shoes, medications and perhaps even surgical decisions. There may have been career changes, difficulty paying bills and even shifting relationships.

Emerging Supplement Offers Benefits In Treating Diabetic Neuropathy

By Anthony Leone, Special Projects Editor | 7,298 reads | 0 comments | 04/03/2006

When it comes to adjunctive modalities for the treatment of diabetic neuropathy, podiatrists may want to consider the supplement Metanx (Pamlab). Two podiatrists cite the modality as a safe and effective treatment option for those with diabetic neuropathy. Comprised of 2.8 mg of L-methylfolate, 25 mg of pyrioxal 5’-phosphate (B6) and 2 mg of methylcobalamin (B12), Metanx has been proven to increase nitric oxide (NO) synthesis and improve endothelial function, according to Allen Jacobs, DPM, and Theodore Varoz, DPM, PCPM, DFW. Dr.

Current And Emerging Options For Treating Diabetic Neuropathy

By Stephanie Wu, DPM | 38,715 reads | 0 comments | 03/03/2005

   Neuropathy is a common and debilitating complication of diabetes mellitus. According to data compiled by the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) and the American Diabetes Association (ADA), roughly 60 to 70 percent of the 18.2 million Americans with diabetes will develop some form of diabetic neuropathy and about 3 million patients with diabetes will experience painful neuropathy.    There are three broad types of neuropathy (sensory, motor and autonomic) associated with diabetes.

Case Study: Working Through The Differential Diagnosis Of Diabetic Neuropathy

Kathleen Satterfield, DPM | 13,784 reads | 0 comments | 02/27/2009

   Given that neuropathy can have a complex range of manifestations, the diagnosis of the condition is not always as obvious as it initially seems. This author emphasizes the importance of a thorough diagnostic workup and the underappreciated value of communicating with the patient.

Essential Insights On Surgical Management Of Diabetic Foot Ulcers

Crystal L. Ramanujam, DPM, MSc, John J. Stapleton, DPM, FACFAS, and Thomas Zgonis, DPM, FACFAS | 12,007 reads | 0 comments | 11/21/2014

Diabetic foot ulcers can lead to an array of complications including osteomyelitis and soft tissue infection. Surveying the research and relying on clinical experience, these authors provide a guide to surgically managing diabetic foot ulcers to reduce the risk of re-ulceration and complications.

Are DPMs Underusing The TCC To Offload Diabetic Foot Ulcers?

David G. Armstrong DPM MD PhD | 2,040 reads | 0 comments | 07/15/2014

Despite the evidence supporting the efficacy of total contact casts (TCC) to offload diabetic foot ulcers, podiatric physicians may not be putting this evidence into practice, according to a recent study.