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Tendon Lengthening: Is It A Viable Option For Forefoot Ulcers?

By J. Monroe Laborde, MD, MS | 24,597 reads | 0 comments | 07/03/2005

   Approximately 3 percent of the United States population has diagnosed diabetes mellitus.1 Diabetic foot problems, however, are the leading cause of amputation.2,3 The risk of amputation is 15 times greater in patients with diabetes than in other people.2 Up to 15 percent of patients with diabetes will require amputation.1,3 Over 50,000 amputations in patients with diabetes occur annually in the U.S.4 In one study of patients with diabetes mellitus, 84 percent of lower extremity amputations were preceded by foot ulcers.2

Current Concepts In Offloading Diabetic Foot Ulcers

Ryan H. Fitzgerald, DPM | 17,301 reads | 1 comments | 08/24/2009

   As the prevalence of diabetes mellitus increases worldwide, there will be a concomitant increase in the development of the lower extremity manifestations of the disease process. In the United States alone, there are currently an estimated 24 million patients living with diabetes.1,2 Given the reported 15 percent lifetime incidence for the development of lower extremity ulcerations in this patient population, this equates to approximately 3.6 million diabetic foot ulcers (DFUs).3

A Guide To Compression Dressings For Venous Ulcers

Nancy Slone-Rivera, MS, ANP-C, CWON, CFCN, and Stephanie C. Wu, DPM, MSc | 64,632 reads | 1 comments | 01/25/2012

Given the relatively common incidence of venous insufficiency and the high likelihood of recurrence with venous leg ulcers, these authors offer a thorough review of the literature and share their insights on compression modalities ranging from inelastic (short stretch) bandages to intermittent pneumatic compression therapy.

Can A Novel Felt Pad Help Offload Plantar Ulcers?

Tracey Vlahovic DPM | 7,474 reads | 1 comments | 10/29/2012

On my recent journey to the Society for Chiropodists and Podiatrists 100th Anniversary Conference and Exhibition in Glasgow, Scotland, I saw the exhibit hall display for Hapla (Cuxson Gerrard) felt. My U.K. mentor, Dr M. Tariq Khan, PhD, uses this in his podiatric clinic. When I spent time training with Dr. Khan years ago, he introduced me to the Hapla 3D system.

Emerging Vascular Approaches For Healing Diabetic Ulcers

By David E. Allie, MD | 11,641 reads | 0 comments | 07/03/2007

Given the severe ramifications associated with the combination of critical limb ischemia (CLI) and diabetic foot ulcers, this author emphasizes the potential impact of revascularization procedures in reducing the number of lower extremity ampulations. Accordingly, he offers a closer looks at recent advances in this arena and their place within the armentarium for CLI It is vital to review the “non-surgical revascularization toolbox” for lower extremity treatments for critical limb ischemia (CLI).

Treating Venous Stasis Ulcers In The Lower Extremity

By Mark Beylin, DPM | 47,645 reads | 0 comments | 10/03/2004

Chronic venous insufficiency is a significant disease that affects as much as 25 percent of the population in the United States. It is also a condition commonly treated by podiatric physicians. The condition results in blood pooling in the venous system of the lower extremities (see “A Guide To Normal Venous Anatomy And Physiology below). Venous stasis ulcers are the end stage of chronic venous insufficiency. In order to treat venous stasis ulceration, one must have a clear understanding of the pathophysiology of venous disease.

Managing Venous Ulcers In The Lower Extremity

Clinical Editor: Lawrence Karlock, DPM | 10,064 reads | 0 comments | 05/03/2004

Given the potentially serious nature of venous ulcers in the lower extremity, our expert panelists take a closer look at key risk factors and share their treatment approaches to this condition. Drawing from their experience, they also discuss topical treatments, the use of bioengineered skin substitutes and surgical procedures. Q: What risk factors predispose patients to the development of lower extremity venous ulcers?

Emerging Concepts In Healing Diabetic Foot Ulcers

Adam Landsman, DPM, PhD, FACFAS | 24,759 reads | 2 comments | 02/22/2011

Continued research in the arena of diabetic foot ulcers has led to a greater understanding of the etiologies of these wounds as well as the mechanisms of healing. With this in mind, this author raises questions on wound debridement, weighs in on the impact of quorum sensing and offers insights on the roles of allografts and advanced biologic therapies.

Can Traditional Herbal Medicine Help Heal Chronic Diabetic Foot Ulcers?

Alexander M. Reyzelman, DPM, and Irina Bazarov, MS | 38,879 reads | 0 comments | 05/23/2012

Despite the multitude of wound healing products and technologies that have come out in recent years, the treatment of chronic diabetic ulcers still remains a challenge. An evolving scientific understanding of wound physiology has led to the introduction of new wound care products targeting specific wound healing abnormalities.

Honey-Based Dressings: Can They Have An Impact For Diabetic Foot Ulcers?

By Wendy Tyrrell MEd, DPodM, MChS, and Rose A. Cooper, PhD | 44,505 reads | 0 comments | 03/03/2007

     Honey is an ancient wound remedy that is reappearing in clinical practice in developed countries. The availability of licensed wound care products in Europe, New Zealand and Australia is prompting healthcare practitioners in conventional medicine to consider the use of honey within their treatment armamentarium. Ulcer remedies such as honey are necessary as the prevalence of diabetes rises.