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Pertinent Pearls On Grading Diabetic Foot Ulcers

Ronald A. Sage, DPM | 17,428 reads | 0 comments | 03/03/2008

Please click here for the full Continuing Medical Education article: http://www.naccme.com/program/n-234/ Given that ulcers are a common complication for patients with diabetes, it is important to understand the various ulcer grading systems and how they can aid in treatment. This author reviews common classification systems and how to apply them in a clinical setting.

Fifteen Percent Of Diabetics Will Develop Foot Ulcers

hmpadmin | 9,239 reads | 0 comments | 02/03/2002

How prevalent are foot ulcers among patients with diabetes? About 2.4 million diabetes patients, representing 15 percent of the estimated 16 million Americans afflicted with the disease, will develop serious foot ulcers during their lifetimes. In fact, ulcers and other foot complications cause 20 percent of the nearly 3 million hospitalizations related to diabetes every year. John Giurini, DPM, an Associate Professor of Surgery at Harvard University Medical School, reported on these alarming statistics at the recent ACFAS Diabetic Foot Symposium.

How To Treat Diabetic Ulcers With Dermagraft

By Patricia L. Abu-Rumman, DPM, Barbara Aung, DPM, and David G. Armstrong, DPM | 27,803 reads | 1 comments | 03/03/2002

The prevalence of diabetic ulceration is alarmingly high and increasing. Currently, it is between 4 and 10 percent, depending on a host of factors including ethnicity, geographic region and duration of disease. Wounds are clearly associated with infection and a high risk of future amputation. The economic implications are overwhelming to the health care system. As clinicians, we must be able to rapidly identify, access and manipulate the factors necessary for wound healing.

Key Insights On Managing Infected Diabetic Ulcers

Clinical Editor: Lawrence Karlock, DPM | 15,289 reads | 0 comments | 09/03/2004

Assessing and treating infected diabetic foot wounds can be challenging. Providing timely treatment is essential given the potential complications of diabetic foot infections but the rise in antibiotic resistance is a key issue to consider. With this in mind, our expert panelists discuss a variety of issues, ranging from empiric antibiotic selection and MRSA infected wounds to their approach in diagnosing osteomyelitis. Q: What empiric antibiotics do you utilize for the infected neuropathic diabetic foot ulcer?

Inside Insights For Offloading Diabetic Neuropathic Ulcers

Clinical Editor: Lawrence Karlock, DPM | 12,348 reads | 0 comments | 07/03/2004

Offloading diabetic neuropathic ulcers comes with a unique set of treatment challenges. Some consider total contact casting the gold standard but whether it’s practical in a busy practice is highly debatable. Still, how can one arrive at a solution that will enhance patient compliance? With these issues in mind, our expert panelists share their thoughts and experiences with this topic. Q: How do you initially offload the plantar diabetic neuropathic ulcer? A: Lawrence G.

Key Insights On Treating Chronic Venous Ulcers

Clinical Editor: Lawrence Karlock, DPM | 15,473 reads | 0 comments | 09/03/2008

Patients with venous ulcers can face daunting complications. Accordingly, our expert panelists provide pertinent pearls on diagnosis, compression therapy, debridement and how their patients have fared with vascular surgery procedures.

Q: How do you approach/work up the patient with a chronic venous ankle ulcer? Is there any need for venous ultrasound studies?

CMS Expands Coverage Of HBO To Diabetic Foot Ulcers

By Gina DiGironimo, Production Editor | 8,836 reads | 0 comments | 04/03/2003

Beginning this month, the Centers for Medicare and Medicaid Services (CMS) will expand its coverage of hyperbaric oxygen therapy (HBO) to include the treatment of diabetic wounds in the lower extremities. According to the CMS, in order to qualify for this coverage, patients must have: type 1 or type 2 diabetes and a lower extremity wound due to diabetes; a wound that is classified as a Wagner grade III or higher; and have failed an adequate course of standard wound therapy.

Essential Insights On Treating Diabetic Heel Ulcers

Desmond Bell, DPM | 62,773 reads | 0 comments | 02/23/2010

Diabetic heel ulcers are particularly challenging to treat as a wide range of factors can affect potential healing. With this in mind, this author discusses the challenges of wound bed preparation, key considerations with offloading and the possible impact of peripheral arterial disease.

   Despite a better understanding and the advent of preventive measures that have been developed to address heel ulcers, the problems we encounter due to complications of diabetes make treating this specific patient population more challenging.

Can Curative Foot Surgery Facilitate The Healing Of Diabetic Foot Ulcers?

Nicholas J. Bevilacqua, DPM, and Lee C. Rogers, DPM | 15,530 reads | 0 comments | 12/30/2009

   Up to 25 percent of people with diabetes will develop a foot ulceration at some point during their lifetimes.1 There are a number of component causes that interact to complete the causal pathway to foot ulceration. However, the most frequent component causes are peripheral neuropathy, deformity and trauma.2,3

   Deformity leads to increased plantar pressures and when these are combined with sensory neuropathy, ulcer formation is likely. Therefore, one must consider foot deformities as a possible cause for all foot ulcers.

A Review Of Ethnic Differences In Risk Factors For Diabetic Foot Ulcers

By Caroline A. Abbott, PhD, and Carine van Schie, PhD | 13,184 reads | 0 comments | 03/03/2002

Research in recent years has shown distinct ethnic differences in the prevalence of diabetic complications, including amputation and more recently, foot ulceration. Although the etiology of the diabetic complications among different ethnic groups is not completely understood, preliminary data has highlighted some interesting variations in the presentation of these complications.