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A Guide To Microvascular Assessment For Wound Healing

Michelle Winder, BS, and Stephanie Wu, DPM, MSc, FACFAS | 8,605 reads | 0 comments | 04/22/2015

While physicians commonly check pedal pulses and the ankle brachial index to assess vascularity, microvascular testing methods are also key to assessing wound healing potential. Accordingly, these authors offer current insights on the toe brachial index, photoplethysmography, skin perfusion pressure and transcutaneous oxygen pressure.

Point-Counterpoint: Are Living Cells Vital For Achieving Wound Healing In Patients With Diabetes?

Alexander Reyzelman, DPM; Charles M. Zelen, DPM, FACFAS, and William W. Li, MD | 3,419 reads | 0 comments | 02/24/2016
Yes.

This author argues that living cells can be helpful in reviving disrupted mechanisms of wound healing and current research suggests the viability of advanced cellular therapy in healing chronic diabetic foot ulcers.   

By Alexander Reyzelman, DPM

Why You Should Discuss FMLA With Your Wound Care Patients

Alison J. Garten DPM | 1,854 reads | 0 comments | 05/26/2015

How many times have you started to treat a wound care patient who is financially stable and he comes and tells you he has lost his job? His wound has been present for years but now that he is improving due to your care, he has lost his job due to missing work for appointments he needed to treat these wounds.

Does A Unique Amniotic Membrane Allograft Promote Advanced Wound Healing?

Danielle Chicano, Contributing Editor | 4,971 reads | 0 comments | 03/23/2015

Podiatrists who are treating dermal ulcers and defects may want to consider an emerging wound allograft that might offer improved regenerative healing.  

Should You Use Antimicrobial Dressings On Clean, Uninfected Wounds?

Thomas Campbell, DPM, Qeena Woodard, DPM, FACFAS, and Stephanie Wu, DPM, MSc, FACFAS | 13,782 reads | 0 comments | 11/25/2013

Recent guidelines are disputing the notion that one should use antimicrobial dressings on wounds even when there is no evidence of infection. Accordingly, these authors take a closer look at this subject with a thorough review of the literature and an intriguing case study.

Current Perspectives On Dressings, Tunneling Wounds And Infected Ulcers

Clinical Editor: Kazu Suzuki, DPM, CWS | 19,516 reads | 0 comments | 08/20/2013

Offering insights on dressing dispensing and obtaining a level of debridement with dressings, these panelists also share their thoughts on wounds ranging from deep tunneling wounds to infected ulcerations in the lower extremity.

A Guide To Selecting The Right Dressings For Wounds

Clinical Editor: Kazu Suzuki, DPM, CWS | 22,016 reads | 0 comments | 06/25/2013

The proper selection of a wound dressing can greatly facilitate wound healing. Accordingly, the panelists share their thoughts on dressing selection, antimicrobial dressings and emerging dressings in wound care.

Q: How do you select your dressing in your practice setting? A:

John Steinberg, DPM, FACFAS, uses “a very practical approach” to dressings. He stresses the importance of realizing that the dressing is not likely the factor that will “heal the wound” or not.

When Should We Refer A Patient To A Wound Care Center?

Eric H. Espensen, DPM, DABMSP, and Amy Wong, MS III | 11,847 reads | 0 comments | 01/22/2015

When should we refer a patient?

Utilizing Topical Compounded Medications To Modulate Wound Healing

Allen Jacobs, DPM, FACFAS | 17,183 reads | 0 comments | 07/23/2014

Compounding topical medications can help tailor the treatment of wounds to individual patient needs and may offer wound healing effects that are not otherwise available. This author explores how compounded topical medication can reduce pain, stimulate new tissue healing, increase vascular perfusion and decrease bioburden.

How Measuring Transcutaneous Oxygen Can Help Evaluate Wound Healing Potential

Alison J. Garten DPM | 10,916 reads | 0 comments | 07/24/2014

I recently referred a patient who has a chronic ulceration for a vascular consult. Non-invasive testing included ankle/brachial index (ABI), toe/brachial index (TBI), pulse volume recordings (PVR), skin perfusion pressure (SPP) and transcutaneous oxygen (TCOM or TcPO2). Macrocirculation in the lower extremity occurs through the posterior tibialis artery, anterior tibial artery and the peroneal arteries, the three main arteries that supply the limb. The ABI, TBI and PVR studies evaluate macrocirculation.