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- A REAL-WORLD APPROACH TO DIABETIC FOOT CARE
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Foot Pressure Measurement in a Clinical Setting
Search Results for: diabetes
Patients with diabetes often struggle with depression-like feelings, but research suggests those symptoms may not need to be treated as a comorbid psychiatric condition.
By P.K. Daniel Continue reading
Northvale, NJ-based Orthofeet joined with the American Association of Diabetes Educators (AADE) in January to begin a grassroots effort to bring foot health education to patients with diabetes in key US markets. The Orthofeet team will partner with the AADE network…
Studies show that lower extremity amputation rates in patients with diabetes vary widely, sometimes even within individual healthcare systems. What’s more difficult to determine is why these variations exist and what can be done to improve access to care for all patients.
By Larry Hand
In patients who undergo a minor foot amputation following a diabetic foot ulcer, severe peripheral arterial disease is the primary risk factor for subsequent major amputation, which underscores the importance of early detection and intervention for PAD in this population.
By Vincent S. Nerone, DPM, Kevin D. Springer, DPM, Darren M. Woodruff, DPM, and Said A. Atway, DPM, AACFAS
Researchers have identified gait alterations in patients with diabetic peripheral neuropathy but also in diabetic patients with normal sensation, raising questions about the extent to which factors other than neuropathy might also be affecting gait.
By Cary Groner
Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.
Type 2 diabetes affects gait parameters in older adults, and impaired cognition further reduces performance, according to investigators from Ghent University in Belgium who studied 101 patients living in community and residential care settings.
Kshitij Shankhdhar, MD, a diabetologist from Lucknow, India, is working with the Uttar Pradesh Madhumeh Association (UPMA) to help establish a charitable diabetes hospital in India and is seeking donations to support the project. (Madhumeh is a Hindi word for … Continue reading
Mark Hinkes, DPM, chief of podiatry at the Department of Veterans Affairs, VA Tennessee Valley Healthcare System in Nashville, has published an easy-to-read guide for prevention, treatment, and self-care of foot problems for people with diabetes and their caregivers. Healthy … Continue reading
In patients affected by both diabetes and drop foot, ankle foot orthoses (AFOs) can help restore a more normal gait pattern and reduce the mechanical risks of ulceration. But microtrauma caused by irritation and elevated pressure is also a significant concern in these patients, making device selection and fit critical concerns.
By Larry Hand
Native Nation Events, a provider of educational conferences and forums to the Native American community, will hold the Native American Diabetes Pandemic Conference: Prevention, Awareness & Programs November 16-17 in Cabazon, CA. On some reservations, more than 50% of the … Continue reading
Type 2 diabetes results in less efficient gait mechanics well before patients develop frank neuropathy and other threats to mobility, according to research in the August issue of Gait & Posture. Investigators for the Baltimore Longitudinal Study of Aging, an … Continue reading
Mild compression socks can reduce lower extremity edema in patients with diabetes without compromising vascularity, according to research presented in July at the annual APMA meeting in Boston.
Art de Cure’s Albany, NY, board members presenteda $25,000 check to the American Diabetes Association (ADA) on June 3 at the Tour de Cure VIP Awards Dinner. The money was raised at a benefit held in the Art de Cure … Continue reading
Many lower extremity practitioners are not aware of the risks of distress, depression, and cognitive impairment in patients with diabetes. But screening for mental health issues and adjusting patient management accordingly can significantly improve diabetic foot care outcomes.
By Larry Hand
Offloading devices are the first line of defense in healing and preventing diabetic foot ulcers. But when ulceration-prone areas of the foot are associated with anatomical deformities or biomechanical impairments, surgery may be a more effective option.
by Cary Groner
Guidelines recommend cardiovascular and strengthening exercises in patients with diabetes, but flexibility exercises focused on the foot and ankle can impart added benefits. Improving range of motion can positively affect gait, pressure distribution, and risk of foot ulceration.
By Pamela D. Ritzline, PT, EdD, and Audrey Zucker-Levin, PT, PhD.
Patients with diabetes are at increased risk for delayed union or nonunion following skeletal trauma or elective orthopedic surgery, due to impaired osseous regeneration. Researchers are investigating the underlying etiologies in an effort to find therapeutic solutions.
By David N. Paglia MS, Siddhant K. Mehta BS, Kristen Mason BS, Eric A. Breitbart MD, Aaron Wey BS, Andrew Park MS, Swaroopa Vaidya MS, Ravi Verma BS, Dana Graves PhD, J. Patrick O’Connor PhD, and Sheldon S. Lin MD
Researchers have explored numerous offloading strategies to decrease plantar pressures in patients with diabetes, but few have studied whether making a deliberate change to a patient’s walking pattern might have a similar effect on pressure distribution.
by Mansoo Ko, PhD
Popular diabetes drugs, including Avandia and Actos, may increase the risk of fracture, according to research from the University of Michigan. From a large prospective database of patients with diabetes, investigators compared 786 patients with fractures and 2657 matched patients … Continue reading
When it comes to diabetic foot ulcers, primary healing is only half the battle. Staggeringly high recurrence rates underscore the need for lower extremity practitioners to continue preventive measures long after the coast appears to be clear.
By Cary Groner
The medical literature provides a range of evidence on which to base treatment decisions, but the practitioner must interpret and evaluate that evidence in the context of his or her clinical expertise.
By Cordell Atkins, PT, DPT, CWS, CDE, CPed
Surgical procedures are often unavoidable in patients with diabetes, and can even help reduce future risk of ulceration. But high postoperative infection rates in this patient population pose additional challenges to practitioners.
by Ryan L. McMillen, DPM, Nicholas J. Lowery, DPM, and Dane K. Wukich, MD