lerEXPO Highlights: AI-Assisted Risk Stratification and Management in Diabetic Limb Salvage

lerEXPO Highlights: AI-Assisted Risk Stratification and Management in Diabetic Limb Salvage

The global prevalence of diabetes is increasing and is projected to affect 642 million people by 2040, highlighting the growing need for effective prevention, management, and supportive care. Diabetes can be associated with a range of health complications that require ongoing medical attention. Among these, diabetic foot conditions–particularly ulcerations and infections–are leading contributors to non-traumatic lower-limb amputations.

By Dr. Laura Shin

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Rethinking the Role of the Plantar Fascia’s Windlass Mechanism

Rethinking the Role of the Plantar Fascia’s Windlass Mechanism

Ever since Sahelanthropus tchadensis stood upright 7 million years ago, the feet of our common ancestors have undergone a series of important structural changes necessary to accommodate the functional requirements of bipedal locomotion. While the feet of arboreal primates were well-adapted for grasping branches during movement through tree canopies, their hypermobile midfoot and adducted great toe led to instability and buckling during the push-off phase of gait…

By Tom Michaud, DC, and Nicolas Haelewijn, Ph. D.

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The Halo Effect of Technology in Podiatric Practice

The Halo Effect of Technology in Podiatric Practice

When patients enter a podiatry office, their impressions begin forming immediately. Before any history is taken or exam performed, they are already processing what they see. Eyes are drawn to the physical space, the efficiency of the front desk, the demeanor of the staff. They enter the treatment room and notice the equipment in the room while waiting for the physician. These early signals shape expectations in ways that are both subtle and powerful. 

By Mikel D. Daniels, DPM, MBA, President and Chief Medical Officer, WeTreatFeet Podiatry

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CAGA 101: The 12 Dirty Truths of Foot Mechanics

CAGA 101: The 12 Dirty Truths of Foot Mechanics

If you have been following our articles, you may have noticed a trend in how computer-aided gait analysis (CAGA) data can help characterize unavoidable and avoidable truths about your 2 feet and the long-term consequences. When it comes to footwear, even research supports the fact that improper footwear and “wear and tear” over time will have negative impacts on foot health.

By Jay Segel, DPM; Sally Crawford, MS

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Application Of Transcranial Pulse Stim in Rehab: Pain Management in Knee Osteoarthritis

Application Of Transcranial Pulse Stim in Rehab: Pain Management in Knee Osteoarthritis

Knee osteoarthritis (KOA) is the most prevalent form of arthritis among adults and a leading cause of disability worldwide. The condition affects hundreds of millions of individuals and represents a substantial burden on healthcare systems. Chronic knee pain is the primary symptom and frequently prompts individuals to seek medical care. However, the management of chronic osteoarthritis pain remains challenging.

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CAGA 101: The 12 Dirty Truths of Foot Mechanics

CAGA 101: The 12 Dirty Truths of Foot Mechanics

Dirty Truth: #8 Every step is different – The Importance of Tracking Gait Variability Through Aging. This dirty truth sits like an unrecognized norm in our DNA and plays out like a knee-jerk reaction until we give it a little thought. We have 2 legs, 2 knees (no pun intended), 2 ankles, and 2 feet. The general public thinks they are the same in both form and function, but that is rarely the case.

By Jay Segel, DPM; Sally Crawford, MS

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Guest Perspective: Important Message to Podiatrists and Pedorthists

Guest Perspective: Important Message to Podiatrists and Pedorthists

One simple step in every patient evaluation can help save limbs and potentially save lives: assess the feet and lower legs for temperature on every patient who enters your office. A basic infrared temperature gun is inexpensive, easy to use, and widely available. Many clinicians already have one at home. These devices typically cost around $20–$25 and can be easily incorporated into daily clinical screening.

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Making Diabetic Foot Care Financially Sustainable

Making Diabetic Foot Care Financially Sustainable

Like many physicians, coming out of residency I thought I’d fix the world one bunion at a time.  Somewhere between my 745 and 746th bunion procedure, I came to the realization that while I was helping to relieve the pain my patients were feeling, this might not be a way for me to make a difference. Taking an objective look at my practice, I decided to focus on diabetics. That was the point that made me ask how I could make a practice financially viable with this as a focus.

By Mikel D. Daniels, DPM, MBA, President and Chief Medical Officer, WeTreatFeet Podiatry

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lerEXPO Highlights: Minimally Invasive Achilles Tendon Repair and Post-op Rehabilitation–How Quick Can We Go

lerEXPO Highlights: Minimally Invasive Achilles Tendon Repair and Post-op Rehabilitation–How Quick Can We Go

Achilles tendon ruptures are among the most devastating lower extremity injuries an athlete can face. Historically, the medical community has been divided between traditional open surgery and non-operative management. While open surgery effectively lowers the risk of re-rupture, the posterior ankle’s poor blood supply can sometimes lead to severe wound complications that can end careers. High-profile cases, such as NFL player Robert Mathis and…

By Kirk McCullough, MD

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lerEXPO Highlights: Digital Solutions for Early Detection, Prevention and Personalized Treatment of the Diabetic Foot

lerEXPO Highlights: Digital Solutions for Early Detection, Prevention and Personalized Treatment of the Diabetic Foot

The current model for managing diabetic foot syndrome is characterized as reactive and fragmented, contributing to a global crisis where a limb is lost to amputation every 20 seconds. Dr. Bijan Najafi, a bioengineer and research director at UCLA Center for Advanced Surgical and Interventional Technology (CASIT), says that “we can’t manage what we can’t measure,” advocating for a shift toward decentralized, proactive care facilitated by digital health technologies.

By Bijan Najafi, PHD, MSc

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Targeted Protection Against Friction and Shear Forces

Targeted Protection Against Friction and Shear Forces

Diabetic foot ulcers and other skin conditions such as blisters, calluses, and general skin irritation pose significant health challenges. These issues often stem from excessive friction and shear forces acting on vulnerable areas of the skin. Individuals who rely on specialized footwear, orthopedic braces and prosthetic devices are particularly susceptible to…

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Pedorthic Toolbox

Pedorthic Toolbox

Consumers of high-end running/walk footwear products are coming to you not only to fit them with footwear, but also to solve problems and enhance their performance, prevent injuries and enhance wellness. Some retail shoe stores, and certainly online direct purchases, do not offer the expertise that is required to provide the solutions the consumer is seeking to justify…

By Teresa Alpert

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A New Paradigm in the Doctor

A New Paradigm in the Doctor

The doctor-patient relationship is dead, at least in the format we were all taught in school and during training. Today, there’s a moment, when you walk into an exam room that just didn’t exist 20 years ago.  It’s no longer just you and the patient. There’s a third presence sitting between you. It is the electronic health record (EHR), that often-maligned party…

By Mikel D. Daniels, DPM, MBA, President and Chief Medical Officer, WeTreatFeet Podiatry

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Emerging Developments in AFOs Part 3: Making Carbon Composite AFOs Work in Podiatric Practice

Emerging Developments in AFOs Part 3: Making Carbon Composite AFOs Work in Podiatric Practice

Advances in ankle-foot orthoses (AFOs) are revolutionizing how podiatrists, physical therapists and O&P clinicians support lower-limb mobility and rehabilitation. In this 3-part series, we explore the latest evidence, cutting-edge materials, and innovative design strategies that are shaping the future of AFOs. This short series offers a look at how today’s breakthroughs are improving function, comfort and compliancy in the lower extremity world.

By Keith Loria

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lerEXPO Highlights: 1st Ray Shortening and Elevation Post-Lapidus, How to Address It – A Surgeon’s Guide

lerEXPO Highlights: 1st Ray Shortening and Elevation Post-Lapidus, How to Address It – A Surgeon’s Guide

Surgery, especially in the world of foot and ankle reconstruction, is like solving a complex, 3-dimensional puzzle. Our goal is to take a structure that has adapted over a lifetime into a painful position and restore its original, functional architecture. One of the most powerful tools we have for this is the Lapidus procedure, which corrects a complex bunion deformity…

By Marie Keplinger, DPM, FACFAS

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