Lower Extremity Review
As an expert, specialist, trained foot and ankle physician, you have worked hard for your place in the medical landscape, your degree and your confidence. You think you do your job well, but what if you are not getting through to your patients to the extent you thought you were? Over the years, I have prided myself on being an educator.
By Richard Schilling, DPM, FACFAS
Podiatrists play a large role in education for the prevention of foot complications in people with diabetes. Subsequently, podiatrists also regularly teach self-management strategies for people with or without foot complications relating to their diabetes. Current diabetes guidelines recommend education provision; however…
By Julia Yuncken, Cyclie M. Williams, Rene Stolwyk, Terry P. Haines
With an aging population that is increasingly overweight, a growing number of patients present to providers with a chief complaint of “knee pain.” Successful treatment of these individuals depends on making the correct diagnosis. Conventional thinking is that knee pain in middle-aged or older patients is due to the degeneration of the articular cartilage and/or the tearing of the menisci.
By Donald C. Pompan, MD
On January 17, 2011, The New York Times published an article titled “Close Look at Orthotics Raises a Welter of Doubts.” Responding to the writing and research of Benno Nigg, it called into question much of the anecdotal information we provide to our patients when prescribing footwear and foot orthotics.
By William Smith, MSPT, C.Ped.
Skin trauma to the lower extremities—blisters, lacerations, incisions, and punctures—are common for those participating in athletic and recreational activities and are seen every day in clinical care settings. A foot ulcer, an open sore on the foot, is a more serious form of skin trauma or wound that occurs, often brought on in an environment compromised by diabetes or any…
By Keith Loria
When people hear the word “Botox,” their immediate associations might be with facial injection as an anti-wrinkle treatment or magazine gossip on the latest celebrity to suffer a “botch job” from one-too-many injections. Prior to the modern use of this acetylcholine-blocking neurotoxin, no one other than medical professionals who used it to treat their patients really knew what Botox is.
By Benn Jason Scott Boshell, MSc, BSc (Hons)
Spraying insulin into an open wound improves the healing of diabetic foot ulcers in diabetic patients—both type 1 and type 2, reported a poster entitled, The Outcomes of Local Flushing of Insulin on Wound Healing in Patients with Diabetic Foot Ulcers.
Adding a lateral bar beneath foot orthoses does not significantly alter activity in the pronator muscles in people with high-arched feet, according to preliminary data from a poster entitled, Effects of Two Types of Foot Orthoses on the Biomechanics of Participants with Cavus Feet During Walking.
Arteriovenous malformation can be managed non-surgically according to a poster presented by Rothman Institute podiatrists Faith Schick, PDM, and Nicholas Taweel, DPM. DPT. Their case report detailed how they resolved the patient’s symptoms and the case, highlighting the opportunities for non-operative treatment in this condition.
As patients seek more affordable care options, moving surgical procedures from the hospital-based operating room to less expensive, more convenient locations is one tactic being explored. But can such procedures be done safely in these outpatient settings? New research from Podiatrists in the Department of Surgery at the Southern Arizona Veteran Affairs Health Care System provides evidence that they can…and that patients like the convenience.
A new, disposable negative pressure wound therapy (NPWT) system effectively reduced the volume of varied wound types on four patients in an outpatient setting, reported Windy Cole, podiatrist at University Hospitals Ahuja Medical center, in a poster entitled, Management of Small, Lower Extremity Wounds in the Ambulatory Setting Using a Disposable, Mechanically Powered Negative Pressure Wound Therapy System.
In March 2017, McGuire and Sebag wrote: “Early diagnosis and intervention for diabetic foot wounds is essential for the prevention of complications associated with these ulcers. We are all familiar with the term ‘the golden hour’ with respect to the first 60 minutes after the onset of a stroke or cardiac arrest.
By Harry L. Penny, DPM, DABPM, FAPWHc
Introducing Össur Formfit Pro, a new 3D compression knit line by Össur, designed for people who suffer from various musculoskeletal conditions or ailments yet strive to remain active. Össur‘s Formfit Pro range includes Formfit Pro Knee for compression and patella support; Formfit Pro Knee OA, providing pain relief and…
The Neuropathic Walker is a more advanced and comfortable solution to the CROW Walker. The Neuropathic Walker is integrated with custom molded 3/16” solid polypropylene and 1/4” Aliplast lining with the same trim lines as a CROW Walker. We use high-quality leather that is molded over the solid polypropylene.
New on the market from Medi-Dyne is the ProStretch NightSock. The product is designed to help alleviate heel pain associated with plantar fasciitis, Achilles tendonitis, calf muscle cramps, and runners’ cramps. By keeping the foot in a slightly flexed position, the ProStretch NightSock comfortably elongates the muscles and…
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