Lower Extremity Review
Tibialis posterior tendon dysfunction/tendinopathy (PTTP) is a common debilitating condition. The diagnosis is largely clinical with physical examination sufficient to make the determination. Patients will commonly complain of pain in the medial foot and behind the medial malleolus that worsens with prolonged standing and activity.
The purpose of this brief report was to refresh a 2007 data summary comparing diabetic foot complications to cancer with the best available data as they currently exist. Since that time, more reports have emerged both on cancer mortality and mortality associated with diabetic foot ulcer (DFU), Charcot arthropathy, and diabetes-associated lower extremity amputation.
Keeping older adults physically active is critical to health maintenance and walking is a key form of exercise for this population. However, foot pain represents a leading cause of mobility limitations and lower quality of life in older individuals. Nearly 25% of adults report foot pain, and those with frequent foot pain are at double the risk of falling.
While a good patient-provider relationship has been the bedrock of today’s much-needed patient satisfaction scores, such relationships are also proving to boost functional outcomes. In a recent study published in the Annals of Family Medicine, physician researchers from Case Western Reserve University…
Patients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. These researchers investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status.
Youth football players are at increased risk of concussion for one reason: their helmets don’t fit properly! New research has found that the majority (74%) of football players’ helmets in youth football (7-12 years old) did not meet at least one component of the 13 criteria developed for proper football helmet fit. Improper fit is a critical risk factor for increased concussion symptoms and duration.
Sjogren’s patients with coexisting neurological involvement with symptoms, including pain and physical disability, experience diminished health-related quality of life (HR-QoL) according to a recent study of 50 Sjogren’s patients. All patients underwent neurological clinical examination followed by nerve conduction studies and rheumatological examination.
Diabetes mellitus (DM) can lead to long-term complications including limb amputations. Annually in the US about 73,000 nontraumatic lower limb amputations are performed and > 60% occur among persons with DM. Veterans have a high number of risk factors and are especially vulnerable. One in 4 veterans has DM, compared to 1 in 6 in the general population.
By Lynn Soban, PhD, MPH, RN
In early 2019, Dublin’s Department of Health wanted to encourage public transport riders to improve their activity levels by alighting 1 stop earlier and walking to their destination. To gain the public’s attention, they decided to relate the additional steps to the potential increase in life-expectancy (calculated at a population level).
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