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June 23, 2020

TOP NEWS

When heel pain is not plantar fasciitis

Podiatry Today

Although plantar fasciitis is an exceedingly common pathology in podiatry offices, there are key findings that may point one toward an alternative diagnosis for heel pain. Accordingly, this author shares his personal treatment algorithm, insights from the literature and essential pearls in dealing with recalcitrant cases.

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ACPM NEWS

ACPM statement regarding police brutality and prejudice

ACPM

The American College of Podiatric Medicine is strengthened and enriched by having an inclusive culture with diversity of races, cultures, backgrounds and perspectives.

We are united by a shared vision to create positive change for the podiatric profession and public health. Collectively, we are saddened by the shocking deaths of George Floyd, Breonna Taylor, Tamir Rice, Tony McDade, Ahmaud Arbery, Manuel Ellis and countless others who have fallen victim to unjust violence. Police brutality and prejudice towards persons of color is a clear, tragic indicator of rising racial and ethnic animus, and it is neither tolerable nor acceptable.

PROFESSION NEWS

Medicaid expansion yields 'positive effects' on diabetic foot ulcer care for US minorities

Endocrinology

Hospital admissions for diabetic foot ulcers among nonwhite U.S. residents with Medicaid coverage nearly doubled in states that were early adopters of Affordable Care Act expansion programs, according to study data. In addition, major amputations, defined as at the ankle or above, dropped by more than 17%, Tze-Woei Tan, M.D., MPH, FACS, associate professor in the division of vascular surgery at the University of Arizona, said during a presentation at the American Diabetes Association Scientific Sessions.

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Practicing in light of COVID-19

Podiatry Management

Without a doubt, COVID-19 has had a tremendous impact on podiatric practices nationwide. Few practices have been spared from its effects. Doctors working in the “hot” zones such as the New York-metropolitan area and other regions with a high rate of infection have been particularly hard hit. Inability to treat patients, loss of income, furloughing of staff and fear of infection for themselves and their families are just some of the issues practices have been facing.

An internet-based algorithm for diabetic foot infection during the COVID-19 pandemic

Journal of Foot and Ankle Research

The fallout from the coronavirus disease 2019 is not just limited to the infected individuals and, moreover, has significant influences on the patients with chronic diseases. It is estimated that 463 million adults have diabetes worldwide, and diabetic foot ulcer is one of the most serious complications of diabetes, with a prevalence of 6.3%.

The microbiome of diabetic foot ulcers: A comparison of swab and tissue biopsy wound sampling techniques using 16S rRNA gene sequencing

BMC Microbiology

Health care professionals need to collect wound samples to identify potential pathogens that contribute to wound infection. Obtaining appropriate samples from diabetic foot ulcers where there is a suspicion of infection is of high importance. Paired swabs and tissue biopsies were collected from DFUs and both sampling techniques were compared using 16S rRNA gene sequencing.

Clinical and bacteriological profile of diabetic foot infections in a tertiary care

Journal of Foot and Ankle Research

Diabetic foot infection is a worldwide health problem is commonly encountered in daily practice. This study was conducted to identify the microbiological profile and antibiotic sensitivity patterns of causative agents identified from diabetic foot infections. In addition, the assessment included probable risk factors contributing to infection of ulcers that harbour multidrug-resistant organisms and their outcomes.

Tips and tricks for using telehealth effectively

Medical Economics

Adrienne Lloyd, MHA, FACHE, CEO/Founder of Optimize Healthcare and an MGMA Consultant, gives some healpful tips for physicians to use telehealth effectively.

CURRENT RESEARCH ARTICLES OF INTEREST

Achilles pain, stiffness and muscle power deficits: Achilles tendinitis

Journal of Orthopaedic & Sports Physical Therapy

The Orthopaedic Section of the American Physical Therapy Association presents this sixth set of clinical practice guidelines on Achilles pain, stiffness, and muscle power deficits that are characteristic of Achilles Tendinitis. These clinical practice guidelines are linked to the International Classification of Functioning, Disability and Health.

Clinical practice guidelines for the foot and ankle in rheumatoid arthritis: A critical appraisal

Journal of Foot and Ankle Research

Clinical practice guidelines are recommendations systematically developed to assist clinical decision-making and inform healthcare. In current rheumatoid arthritis guidelines, management of the foot and ankle is under-represented and the quality of recommendation is uncertain. This study aimed to identify and critically appraise clinical practice guidelines for foot and ankle management in RA.

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