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Managed Healthcare Executive
Half of adults living with type 2 diabetes are very willing to take action to achieve their A1c targets quicker, but less than 1 in 5 physicians and other medical professionals believe that patients are willing to take these actions, according to two new surveys.
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Podiatry Today
A recent study in the Journal of Foot and Ankle Surgery touts endoscopic debridement as an innovative treatment for chronic heel pain.
The authors say endoscopic debridement is minimally invasive and maintains the integrity of the plantar fascia. The study focused on 46 consecutive patients who had endoscopic debridement after failing conservative treatment for plantar fasciitis with a mean follow-up of 20 months. Mean Visual Analogue Scale pain scores decreased from 8.95 to 1.34 and mean American Orthopedic Foot and Ankle Society scores increased from 51.29 to 89.91, according to the study.
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Orthopedics Today
Patients who had foot and ankle injuries and high initial pain scores and low initial physical function were likely to have improvements in these areas after surgery, according to results presented recently.
"Patients with decreased function and increased pain did better and would be good candidates for surgery, and patients with increased function and decreased pain did worse and would be poor candidates for surgery," Bryant S. Ho, M.D., said in his presentation of the research, which received the J. Leonard Goldner Award.
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Endocrine Today
In patients with type 1 diabetes, higher levels of the glycoprotein osteoprotegerin are associated with development of a foot ulcer, independent of other well-known risk factors, according to recent findings.
"Diabetic foot ulcers are a frequent, disabling and costly occurrence; however, it is a complication often overlooked in terms of research," Emilie Hein Zobel, MD, of the Steno Diabetes Center in Gentofte, Denmark, and colleagues wrote. "To the best of our knowledge, we are the first to show an association between higher levels of [osteoprotegerin] and development of foot ulcer in type 1 diabetes, independent of other risk factors. This might be attributed to the role of [osteoprotegerin] both in peripheral vascular disease and neuropathy; the two major factors contributing to foot ulcer."
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Podiatry Today
Richard Blake writes: "A patient in his early 50s contacted me after getting a diagnosis of a right medial sesamoid fracture after an initial misdiagnosis of gout. The fracture, visible on X-ray, was likely from hard sprinting. Three days later, he stepped off a curb and felt a sharp pain in the ball of his foot. His treatment consisted of a low-dose cortisone injection, a Jones pad with a sesamoid cutout and activity modification."
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ABC News
Shoe shopping has changed. Women's dress shoes used to be geared towards 3- to 4-inch heels. But the overall fashion trend toward comfort has added more choices in the sensible category. Be they wedges or ballet flats, women are choosing shoes they can easily walk in.
But don't despair, high-heel aficionados! Brands known for innovating comfort are making their shoes more fashionable. And podiatrists are bringing a high level of design and technology to sky-high heels in an attempt to make them feel better.
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Orthopedics Today
Researchers found a significant increase in the need for surgery, complications of surgery and the risk of lower extremity amputation among patients with Charcot neuroarthropathy who developed an ulcer, according to results presented recently.
"We had an overall limb salvage of 78.5 percent but, in looking at those patients we only deemed constructible, [this] increased to 87.5 percent," Nicholas Vaudreuil, M.D., said in his presentation.
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| | PRACTICE MANAGEMENT PEARLS FROM THE INSTITUTE FOR PODIATRIC EXCELLENCE AND DEVELOPMENT (IPED) |
Medical Economics
Becoming a physician is a not just a career choice, it is "a calling" and a lifelong commitment. Making life and death decisions, keeping patients and families satisfied and maintaining the highest professional standards can absolutely take its toll. Simply earning ones medical degree speaks of years of self-sacrifice and delayed gratification — life, put on-hold for academic and professional achievement. No one with insight into the discipline required of these professionals would begrudge them any of the status and respect they've earned.
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| | CURRENT RESEARCH ARTICLE OF INTEREST |
Prosthetics and Orthotics International
The objective of this study is to investigate the properties of carbon fibre ankle foot orthoses at different percentage layups and provide a comparison of these through assessment of the (1) elastic properties, (2) deflection about the ankle (including the calculation of stiffness) and (3) failure under compressive forces (dorsiflexion).
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.
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