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Overcoming barriers to adopting the total contact cast in your practice
Podiatry Today
Offloading is an integral part of the comprehensive algorithm to heal a diabetic foot ulcer. Multiple studies have shown the total contact cast is the best modality out of all the available methods to offload the plantar foot ulcer. In fact, advanced treatments, like expensive cellular- and tissue-based products, are unlikely to be successful without adequate offloading.
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Driving safety: The effects of lower extremity impairment
Lower Extremity Review
The question of when or if it's safe for patients to drive after surgery or while wearing a lower extremity orthotic device is one practitioners should address. But, in the absence of formal guide­lines, clinicians' advice is often inconsistent.
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Eating disorders relatively common in diabetes
Endorcrinology Advisor
Disordered eating behaviors are more common among individuals with diabetes than in the general population, according to Lori Laffel, M.D., MPH, chief of the section on pediatric, adolescent, and young adult diabetes at Joslin Diabetes Center and professor of pediatrics at Harvard Medical School in Boston.
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Video: Study confirms successful use of mild compression diabetic sock to treat lower extremity edema
O&P News
At the Pedorthic Footcare Association and American Podiatric Medical Association Combined Meeting, Michelle Winder, third-year student at Dr. William M. Scholl College of Podiatric Medicine, shared the results of her study, "Control of Lower Extremity Edema in Patients with Diabetes: A Double Blind Randomized Control Trial Assessing the Efficacy of a Mild Compression Diabetic Sock," which confirmed the positive effect of using a mild compression diabetic sock to treat patients with lower extremity edema.
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VA study examines use of medicinal maggots to heal diabetic foot ulcers
These aren't your grandfather's maggots. Maggot, or larval, therapy has been around since ancient times as a way to heal wounds. Now, the method has gone high-tech — in some ways — and it's being tested in a rigorous clinical trial at the Malcom Randall Veterans Affairs Medical Center in Gainesville, Florida. Recruitment is now underway. The study involves veterans with chronic diabetic ulcers on their feet. The maggots feasting on the dead or dying tissue in their wounds — and eating germs in the process — have been sterilized in a pristine, pharmaceutical-grade lab. Instead of roaming free over the wounds, they are contained in fine mesh bags, and removed after a few days.
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Waves of change: Helping staff navigate the turbulent tides of healthcare
By Christina Thielst
With an emphasis on reducing costs while improving quality and access, the transformation of the U.S. healthcare delivery system is creating additional pressure at the point of care — the encounters between clinicians and their patients. While change is due, it also requires balance and support for those who are caught at the crux as new models of care are being rolled out and payment models are still being developed and implemented.
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3 ways to get your OSHA compliance up to speed
Physician practices have a lot of regulatory responsibilities to juggle, and Occupational Safety and Health Administration compliance measures, which ensure a safe working environment, too often become a dangerously low priority, according to a recent article from Medical Practice Insider. Putting OSHA on the back burner, however, leaves practices open to audits, safety issues and financial penalties. If you are one of the many practices that face these risks, consider the following tips to get back on track.
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Missed last week's issue? See which articles your colleagues read most.

    A randomized controlled trial of custom foot orthoses for the treatment of plantar heel pain (Journal of the American Podiatric Medical Association)
Striving for balance as a working mom and physician (Physician's Practice)
AO classification system provides more reliable ankle injury diagnosis vs. Lauge-Hansen system (Orthopedics Today)
Salvaging a failed ankle replacement by reconstructing the talus (Podiatry Today)

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Foot & Ankle Weekly

Colby Horton, Vice President of Publishing, 469.420.2601
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Christina Nava, Content Editor, 469.420.2612  
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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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