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Diabetes can lead to ulcers that patients don't even feel or notice until the sight of blood. And because ulcers can't heal on their own, 14 to 24 percent of diabetics in the U.S. who experience them end up losing their toes, foot or leg.
Purdue University researchers have developed a shoe insole that could help make the healing process more portable for the 15 percent of Americans who develop ulcers as a result of diabetes.
While there is not overwhelming support in the literature for the use of custom orthoses for heel pain, this author points to the lack of key details about prescription elements for the orthoses or patient foot types in these studies, and offers recommendations to improve outcomes with orthoses in clinical practice.
According to the
American Diabetes Association,
30 million Americans
are diagnosed with diabetes.
More than 190
million people are affected
the number is expected
to reach a staggering
642 million by the year
2040. If left untreated,
many of these people
can develop foot complications,
such as a diabetic
Foot ulceration development
among the diabetic
population can be as
high as 25 percent.
A specific class of diabetes medication appears to double the risk of losing a leg or foot to amputation, a new study reports.
People on sodium-glucose cotransporter2 inhibitors were twice as likely to require a lower limb amputation as people taking another type of diabetes medication, Scandinavian researchers found.
Patients also had a doubled risk of diabetic ketoacidosis, a life-threatening complication in which acids called ketones build up in the bloodstream.
Doug Richie Jr writes:
I just published an article, co-authored with Daniel Buford, DPM, that reviews important issues relevant to pre-surgical decision making by the foot and ankle surgeon.
Too often, a perfectly executed surgical procedure goes awry when a patient becomes non-adherent. This may not be the patient’s fault in every case.
Journal of Foot and Ankle Research
With the advent of bacterial resistance, it is important now more than ever to evaluate use of antibiotic chemoprophylaxis in foot and ankle surgery. Within this area of the body there may be less dissection, surgery time with smaller incisions and importantly smaller sizes of implanted fixation as compared to other bone and joint procedures. Our objective was to systematically evaluate the quality of evidence behind existing guidelines.
| || CURRENT RESEARCH ARTICLE OF INTEREST |
Journal of Foot and Ankle Surgery
Scarf osteotomy is widely used for hallux valgus treatment. More recently, a trend has begun toward the use of minimally invasive techniques, including the mini-scarf osteotomy, in which the diaphyseal cut is shortened.
| || PRACTICE MANAGEMENT PEARLS FROM THE INSTITUTE FOR PODIATRIC EXCELLENCE AND DEVELOPMENT (IPED)|
It’s commonly believed that small practices are at a disadvantage when it comes to renegotiating contracts with big payers. After all, these payers have the muscle to set the terms of the deal.
An ACFAOM Certified Clinical Podiatric Medical Assistant (CCPMA) can perform routine nail care, pre-treatment foot exams, collect client health information correctly, set up a sterile field and much more. Click here for additional information about the CCPMA qualification and its potential value for your practice.
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