Foot & Ankle Weekly
Oct. 19, 2010

Can advanced therapies speed healing of DFUs?
Podiatry Today
Given that diabetic foot ulcers can result in complications as devastating as amputation, timely healing of such ulcers is critical. A new study in the Archives of Dermatology cites the benefits of advanced biological therapies. The study focused on 2,517 patients with diabetic neuropathic foot ulcers who received advanced biological therapy via Apligraf (Organogenesis), becaplermin (Regranex, Systagenix Wound Management) or Procuren (Cytomedix).More

Arterial disease: Lower extremity implications
Lower Extremity Review
Peripheral arterial disease (PAD) encompasses a range of noncoronary arterial syndromes that are caused by alterations in the structure and function of the arteries that supply the brain, visceral organs, and limbs. The clinical manifestations of PAD are a major cause of acute and chronic illness, are associated with decrements in functional capacity and quality of life, cause limb amputation, and increase risk of death. Overall, PAD is increasingly recognized as a health burden worldwide.More

Experimental therapy for sore heels has skeptics
Dressed in street clothes, Tara Cassidy Driscoll lies face-down on an examining table at the Massachusetts General Hospital. Orthopedic surgeon George Theodore is about to blast her foot with powerful shock waves generated by sound. After numbing her foot with Novocain, Theodore turns on an expensive German-made machine that beams tightly focused sound energy at Cassidy Driscoll's heel, near the point where her painful plantar fascia attaches to the heel bone. More

Outcomes of foot and ankle surgery may be largely determined by pain
The results of a study have identified pain as the dominant factor in comparing outcomes of complex hindfoot and ankle injury and reconstruction, indicating that summed scores may not be necessary.More

Stomach hormone may treat diabetic neuropathy
Renal and Urology News
Ghrelin, a peptide produced in the stomach, given as an intravenous (IV) injection may help combat diabetic neuropathy, according to Japanese investigators. The investigators presented data at the Endocrine Society's 92nd Annual Meeting showing that diabetes-related nerve damage of the feet and legs (polyneuropathy) improves after treatment with ghrelin.More

Meet Dr. Robert Frykberg - Today at 9 p.m. EST
Robert Frykberg, DPM, MPH, will be the guest on today's Meet the Masters audio-conference (at 9 p.m. EST) with host, and former ACFAOM president, Dr. Bret Ribotsky. Dr. Frykberg was Dean for Clinical Affairs at the College of Podiatric Medicine, Des Moines University, Iowa, and now is Chief of the Podiatry section and Podiatric Residency Director at the Carl T. Hayden Veterans Affairs Medical Center in Phoenix, Ariz., and an Adjunct Professor at the Midwestern University Program in Podiatric Medicine, Glendale, Ariz. Dr. Frykberg's practice is devoted primarily to patients with high-risk foot problems and his research and writing interests are in diabetic foot ulcers and disorders, venous leg ulcers, and the Charcot foot. Tune in to hear a lively discussion about issues impacting the profession and Dr. Frykberg's insights from his broad clinical and academic experience. To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession's past and future click here. More

If the shoe hurts, there may be a remedy
Robin Powers, 53, hauls a bag of shoes into her appointment with podiatrist Emily Cook at Boston's Beth Israel Deaconess Medical Center. Powers, who works in the fashion industry, has been suffering from foot pain. "Probably in the past five years, I've noticed a real shift in my foot," she says. "It's narrow in the back and wide in the front, and my arches are falling." She suspects it has something to do with the bunions she inherited from her mother - and the high heels and strappy sandals she wore as a young adult.More

MRI reveals cause of heel pain
Diagnostic Imaging
A 51-year-old woman presented to the clinic complaining of left heel pain. On physical exam there was tenderness and soft tissue swelling of the posterior aspect of the left heel. Conventional radiographs of the left ankle were obtained in anteroposterior, lateral, and oblique views. They were essentially unremarkable, although the lateral view showed equivocal prominence of the posterior superior calcaneal tuberosity, along with subtle findings of increased density in the pre-Achilles fat. MR imaging was subsequently performed.More

How placentas are helping people walk
Ronald Davis can move again after seven long years. Plaque clogged the artery carrying blood to his leg, which cut off oxygen flow. It's called Peripheral Artery Disease. Left alone, it can cause ulcers, gangrene and even lead to amputation. Ronald began a last-ditch stem cell therapy at Duke University. His leg was marked for 30 injections, totaling millions of stem cells. For him, there was no other choice.More