@USC Professor David Armstrong Having A Passion For The High-Risk Foot – Podiatry Legends Podcast

On this episode we discuss:  – Being a second-generation podiatrist and this year his daughter has begun her podiatry training – The defining moment that he fell in love with the high-risk foot. – Treating patients in the absence of pain, both surgically and mechanically is something else.  – Making career choices based on passion, […]

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Can Unilateral Temperature Monitoring Predict Plantar Foot Ulcers? BMJ @DiabetesRC Study from @USC @KeckMedUSC @UTSWortho @UMichMedicine

For more than two generations, our team and others have explored the use of temperature monitoring to predict and prevent diabetic foot ulcers . Typically, this is done by comparing one foot to its corresponding contralateral side. New data suggest that algorithms can be used to accurately predict ulceration using only one foot. This has […]

Read More Can Unilateral Temperature Monitoring Predict Plantar Foot Ulcers? BMJ @DiabetesRC Study from @USC @KeckMedUSC @UTSWortho @UMichMedicine

Armstrong delivers Andrew Clarke Honorary Keynote in South Africa, Looking to Past and Future of Limb Preservation in Diabetes, Worldwide @USC @APMA @KeckMedUSC

David G. Armstrong, Professor of Surgery and Director of the Southwestern Academic Limb Salvage Alliance (SALSA) at Keck School of Medicine of University of Southern California (USC) delivered the Andrew Clarke Honorary Keynote at the 12th Biennial Podiatry Association of South Africa Congress held in Cape Town this week. The lecture is named for Andrew […]

Read More Armstrong delivers Andrew Clarke Honorary Keynote in South Africa, Looking to Past and Future of Limb Preservation in Diabetes, Worldwide @USC @APMA @KeckMedUSC

Sneak Preview: Should we begin subscribing to our shoes, socks and insoles like we subscribe to streaming music / video?

We’ve long made the case (since the 1990s) that smart subscriptions to smart devices may be a way of the future. With the advent of “remote patient monitoring” as a service in the USA, it appears as though this mode of prevention might ultimately pay! Imagine both insurance companies / health ministries paying for evidence-based […]

Read More Sneak Preview: Should we begin subscribing to our shoes, socks and insoles like we subscribe to streaming music / video?

Patients in diabetic foot remission are at highest risk for future events

Mader and coworkers present data that further highlight the importance of focusing on the patient in diabetic foot remission. Patients with previous diabetic foot ulcer are prone to re-ulceration and (re)amputation, to various comorbidities, have significantly impaired quality of life and increased mortality. We aimed to evaluate the risk of foot related complications and mortality […]

Read More Patients in diabetic foot remission are at highest risk for future events

Bacteria can change macrophage phenotypes from M1 to M2

Compelling work by Kara Spiller and team suggest that …”macrophages respond to secreted factors from microbes by upregulating inflammatory markers, and that the effects are strongly dependent on the monocyte donor. Ultimately, increased understanding of macrophage-microbe interactions will lead to the development of more targeted therapies for diabetic foot ulcer healing”

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Clinical efficacy of therapeutic footwear with a rocker sole in the prevention of recurrence in people in diabetic foot ulcer remission: results of an RCT

Superb data from Lazaro-Martinez and coworkers strongly suggest that addition of a rocker sole may be superior to a well fitting therapeutic shoe alone. Background Therapeutic footwear becomes the first treatment line in the prevention of diabetic foot ulcer and future complications of diabetes. Previous studies and the International Working Group on the Diabetic Foot […]

Read More Clinical efficacy of therapeutic footwear with a rocker sole in the prevention of recurrence in people in diabetic foot ulcer remission: results of an RCT

Microvascular complications, along with PAD directly associated with amputation: @CircAHA @VascularSVS @APMA

Important work from Josh Beckman and coworkers in Circulation. The data, taken from the Veterans Aging Cohort Study, suggest that microvascular disease (retinopathy/neuropathy/nephropathy) alone is associated with a 3.7-fold greater risk of amputation. When combined with peripheral artery disease (PAD), the risk rises to 22.7-fold increased risk.

Read More Microvascular complications, along with PAD directly associated with amputation: @CircAHA @VascularSVS @APMA