Noise-Cancelling Headphonesโ€”or Something More? PDN-Sensory Results in Diabetes Care #Neuromodulation #DiabeticNeuropathy #ActAgainstAmputation

The PDN-Sensory randomized trial is now published in Diabetes Care. We have long used the metaphor of 10-kHz spinal cord stimulation as โ€œnoise-cancelling headphonesโ€ for painful neuropathy. The new blinded sensory and skin-biopsy data suggest the story may be more interesting: perhaps we are not only filtering the noise, but altering the underlying wiring.

The Hurricane Returns: Revisiting an Incision for Limb Preservation Salvage in Calcanectomy #ActAgainstAmputation #DiabeticFoot

A new partial calcanectomy case series revisits the central idea behind our 2010 โ€œHurricaneโ€ incision: incision design can be part of limb preservation.

Built for the Rocks: What Neanderthal Heels Can Teach Us About the Modern Foot #Biomechanics #Evolution

A new Journal of Human Evolution study suggests Neanderthal heel bones were not simply more robustโ€”they represented a different mechanical solution for loading, mobility, pronation and force transmission. What can an ancient calcaneus teach us about modern footwear, biomechanics and limb preservation?

Forget Iron Man: Humble Exoskeletons and the Next Chapter of Repair, Regeneration & Replacement #WearableRobots

The Economist makes a compelling case that the most useful exoskeletons may not be full-body supersuits at all. The winners are becoming smaller, lighter and more specificโ€”an idea that connects directly to decades of work in wearable robotics, rehabilitation, limb preservation and our own โ€œRepair, Regeneration and Replacementโ€ framework.

The Right Nudge at the Right Time: Can a Chatbot Support Diabetic Foot Care and help us #ActAgainstAmputation ?

An eight-person SmartBootโ€“CORA study links context-aware prompts to better short-term offloading responses. Paired with Lifestyle Redesign, it points toward support that fits everyday life.

Healing Happens Between Appointments: Lifestyle Redesign for Diabetic Foot Care #ActAgainstAmputation

Stacey Schepens Niemiec, Tze-Woei Tan, and USC colleagues adapt Lifestyle Redesignยฎ occupational therapy to help fit diabetic foot care into everyday life. The intervention is ready for testing; clinical effectiveness remains to be established.

After Amputation, the Heart Still Needs Our Attention

An amputation should trigger more than a wound-care plan. New Swedish data sharpen the case for coordinated cardiovascular careโ€”and a longer view of recovery.

A Life-Affirming Visit to MLK Hospital: Old Friends, New Ones, and a Community of Healing #ActAgainstAmputation

An unexpected reunion with Dr. William Tettelbach and a generous welcome from the MLK Community Healthcare team made a September 3 visit to South Los Angeles a powerful reminder of why this work matters.

Preserving the Foot from Both Ends: Is Anterior/Posterior Limb Preservation Functionally Worthwhile? #ActAgainstAmputation

A Georgetown-centered case series asks whether partial calcanectomy after midfoot amputation can preserve both the limb and meaningful walking. The answer is encouraging, but anatomy and function are not the same outcome.

PMMA in the Calf to Heal a Foot? An Interesting Twist on the Masquelet Technique #ActAgainstAmputation

A provocative 2026 cohort moves PMMA away from the diabetic foot wound and into remote calf tunnels. The idea is genuinely interestingโ€”but extensive decompression, major reporting problems, and an unproven mechanism make this a signal to investigate, not a treatment to adopt.

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