The Invisible Barrier: Are We Actually Beating Biofilm or Just Guessing? #ActAgainstAmputation #WoundHealing #CIBL #ChronicWounds @ResearchAtUSC @KeckSchool_USC @USC_Vascular

Biofilms are the silent drivers of chronicity in diabetic foot ulcers (DFUs). We talk about them constantly. We blame them for stalled healing. But when you peel back the layers of current literature, how much hard clinical evidence do we actually have that our interventions are destroying them? In our latest systematic review, published in... Continue Reading →

The โ€œComfort Paradoxโ€: Why Feeling Good Might Be Bad for the Diabetic Foot #ActAgainstAmputation @ALPSlimb @KeckSchool_USC #Shoes #Neuropathy

We often talk about the "Princess and the Pea" in our line of work, but for our patients with neuropathy, the story is reversed. The peaโ€”or the rock, or the seamโ€”is there, but the princess simply cannot feel it. A fascinating new narrative review just published in J. Clin. Med. by Carral-Sota and colleagues drives... Continue Reading →

Prof. David G. Armstrong Delivers Powerful Keynote on Multidisciplinary Care and Digital Health at International Wound Congress in Turkey #ActAgainstAmputation @usc_vascular

FOR IMMEDIATE RELEASE ANTALYA, TURKEY โ€“ David G. Armstrong, DPM, MD, PhD, Distinguished Professor of Surgery and Neurological Surgery at the University of Southern California (USC), has been selected to deliver the opening keynote address at the 19th National & 7th International Wound Congress. The event, held at the Titanic Mardan Palace from December 4โ€“7,... Continue Reading →

Can We Actually “Regrow” Sensation? The Launch of PDN-Sensory #DiabeticFoot #Neuromodulation #ActAgainstAmputation #Neuropathy

For years, weโ€™ve treated Painful Diabetic Neuropathy (PDN) largely by trying to turn down the volume on the pain. While relief is critical, the "holy grail" has always been something more: stopping the damage or, dare we dream, reversing it. We have just published the design for a new multicenter randomized controlled trial (RCT) in... Continue Reading →

What is Granulation Tissue? (asking for a friend) (#AMA) #ActAgainstAmputation

We often get asked this by patients (and some doctors). Here is a little diagram. That "red stuff" or what I call a "red carpet" at the top is the hallmark of healthy healingโ€”clinicians often call it "beefy red" tissue. It gets that color and texture primarily because it is a dense network of new... Continue Reading →

The 3-Minute Drill: Why Primary Care is the Front Line of Limb Preservation #ActAgainstAmputation @ALPSLimb @USC_vascular @KeckSchool_USC

Team, we often talk about the "endgame" of limb salvageโ€”the complex surgeries, the revascularization, the high-tech grafts. But the truth? The war against amputation is usually won or lost long before a patient ever sees a surgeon. Itโ€™s won in the primary care office. Our latest paper, just out in the Journal of Diabetes and... Continue Reading →

The Diabetic Foot is Filling Our Hospitals (More Than Heart Attacks) #ActAgainstAmputation

Important nationwide data coming out of Australia from our friend Jonathan Shaw and the team. We often talk about the burden of diabetes, but this study puts a hard number on the "time toxicity" of hospitalization. The Bed-Day Burden Letโ€™s look at the raw numbers. People with diabetes are racking up massive excess time in... Continue Reading →

Cementing Success: A New Angle on Forefoot Preservation #ActAgainstAmputation #PMMA #DiabeticFoot The “Internal Pedal Amputation”

Treating Diabetic Foot Osteomyelitis (DFO) in the forefoot is a daily battle in the trenches of limb preservation. It is the most common location for DFU, DFI, and DFO, occurring in up to 90% of cases. While we often lean on conservative standard care, it frequently fails when the bone is involved. Our colleagues in... Continue Reading →

Frailty is Not Just a Number: The Hidden Barrier to Diabetic Foot Care in Middle Age #ActAgainstAmputation #IntrinsicCapacity

By: David G. Armstrong, DPM, MD, PhD We often discuss frailty as a geriatric syndromeโ€”something to worry about when our patients reach their 70s or 80s. However, new data suggests we are missing a massive "middle" demographic that is silently struggling. This likely affects our efforts on a daily basis. In a fascinating new article... Continue Reading →

Research Milestone: Armstrong and SALSA Team Surpass 90,000 Citations, Highlighting Global Shift Toward Limb Preservation @ALPSlimb @KeckSchool_USC @USC @USC_Vascular #ActAgainstAmputation

FOR IMMEDIATE RELEASE LOS ANGELES โ€“ The work of David G. Armstrong, DPM, MD, PhD, and the Southwestern Academic Limb Salvage Alliance (SALSA) has crossed a significant bibliometric threshold, surpassing 90,000 citations in peer-reviewed literature. According to Google Scholar, Professor Armstrongโ€™s research now holds an h-index of 133 and an i10-index of 549, reflecting the... Continue Reading →

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