On diabetic foot, wound healing, amputation prevention, and the merger of consumer tech with medical devices
A new systematic review finds that roughly one in three adults in remission after a healed diabetic foot ulcer develop a recurrent ulcer within 12 months — a risk comparable to several common cancers. Healing is the beginning of the next chapter, not the end of the story.
Our colleagues from Lund, Sweden, have just added a valuable new data point to a growing conversation about the role—and risks—of imaging in Charcot foot care. Their retrospective cohort study, published in the Journal of Foot and Ankle Research, analyzed 143 Charcot events in 122 individuals, comparing those who were monitored using follow-up MRI with those... Continue Reading →
Acute Charcot foot remains one of the most disabling complications of diabetic neuropathy. While classically rare, a new nationwide study from Denmark suggests that its story is more nuanced than previously thought: See Ahmed 2025 Incidence of Charcot in Denmark. From 2000 to 2021, researchers tracked more than 265,000 patients with diabetes across Denmark and... Continue Reading →
https://www.youtube.com/watch?v=7WpTgDowYyM I’m thrilled to share this video from a stellar panel / JCM 2024 Webinar: “Diabetic Foot Management: Latest Breakthroughs and Best Practices” 🦶 👥 Chairs: • Prof. Dr. Jose Luis Lázaro-Martínez • Prof. Dr. Luigi Uccioli 👨⚕️ Speakers: • Prof. Dr. David G. Armstrong • Prof. Dr. Sicco A. Bus • Dr. Venu Kavarthapu • Dr. Marco... Continue Reading →
A pilot study published in Diabetes Care on November 30, 2023, by Johan Schoug and colleagues, presents compelling evidence on the benefits of early offloading in Charcot foot (CF), a serious complication of diabetes. The study's objective was to determine if offloading in the earliest phase of active CF, known as stage 0, could influence... Continue Reading →
The establishment of a new neurodegenerative Charcot mouse model is a potentially significant step forward in this area which has long been neglected. This study, conducted by Zachary A. Koroneos and team, offers invaluable insights into Charcot neuropathic arthropathy, a condition often associated with diabetes and known for its severe impact on the lower limbs.... Continue Reading →
Introduction: Charcot foot (CF), a significant complication in diabetic patients with distal peripheral neuropathy, has had its incidence and prevalence widely debated. A groundbreaking Swedish study, published in Diabetes Care (December 2023), now provides a comprehensive nationwide perspective. Study Overview: Spanning from 2001 to 2016, the study utilized three key Swedish registries to identify CF... Continue Reading →
The manuscript "Charcot Neuroarthropathy in Persons with Diabetes: It's Time for a Paradigm Shift in Our Thinking" by our long-time friends and colleagues Dane Wukich, Bob Frykberg, and Venu Kavarthapu, advocates for a reimagined approach in treating Charcot Neuro-Osteoarthropathy (CNO) in diabetic patients. It emphasizes surgical intervention over traditional non-surgical methods to prevent deformity and... Continue Reading →
Preliminary evaluation of dual‐energy CT to quantitatively assess bone marrow edema in patients with diabetic foot ulcers and suspected osteomyelitis Great work as usual from our Dutch compatriots Objectives The purpose of this study is to evaluate the value of dual-energy CT (DECT) with virtual non-calcium (VNCa) in quantitatively assessing the presence of bone marrow... Continue Reading →
Make the link between chronic kidney disease, pedal calcification...and even Charcot? This from our SALSAmigos at Washington University, St. Louis. Aims: Determine the prevalence and relative risk of having single and combinations of biomarkers of chronic kidney disease-mineral bone disorder (CKD-MBD) syndrome in the diabetic foot from an electronic medical record (EMR) review. Methods: Review of 152... Continue Reading →
