Tag: neuropathy

“Spooky Action at a Distance”: The Most Comprehensive Review Yet of Physiologic Neuromodulation for Limb Preservation #ActAgainstAmputation #Neuromodulation #SpinalCordStimulation #CLTI @BurnsTrauma @KeckSchool_USC @ResearchatUSC @USC

Our new paper in Burns and Trauma presents the most comprehensive review yet of spooky action at a distance therapies for diabetic limb preservation — from spinal cord stimulation and splenic ultrasound to remote ischemic conditioning and tibial transport. Five modalities, three mechanistic pathways, one shared destination: tissue repair at a distance.

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Your Phone Already Knows What You Can’t Feel: There’s an app for that…A Smartphone App for Detecting Diabetic Neuropathy #ActAgainstAmputation #DPN #DigitalHealth #Neuropathy @JDSTonline @Stanford @ALPSLimb

A Stanford team demonstrates that a smartphone app measuring vibration perception thresholds can detect large-fiber sensory deficits in patients with diabetes — a potential advance for accessible, patient-operated neuropathy screening.

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Sunday Morning Wish Fulfilled: AI Meets Thermometry in Diabetic Foot Remission — A Scoping Review of 60 Studies #ActAgainstAmputation #AI #Thermography #DFU

A scoping review from Kanazawa University maps 60 studies on AI-powered thermography for diabetic foot detection — and reveals a critical gap: nearly half of all studies were tested only in controlled environments, not the real world where feet actually live.

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Move More, Lose Less! Accelerometer Data Link Physical Activity to Lower Neuropathy Risk #ActAgainstAmputation #Diabetes #Exercise #ToeFlowandGo

A new accelerometer-based study from Michigan and Oxford shows that moderate-to-vigorous physical activity is associated with significantly lower odds of diabetic peripheral neuropathy — with vigorous activity cutting the odds by 60%.

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The “Comfort Paradox”: 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 pea—or the rock, or the seam—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 →

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

For years, we’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 →

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When Stress Doesn’t Tell the Whole Story: Walking Speed, Pre-Ulcers, and the Path to Prevention #ActAgainstAmputation #DiabeticFootUlcer

For decades, clinicians and researchers have sought a simple, reliable biomechanical predictor of diabetic foot ulceration. Peak plantar pressure has been the standard metric, but its predictive value has always been modest. A newer, more holistic measure—cumulative plantar tissue stress (CPTS)—was thought to offer better predictive power by integrating multiple factors: plantar pressure, time spent... Continue Reading →

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The Global and Regional Burden of Diabetic Peripheral Neuropathy: A Call to Action #Neuropathy #Diabetes

A recent review article in Nature Reviews Neurology highlights the pressing global and regional burden of diabetic peripheral neuropathy (DPN), a condition that affects up to 50% of people with type 1 or type 2 diabetes. The article, authored by Savelieff et al., not only underscores the profound individual and socioeconomic toll of DPN but also calls... Continue Reading →

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Understanding Muscle Quality and Function in Diabetic Peripheral Neuropathy: Insights from Foot-Level Computed Tomography #ActAgainstAmputation #DiabeticFoot

June 2024 Diabetic Peripheral Neuropathy (DPN) is a prevalent complication among individuals with diabetes, affecting nearly half of this population and significantly impacting foot function and overall quality of life. Recent research led by Emilia M. Kaszyk, Mary Hastings, Mike Muller, and colleagues from the Washington University School of Medicine has utilized advanced imaging techniques... Continue Reading →

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More good vibrations? Retention of Improved Plantar Sensation with Vibrating Insoles in Diabetic Neuropathy Patients #Neuromodulation #ActAgainstAmputation #DiabeticFoot

Screenshot A recent pilot study published in Sensors (Basel) highlights the potential of vibrating insole therapy in improving plantar sensation for patients with Type II diabetes mellitus and sensory peripheral neuropathy. Over one month, 22 participants used vibrating insoles daily for 30 minutes. The study found significant improvements in vibration perception threshold (VPT), with average... Continue Reading →

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