Research Interests: Treatment, Medicine, Foot and Ankle Surgery, Humans, Orthopedics, and 3 moreClinical Sciences, Foot, and toes
Foot ulcerations, infections, and Charcot neuropathic osteoarthropathy are three serious foot complications of diabetes mellitus that can too frequently lead to gangrene and lower limb amputation. Consequently, foot disorders are one of... more
Foot ulcerations, infections, and Charcot neuropathic osteoarthropathy are three serious foot complications of diabetes mellitus that can too frequently lead to gangrene and lower limb amputation. Consequently, foot disorders are one of the leading causes of hospitalization for persons with diabetes and can account for expenditures in the billions of dollars annually in the U.S. alone. Although not all foot complications can be prevented, dramatic reductions in their frequency have been obtained through the implementation of a multidisciplinary team approach to patient management. Using this concept, the authors present a Clinical Practice Guideline for diabetic foot disorders based on currently available evidence. The underlying pathophysiology and treatment of diabetic foot ulcers, infections, and the diabetic Charcot foot are thoroughly reviewed. Although these guidelines cannot and should not dictate the standard of care for all affected patients, they are intended to provide ev...
Research Interests: Podiatry, Medicine, Foot and Ankle Surgery, Clinical Practice, Humans, and 13 moreDiabetes mellitus, United States, Infection, Amputation, Risk factors, Diabetic Foot, Clinical Sciences, Patient Care Team, Lower limb, Risk Factors, Multidisciplinary Approach, Type 2 Diabetes Mellitus, and Peripheral artery disease
Forefoot pain is a common presenting complaint seen by foot and ankle surgeons. Patients often describe their pain in a vague and encompassing manner. The purpose of this clinical practice guideline is to review the varied pathologies... more
Forefoot pain is a common presenting complaint seen by foot and ankle surgeons. Patients often describe their pain in a vague and encompassing manner. The purpose of this clinical practice guideline is to review the varied pathologies that comprise the differential diagnosis of forefoot pain, with the exclusion of disorders of the first ray. The pathologies in the differential diagnosis range from acquired orthopedic deformities (eg, hammertoes, digital deformities) to overuse problems and traumatic injuries. These clinical problems, encountered daily by the foot and ankle surgeon, typically involve the lesser toes and metatarsals and their respective joints. Presented in this document are current practice guidelines for the diagnosis and treatment of hammertoe (digital deformities) (Pathway 2); central metatarsalgia (Pathway 3); Morton’s neuroma (Pathway 4); tailor’s bunion (Pathway 5); and trauma (Pathway 6). Digital Deformities (Pathway 2)
Research Interests: Treatment, Medicine, Foot and Ankle Surgery, Humans, Orthopedics, and 3 moreClinical Sciences, Foot, and toes
Trauma to the toes, lesser metatarsals, and their respective joints involves various mechanisms and injury types (1, 2). These include a history of both direct and indirect trauma. Patients may exhibit symptoms acutely at the time of... more
Trauma to the toes, lesser metatarsals, and their respective joints involves various mechanisms and injury types (1, 2). These include a history of both direct and indirect trauma. Patients may exhibit symptoms acutely at the time of trauma or at a later onset. Symptoms include pain, swelling, discoloration, loss of joint motion, and difficulty standing and/or walking. An accurate history of the inciting traumatic event should be elicited.
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Forefoot pain is a common presenting complaint seen by foot and ankle surgeons. Patients often describe their pain in a vague and encompassing manner. The purpose of this clinical practice guideline is to review the varied pathologies... more
Forefoot pain is a common presenting complaint seen by foot and ankle surgeons. Patients often describe their pain in a vague and encompassing manner. The purpose of this clinical practice guideline is to review the varied pathologies that comprise the differential diagnosis of forefoot pain, with the exclusion of disorders of the first ray. The pathologies in the differential diagnosis range from acquired orthopedic deformities (eg, hammertoes, digital deformities) to overuse problems and traumatic injuries. These clinical problems, encountered daily by the foot and ankle surgeon, typically involve the lesser toes and metatarsals and their respective joints. Presented in this document are current practice guidelines for the diagnosis and treatment of hammertoe (digital deformities) (Pathway 2); central metatarsalgia (Pathway 3); Morton’s neuroma (Pathway 4); tailor’s bunion (Pathway 5); and trauma (Pathway 6).
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Heel pain, whether plantar or posterior, is predominantly a mechanical pathology although an array of diverse pathologies including neurologic, arthritic, traumatic, neoplastic, infectious, or vascular etiologies must be considered. This... more
Heel pain, whether plantar or posterior, is predominantly a mechanical pathology although an array of diverse pathologies including neurologic, arthritic, traumatic, neoplastic, infectious, or vascular etiologies must be considered. This clinical practice guideline (CPG) is a revision of the original 2001 document developed by the American College of Foot and Ankle Surgeons (ACFAS) heel pain committee.