Dry skin, interdigital fissuring and forefoot plantar hyperkeratosis are all signs and symptoms that may predispose patients to forefoot ulcerations. A diabetic lower extremity examination may seem routine but documenting and addressing these seemingly small changes may deter the devastating effects of peripheral neuropathy. Moisture balance therapy, accommodative shoe gear and routine diabetic foot care remain important factors in the preventative care of the diabetic population.
Essential Principles In Treating Diabetic Forefoot Ulcers
- Volume 26 - Issue 8 - August 2013
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47. Landsman AS, Meaney DF, Cargill RS 2nd, Nacarak EJ, Thibault LE. 1995 William J. Stickel Gold Award. High strain rate tissue deformation. A theory on the mechanical etiology of diabetic foot ulcerations. J Am Podiatr Med Assoc. 1995;85(10):519-27.
48. Pinzur M, Freeland R, Juknelis D.The association between body mass index and foot disorders in diabetic patients. Foot Ankle Int. 2005;26(5):375-7.
49. Lavery LA,Vela SA, Lavery DC, et al. Reducing dynamic foot pressures in high- risk diabetic subjects with foot ulcerations. A comparison of treatments. Diabetes Care. 1996;19(8):818-821.
50. Armstrong DG, Nguyen HC, Lavery LA, et al. Off-loading the diabetic foot wound: a randomized clinical trial. Diabetes Care. 2001;24(6):1019-1022.
51. Wu SC, Jensen JL, Weber AK, Robinson DE, Armstrong DG. Use of pressure offloading devices in diabetic foot ulcers: do we practice what we preach? Diabetes Care.2008;31(11):2118–2119.
52. The WalkAide System for treatment of foot drop. http://www.walkaide.com/en-US/MedicalProfessionals/Pages/default.aspx . Accessed June 26, 2013.
Editor’s note: For further reading, see “Tendon Lengthening: Is It A Viable Option For Forefoot Ulcers?” in the July 2005 issue of Podiatry Today. To access the archives, visit www.podiatrytoday.com.