Podiatrists often face the challenge of patients with diabetes who are unaware they have the disease. A new survey commissioned by the American Podiatric Medical Association (APMA) discovers that such problems are particularly challenging among Hispanic-American patients, finding that a significant percentage of this patient population exhibits the warning signs of the disease.

    One-third of Hispanic Americans without diabetes report foot and leg problems, according the APMA survey. These lower-extremity problems include numbness, tingling or burning, a

    As the role of the podiatric service becomes more integral to a multidisciplinary approach to diabetic limb salvage at an increasing number of institutions nationwide, many podiatric surgeons find themselves admitting these patients to their own service. The surgical and anesthesia teams often execute perioperative assessment and preparation, especially in non-elective procedures.

    This article serves as a primer in glucose management for podiatric surgeons working in this capacity and in no way supersedes the utility of a medical consult when indicated

    The sport of cycling has seen tremendous growth in the past decade. Athletes are utilizing bicycling not only as their primary sport but also as a form of cross training and rehabilitation. As a result of this growth, there has been a corresponding increase in the incidence of non-traumatic (overuse) injuries. Wilber, et. al., found 85 percent of cyclists to be suffering with one or more overuse injuries with the following distribution: neck (48.8 percent), knee (41.7 percent), groin and buttocks (36.1 percent), hand (31.1 percent) and back (30.3 percent).¹

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     Charcot osteoarthropathy remains a chronic, progressive and destructive process that often affects the bony architecture and joints of the foot and ankle, primarily in patients with diabetic peripheral neuropathy. Despite advances in the diagnosis and management of this condition, the deformity continues to be associated with a high incidence of recurrence, treatment failure and resultant morbidity. If left untreated, Charcot foot predictably leads to deformity, ulceration, infection and amputation.

     The mainstays of treatment for the Charcot foot hav

      In general, plantar warts are very difficult to treat and pose a certain challenge to physicians and their patients. Both physicians and patients should not be discouraged by an initial poor result. With proper communication between the doctor and patient, one can achieve realistic outcomes.

      Too often, doctors downplay treatment, only to be reproached by a frustrated and angry patient who received unrealistic expectations. For example, the treatment of chemosurgery using acids may take as long as six weeks. If the warts resolve in three weeks, the