Diabetic Foot Problems are Becoming a Serious Health Concern

Diabetes is now an issue for the community and complications of the foot make up a big cost of that problem. An entire episode of the podiatry livestream, PodChatLive had been not too long ago devoted to dealing with this. PodChatLive is a monthly live discussion that goes out live on Facebook and then gets published to YouTube and various podcast channels. In the show about the diabetic foot the hosts, Craig Payne and Ian Griffiths spoke with David Armstrong, DPM, PhD who is one of the most well-known foot doctor in relation to diabetic foot troubles. Throughout the episode they discussed exactly how the worlds diabetes population is 3rd only to India and china in total numbers. Additionally, they described that during the length of this episode of PodChatLive alone as many as 198 foot and leg amputations could have occurred around the world. Additionally, during that time 565 people would have died by problems in connection with diabetes. These kinds of figures are astonishing. They spoke of what we as Podiatry practitioners could try to do about it and the way we have to become more active to help this problem. They pointed out the way we talk to and coach our patients and what David’s approach to neuropathic evaluation is, and exactly how Diabetic foot ulcers aren't unlike exercising overload injuries.

David Armstrong DPM, PhD is a Professor of Surgery at the University of Southern California. He studied for a Masters of Science in Tissue Repair and Wound Healing from the University of Wales College of Medicine, in the United Kingdom and a Doctor of Philosophy from the University of Manchester College of Medicine, in the UK. He is the originator as well as co-Director of the Southwestern Academic Limb Salvage Alliance (SALSA). He has produced a lot more than 500 peer-reviewed research articles in a multitude of academic medical publications in addition to greater than eighty textbook chapters. He is additionally co-Editor of the American Diabetes Association’s (ADA) textbook, Clinical Care of the Diabetic Foot, currently in the 3rd release. He is expertly qualified to look at diabetic foot problemsdiabetic foot problems.

Dealing with Overpronation in Runners

Overpronation is a word that triggers a lot of angst among podiatric doctors and running footwear stores as it creates a whole lot of misunderstandings and debate. Pronation is a movement of the foot in which the ankle rolls inwards and the mid-foot (arch) of the foot flattens. This is the normal healthy movement that is required for normal foot biomechanics and impact moderation. Overpronation is supposed to be the word helpful to explain when there is an excessive amount of this normal pronation. The initial part in the controversy is just what is normal and what’s abnormal and exactly where is the threshold of the division between normal pronation and overpronation. You can find robust opinions on all sides of this argument and there doesn’t seem to be any resolution in the debate in the near future.

The key reason why the subject creates a whole lot of discussion is that overpronation continues to be considered a key factor in overuse injuries in athletes. Podiatric doctors commonly use foot orthoses to manage the condition and running shoe producers design running shoes to help athletes that have the condition. This suggests there is lots of vested interest in this. The problem arises is that the research evidence demonstrates that, yes, overpronation might be a risk factor for a running injury, however it is not much of a major risk factor. It is additionally complicated by a lot of runners who have rather severe overpronation and don’t develop any issues and never need foot supports or running shoes using the motion control design features. That does not help solve the controversy nor help clinicians make choices re foot supports and for running shoe retailers on advice as to what should be the appropriate running shoe. It really is dependant on clinicians and running shoe retailer’s individual experience and expertise and making decisions in the framework of what is suitable for the individual runner.