People with diabetic foot problems can lower their risk of leg amputation by relying on coordinated care that includes a podiatrist, according to a recent study. For instance, those with diabetes-related foot ulcers can reduce their risk of amputation by 31 percent. In a study published online in the journal Health Services Research, researcher Frank Sloan, Ph.D., and colleagues looked at six years of Medicare claims data on nearly 190,000 diabetic patients with foot problems. The study included about 118,000 patients diagnosed as stage one, about 32,000 in stage two, 31,000 in stage three, and 55,000 in stage four (some participants experienced more than one stage).
“This study shows that coordinated care substantially reduces amputation rates,” said David Armstrong, DPM, a podiatrist and co-founder of the Southern Arizona Limb Salvage Alliance. “We already knew that when care teams are developed to prevent amputation, in every case, we see success. The study documents that this is true across the country.” Armstrong has no affiliation with the study.
Showing posts with label healthy feet. Show all posts
Showing posts with label healthy feet. Show all posts
Wednesday, August 25, 2010
Wednesday, August 11, 2010
Diabetic Foot Care Important
Why is Diabetic Foot Care Important?
Many people know somebody who is diabetic who has had a toe, or even a foot or leg amputated. This is the worst-case assumption and points at the critical importance of foot care for a diabetic. Foot care is a specially important part of care for people with diabetes. But proper diabetic foot care and attention can keep most serious foot diseases.
Daily Foot Care Guide for Diabetic
1. Clean your feet every day using mild soap and warm water. Assure the water temperature with your hand or elbow before putting your feet in the water.
2. Dry your feet well. Make sure to dry between toes.
3. Look at your feet. Check for any breaks, dry skin, cuts, redness, swelling, and change in temperature.
4. Apply lotion to dry or cracked skin and to soles of feet. Do not put lotion between toes.
5. Call Central Kansas Podiatry Associates right away if you have any sign of infection such as swelling, redness, drainage, fever, or chills.
Many people know somebody who is diabetic who has had a toe, or even a foot or leg amputated. This is the worst-case assumption and points at the critical importance of foot care for a diabetic. Foot care is a specially important part of care for people with diabetes. But proper diabetic foot care and attention can keep most serious foot diseases.
Daily Foot Care Guide for Diabetic
1. Clean your feet every day using mild soap and warm water. Assure the water temperature with your hand or elbow before putting your feet in the water.
2. Dry your feet well. Make sure to dry between toes.
3. Look at your feet. Check for any breaks, dry skin, cuts, redness, swelling, and change in temperature.
4. Apply lotion to dry or cracked skin and to soles of feet. Do not put lotion between toes.
5. Call Central Kansas Podiatry Associates right away if you have any sign of infection such as swelling, redness, drainage, fever, or chills.
Tuesday, August 10, 2010
Foot Doctors Can Help Diabetics Avoid Amputation
Podiatrists detect conditions that might lead to limb loss, experts say.
FRIDAY, Aug. 6 (HealthDay News) -- Being treated by a podiatrist helps diabetes patients reduce their risk of amputation, research shows.
Podiatrists, also called podiatric physicians, are medical specialists of the foot, ankle and lower leg.
"More than half of all amputations in the U.S. are related to diabetes. Podiatrists are detecting conditions that can lead to amputation. That's just what we do," study co-author Dr. James Wrobel, an associate professor of medicine at Rosalind Franklin University of Medicine and Science in North Chicago, said in a university news release.
The study of nearly 29,000 diabetes patients, aged 18 to 64, found that those who had had at least one visit with a podiatrist prior to receiving a foot ulcer diagnosis had a lower risk of amputation and hospitalization (nearly 15 percent and 17 percent, respectively).
The study findings were presented in July at a meeting of the American Podiatric Medical Association in Seattle.
Complications related to diabetes are the leading cause of non-traumatic lower limb amputation in the United States and cost an estimated $3 billion a year, according to the Amputee Coalition of America. An estimated 24 million Americans have diabetes and 86,000 undergo amputations each year, based on information from the U.S. Centers for Disease Control and Prevention.
FRIDAY, Aug. 6 (HealthDay News) -- Being treated by a podiatrist helps diabetes patients reduce their risk of amputation, research shows.
Podiatrists, also called podiatric physicians, are medical specialists of the foot, ankle and lower leg.
"More than half of all amputations in the U.S. are related to diabetes. Podiatrists are detecting conditions that can lead to amputation. That's just what we do," study co-author Dr. James Wrobel, an associate professor of medicine at Rosalind Franklin University of Medicine and Science in North Chicago, said in a university news release.
The study of nearly 29,000 diabetes patients, aged 18 to 64, found that those who had had at least one visit with a podiatrist prior to receiving a foot ulcer diagnosis had a lower risk of amputation and hospitalization (nearly 15 percent and 17 percent, respectively).
The study findings were presented in July at a meeting of the American Podiatric Medical Association in Seattle.
Complications related to diabetes are the leading cause of non-traumatic lower limb amputation in the United States and cost an estimated $3 billion a year, according to the Amputee Coalition of America. An estimated 24 million Americans have diabetes and 86,000 undergo amputations each year, based on information from the U.S. Centers for Disease Control and Prevention.
Wednesday, June 16, 2010
Are Your Feet Vacation Ready?
Although rest and relaxation are the goals for most vacations, they usually involve a lot of walking and a lot of walking usually involves sore feet.
Walking is great exercise and one of the most reliable forms of transportation. But if your feet aren't in the best shape or you don't have the right shoes, too much walking can cause foot problems.
Good foot care is essential if you plan to subject your feet to long periods of walking. Some simple foot care tips include:
1. Wear thick, moisture control socks (wool or synthetic fabrics instead of cotton) and change them often!
2. Dry feet thoroughly after bathing, making sure to dry between toes. Use powder before putting on shoes and even antiperspirant on your feet if you sweat profusely.
3. Nails should be cut regularly and straight across the toe. Check for ingrown toenails and avoid cutting them too short.
4. Moisturize your feet regularly, but never between your toes. Also watch out for athlete's foot fungus infections.
5. Massage any aching muscles after exercise and apply ice to any sore joints for at least 15 minutes.
6. Bunions, hammertoes or any other serious foot problems should be evaluated by a podiatrist prior to your planned vacation. Custom orthotics can help balance your feet so your vacation can be more enjoyable and pain free!
The right shoe is also important to healthy walking. The ideal walking shoe should be stable from side to side, and well-cushioned, and it should enable you to walk smoothly. Many running shoes will fit the bill. There are also shoes made especially for walking. Walking shoes tend to be slightly less cushioned, bulkier, and heavier than running shoes. Whether a walking or running shoe, the shoes need to feel stable and comfortable.
Never wear new shoes for the first time on vacation. Always "break them in" for at least a week to make sure the fit is proper and there are no seams rubbing! Blisters can put a damper on a vacation!
Also, two pairs of shoes can be very helpful in making your vacation more comfortable. After a vigorous day walking, your shoes need almost 24 hours to dry out so they do not smell and harbor fungus, the cause of athlete’s foot.
Warm up exercises to help alleviate any muscle stiffness or pulled muscles are advised before walking. Loosening up the heel cords (Achilles tendon and calf) and thigh muscles before a walk is especially effective.
If you're not accustomed to long walks, start slowly and rest if your feet start hurting.
Walking is great exercise and one of the most reliable forms of transportation. But if your feet aren't in the best shape or you don't have the right shoes, too much walking can cause foot problems.
Good foot care is essential if you plan to subject your feet to long periods of walking. Some simple foot care tips include:
1. Wear thick, moisture control socks (wool or synthetic fabrics instead of cotton) and change them often!
2. Dry feet thoroughly after bathing, making sure to dry between toes. Use powder before putting on shoes and even antiperspirant on your feet if you sweat profusely.
3. Nails should be cut regularly and straight across the toe. Check for ingrown toenails and avoid cutting them too short.
4. Moisturize your feet regularly, but never between your toes. Also watch out for athlete's foot fungus infections.
5. Massage any aching muscles after exercise and apply ice to any sore joints for at least 15 minutes.
6. Bunions, hammertoes or any other serious foot problems should be evaluated by a podiatrist prior to your planned vacation. Custom orthotics can help balance your feet so your vacation can be more enjoyable and pain free!
The right shoe is also important to healthy walking. The ideal walking shoe should be stable from side to side, and well-cushioned, and it should enable you to walk smoothly. Many running shoes will fit the bill. There are also shoes made especially for walking. Walking shoes tend to be slightly less cushioned, bulkier, and heavier than running shoes. Whether a walking or running shoe, the shoes need to feel stable and comfortable.
Never wear new shoes for the first time on vacation. Always "break them in" for at least a week to make sure the fit is proper and there are no seams rubbing! Blisters can put a damper on a vacation!
Also, two pairs of shoes can be very helpful in making your vacation more comfortable. After a vigorous day walking, your shoes need almost 24 hours to dry out so they do not smell and harbor fungus, the cause of athlete’s foot.
Warm up exercises to help alleviate any muscle stiffness or pulled muscles are advised before walking. Loosening up the heel cords (Achilles tendon and calf) and thigh muscles before a walk is especially effective.
If you're not accustomed to long walks, start slowly and rest if your feet start hurting.
Oldest leather shoe steps out after 5,500 years
WASHINGTON (AP) — About 5,500 years ago someone in the mountains of Armenia put his best foot forward in what is now the oldest leather shoe ever found.
It'll never be confused with a penny loafer or a track shoe, but the well-preserved footwear was made of a single piece of leather, laced up the front and back, researchers reported Wednesday in PLoS One, a journal of the Public Library of Science.
Worn and shaped by the wearer's right foot, the shoe was found in a cave along with other evidence of human occupation. The shoe had been stuffed with grass, which dated to the same time as the leather of the shoe — between 5,637 and 5,387 years ago.
"This is great luck," enthused archaeologist Ron Pinhasi of University College Cork in Cork, Ireland, who led the research team.
"We normally only find broken pots, but we have very little information about the day-to-day activity" of these ancient people. "What did they eat? What did they do? What did they wear? This is a chance to see this ... it gives us a real glimpse into society," he said in a telephone interview.
Previously the oldest leather shoe discovered in Europe or Asia was on the famous Otzi, the "Iceman" found frozen in the Alps a few years ago and now preserved in Italy. Otzi has been dated to 5,375 and 5,128 years ago, a few hundred years more recent than the Armenian shoe.
Otzi's shoes were made of deer and bear leather held together by a leather strap. The Armenian shoe appears to be made of cowhide, Pinhasi said.
Older sandals have been found in a cave in Missouri, but those were made of fiber rather than leather.
The shoe found in what is now Armenia was found in a pit, along with a broken pot and some wild goat horns.
But Pinhasi doesn't think it was thrown away. There was discarded material that had been tossed outside the cave, while this pit was inside in the living area. And while the shoe had been worn, it wasn't worn out.
It's not clear if the grass that filled the shoe was intended as a lining or insulation, or to maintain the shape of the shoe when it was stored, according to the researchers.
The Armenian shoe was small by current standards — European size 37 or U.S. women's size 7 — but might have fit a man of that era, according to Pinhasi.
He described the shoe as a single piece of leather cut to fit the foot. The back of the shoe was closed by a lace passing through four sets of eyelets. In the front, 15 pairs of eyelets were used to lace from toe to top.
There was no reinforcement in the sole, just the one layer of soft leather. "I don't know how long it would last in rocky terrain," Pinhasi said.
He noted that the shoe is similar to a type of footwear common in the Aran Islands, west of Ireland, up until the 1950s. The Irish version, known as "pampooties" reportedly didn't last long, he said.
"In fact, enormous similarities exist between the manufacturing technique and style of this (Armenian) shoe and those found across Europe at later periods, suggesting that this type of shoe was worn for thousands of years across a large and environmentally diverse region," Pinhasi said.
While the Armenian shoe was soft when unearthed, the leather has begun to harden now that it is exposed to air, Pinhasi said.
Oh, and unlike a lot of very old shoes, it didn't smell.
Pinhasi said the shoe is currently at the Institute of Archaeology in Yerevan, but he hopes it will be sent to laboratories in either Switzerland or Germany where it can be treated for preservation and then returned to Armenia for display in a museum.
Pinhasi, meanwhile, is heading back to Armenia this week, hoping the other shoe will drop.
The research was funded by the National Geographic Society, the Chitjian Foundation, the Gfoeller Foundation, the Steinmetz Family Foundation, the Boochever Foundation and the Cotsen Institute of Archaeology at UCLA.
It'll never be confused with a penny loafer or a track shoe, but the well-preserved footwear was made of a single piece of leather, laced up the front and back, researchers reported Wednesday in PLoS One, a journal of the Public Library of Science.
Worn and shaped by the wearer's right foot, the shoe was found in a cave along with other evidence of human occupation. The shoe had been stuffed with grass, which dated to the same time as the leather of the shoe — between 5,637 and 5,387 years ago.
"This is great luck," enthused archaeologist Ron Pinhasi of University College Cork in Cork, Ireland, who led the research team.
"We normally only find broken pots, but we have very little information about the day-to-day activity" of these ancient people. "What did they eat? What did they do? What did they wear? This is a chance to see this ... it gives us a real glimpse into society," he said in a telephone interview.
Previously the oldest leather shoe discovered in Europe or Asia was on the famous Otzi, the "Iceman" found frozen in the Alps a few years ago and now preserved in Italy. Otzi has been dated to 5,375 and 5,128 years ago, a few hundred years more recent than the Armenian shoe.
Otzi's shoes were made of deer and bear leather held together by a leather strap. The Armenian shoe appears to be made of cowhide, Pinhasi said.
Older sandals have been found in a cave in Missouri, but those were made of fiber rather than leather.
The shoe found in what is now Armenia was found in a pit, along with a broken pot and some wild goat horns.
But Pinhasi doesn't think it was thrown away. There was discarded material that had been tossed outside the cave, while this pit was inside in the living area. And while the shoe had been worn, it wasn't worn out.
It's not clear if the grass that filled the shoe was intended as a lining or insulation, or to maintain the shape of the shoe when it was stored, according to the researchers.
The Armenian shoe was small by current standards — European size 37 or U.S. women's size 7 — but might have fit a man of that era, according to Pinhasi.
He described the shoe as a single piece of leather cut to fit the foot. The back of the shoe was closed by a lace passing through four sets of eyelets. In the front, 15 pairs of eyelets were used to lace from toe to top.
There was no reinforcement in the sole, just the one layer of soft leather. "I don't know how long it would last in rocky terrain," Pinhasi said.
He noted that the shoe is similar to a type of footwear common in the Aran Islands, west of Ireland, up until the 1950s. The Irish version, known as "pampooties" reportedly didn't last long, he said.
"In fact, enormous similarities exist between the manufacturing technique and style of this (Armenian) shoe and those found across Europe at later periods, suggesting that this type of shoe was worn for thousands of years across a large and environmentally diverse region," Pinhasi said.
While the Armenian shoe was soft when unearthed, the leather has begun to harden now that it is exposed to air, Pinhasi said.
Oh, and unlike a lot of very old shoes, it didn't smell.
Pinhasi said the shoe is currently at the Institute of Archaeology in Yerevan, but he hopes it will be sent to laboratories in either Switzerland or Germany where it can be treated for preservation and then returned to Armenia for display in a museum.
Pinhasi, meanwhile, is heading back to Armenia this week, hoping the other shoe will drop.
The research was funded by the National Geographic Society, the Chitjian Foundation, the Gfoeller Foundation, the Steinmetz Family Foundation, the Boochever Foundation and the Cotsen Institute of Archaeology at UCLA.
Wednesday, April 28, 2010
Crocs (CrocsRX) "Friends of CKPA" Program
Great news for all of you Crocs lovers!!! We have been working with Crocs, the maker of the CrocsRX brand that we offer at Central Kansas Podiatry Associates, and have developed a program that allows our patients and friends of the practice to order from a special website which waves the SHIPPING COSTS on all products ordered. We are excited to be able to offer this as an option to our patients and there friends. To access this site, go to www.ckpa.net, click on the Crocs Link and choose what you would like to order, and upon checkout, you will notice there is no cost for shipping. You can pick out any style and color of the CrocsRx as if you were directly in our office.
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