Picking a new pair of shoes can feel overwhelming. With a quick glance at social media, you will find ultra rigid shoes, minimalist shoes, or even sandals which all claim to be best for marathon runners. So, what works best? See our recommendations!
Diabetic foot ulcers are treated by removing the ground, or removing the bone. It sounds like an amputation but it’s not. Usually, foot ulcers are located on areas of the foot where there is a joint or prominence...
Diabetic foot symptoms can be a silent disease, and if you don't have it checked regularly, it may be too late.
When a toe contracts, it usually straightens back out. Over time, either due to arthritis, diabetes, or overuse, it can stay in a clawed or hammered position causing problems. For people without nerve damage (neuropathy), it can be painful...
Arthritis in a neuropathic foot can get so bad that the bones and joints of the foot breaks down. The medical term is called Charcot neuroarthropathy (pronounced shark-o). It can happen to any joint of the body, but the most common area is the foot's arch.
Scrapes and scratches in kids are commonly left to scab and heal without bandaging, but diabetic foot ulcers don't heal as well with this method. Find out why with this short article.
There are a couple simple shoe lacing techniques to reduce pressure to the top of the foot and to reduce friction blisters in feet.
Patients with diabetes can get a flesh eating bacterial infection in their foot that is limb threatening.
This was a large tendon abscess that required multiple surgeries, debridement, wound vac, and skin grafting. The patient healed successfully without requiring amputation and was able to get back on his feet in regular shoes.
Diabetic foot infections are challenging. When it comes to the great toe, extra effort is made to try to save it because it's the most important toe. In this case, the infection was deep and surrounded nearly half the toe.
This is a deep foot infection in a patient with diabetes that was salvaged without requiring amputation. Caution, graphic content.
There are mixed feelings regarding a Chopart amputation amongst the surgical community. Dr Chiu believes that a good result with a Chopart amputation comes from careful patient selection and pre-operative education.
A clinical case of a patient treated by Dr Chiu. This article contains graphic content.
Diabetes is a silent disease, because it causes neuropathy, and blockages in big and small arteries without causing symptoms initially. By the time patients feel symptoms, there has already been irreversible damage. We discuss the symptoms and treatment.
In this article, we define contiguous spread from hematogenous spread osteomyelitis and discuss why foot ulcers and bone infections need separate treatment plans.
This is a patient with a deep infection in the bone that required amputation of a toe in order to save the rest of his foot.
This article defines different terms used by doctors to describe different types of infections.
Bone infections, also known as osteomyelitis, can be surprisingly difficult to understand. The diagnosis is not as obvious as one may think. Dr Chiu explains how a diagnosis is obtained and why it can be difficult in this article.
We get diabetic foot ulcers from pressure and shear forces. It will heal if we remove the pressure and shear forces. This is called offloading. Since foot ulcers are created by basically being squished between...
Diabetic toe ulcers are caused by a contracted flexor tendon. If conservative treatment has failed, a flexor tendon tenotomy may be performed to offload the ulcer. Recovery is easy and results are immediate.
Feet with diabetes and neuropathy don’t experience pain, which means no limping, continued walking, and continued repetitive shear forces. This creates a hot spot, so the body will try to compensate by growing thicker skin, called callus...