Foot Care

Margaret Heale's picture
compression wrapping

By Margaret Heale RN, MSc, CWOCN

Wrapping wounds is an art, and hence, it comes easily to some and more difficult to others. This post won't make you a wound dressing artist, but it does provide some tips for good bandaging techniques. The word "bandage" (in the US) often refers to a primary dressing, so "wrap" better describes a bandage that is long, narrow, and may be used to secure a primary dressing or obtain graduated compression on a limb.

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Martin Vera's picture
diabetic foot ulcer

By Martin D. Vera LVN, CWS

In this last of our three-part series on lower extremity wounds, we will focus our attention on diabetic foot/neuropathic ulcers. Research indicates that the United States national average for diabetes mellitus (DM) accounts for a little over 8% of the nation, or roughly over 18 million Americans afflicted with this disease—what the industry refers to "the silent killer" for the amount of damage it causes. DM has the capacity to affect vision and circulation, as well as increase the incidence of stroke and renal disease, just to name a few associated problems. Over 20% of individuals with diabetes will develop ulcerations, with a recurrence rate of over 50% for diabetic foot ulcers (DFUs) alone. Overall, lower extremity wounds have recurrence rate of 40-90%. We have our work cut out for us. So, let's put our deuces up, recognize early intervention, and try our best to manage and prevent complications associated with DM.

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Temple University School of Podiatric Medicine's picture
WoundSource journal club blog

Temple University School of Podiatric Medicine Journal Review Club

Editor's note: This post is part of the Temple University School of Podiatric Medicine (TUSPM) journal review club blog series. In each blog post, a TUSPM student will review a journal article relevant to wound management and related topics and provide their evaluation of the clinical research therein.

Laurie Swezey's picture
total contact casting

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Total contact casting (TCC) is considered to be the 'gold standard' in the treatment of diabetic foot ulcers. Although TCC is often very successful in healing diabetic foot ulcers, this treatment modality is not used as often as it could be.

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Temple University School of Podiatric Medicine's picture

By Tasneem Masqati and James McGuire DPM, PT, CPed, FAPWHc

The majority of the wounds of the lower extremity are of arterial, venous or neurotrophic(diabetic) origin.

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Mark Hinkes's picture
leg bones

By Dr. Mark Hinkes, DPM

Unequal limb length (ULL) is a clinical problem that is more common than most clinicians realize and is one for which most patients are rarely evaluated. Common problems associated with unequal limb length include instability in gait, falling, low back pain, sciatica, joint pain, IT Band Syndrome, chronic muscle strain, tendonitis, and failure of diabetic foot wounds to heal.

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Diana Gallagher's picture

By Diana L. Gallagher MS, RN, CWOCN, CFCN

I recently had the honor of participating in a meeting of the Wound Ostomy Continence Nursing Certification Boar> (WOCNCB®). My role was to assist the Foot Care Committee with the evolution of the exam for certification in foot care nursing. All WOCNCB exams are expanding to a larger format based on the recommendations of the testing industry. The committee worked diligently to assure that item inclusion matched the test blueprint which in turn matched the job analysis that had been completed earlier this year. There is SO MUCH work that goes on behind the scenes to maintain examinations that are worthy of the WOCNCB's "Gold Standard." Participating in this meeting was truly an honor. As one of the members of the original committee for foot care nursing, I could not have been prouder of the progress that has been made in the past decade.

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WoundSource Editors's picture

By the WoundSource Editors

The term diabetic foot refers generally to the increased occurrence of complications in the feet of patients with diabetes mellitus. The most common foot problems related to diabetes are peripheral neuropathy leading to ulceration, vascular disease, increased risk of infection, and deformities like Charcot arthropathy. Complications arising from diabetes are the most common non-traumatic injury to cause lower extremity amputation.

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Temple University School of Podiatric Medicine's picture

By Chinenye Queen Ezike and James McGuire DPM, PT, CPed, FAPWHc

Venous Leg Ulcers (VLUs) are the most common cause of lower extremity ulcerations, affecting about 1% of the US population. Recurrence rates for VLUs are also extremely high and ulcers can remain for weeks to years, even with appropriate treatment. More often than not, however, they are treated with inadequate compression and are complicated by poor patient compliance.

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Aletha Tippett MD's picture

By Aletha Tippett MD

Many have never heard of diabetic foot complications Charcot foot, or at least don't know what it is. If you care for individuals with diabetes who have neuropathy, you almost certainly will see Charcot foot. My patients with Charcot have told me they have a disease of the foot "with crumbling bones." This is actually fairly accurate. Charcot is a neuropathic bone disease that causes osteoporosis-type destruction of the bones in the foot. As a result of this, the bones shift and move and break.