Offload First: The Antidote to Neuropathic Plantar Ulcers

Offload First: The Antidote to Neuropathic Plantar Ulcers

In this episode Dr. G explains why offloading — removing pressure from the ulcer site — is the single most important intervention for neuropathic plantar diabetic foot ulcers. He reviews evidence and guidelines that favor non-removable total contact casts, practical offloading options, and how to integrate offloading into a full treatment plan.

Key points include screening and treating infection and ischemia, sharp debridement, ensuring patient adherence through non-removable devices, and using adjunctive therapies when appropriate. The episode emphasizes multidisciplinary care, patient education, and frequent monitoring to optimize healing.

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Avsnitt(376)

Dead Space in the Diabetic Foot: The Hidden Cavity That Stops Healing

Dead Space in the Diabetic Foot: The Hidden Cavity That Stops Healing

Dr. G explains what dead space is — a residual tissue cavity after tissue loss or separation in the diabetic foot — why it matters, and how it differs from abscesses, undermining, and tunneling. He ou...

8 Sep 21min

TEWL Reveals Hidden Risk of Diabetic Foot Ulcer Recurrence

TEWL Reveals Hidden Risk of Diabetic Foot Ulcer Recurrence

Dr. G explains transepidermal water loss (TEWL) and why a clinically closed diabetic foot ulcer can still have a compromised skin barrier. He outlines how TEWL reflects epidermal function, how diabete...

8 Sep 27min

What a 1 mm Worm Can Teach Us About Diabetic Foot Ulcers

What a 1 mm Worm Can Teach Us About Diabetic Foot Ulcers

Dr. G explores how the tiny nematode C. elegans helps researchers study key processes related to diabetic foot ulcers, including wound detection, calcium signaling, cytoskeletal remodeling, mitochondr...

6 Sep 40min

Forgotten Infection Friday: The Case of Erysipelothrix

Forgotten Infection Friday: The Case of Erysipelothrix

This episode explains Erysipelothrix rhusiopathiae, an animal-associated bacterium that can enter through minor skin breaks—often from fish, meat, or livestock exposure—and cause a localized lesion ca...

5 Sep 41min

When a Toe Is More Than Tissue: The Ethics of Diabetic Foot Consent

When a Toe Is More Than Tissue: The Ethics of Diabetic Foot Consent

Dr. G explains why informed consent in diabetic foot care is more than paperwork: it’s a time-sensitive conversation about capacity, risks, alternatives, and what happens if treatment is delayed. The ...

3 Sep 18min

Applying Newton’s Laws to Diabetic Foot Ulcers

Applying Newton’s Laws to Diabetic Foot Ulcers

In this episode Dr. G explains how Newton’s laws of motion illuminate why some diabetic foot ulcers heal and others recur. He connects concepts like force, pressure, shear, and ground reaction forces ...

2 Sep 41min

LIMBWatch Series: Dr. Jared Adams MD,PhD : Your Story Could Save a Limb: Inside the New Diabetic Foot Ulcer Patient Registry STEADY

LIMBWatch Series: Dr. Jared Adams MD,PhD : Your Story Could Save a Limb: Inside the New Diabetic Foot Ulcer Patient Registry STEADY

Your Story Could Save a Limb: Inside the New Diabetic Foot Ulcer Patient Registry What if the most important piece of diabetic foot ulcer research isn’t another clinical endpoint—but the patient’s sto...

31 Aug 49min

LIMBWatch Series: Dr. Sukoff, Dr. Hanley & Dr. Warren -     LIMBWatch: From Chronic Wound to Limb Preservation — The Science Behind Lavior

LIMBWatch Series: Dr. Sukoff, Dr. Hanley & Dr. Warren - LIMBWatch: From Chronic Wound to Limb Preservation — The Science Behind Lavior

Episode Summary In this episode of LIMBWatch, we go beyond the wound itself to explore the science, clinical challenges, and innovations shaping the future of limb preservation. We are joined by the t...

24 Aug 41min

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