Why is the foot so important in diabetes?

Having diabetes is a widespread condition in modern society. The expenses both for the individual as well as to society are generally substantial. At the same time a great deal which can be accomplished to prevent this and improve the consequences of type 2 diabetes. Foot problems are frequent in people that have diabetes and the outcomes of them could have really serious effects. Most of these complications include things like foot ulcers which could develop a growing infection. Amputations resulting from non-healing wounds with poor blood circulation also sometimes need to be done. There are plenty of characteristics of type 2 diabetes that affect the feet that could bring on these complications.

One of those features is that of neuropathy. This nerve impairment comes about when the increased blood glucose levels associated with all forms of diabetes will harm the nerve fibres and affect sensation. When this neural damage occurs, it implies that when there's damage to the feet that there's no pain or any warning signal for this damage. For instance, it may be as common as a blister or as dangerous as walking on a rusty nail or spraining your ankle. It's not hard to imagine the amount of damage might be achieved by these examples when you can't sense the injury, particularly if you continue moving on that injury. Often in these circumstances, discovering a distended foot might be the initial indication. That is why individuals with all forms of diabetes should try to examine their feet daily to be sure you'll find nothing resulting in injury and in case there will be something going on, that they obtain immediate medical assistance. A good control of the blood glucose levels are required to ensure that this nerve damage is kept from occurring.

Another characteristic that occurs in long term diabetes mellitus is poor blood circulation. Good blood circulation is necessary to keep the tissues heathy and less vulnerable to injury. Good blood circulation is also essential in helping deliver the chemicals that are required to fight infections and help fix injuries, so if an injury may occur, then it's simple to heal properly following that injury. This process is impaired in those with all forms of diabetes. Other considerations than simply diabetes mellitus will affect the blood circulation such as nutritional routines and activity levels. Increased levels of physical activity in those with diabetes mellitus has been demonstrated to increase the status in the blood circulation and ought to be suggested.

Podiatrists should almost always assess the neural supply and circulation every time that they see a individual with type 2 diabetes for these risk factors and provide suggestions according to the condition of the nerves as well as the blood circulation. Podiatric doctors can check the foot for virtually any change that could transform into a serious complications along with take care of virtually any problems, for example corns and callus which can predispose to the diabetes related issues. The podiatry connected livestream, PodChatLive did an episode about the foot in diabetes were the hosts of the show talked with the podiatric doctor and diabetes authority, Dr David Armstrong DPM. The hosts and David talked over precisely how widespread and just how major the issues of the foot happen to be in anyone who has diabetes. The show is well worth tuning in.

What are COVID Toes?

COVID toes is really a phenomenon which started to be described in Spain and Italy at the beginning of wintertime within the first wave of the novel coronavirus epidemic in 2020. The reports were seeing a quite high incidence of chilblains in the feet in individuals with COVID-19. The news media latched on to these stories and lots of consideration was given to them. Plenty of fascination continues to be produced from the general public and health professionals in the entire phenomenon of these COVID toes.

There are a variety of pathophysiological processes regarding COVID-19, for example problems with the blood vessels, the cytokine storm and inflammatory processes which could change the blood flow in the toes that predispose the foot or toes to having chilblains. Chilblains really are a poor reaction of the microcirculation to alterations in temperature. When the small arteries do not react adequately, waste products gather in the skin bringing about an inflammatory response that becomes the chilblain. It is really possible to observe how COVID-19 can increase the chance of having a chilblain. Many early on histological analyses from biopsies in the chilblains of individuals with COVID-19 did report that there had been components of the problem within the tissues. However, different research has showed that there weren’t any, therefore it has started to become fairly complicated about what the link between the 2 entities actually are.

The problem is that with the passage of time and additional investigation we have an increasing number of reviews that there is no link between chilblains and COVID-19 and the high incidence is only a coincidence. There's one review within the Nordic region that there has been not any increase in the incidence of chilblains there. Some other current studies by way of biopsies in addition to post-mortem autopsy have found no COVID-19 factors in the chilblains. There is conjecture that the presumed increase in the incidence in a few nations is a problem with the lifestyle modifications because of the lockdown through the pandemic and that they aren't in reality part of the pathophysiological response of the COVID-19. These types of changes in lifestyle through the lockdown can consist of becoming much more sedentary, probably the less wearing of shoes, becoming more exposed to air-conditioning along with the constant warmth indoors. These kinds of changes in lifestyle during lockdown might have been greater in countries such as Italy and Spain and the alterations could not have been so great in the Nordic nations. In Nordic countries they may just be much better at handling the issues about temperature fluctuations which are thought to be a risk factor in chilblains. This can certainly simply be the cause of the different frequency in the above areas.

An episode of the popular podiatry Facebook live, PodChatLive was on this very theme. The livestream hosts chatted with a podiatrist from South Africa, Nadia Dembskey who is about to commence a PhD on the subject. All of the aforementioned problems had been discussed, and they still have not really been reconciled. Given all of the wavering publications as well as the contradicting ideas that there are on COVID toes, it might be a while before the science gets to handle this.

Can shock wave therapy help foot problems?

Shockwave therapy is a treatment device which was first released into clinical practice back in 1980 as a treatment for breaking apart renal system stones. Ever since then it has now regularly been utilized as a method for bone and joint conditions and to encourage the growth of bone. Shock waves are generally higher energy sound waves made under water utilizing a high current huge increase. For musculoskeletal disorders they are utilised to lead to fresh blood vessel formation and to promote the release of growth factors for instance eNOS (endothelial nitric oxide synthase), VEGF (vascular endothelial growth factor) along with PCNA (proliferating cell antinuclear antigen). Consequently this leads to the improvement of the blood supply and also to an increase in cell proliferation which will help recovery. A newly released episode of the podiatry livestream, PodChatLive was spent discussing shock wave therapies for podiatrists.

In that particular edition of PodChatLive the hosts talked with Consultant Physical Therapist, academic and researcher Dylan Morrissey about how good the data base for shock wave treatments are and how solid the methodology that is usually utilized in this kind of research. Dylan also spoke of what foot as well as ankle pathologies shock wave is certainly indicated to treat and commonly utilised for and whether there are any primary contraindications or dangers related to shock wave's use. Dr Dylan Morrissey is a physio with more than 25 years’ experience with employed in sports and exercise medicine. Dylan accomplished a Master of Science at University College London in the UK in 1998 and a PhD in 2005 at King’s College London. Dylan is now an NIHR/HEE consultant physio and clinical reader in sports and musculoskeletal physical therapy at Bart’s and the London NHS trust / BL School of Medicine and Dentistry, QMUL. Dylan has obtained more than £5m in research funding and has authored more than sixty peer-reviewed full papers. His major research interests are shockwave and tendon issues, evidence interpretation and also the link involving movements and symptoms.

How can Podiatrists use Video Marketing to Promote their Clinics?

PodChatLive is the once weekly livestream for the regular training of Podiatrists together with other clinicians that could be involved in some of the subject areas that they cover. The stream goes out live on Facebook and after that is later added to YouTube to get it out to a lot more people. Every single live show includes a different guest or number of guests to discuss a unique area every time. Questions are answered live by the hosts and guests while in the live on Facebook. There's even a PodCast recording of every single episode on iTunes and also Spotify and the other popular podcast places. They've created a sizeable following which is increasing. PodChatLive is regarded as one of the ways whereby podiatrists may get free continuing improvement hours that is a requirement in quite a few locations.

Among the topics that the livestream covered was online video marketing for podiatrists. Social video marketing or marketing oneself along with your practice through videos has started to become a popular topic and so many clinics are doing it. Podiatrists are getting involved in video promoting. The episode of PodChatlive which discussed this theme had 3 expert podiatry practitioners who are making good use of online video marketing. In that show the hosts had been joined by David James, The Foot and Leg Magician coming from the United Kingdom, Melissa Zacharia coming from Pod Fit Podiatry in Adelaide, Australia and Jonathan Tomines, The Toe Bro from TorontoCanada. These podiatrists offered their ideas and experiences on creating Podiatry videos to advertise the profession. These podiatrists talked through a lot of the primary hurdles and concerns many people have before beginning to create videos as well as the likely benefits to both the individual and to the podiatry profession of making videos. They also discussed how you can make them and the gear essential and where to consult with to find inspiration for generating making videos and how do overcome unfavorable feedback.

How are plantar pressures measured?

Plantar pressure measuring is a method that is getting increasingly utilised in clinical practice. It's helpful to examine for things like how much force there may be underneath the feet, which could be vital to ascertain in people that have diabetes mellitus who are prone to a foot ulcer. Plantar pressures will also be used to help work out how people walk and how pressure shifts throughout the gait cycle. This is often valuable information to help clinicians prescribe and design foot orthotics. This really is such an fundamental problem that an episode of the live, PodChatLive was devoted to it. PodChatlive is a Facebook livestream which has two hosts plus a different invitee on each show where they discuss subjects of significance to podiatry and related subject areas. It's also uploaded to YouTube and as an audio podcast.

In that show, they discussed plantar pressures and pressure mapping with Dr Bruce Williams DPM from Indiana, USA. He is a Fellow and former President of the American Academy of Podiatric Sports Medicine and owner of Breakthrough Podiatry in NorthWest Indiana and has considerable expertise on plantar pressure measurements, pressure mapping in addition to their interpretation and clinical application. He makes use of both the in-shoe system and pressure mat devices in his clinic and has been doing so for almost 20 years now. He is well published on this subject in peer reviewed academic publications, so is well placed to talk about this issue. In the episode of PodChatLive they talked about what the centre of pressure can be and how it can be used clinically to determine what is happening. Additionally they talked about just how pressure information influences his clinical decision making, particularly foot orthotic design. They reviewed the pros and cons of in-shoe in comparison to the mat technology and then try to provide some advice to those who may be considering adding this type of service to their practice.

Why understanding pain is so important?

PodChatLive is the monthly livestream for the ongoing professional development of Podiatry practitioners as well as other people who could be interested in the range of issues which the show goes over. It is managed by Craig Payne from Melbourne, Australia and Ian Griffiths from England, United Kingdom. The stream is broadcast live on Facebook after which is later uploaded to YouTube. Each live show features a different individual or number of guests to discuss a unique topic of interest each time. Questions are answered live by the hosts and guests during the livestream on Facebook. There's also a PodCast version of each stream found on iTunes and Spotify and the other common podcast providers. They’ve developed a large following which is growing. The show is usually thought to be one of the methods by which podiatry practitioners might get no cost professional development points.

In episode eight, they reviewed the advancements in the pain sciences and also the complexness of pain with the physical therapist and pain educator, Mike Stewart. It became obvious that it's vital for us to grasp pain much better than we have in the past and doctors have to develop the competencies to efficiently convey this to their patients. The dialogue determined that pain is really a personal encounter. It is deemed an creation of the mind in response to real or perceived danger that has the objective of safeguarding us and getting us to switch our actions. Pain is contextual and it is affected by numerous factors. Mike Stewart is a physical therapist that functions as a Spinal Clinical Specialist for East Kent Hospitals University Foundation NHS Trust in the UK. He works full-time as a physiotherapist with more than 15 years practical experience taking care of complex, persistent pain disorders. Furthermore, Mike is a committed practice-based teacher devoted to delivering evidence-based instruction to a wide array of health care professionals, including podiatrists. Mike is currently undertaking an MSc in Clinical Education at the University of Brighton in the UK. He operates the Know Pain courses worldwide.

Social Media Marketing for Podiatry Clinics

Social media is am essential component of any business’s marketing strategry, so it was not surprising that an episode of the livestream show for Podiatrists, PodChatLive would devote an episode to social media marketing for podiatry busineses. PodChatLive is a weekly lives trema of Facebook that is hosted by Craig Payne from Australia and Ian Griffiths from England. They have a different guest on for each episode and discuss a wide range of topics, answering questions that are posted on the Facebook feed. At the consclusion of the live, the recorded version is loaded to YouTube and the audio versions uploaded as a podcast.

For the PodChatLive episode on social media, they had a discussion with Jill Woods and they talked about why health professionals often see marketing as a dirty word, and Jill gave some good information on the way we can re-frame this and use it for the good of the podiatry profession. They also talked about the pros and cons of social media and discussed some of the different social media platforms available and how to use them, and ultimately how they can be used for good by all. There was also a discussion on how the professional/governing bodies could or should use social media. Jill Woods first worked in marketing back in 1988, long before the internet came into existence and before she had ever heard the word podiatry. Since then she has worked in a number of marketing specific roles and also trained as a podiatrist before working as an associate in a podiatry practice and then running her own private practice. Jill has widely lectured on and about podiatry. She has since gained a Masters in adult training & education and started five different online and offline businesses in an attempt to find something that would fit with her nomadic life as a military wife.