Posts for: November, 2016





According to Dr. Mikhail Burakovskiy, about 20 percent of us are walking around with toenail fungus and may not even know it. “It’s something we treat on a daily basis. It’s a very common problem,” he says. The human skin is host to an entire little ecosystem of living organisms. One of those is fungus, which can multiply out of control in certain conditions, such as when immune systems have been weakened, and also when feet bleed or sweat profusely.
A healthy toenail, Burakovskiy says, should be pink and transparent with no debris or discoloration. When fungus takes root, the nail slowly turns yellow and becomes misshapen, and crumbly at the edge. “The fungus destroys the nail and the skin around the nail. What can happen is it can cause other infections and people can lose part of a toe or a foot,” he said. “Also, it’s very contagious. If someone in the family has it, there’s a very good chance they could give it to kids, grandchildren, or a significant other.”
Source: Seattle Times [11/15/16]



Hemoglobin spray aids diabetic foot ulcer (DFU) healing when combined with standard wound care. Here are the results of a study of 20 patients with DFU 12 wk or longer seen at a single UK wound care clinic, treated with hemoglobin spray in addition to standard wound care and followed for 6 mo. Wound healing outcomes were compared retrospectively to a similar cohort treated the previous year:
There was a median of 63% wound healing with hemoglobin spray by week 4, with 5 patients (25%) completely healed, vs 26% and just 1 patient, respectively, during the control period (p=.03). By week 16, wound size reduction was 91% with spray vs 43% control, (p=.01), and by week 28, 95% vs 63%, respectively (p=.02). Slough and exudate levels were also significantly reduced with the spray compared to control patients.
Source: Hunt SD, Elg F. Clinical effectiveness of hemoglobin spray (Granulox(®)) as adjunctive therapy in the treatment of chronic diabetic foot ulcers. Diabet Foot Ankle. 2016;7:33101. doi: 10.3402/dfa.v7.33101. PMID: 27829487 via Univadis [11/15/16]





When Robert Nesta ‘Bob’ Marley died on the 11th of May 1981, it was a very sad day for Jamaica and, indeed, the world. He had fought a long, hard battle against cancer but had finally succumbed to it. This cancer had begun as a malignant melanoma underneath his toenail. According to podiatrist Angela Davis, "Acral lentiginous melanoma (ALM) is a rare type of skin cancer that is not attributed to sun exposure, like most other types of skin cancer. It is most commonly located on the hairless parts of the body, like the palms, nail beds and the soles of the feet, with the vast majority found on the latter."
"Usually it first appears as a dark brown spot or streak on the skin or nail. It is important to note that most people of color will have benign dark lines underneath their nails and hyperpigmentation on their palms and soles. This does not mean that they have skin cancer," says Davis.
Source: Jamaican Observer [11/20/16




Dr. Dwight Bates has spent years caring for feet, and unfortunately witnessing the complications diabetics can endure when a foot injury occurs. Bates spoke to a class at East Texas Medical Center recently about the urgency of diabetics keeping a close watch over the condition of their feet.
Bates said about 120,000 people are crippled each year because of diabetic foot complications. Of those, 80 percent are preventable, Bates said. Many diabetics don't know their feet are in jeopardy, because they no longer have the sensation of foot pain. “The foot deserves to hurt,” Bates said. “The foot takes about 10,000 steps a day. If the foot doesn't hurt, you'd better find out why.”
Source: Rich Flowers, Athens Review [11/21/16]
Brought to you by Dr. John A. Hardy, owner of Toronto foot clinic, Academy Foot and Orthotic Clinics.



Western New England University professors Dr. Ronny Priefer and Dr. Michael Rust have developed a hand-held breathalyzer that allows individuals to painlessly check their blood glucose levels. Instead of using the traditional finger-stick testing, patients blow into a breathalyzer to detect the acetone levels in their breath, which have been linked to high blood glucose. With this information, patients can determine if they need to take insulin.
Priefer’s goal is to create a device by the end of 2017 that allows patients to track their blood glucose levels. The new device is currently the size of a small book, but the team is working to make the device even smaller. 
Source: Western New England University

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