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JPO 2005 Vol. 17, Num. 2S


4
Management of the Neuropathic Limb
Nancy Elftman, CO, CPed
This overview of the diabetic/neuropathic pathways has been utilized as a basic teaching document in the health care field. The information provided applies to the education of patients as well as professionals with a basic understanding of the progr...
 
28
Consideration of Motor Neuropathy for Managing the Neuropathic Foot
Carrie Sussman, PT
Michael Strauss, MD, FACS, AAOS, AOFAS
Diane D. Barry, DPM, FACFAS, FACFAO
Ed Ayyappa, MS, CPO
Motor neuropathy involves muscular atrophy, muscle imbalance and deformity, precursors to wound formation. The intrinsic minus foot (clawing of the toes) is due to the muscle imbalances that develop between the flexors and extensors. Correction of de...
 
32
Pedorthic Management of the Neuropathic Foot
Ernesto Castro, CPed
The Pedorthic influence on the neuropathic foot has improved long-term outcomes. Substantial reductions of amputations in high-risk Native American tribes were documented. Risk categories were developed to determine treatment protocol and follow-up.
 
35
Vascular Assessment of the Neuropathic Foot
Michael Strauss, MD, FACS, AAOS, AOFAS
Diane D. Barry, DPM, FACFAS, FACFAO
Vascular assessment in the neuropathic foot is a crucial component to evaluation. Charcot neuroarthropathy exhibits high vascularity; more often there is too little (ischemia). The ankle-brachial index (ABI) is not valid when calcified blood vessels ...
 
38
Care of the Skin and Nails of the Neuropathic Foot
Joan Conlan, LVN, CPed
Thorough examination of skin and nails is an important step in neuropathic limb health screening. Following examination, the skin and nails must be treated and a regular follow-up schedule established. Techniques for skin hydration are taught to pati...
 
40
Bariatric Management of the Neuropathic Limb: Implications for Action in Overweight Children and Obese Adults with Diabetes
Kathy L. Cisney, MSN, APRN-BC, CWOCN, CPed
There is a correlation between increased incidence of diabetes and overweight/ obesity in adults. Alarming statistical information reveals that children as young as 2–4 years are overweight, leaving them at high risk for type 2 diabetes. There are 18...
 
45
Education of the Patient with Neuropathic Limb
Elizabeth A. Yetzer, MA, MSN, CRRN
The orthotist will be interacting with the patient and family and will require the knowledge of adult education principles. Professional mismanagement may result in diabetic foot ulcers. The mismanagement may result from failure to perform non-invasi...