Advances In  Preventing Amputations Dr. Donald Pelto Central Massachusetts Podiatry Worcester - MA
The Diabetic Foot <ul><li>Why should I listen? </li></ul><ul><li>Skin </li></ul><ul><li>Nerves </li></ul><ul><li>Bones </l...
Why should I listen? <ul><li>You or a loved one will probably develop diabetes during your lifetime </li></ul><ul><li>1-4%...
The Diabetic Foot Skin <ul><li>Dry skin </li></ul><ul><li>Fungal and bacterial infections </li></ul><ul><li>Calluses  </li...
The Diabetic Foot Skin - Advances <ul><li>VAC </li></ul><ul><li>Synthetic Skin Substitute </li></ul><ul><li>Platelet Rich ...
The Diabetic Foot Skin <ul><li>Onychomycosis – A real disease with real consequences </li></ul>
The Diabetic Foot Skin - Advances <ul><li>Nail treatments </li></ul><ul><ul><li>Topical </li></ul></ul><ul><ul><li>Oral </...
The Diabetic Foot Nerve <ul><li>Leading cause for ulceration is neuropathy </li></ul><ul><li>Semmes Weinstein 5.07 monofil...
The Diabetic Foot Nerve - Advances <ul><li>Epidermal Nerve Fiber Density </li></ul><ul><li>Metanx </li></ul>
The Diabetic Foot Bone <ul><li>Charcot Joint </li></ul><ul><li>Bone Infection </li></ul>
The Diabetic Foot Bone - Advances <ul><li>Walking Boot </li></ul><ul><li>Charcot Surgery </li></ul>
The Diabetic Foot Blood Vessels <ul><li>Edema and Lymphedema </li></ul><ul><li>Blood Vessel Studies </li></ul>
The Diabetic Foot Blood Vessels - Advances <ul><li>Silverhawk </li></ul>
The Diabetic Foot Shoegear - Advances <ul><li>Socks </li></ul><ul><li>Shoes </li></ul><ul><li>What about slippers? </li></ul>
Thank You <ul><li>Dr. Donald Pelto </li></ul><ul><li>Central Massachusetts Podiatry </li></ul><ul><li>299 Lincoln Street S...
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Limb Loss Presentation

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Presentation for Central Massachusetts Limb Loss Preservation Group.

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Limb Loss Presentation

  1. 1. Advances In Preventing Amputations Dr. Donald Pelto Central Massachusetts Podiatry Worcester - MA
  2. 2. The Diabetic Foot <ul><li>Why should I listen? </li></ul><ul><li>Skin </li></ul><ul><li>Nerves </li></ul><ul><li>Bones </li></ul><ul><li>Blood Vessels </li></ul><ul><li>Shoes and Socks </li></ul>
  3. 3. Why should I listen? <ul><li>You or a loved one will probably develop diabetes during your lifetime </li></ul><ul><li>1-4% of people with diabetes get ulcers every year and 15-25% will get one in their lifetime </li></ul><ul><li>15% of ulcers lead to amputation </li></ul><ul><li>85% of amputations start as ulcers </li></ul><ul><li>45% of people with an ulcer will die within 5 years </li></ul>
  4. 4. The Diabetic Foot Skin <ul><li>Dry skin </li></ul><ul><li>Fungal and bacterial infections </li></ul><ul><li>Calluses </li></ul><ul><li>4 Reasons won’t heal!! </li></ul>
  5. 5. The Diabetic Foot Skin - Advances <ul><li>VAC </li></ul><ul><li>Synthetic Skin Substitute </li></ul><ul><li>Platelet Rich Plasma </li></ul>
  6. 6. The Diabetic Foot Skin <ul><li>Onychomycosis – A real disease with real consequences </li></ul>
  7. 7. The Diabetic Foot Skin - Advances <ul><li>Nail treatments </li></ul><ul><ul><li>Topical </li></ul></ul><ul><ul><li>Oral </li></ul></ul><ul><ul><li>Laser </li></ul></ul>
  8. 8. The Diabetic Foot Nerve <ul><li>Leading cause for ulceration is neuropathy </li></ul><ul><li>Semmes Weinstein 5.07 monofilament (10g) </li></ul><ul><li>EMG </li></ul>
  9. 9. The Diabetic Foot Nerve - Advances <ul><li>Epidermal Nerve Fiber Density </li></ul><ul><li>Metanx </li></ul>
  10. 10. The Diabetic Foot Bone <ul><li>Charcot Joint </li></ul><ul><li>Bone Infection </li></ul>
  11. 11. The Diabetic Foot Bone - Advances <ul><li>Walking Boot </li></ul><ul><li>Charcot Surgery </li></ul>
  12. 12. The Diabetic Foot Blood Vessels <ul><li>Edema and Lymphedema </li></ul><ul><li>Blood Vessel Studies </li></ul>
  13. 13. The Diabetic Foot Blood Vessels - Advances <ul><li>Silverhawk </li></ul>
  14. 14. The Diabetic Foot Shoegear - Advances <ul><li>Socks </li></ul><ul><li>Shoes </li></ul><ul><li>What about slippers? </li></ul>
  15. 15. Thank You <ul><li>Dr. Donald Pelto </li></ul><ul><li>Central Massachusetts Podiatry </li></ul><ul><li>299 Lincoln Street Suite 202 </li></ul><ul><li>Worcester, MA </li></ul><ul><li>[email_address] </li></ul>
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