Diabetic-Foot Books

Excelent and concise review.Comprehensive how to guidelines for evaluation,risk determination and treatment including frequency for re-evaluation.How much weight factors such as obesity,glycemic control,smoking, foot hygiene,and propensity to walk barefoot inside and outdoors are not used to increase the risk score.The authors should use their vast experience to add several or all of the above to modify the risk score.

Thourough overview, yet very practical. I would recommend it to every health care professional dealing with the diabetic foot.

Medical experts David Armstrong and Lawrence Lavery editorially collaborate in Clinical Care Of The Diabetic Foot to present the reader with up to date information on all aspects of diabetes as related to foot care and symptoms. Written especially as a handbook for foot care specialists, but also useful to lay readers seeking to educate themselves concerning how to care for their own feet or the feet of loved one's and hopefully prevent amputation, Clinical Care Of The Diabetic Foot covers foot exams, wound care, managing infections, preventive footwear, charcot foot and peripheral arterial disease, and much more. Black/white photographs, charts, and reference lists round out this highly recommended and welcome contribution to medical handbook and diabetes reference shelves.

A great book for a student in clinics to understand and evaluate the general pathologies and mechanisms of the diabetic and there feet!

Following is a sketch of the information presented:

THEMES:
-prevention
-excess damage caused by running/exercising "through the pain."
-injury from improperly fitting shoes, including higher heels.
-diagnosis/misdiagnosis.
-special precautions for diabetics.
-thorough explanation of malfunctions - often it's biomechanical faults
-effectiveness/ineffectiveness vs. risk, for treatments, drugs.
-orthotics helping with ~51 foot problems.
-running shoes (meeting ~10 criteria) best for walking.
-hazards of cutting one's own feet - "bathroom surgery."
-surgery as last resort.

ANATOMY...19 illustrations of bones, joints, veins, pronation, bunion, corn, callus, heel, knee...
Forefoot: from the tips of the toes to the base of the long metatarsal bones, ball of foot.
Midfoot: cuneiform, cuboid and navicular bones, arch.
Rearfoot, talus (ankle) and the calcaneus (heel) bones.

BIOMECHANICS...:
In biomechanical fault, an abnormal amount of weight is supported by a smaller part of foot instead of distributed across the foot. Foot naturally pronates (rolls from the outside of the heel forward, then toward the inside of the foot) when the foot is taking and bearing weight...abnormal pronation may cause most foot problems. Foot naturally supinates (rolls toward the outside of the foot) as the weight is being transferred to the other foot.

BUNIONS...:
A bunion is a turning inward of the great toe joint resulting from abnormal forces from a biomechanical foot fault. There will be wear and tear in the cartilage of the big toe joint.

HAMMER TOES AND CORNS:
A corn is a protrusion on the top or side of a toe, which has developed because of the formation of a hammertoe (toe pointing downward) condition which was caused by a biomechanical fault. Improperly fitting shoes cause/aggravate the corn.

CALLUSES AND WARTS:
Calluses are...a buildup of thick skin to protect a part of the body that is subject to undue stress.
Warts have blackish pin dots (papillae) and are caused by a papilloma or verruca virus. There are no roots.

PLANTAR FASCIITIS:
The plantar fasciae are attached to the heel bone and to the five metatarsal bones in the forefoot. They support the longitudinal arch, and they also help prevent overpronation which can overstretch the fasciae so that they commence pulling the lining from the bone - periostitis. Cortisone and anti-inflammatories bring side effects and limited relief. Ultrasound and icing help a little. Prescription orthotics in running shoes comprise best treatment. PainTheory1-Bone lining partially reattaches overnight, then tears away again upon rising. PainTheory2-Fasciae contract overnight, then cause pain upon rising, until they're stretched.

HEEL SPURS:
HS are ridges, not spurs (as appearing on x-ray), and, being bone, they are not painful, but constitute a response to periostitis pain. When the plantar fasciae pull hard ... where they are attached to the heel bone, the bone eventually begins to grow in the direction of the pull, in an effort to keep the lining on the bone.

ACHILLES TENDONITIS:
AT is an inflammation caused by overstretching and twisting of the Achilles tendon, which then tends to pull the lining away from the back of the heel bone or to overstress the place where the tendon becomes the lower end of the two calf muscles. May be caused by overuse, or being born with short AT's, or long-term high heel use followed by athleticism. Friction rubs, stretching exercises and prescription orthotics help. Cortisone can fray the tendon, leading to rupture. Oral anti-inflammatories rarely help because of poor circulation to the area. Cast and physiotherapy for extreme cases.

PUMP BUMP:
PB is caused by irritation of the Achilles tendon area of the foot, usually by the pump, the shoe with 2-4" heel that is low-cut and has no straps or ties. A protrusion may form at the back of the heel to compensate for stress on a short Achilles tendon. Bursitis may occur. Ice, ultrasound, donut pad, change of footwear, or orthotics may help. Also, bump can be filed down, perhaps in conjunction with surgery.

TARSAL TUNNEL SYNDROME:
TT, enclosing a couple of nerves, runs under the deltoid ligament and down the back part of the lower leg into the foot. With a biomechanical fault the deltoid ligament presses the tunnel and compresses a nerve.
Or, compression may result from a swollen ankle caused by water retention, poor circulation, pregnancy,

CHILDREN'S FEET (PODOPEDIATRICS):
abnormalities at birth; club foot; using a cast; feet turned-out/in; overlapping/curled toes; supernumerary toes; webbed feet; unequal leg lengths; late walking; toe-walking; bunions; broken bones; noninfectious breakdown of growth plate...; Freiberg's Disease; Sever's Disease; Kohler's Disease; Young Maid's Knees.

GERIATRIC FEET:
precautions; shoes and socks; osteoarthritis prevention and care; knees; toenails; dry skin; less fat under ball of foot.

SYSTEMIC DISORDERS:
atherosclerosis; intermittent claudication; diabetes; alcoholism; gout; rheumatoid arthritis;
neuromuscular diseases (polio; ALS, MS etc); pregnancy; varicose veins; swelling when stationary; vaso-dilation/constriction and effects of drugs, chemicals and heat; tobacco; alcohol; other substances; immersion foot (chilblain); poor circulation; frostbite; Raynaud's Syndrome/Disease.

ATHLETES' FEET - RUNNING AND SPORTS:
Running, aerobics, racket sports, dancing, basketball, volleyball, football, gymnastics, skating, hockey, skiing, soccer, baseball, cycling, hiking. Preventions and fixes for: ankle joint synovitis; anterior compartment syndrome; blisters; bow-leggedness; calluses; corns; hammer toes; iliotibial band friction syndrome; knock-kneedness; metatarsal stress fractures; neuromas and other nerve entrapments; piriformis syndrome; plantar fasciitis; proprioceptors injury; runner's knee; sciatica; sesamoid bone fracture; shin splints; sprained ankle; stress fracture; tarsal tunnel syndrome; toenails-black; turf toe.

DERMATOLOGICAL FOOT PROBLEMS:
warts, athlete's foot, dermatitis, moles, psoriasis, foot odor, dry feet.

NAIL PROBLEMS:
ingrown, fungal, psoriatic, thick-and-distorted.

IN SEARCH OF A SHOE THAT FITS:
-for children, adolescents, women, seniors.
-for walking, running, racket sports, aerobics, tennis, dancercise, hiking.
-characteristics: cushioning, stability, flexibility, shape, material, "breathability"

THE LATEST IN NONINVASIVE CARE, AND (GOOD,BAD) FOOT SURGERY
cosmetic foot surgery; joint replacement; hip/knee/ankle replacement; shockwave/light/sound therapies.

Why read the book? Since we are not walking and running barefoot on softer, non-flat surfaces as we were designed to do, we need special knowledge, and especially needing this are the persons responsible for the young/old/disabled/sick. Here one finds huge information, expertly presented. Don't miss this read!

Thanks,

Bill Norwood

The book is beautiful, well documented and has the whole gamma of information. It is also practical and has much illustration. The CD included, although I have only scanned it, seems to contain good information.

Saving The Diabetic Foot was an easy and enjoyable read. As a Healthcare Professional I found it to be very edifying yet written in a manner that the average person could read and comprehend the material quite well. I think the feet have been grossly neglected by the mainstream medical community and Dr. Anglin does a superb job of educating the reader on them. The anatomical and physiological soundness of our feet are vital for our locomotion as well as our physical fitness and general health. I have had oncology, endocrinology and dermatology patients of mine already read this book as well as our hospitals Diabetic Nurse Educator. Saving The Diabetic Foot should be required reading for Medical Students, Student Nurses, Certified Nursing Assistants, etc.

a like this book. Iwas looking for a book with a review of diabetic foot
I recoment it for a resident of vascular surgery .