Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
Adding operative nerve decompression to usual foot ulcer treatment in patients with diabetic sensorimotor polyneuropathy (DSP) significantly reduces ulcer recurrence compared with patients' own unoperated legs, a new analysis from a multicenter cohort study finds.
"Almost every amputation is preceded by an ulcer wound. If we can do something that changes the risk of having a repeat ulcer, or a first ulcer event, we can probably do something to greatly reduce the risk of an amputation," lead author D. Scott Nickerson, MD, Northeast Wyoming Wound Clinic, Sheridan, told Medscape Medical News in an interview.
Results of the 42-patient study are published in the January/February 2014 issue of the Journal of the American Podiatric Medical Association by Dr. Nickerson and Andrew J. Rader, DPM, Wound Care Center, Memorial and Healthcare Center, Jasper, IN.
But the topic of whether operative nerve decompression is of benefit in DSP is controversial, and the new study may not convince those who say that there is insufficient randomized, controlled trial evidence to support its use. Critics say that claims of its success are based on imprecise and subjective DSP assessments and flawed assumptions about the prevalence of nerve entrapment and the extent to which it contributes to the condition's morbidity.
http://www.medscape.com/viewarticle/820691
(free registration required)
"Almost every amputation is preceded by an ulcer wound. If we can do something that changes the risk of having a repeat ulcer, or a first ulcer event, we can probably do something to greatly reduce the risk of an amputation," lead author D. Scott Nickerson, MD, Northeast Wyoming Wound Clinic, Sheridan, told Medscape Medical News in an interview.
Results of the 42-patient study are published in the January/February 2014 issue of the Journal of the American Podiatric Medical Association by Dr. Nickerson and Andrew J. Rader, DPM, Wound Care Center, Memorial and Healthcare Center, Jasper, IN.
But the topic of whether operative nerve decompression is of benefit in DSP is controversial, and the new study may not convince those who say that there is insufficient randomized, controlled trial evidence to support its use. Critics say that claims of its success are based on imprecise and subjective DSP assessments and flawed assumptions about the prevalence of nerve entrapment and the extent to which it contributes to the condition's morbidity.
http://www.medscape.com/viewarticle/820691
(free registration required)