A Stepwise Approach to Nonoperative and Operative Management of the Diabetic Foot Ulceration
There are multiple factors that lead to the development of the diabetic foot ulceration (DFU). The ultimate goal when treating DFU is to prevent amputation. Initial therapy should include debridement, maintaining a healthy wound environment, and offloading. In the setting of infection or a nonhealing DFU, surgical intervention may be necessary. The goals of this article are to discuss the key aspects of the initial examination, standard nonoperative treatment, and the operative treatment options for patients with DFU. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Katherine M. Raspovic, Matthew J. Johnson, Dane K. Wukich Source Type: research

Establishing a Comprehensive Wound Care Team and Program
This article reviews the roles of different disciplines in the management of wounds. These disciplines include rehabilitation physicians, wound care nurses, registered nurses and certified nursing assistants, surgical teams, specialists of infectious diseases and mental health, dieticians, and patients and caregivers. A case study is also provided. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Scott Schubert, George Marzloff, Stephanie Ryder, Kaila Ott, Jennifer Hutton, Mallory Becker Source Type: research

Nutrition and Wound Care
This article reviews the role of nutrition in wound prevention, management, and treatment. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Nancy Munoz, Mary Litchford, Emanuele Cereda Source Type: research

The Role of Hyperbaric Oxygen Therapy for the Treatment of Wounds
Hyperbaric oxygen (HBO) is a Medicare-approved treatment for a variety of diagnoses including chronic nonhealing wounds and radiation necrosis. Hyperbaric oxygen therapy (HBOT) uses high pressures to saturate hemoglobin and dissolve oxygen into blood plasma to create a hyperoxemic environment to nourish and reverse local tissue injury caused by ischemia and hypoxemia. HBOT is expensive and not without risk; therefore, the underlying etiology for the presenting diagnosis must be adequately treated before starting HBO as an adjunct therapy to get maximum benefit. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Merrine Klakeel, Karen Kowalske Source Type: research

Post Amputation Skin and Wound Care
Management of the post amputation wound and skin is an individualized and evolving process. Although no consensus recommendations are available, optimal wound healing occurs with a dressing that provides the appropriate level of moisture, and management of edema, and can assist in contracture prevention and limb protection. Management of comorbid conditions and complications that might impede healing, as well as nutritional optimization help promotes wound closure. A faster time to heal increases the opportunity and likelihood of prosthetic fitting and use, working toward improved functional independence. (Source: Physical...
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Michael Kwasniewski, Danielle Mitchel Source Type: research

Seating and Wheeled Mobility Clinicians Contribute to the Wound Care Team
Many know that the wound care team consists of physicians and nurses with specialized training. Many may not know of physical therapists (PT) or occupational therapists (OT) with training in seating and wheeled mobility who address skin injuries in people who are full-time wheelchair users. PTs/OTs address the fit and use of their wheelchair to their body and look at their daily function while looking for causes of skin injury otherwise not seen and can help prevent them in the future. Therefore, this makes PTs and OTs with this expertise a valuable part of the wound care team. (Source: Physical Medicine and Rehabilitation...
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Cathy H. Carver, Stacey Mullis, Kathleen H. Fitzgerald Source Type: research

Shoe and Bracing Considerations for the Insensate Foot
Diabetic individuals with peripheral neuropathy are at risk for the development of foot ulcers due to musculoskeletal abnormalities and abnormal loading in the gait cycle leading to elevated plantar pressures. To prevent diabetic foot ulcers, practitioners should regularly screen patients for the presence of neuropathy as well as neuroarthropathies and prescribe the appropriate shoes and orthotics based on the best available clinical evidence. Although not widely available, there is potential for data-driven customization of orthotics and shoe wear based on plantar pressure data to prevent the development of diabetic foot ...
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Daniel Moon, Ning Cao, Bianca Martinez Source Type: research

We Take on the Business
In Physical Medicine and Rehabilitation (PM&R) clinical practice, we too often encounter wound and skin care medical conditions with related complications. Whether the condition is the result of trauma, burn, surgery, pressure, diabetes, lymphedema, or from other medical consequences, we provide care beyond any required surgical intervention. PM&R offers unique interdisciplinary collaboration with doctors, physical and occupational therapists, nurses as well as orthotic and prosthetic professionals within the field. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - September 27, 2022 Category: Rehabilitation Authors: Xiaohua Zhou, Cassandra Buchanan Renfro Tags: Preface Source Type: research

Functional Medicine Approaches to Neurodegeneration
Neurodegenerative diseases impact more than 6 million Americans, and current predictions estimate the rates of neurodegenerative diseases will double in the next 30  years. These diseases are progressive with increasing loss of brain function throughout their course. Overtime, those suffering from neurodegenerative diseases will lose their ability to work and function efficiently in society. Families and society are burdened with skyrocketing costs to provide care for those who are unable to perform activities of daily living. There is an urgent need to develop treatment strategies to both reduce the incidence of neurodeg...
Source: Physical Medicine and Rehabilitation Clinics of North America - August 1, 2022 Category: Rehabilitation Authors: Datis Kharrazian Source Type: research

Functional Medicine
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - August 1, 2022 Category: Rehabilitation Authors: Elizabeth Bradley Source Type: research

Copyright
ELSEVIER (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - August 1, 2022 Category: Rehabilitation Source Type: research

Contributors
SANTOS F. MARTINEZ, MD, MS (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - August 1, 2022 Category: Rehabilitation Source Type: research

Contents
Santos F. Martinez (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - August 1, 2022 Category: Rehabilitation Source Type: research

Forthcoming Issues
Wound and Skin Care (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - August 1, 2022 Category: Rehabilitation Source Type: research

Food, Medicine, and Function
Food is not just calories; food is information. Food is a complex array of macronutrients, vitamins, minerals, and phytochemicals that upgrade or downgrade our biological software with every bite. The standard American diet lacks essential nutrients and is rich in refined flour, sugar, and inflammatory oils that drive dysbiosis, metabolic dysfunction, and chronic disease. Modern medicine focuses on diagnosing and treating disease with drugs, not creating health. Functional medicine organizes the body into a network of interconnected systems. It focuses on correcting the underlying functional imbalances that drive disease w...
Source: Physical Medicine and Rehabilitation Clinics of North America - June 24, 2022 Category: Rehabilitation Authors: Mark Hyman, Elizabeth Bradley Source Type: research