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Armstrong Keynotes at Launch of UK World-Class Wound Healing Unit

On Monday, May 12 health care staff, patients and political officials gathered for the ribbon-cutting of a new integrated healthcare service center in Mayday University Hospital in London for people with diabetes, vascular conditions and those needing specialist wound care. The new center, based in the refurbished Fairfield wards, will provide a high standard of wound care for complex wounds and diabetic feet from a local specialist team. Several thousand patients each year are expected to be served by this new facility.

From left: Hellen Walley, CEO of Mayday NHS Trust, Stella Vig, Vascular Surgeon, Prof. David G. Armstrong and Richard Ottaway Conservative Member of British Parliament.

The official ceremony included keynote remarks by David Armstrong, DPM, PhD, Professor of Surgery at the William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science and International Wound Care Ambassador. Dr. Armstrong explained to the 100 guests how a multidisciplinary team working together can prevent an amputation. “It takes a team to prevent an amputation, and podiatrists, vascular surgeons, nurses, educators and diabetologists, among others, can work together to make a real difference,” said Dr. Armstrong.

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FIP ED Discusses Challenges of Global Communication


Communications pose a particular challenge for Caroline Teugels, executive director of the International Federation of Podiatrists because of IFP’s global membership. Her executive board represents the U.S., Canada, and a handful of countries in Europe, including Belgium, France, Finland, Greece, and Spain. That means it’s not always easy to meet face to face, and there are language and cultural barriers to overcome.


Caroline Teugels


She conducts most board meetings via conference call. “The real challenge is making sure that everyone on the call understands what everyone else is saying,” Teugels says. “Even when we talk about podiatry, the professional levels can vary [by country]. Some people might have a completely different definition of what podiatry is depending on where they are from.”


Source:  Tim Ebner, Associations Now [2/1/19]



UK College of Podiatry Partners with Scholl


Scholl has partnered with the College of Podiatry to inform pharmacists and patients about footcare, Reckitt Benckiser (RB) has announced. The partnership – announced this month – aims to raise awareness of the importance of good foot health, RB said.


The College of Podiatry is a London-based professional body for the UK’s registered podiatrists. Together with Scholl, it will develop a package of footcare-tailored assets, including a diagnostic tool and in-depth continuing professional development (CPD) module, the manufacturer said. The package aims to give pharmacists the information required to keep patients “on their feet” and to know when to refer to a podiatrist.


Source: [1/19/19]



Podiatry Officially Recognized as a Profession in Romania


Podiatry has been officially recognized as a profession in Romania and was introduced in the Romanian Occupational Classification (COR) at the end of last year, according to the Explanatory Memorandum drafted by the Podiatry Association on “The need to introduce the profession of podiatrist with higher education in the COR,” quoted by local


The process will be completed once the joint order signed by the labor minister and the president of the statistics institute INS is published in the Official Gazette, the same document said. Podiatrics are experts in all aspects of the structure, function and health of the foot, ankle and lower extremity.


Source: Marina Marica, [1/16/19]



UK Students Given a Unique Look into Podiatry


Twenty-four students studying health courses at East Sussex College Hastings were given an insight into podiatry and anatomy during a recent trip to the Leaf Hospital in Eastbourne. Specialists took students around the clinic and gave them an interactive session on the anatomy of a body that was donated to the center for scientific research. They looked at the structural organs, bones, and soft tissue and were able to get hands-on and palpate the cadavers.


UK students observe plaster casting for orthotics


The students were then taught how to plaster and cast the foot and learn about how orthotics are made. Podiatry experts then told the students about the link between podiatry and forensics, and how organizations like the FBI and CSI are able to solve crime cases using gait analysis. The final part of the day enabled the students to observe and learn from third-year university students as they assessed and treated patients with minor foot or lower limb conditions.


Source: [11/19/18]



Bahamas Podiatrist Receives Lifetime Achievement Award


While World Diabetes Day was being commemorated last week, Minister of Health Dr. Duane Sands brought the dismal news that The Bahamas is the world leader in the prevalence of diabetes. His remarks came as the Bahamas Podiatric Medical Association (BPMA) launched its first annual conference under the theme: “New Hope for Diabetic Feet.”


Dr. Deborah Raine


At the conference, BPMA presented a Lifetime Achievement Award to Dr. Deborah Raine, who in 1974 made history as the first Bahamian podiatrist. She became a founding member of the Bahamas Diabetic Association (BDA). The BDA was established in March 1986. . 


Source: Felicity Darville, Bahamas Tribune [11/20/18]



CA and NY Podiatrists Advocate for Podiatry Specialty in Romania


Lee Rogers, DPM (Diabetes Liaison to the APMA), Daniel Kline (ED of NYSPMA), and Andrew Pavelescu, DPM (YM chair of NYSPMA) spoke at the United Nations Millennium Hilton for the Romanian American Business Council about the wave of diabetes and amputations in Romania and the need to establish the specialty of podiatry to address this growing problem. They cited American data on the success of podiatrists and teams in preventing limb losses and reducing costs in diabetes.


(L-R) Stefan Minovici (CEO of the Romanian American Business Council), Dr. Andrew Pavelescu, Daniel Kline, and Dr. Lee Rogers


The audience consisted of the Romanian Secretary of State, Minister of Health, Ambassador to the UN, Ambassador to the U.S., and other government and healthcare leaders from Romania. U.S. Surgeon General Dr. Jerome Adams also spoke to the Council.



Expert Laments Dearth of Podiatrists in Nigeria


Despite five million Nigerians suffering from diabetes with tens of thousands of such people at risk of diabetic foot ulcers, the country only has two podiatrists, the Project Coordinator of the Gintervenes Health Foundation (GHF), Dr. Andrew Agun, has said. Speaking during a week-long training for nurses on Diabetes Foot Care in Lagos recently, and organized by GHF, he said what was more worrisome is that many Nigerians were increasingly being diagnosed with diabetic foot ulcers with no commensurate expertise to address their issues.


He said, "Podiatry is not taught in any university in Nigeria, so there is a big gap because when people have severe foot issues, the next thing is to take it to orthopaedic surgeons who would most likely amputate it if they can’t manage it." The best people to manage foot issues are podiatrists, and in Nigeria, there are presently only two of them, and they both work with private healthcare facilities in Lagos and Abuja.


Source: Martins Ifijeh, This Day [10/6/18]



UK Podiatrist Discusses PTTD


"One of the most common causes of adult-acquired flat feet is posterior tibial tendon dysfunction (PTTD)," explains Rebecca Gomez, a podiatrist and clinical podiatry lead at the Royal Marsden Hospital in London. "This is where one of the ligaments on the inside of the ankle that helps support the arch loses function." This can lead to instability, deformity of the foot, and degenerative changes in the surrounding joints in the form of osteoarthritis.


Rebecca Gomez


PTTD can be the result of overuse, or a sprained ankle which didn’t heal properly, but risk factors also include diabetes (as high blood sugar levels can damage tendons), hypertension (which reduces blood flow to the ligaments that keep the arch in place), and obesity (as the load the feet are supporting is increased).


Source: Claire Coleman, The Daily Mail [6/18/18]



FL and AZ Podiatrists Inducted into RCPSG 


Robert Snyder, DPM, Professor at Barry University School of Podiatric Medicine and Jeffrey Jensen, DPM, Director of the Arizona School of Podiatric Medicine were inducted in Scotland as Faculty Fellows in Podiatric Medicine of the Royal College of Physicians and Surgeons (Glasgow) (RCPSG). 


(L-R) Drs. Jeffrey Jensen and Robert Snyder


In a regal ceremony at the University of Glasgow, both doctors were recognized for their lifelong achievements and contributions to the profession. The college selects candidates by recommendation only and represents one of most prestigious accolades bestowed on podiatrists by the international community.



UK Podiatrists Promote Foot Health Month


The College of Podiatry is urging people to discover how simple it is to keep their feet in peak condition this Foot Health Month, which takes place throughout June 2018. “Having healthy feet enables us to keep fit and well and that’s why we all need to look after them,” says Emma McConnachie, a podiatrist from the College of Podiatry.


Emma McConnachie


“Without healthy, pain-free feet, we can’t walk, do sports, or even relax properly. Imagine feeling as if you are walking on sharp stones each time you took a step. That is how some foot conditions can feel. “A basic knowledge of foot health care is essential for everyone and that’s what this year’s Foot Health Month is all about.”


Source: Female First [6/1/18]



UK's SCP States Stance on Patients' Recording Consultations


The Society of Chiropodists and Podiatrists (SCP) has published guidelines on patients recording podiatrists during consultations, both covertly and overtly, in an attempt to tackle the tensions between encouraging transparency and protecting the interests of its members and the efficiency and integrity of their consultations. The SCP’s stance is that podiatrists and practices should not exercise any meaningful prohibition of recording if patients request it. They should invite patients to record consultations for personal use.


Examples given of appropriate use include sharing the podiatrist’s recommendations with family members. The rationale is that the information is confidential to the patient and that it is for the patient alone to decide with whom it might be shared. There would be nothing, of course, to prevent a third party from attending the consultation with the patient’s consent.


Source: Amy Bridger, RadcliffesLeBrasseur via



 Innovative Treatment Methods Can Prevent Amputations: Indian Podiatrist


The podiatric surgery department in the Amrita Institute of Medical Sciences (AIMS)  is one of the few centrers of excellence in India in this field. "Diabetic foot surgery and modern management of diabetic foot problems are not given any prominence in our graduate and under-graduate medical courses, and so, young doctors have very limited exposure and skills in managing such patients. This is a great irony since we have many millions of people with diabetes and the burden of diabetic foot disease is very great in India, where diabetes is the commonest cause of amputations.


Dr. Harish Kumar


Proper and efficient medical care with use of the latest technology and innovative treatment methods can prevent amputations in the majority of cases," said Dr. Harish Kumar, Professor in the Department of Endocrinology, Diabetes, and Podiatric Surgery, AIMS.


Source: Vinod Nedumudy, Deccan Chronicle [5/20/18]



Custom Orthotics Provide Added Value Vs. Pre-fabs - Canadian Podiatrist


According to an old proverb, there are two things you should always be willing to invest heavily in: a great bed and a comfortable pair of shoes. After all, if you’re not in one, chances are you’re in the other. It’s hard to argue against that advice, but according to New Minas-based podiatrist Caroline Leverett, there might be something to add to it. That something, says Leverett, is a custom foot orthotic. 


Caroline Leverett


A foot orthotic is a device that is inserted into your shoe to support, align, prevent, or accommodate foot deformities and improve foot function. “Store-bought inserts may be helpful if you’re just looking for a little bit of extra cushioning or support,” she says, “but that’s really where their benefit ends. Over-the-counter inserts won’t actually correct the biomechanical causes of your pain, and that’s where custom foot orthotics really add value.”


Source: Joel Stoddart, The Chronicle Herald [5/15/18]



UK Podiatrist Discusses Blister Treatment


Mike O’Neill, a consultant podiatrist in Windsor says, "Ideally, it (a blister) should be left to heal naturally, because breaking the skin could lead to an infection or delay healing. If it’s smaller than a 5p (a U.S. dime), leave it and cover it with a blister plaster such as Compeed.


Mike O’Neill


If the blister is big, or it happens in the middle of a big walk, it might be better to pop it. Use a sterile needle – run it through a flame on a match or lighter – then gently pop the blister and drain the fluid before covering it with a plaster (Band-Aid)."


Source: Eve Simmons, Daily Mail [4/28/18}



UK Podiatry College Holds Foot Health Awareness Event  


People were encouraged to find out more about healthy feet at an event with podiatry students of New College Durham. As well as dispelling myths about podiatry, students also raised money for the homeless charity Crisis.


Podiatry students at New Durham College event


Barbara Chambers, head of the Durham school of podiatric medicine, said, “The lecturers and students involved in creating this event want to raise the public’s awareness of the benefits of good foot health and the role podiatrists play in maintaining healthy feet and lower limbs. Members of the public greatly under-estimate the importance and benefits of good foot health.”


Source: Rachel Conner, The Northern Echo [3/27/18]



CA Podiatrist's Team Awarded Top National Research Award in Qatar


Drs. Talal K. Talal, Bijan Najafi, and David G. Armstrong (who participated by video) were honored for a decade of interdisciplinary research collaboration dedicated to preventing amputation in people with diabetes in concert with the Qatar Foundation. They received the award from from Her Highness Sheikha Moza bint Nasser, Chairperson of Qatar Foundation for Education, Science and Community Development (QF). It is considered the highest research recognition in the nation.


(L-R) Drs. Bijan Najafi, Talal Talal and Sheikha Moza bint Nasser


It was the fruit of a collaborative effort between Hamad Medical Co (HMC), Baylor College of Medicine, and USC. These efforts were led by Drs. Najafi (BCM), Talal (HMC), and Armstrong (USC). It helped to accelerate translation of wearable technologies and digital health to address some of the most devastating complications associated with the diabetic foot including foot ulcers, neuropathy, and poor balance. The team designed and validated several innovative wearable technologies for this purpose. 



International Podiatric Leadership Attends the APMA HOD


(L-R) Dr, Dennis Frisch, Christian Jerome, and Dr. Matthew Garoufalis


The American Podiatric Medical Association (APMA) House of Delegates always includes many in leadership from our profession. This year, not only do we have our new APMA President, Dennis Frisch, DPM but also, Christian Jerome, the current Vice President if the International Federation of Podiatrists (FIP), and past APMA President and current FIP President, Matt Garoufalis, DPM. These international leaders stressed the importance of APMA's leadership position in the world of podiatry. 



Irish Auditor General Cites Lack of Podiatrists Needed to Treat Diabetics


The lack of specialist podiatrists for people suffering from Type 2 diabetes in the Western Trust should be subject to an urgent Department of Health workforce plan by 2019, the Auditor General, Kieran Donnelly, has recommended. Mr. Donnelly said the shortfall in provision for local sufferers of a disease that affects almost six percent of adults in the North, needs to be addressed now.


He issued the warning in his newly-published ‘Type 2 diabetes prevention and care’ audit. In 2003, it was estimated that 76 podiatrists would be needed to meet demand in the North but only 36 podiatrists were in place, a shortfall of 40.


Source: Kevin Mullan, Derry Journal [3/10/18]



UK MP Supports Launch of College of Podiatry Report


Member of Parliament Rosie Cooper joined the College of Podiatry in Parliament to give her backing to the launch of a new report. The event highlighted the unique role of podiatrists in tackling some of the biggest healthcare challenges facing people in West Lancashire.


Member of Parliament Rosie Cooper


The report, "Podiatry: Driving value, improving outcomes - The vital role of podiatry in keeping our population active – saving lives and saving limbs" covers three key areas in which podiatrists contribute their expertise and demonstrate their value. They are: 1. Diabetes and vascular disease, specifically foot ulceration and amputation prevention, conditions which cost the NHS around £1 billion per year. 2. Falls prevention, particularly among the elderly, which costs the NHS and social care around £2.3bn every year, and rising. 3. Musculoskeletal conditions, which consume around 5% of the NHS budget.


Source: Henry James, Champion [3/9/18]



Podiatry Recognized By Israel Health Ministry


After standing in the line for years with other health professions waiting for the Health Ministry to prepare rules regarding the profession of foot and ankle treatment, the Knesset Labor, Social Welfare and Health Committee on Wednesday completed regulation of podiatrists .


The committee approved permitted activities of podiatrists and podiatric surgeons (qualified to perform minor operations for bone, joint, ligament, muscle and tendon pathology). As a result, the profession will be recognized and supervised by the ministry, and therapeutic standards will be set. Those who work in the profession will receive an Israeli license and new immigrants who have worked in their country of origin will also be able to work in Israel. In addition, hospitals will be able to employ podiatrists.


Source: Judy Siegel-Itzkovich, Jerusalem Post [2/14/18] 



Irish Politician Decries Lack of Podiatric Services


Eamon Scanlon has called on Health Service Executive (HSE) bosses to urgently assign staff to cover podiatry services in Co. Leitrim. There have been no services available in the county since November because of staff shortages. Deputy Scanlon explained, “Podiatry services in Leitrim have not been operating at full capacity for several months now, and patients have been contacting my office extremely concerned about the situation. These treatments are extremely important for people with diabetes and foot ulcers and are essential to ensure that people can remain mobile and active. These conditions can be very serious - if they are not actively managed, they can result in amputation.


“The fact that we have had no chiropodist or podiatrist in Leitrim for over five weeks is simply not acceptable. While I appreciate there are staffing issues, more efforts need to be made to ensure that replacement staff are recruited so that a full service can resume. I am calling on HSE bosses to fill these posts as a matter of priority so that people needing these services have access to them in their own area.


Source: Leitrim Observer [1/9/18]



Podiatry Association of South Africa Turns 40


The Podiatry Association of South Africa (PASA) celebrated their 40 anniversary at their 11th Biannual Congress in Johannesburg this past weekend. With over 200 participants from South Africa and around the world, podiatrists, students, insurance administrators, and other physicians enjoyed a wide range of topics pertinent to podiatric medical practice in South Africa.


(L-R) Simon Bartold, Dr. Matthew Garoufalis, PASA President Brandon Magen, and conference chair Calvin Sinnet.


Past APMA President and current FIP President Matthew Garoufalis, DPM delivered a keynote address on the "Value of Care of the Podiatrist" emphasizing the improved patient outcomes and cost savings that are realized with the inclusion of a podiatrist in the care of the diabetic foot. Dr. Garoufalis also gave presentations on limb salvage, total contact casting, the use of negative pressure wound therapy, and the use of amniotic membranes in wound healing.



WDF and Podiatry Institute Partner to Train Health Workers on Diabetic Foot Care 


Rainbow Specialist Medical Centre, Lagos State, in partnership with World Diabetes Foundation (WDF) and the Podiatry Institute, United States, are partnering to train doctors and other health workers on how to manage and prevent diabetes-related foot complications. The Medical Director of the hospital, Dr. Isiavwe Afoke, said diabetic foot complications, though preventable, are a leading cause of hospital admission, amputation, and mortality in diabetic patients worldwide.


Dr. Isiavwe Afoke


The training, which is the 4th annual workshop on diabetic foot care, will be held in Lagos from August 21 to 25, and is aimed at improving management and prevention of diabetes-related foot complications. She explained that the training would also help raise awareness on proper foot care in persons living with diabetes mellitus. She said, “For diabetes mellitus foot syndrome, prevention is better than cure. Sadly, many persons affected report for treatment too late, when not much can be done to help them, except amputation, to save their lives.”


Source: Franka Osakwe, The Guardian [8/20/17]



Malta Podiatrists Still Unemployed, Months After Graduating


Podiatrists who completed their course just under a year ago have still not been employed in the public service, months after graduating. Speaking to this newspaper on the condition of anonymity, one of the 10 podiatrists said that while they had completed their course at the University of Malta in May last year, they were still in the dark as to whether they would be employed in the public service or not. “We completed our course in May and had our graduation ceremony in November. We were only called in for an interview last month after having received no feedback,” the podiatrist said. 


She insisted that during the interview, the candidates were told that they would be informed whether they had been selected or not in two weeks’ time, yet, they have not been contacted still. “We cannot wait around twiddling our thumbs until we get the call. Some of the podiatrists have even had to resort to seeking employment in different sectors,” the podiatrist said, adding that the group had been in touch with the UM Voice of the Workers in an attempt to resolve the issue but this, too, proved in vain.


Source: Claire Caruana, Times of Malta [5/5/17]



U.K. Urged to Do More Against Bosses’ Demands on Heels 


The U.K. must do more to protect women from discriminatory workplace dress codes, a panel of lawmakers said, after more than 150,000 people signed a petition calling for it to be illegal to make employees wear high heels.


On average, women say they suffer pain from ill-fitting high heels within one hour of putting them on, the report said, citing evidence from the College of Podiatry. A fifth of respondents to a survey by the college said they were in pain after just 10 minutes.


Source: Thomas Penny, Bloomberg [1/24/17]