We are so excited to announce the most comprehensive podiatric remote medicine program in our region. Our new telemedicine program connects our physicians to you in the safety and comfort of your home. Using videoconferencing technology, our providers can assess and initiate treatment of many foot and ankle conditions. We can also offer expert opinions of patients that may be outside of our region in areas such as advanced reconstruction, amputation prevention/limb salvage, wound care, 3-D bunion correction, forefoot reconstruction, ankle instability, or lower extremity trauma.
Now, not everything can be treated this way but it is a simple and safe way to start treatment especially with the current risk of COVID-19. Your treatment plan may include a prescription, dispensing medical devices or even establishing remote physical therapy with our partners at FAST physical therapy. Call today or contact our scheduling team through our webpage.
To watch our vlog post on this topic click here.
The safety of our patients and staff members is the highest priority to the physicians of the Foot and Ankle Center of Nebraska and Iowa. Because of this, we have developed a comprehensive prevention plan.
- Continue standard contact precautions such as gloves, sterile instruments, and cleaning hands after each patient
- Continue standard cleaning of the exam room after each patient. Expand cleaning within the exam room to include wiping down all surfaces such as light switches, door handles and floor after each patient. Expand cleaning of public spaces including the waiting room and restrooms.
- Screen patient for possible COVID-19 exposure or infection and postpone care if possible. If the patient is high risk or infected and must be seen due to a serious medical condition such as a diabetic foot ulcer, ensure the patient is triaged as the only patient. Block 1 hour to ensure adequate time to care for the patient, clean and prevent another patient from exposure. The patient should also wear a mask, gloves and clean his or her hands immediately upon entering and leaving the office.
- Establish a remote medical program to continue offering high-quality care with the lowest risk of exposure
- Limit patient comingling. Have patients immediately roomed or wait in his/her car to prevent waiting in the waiting room.
You can also view our vlog post on this topic by clicking here.
Dr. Nelson and Dr. Greenhagen are two of the featured preceptors in Des Moines University's magazine article "Precepting is my Superpower." Drs. Nelson and Greenhagen have been childhood friends turned co-business owners of Foot and Ankle Center of Nebraska and Iowa. Both doctors graduated from Des Moines University and are now preceptors to those studying podiatry through the university. They view it as a way to give back to the university that helped educate them. It is a partnership Foot and Ankle Center of Nebraska and Iowa, the students, and DMU benefit from.
A copy of this article can be found by following this link: Precepting is My Superpower
If you are interested in making an appointment to see our team at Foot and Ankle Center of Nebraska and Iowa please call 402-391-7575.
Dr. Robert Greenhagen and his coauthors, Drs. Dane Wukich and Robert Frykberg, recently published their findings on vitamin D and the risk of various diabetic foot complications. The authors found that low vitamin D increased the risk of ulceration, infection, and peripheral arterial disease. While the use of supplementation to prevent these conditions was not performed, we suggest that everyone consider vitamin D supplementation. This is especially important for individuals that live north of the 37 degrees latitude, which includes the Nebraska and Iowa areas.
A free copy of the article is available by following this link: Serum vitamin D and diabetic foot complications
Humans started wearing shoes between 10,000 to 40,000 years ago. The oldest surviving shoe is about 5,500 years old and was found in Armenia in 2010. But the history and purpose of shoes is more interesting and important than just the fashion statement they have become.
Shoes are one of the most important inventions in human history. Shoes allowed men and women to explore new terrain and prevented injuries. Without shoes, humans could not venture out into the cold and/or rocky areas of the world limiting out ability to migrate. The Roman army's caligae is an excellent example of how shoes have changed humna history. Roman soliders were provided Army issued caligae. The design of the sandal seems flimsy and inappropriate for a solider, but the this is not true. The open-air design allowed improved ventatilion so that they could be worn all day. The shoe also had a custom fit and proper leather which reduced blisters and allowed safety on a long journey (soliders were known to march up to 25 miles each day). The Roman army also had other designs that allowed protection against the cold. Closed toe boots and wool socks were common in various regions of the Roman expansion.
But even in the Roman army fashion became a big part of shoes; in fact the emperor had to ban soliders from adiing decorations or changing the color of the leather. In today's world fashion many times comes before function. Shoes such as high heels can cause alterations of the normal weight bearing surface of the foot. This change can lead to long term damage to the soft-tissue and joints of the forefoot. The risk of damage can be reduce by the use of orthotics or padding. Also, some hoe designers such as Vionics have design shoes with a function first mentaility. That does not mean that fashion suffers; instead the shoes are made fashionable around a solid functioning shoe structure. Our offices are offical Vionic Medical Retalor. Our pedorthitist team can assess your proper fit and design to ensure that you have the proper shoe gear.
Athletes are also very vunerable to injuries due to improper shoe gear. Recently, Zion WIlliamson suffered from a major shoe failure but more common is runners that develop tendonitis or stress fractures due to the use of old shoes gear. Like tires, shoes should be changed on a regular basis and this is many times based on miles not months. Athletes must also ensure that they have the proper style of shoe. The pedorthotist team is also available to assess your sport and foot type to help you select the proper shoe gear and shoe inserts. We distribute many different manufacturers such as Brooks, New Balance, and Propet.
If you are interested in seeing our pedorthotist team, call 402.391.7575; appointments are needed. We have many items in stock but some items may need to be ordered and can take up to 4 weeks to arrive.
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