It has been a little while since I asked a clinical question of you, the readers.  I actually received a pretty good response last time and some interesting thoughts so I figured I would post a question that was recently asked of me: 

“What is your opinion on the ‘standard of care’ of the need for serial imaging (x-rays in particular but also possibly MRI or nuclear scans can be considered) in a chronic plantar wound, in a patient with diabetes?  The wound does not probe and there are no signs of clinical infection.  The wound is probably not healing because of non-adherence with off loading instructions. How often would you order the different imaging studies?”

The reason I am bringing this up to you is that I think it is a really interesting question.  What do you think?  Please respond and let me know.  After I hear from you, I will try to give you my thoughts on it.