Can Phenytoin Help Heal Diabetic And Venous Ulcers?

Allen Jacobs DPM FACFAS
6/20/13 | 3055 reads | 0 comments
Extemporaneous compounding offers the ability to individualize treatment for the specific needs of each patient. Frequently, compounding allows the creation of topical preparations that are otherwise not commercially available. Topical preparations can provide increased concentration within the wound as they have the ability to alter local wound dynamics and chronic wound physiology without systemic modification of the selected agents.1 Read More.

A Closer Look At Emerging Research On Plantar Fasciitis And Plantar Fibromatosis

Allen Jacobs DPM FACFAS
5/16/13 | 3963 reads | 0 comments
Here is a look at numerous recent studies on the diagnosis and various treatments of plantar fasciitis and plantar fibromatoses. Read More.

A Closer Look At The Recent Literature On Achilles Tendinosis

Allen Jacobs DPM FACFAS
4/16/13 | 2540 reads | 0 comments
Quinolone antibiotics have been implicated as associated with an increased risk of tendon pathology and rupture. Patients to whom we prescribe quinolone antibiotics should receive advice on this potential complication. Read More.

Can Chromium Supplementation Have An Impact For Patients With Diabetes?

Allen Jacobs DPM FACFAS
3/22/13 | 2242 reads | 0 comments
We are encountering diabetes with increased frequency in daily practice. The disease is associated with obesity, dyslipidemia and cardiovascular abnormalities, and appears to be approaching epidemic proportions. Insulin resistance precedes the onset of overt type 2 diabetes. Many of the currently available drugs utilized for the treatment of insulin resistance are associated with significant adverse reactions. The utilization of supplements presents an attractive opportunity to reduce insulin resistance without adverse sequelae. Read More.

Exploring The Potential Of Alpha Lipoic Acid For Diabetic Neuropathy

Allen Jacobs DPM FACFAS
2/21/13 | 3485 reads | 2 comments
The treatment of diabetic neuropathy includes management of symptoms such as paresthesia and dysesthesia as well as efforts to interdict the progression of neuropathy. Although there is much discussion regarding the positive symptoms of neuropathy, such as pain or burning, it is the negative symptoms that are frequently responsible for deformity, ulceration and limb loss. Read More.

How Topical Compounding Has Worked For My Patients

Allen Jacobs DPM FACFAS
1/15/13 | 8691 reads | 1 comments
You may have noticed the increasing presentation of the subject of topical compounded medications at our podiatry meetings. The reason for this is that the science of topical pharmaceutical compounding has advanced significantly over recent years. Read More.

The Dangers Of ‘Declaring’ Diagnoses

Allen Jacobs DPM FACFAS
12/17/12 | 1791 reads | 0 comments
The phrase “Well, I declare” is humorous when heard on television or movie entertainment portraying a stereotypical southerner. My friend and accomplished former college and podiatry school (for my colleagues who prefer to say they attended medical school, I apologize — I went to podiatry school) classmate, Marty Pressman, DPM, once commented to me that the best part of being an orthopedist is that you can “declare” a diagnosis without the necessity of certain things, such as — oh, for instance — facts. Read More.

The Power Of Words: When An Orthopedist ‘Discovers’ A Severed ‘Artery’ On The Plantar Surface Of The Toe

Allen Jacobs DPM FACFAS
11/27/12 | 2010 reads | 2 comments
A recent podiatric malpractice case for which I had the honor of serving as a defense expert was one of two recent cases (I'll discuss the second case next month) wherein I had the opportunity to examine the power or wording in an operative report. As always, I wish to share my experiences in the hopes of the readers learning something about the real world of medical malpractice. Read More.

Sounding Off On Ultrasound

Allen Jacobs DPM FACFAS
8/17/11 | 4061 reads | 6 comments
The utilization of diagnostic ultrasound by podiatric physicians has increased substantially over recent years. Diagnostic ultrasound offers musculoskeletal diagnostic opportunities, particularly for soft tissue pathology, is superior to standard radiographs and, in some instances, is equal to or superior to magnetic resonance imaging (MRI). In addition, ultrasound guided interventions such as injections offer the potential of increased efficacy by virtue of increased accuracy of site directed therapies to sites of pathology. Read More.