Volume 15 - Issue 5 - May 2002

Editor's Perspective »

Are Ankle Implants On The Comeback Trail?

By Jeff Hall, Editor | 3440 reads | 0 comments

Older ankle implants, initially used in the late ‘70s and early ‘80s, were failures. They either popped out, wore out or subsided into the bone. One podiatric surgeon recalls removing at least one failed ankle implant a week during his residency. Lately, however, there has been a resurgence of interest in ankle implants, although a palpable amount of trepidation and skepticism remains.
While only a handful of podiatric surgeons in the United States have used the newer implants (the Agility Ankle and the Beuchel-Pappas device), the majority believe they are more biocompatible. They are rep



New Products »

A Sharp Assessment

3525 reads | 0 comments

Are you trying to get a more accurate handle on a patient’s diabetic neuropathy?
If so, you may want to check out the SmartPen dual filament sensor from Koven Technology. It says the SmartPen combines a sterile sharp tip sensor and a replaceable, calibrated, retractable Semmes-Weinstein monofilament.
According to Koven, the sterile sensor enables you to test for sharp sensations in areas near diabetic foot ulcers. Using the 10gm monofilament helps you assess diabetic neuropathy assessment with touch-pressure sensation and is calibrated for 100 uses, according to the company. Koven adds tha



Feature »

Current Trends In Antifungal Therapy

Panelists: Warren Joseph, DPM, Aditya Gupta, MD, PhD, Benjamin Overley, DPM, Richard Pollak, DPM and Jack Rubinlicht, DPM | 20188 reads | 0 comments

Should you use a topical, an oral therapy or a combination of both? This is one of many questions that came up during an intriguing discussion of antifungals. Drawing upon their clinical experience, the panelists discuss their approaches to treating tinea pedis and onychomycosis, indications and contraindications for oral drugs, and other important aspects of prescribing appropriate, effective therapy.

Q: What do you use to treat different presentations of tinea pedis, including moccasin variety, acute vesicular and dermatophytosis complex (severe interdigital tinea)?
Warren Joseph,



Diabetes Watch »

How To Recognize Skin Disorders In Diabetic Patients

By Anthony Yung, DPM | 9694 reads | 0 comments

At least 30 percent of patients with diabetes will develop cutaneous manifestations in their lifetime.1 Given that diabetes is a systemic disease, its effects on the skin may arise from many different sources (vascular, metabolic, nutritional disturbances, infectious agents and medications). Several common skin disorders may be associated with diabetes. These include necrobiosis lipoidica diabeticorum, granuloma annulare, diabetic bullae, diabetic dermopathy, limited joint mobility and yellow skin phenomenon.
While the exact causes of most pathologic skin changes are unknown, a majority of t



Diagnostic Dilemmas »

When Medial Foot Problems Have Lateral Symptoms

By Babak Baravarian, DPM | 31989 reads | 0 comments

Lateral foot pain may be associated with problems of the lateral or medial foot. Often, if there is a problem on the medial aspect of the foot, your patient may also note that he or she has had long-term pain on the lateral aspect of the foot and ankle. Here is a common finding I see in my practice that may help you diagnose and treat lateral foot pain.
A 58-year-old female has chronic pain in the lateral aspect of her right foot. She has had the pain for six months and says it has been getting worse in the past one to two months. She recently increased her level of activity with more charity



Feature »

How To Manage Difficult Patients

By John V. Guiliana, DPM, MS, Hal Ornstein, DPM, and Lynn Homisak, PMAC | 8275 reads | 0 comments

Is there a particular patient or two you dread seeing in your office? If a vote took place among physicians as to what kind of patient provokes the most distress in healthcare providers, we would bet many providers would answer “patients who fail to comply.” In fact, providers often react with anger and frustration when patients ignore their professional recommendations.
Aside from the potential legal ramifications, a patient’s lack of compliance often triggers feelings that our professional opinion is devalued and may even cause us to begin to question our own self-worth. When our own



  • « Previous
  •  | Page 1 of 3 | 
  • Next »