Volume 21 - Issue 1 - January 2008

Forum »

Living In A Country Where There Are No Podiatrists

By Kshitij Shankhdhar, MBBS, Dip. Diab. | 2004 reads | 0 comments

     Would you believe that many centuries ago, it was a tradition in India that when a person used to visit someone, the host used to wash the feet of the guest to welcome him or her? Washing the feet of the guest was a gesture to express affection, respect and thankfulness for taking the pains of walking all the way.

     Many centuries ago, there were two childhood friends called Sudama and Krishna. They used to study together in Gurukul (an Indian village school). As time passed, they grew up and settled in different places and could not meet for many yea



Continuing Education »

Keys To Facilitating Optimal Orthotic Success

By David Levine, DPM, CPed | 1852 reads | 0 comments

Please click here for the full Continuing Medical Education article:

http://www.naccme.com/program/n-122/

In order to enhance one's ability to prescribe custom orthoses, this author emphasizes a thorough exam, a focused evaluation of the patient's footwear, accurate impressions and fabrication, and key nuances to maximizing the effectiveness of modifications.



News and Trends »

Is There A Link Between CT Scans And Higher Cancer Rates?

By Brian McCurdy, Senior Editor | 8872 reads | 0 comments

     Physicians reportedly obtain over 60 million computed tomography (CT) scans each year in the United States. However, a recent study in the New England Journal of Medicine (NEJM) suggests that CT scans may be linked to an increased risk of radiation exposure and cancer.

     Citing evidence from epidemiologic studies, the authors of the NEJM article indicate that organ doses from a common CT study, consisting of two or three scans, may result in an increased risk of cancer.

      “As compared with plain film radiography, CT invo



Diabetes Watch »

Essential Questions For Surgical Intervention Of Diabetic Foot Infections

By Andy Meyr, DPM | 12849 reads | 0 comments

     Dedicating oneself to the side of limb salvage in the fight against diabetic foot disease is a demanding and personally challenging enterprise. In the face of infection, it often seems as though all variables are against the surgeon and the patient as they both struggle against the possibilities of proximal amputation and limb loss. In fact, it often appears as though the only constant is the unpredictability of the disease progression.

     However, expert knowledge in lower extremity anatomy is one of the most valuable tools that one can have in this fi



Wound Care Q&A »

Expert Insights On Treating The Wounded Charcot Foot

Clinical Editor: Lawrence Karlock, DPM | 14008 reads | 0 comments

     Treating a wound on a Charcot foot can be a challenge. Our expert panelists discuss the diagnosis of acute Charcot, the management of Charcot and Charcot-related wounds, indications for exostectomy and keys to facilitating a return to weightbearing.

     Q: How do you diagnose an acute Charcot foot? Do you use any ancillary testing?

     A: Most of the time, Geoffrey Habershaw, DPM, diagnoses acute Charcot by combining the patient’s history and physical with simple tests.
     Dr. Habershaw, Lawrence Lavery, DP



Surgical Pearls »

Pertinent Insights On Treating Lapidus Nonunions

By Graham A. Hamilton, DPM | 10779 reads | 0 comments

     Nonunion is a well-documented potential complication of the Lapidus arthrodesis. It reportedly occurs anywhere from 3.3 percent to 12 percent of the time, and is a very challenging problem to fix.1-7

     Granted, a strict definition of nonunion and timeline for classifying a nonunion varies from one surgeon to another. However, for the purpose of this discussion, nonunion has both clinical and radiographic definitions. Nonunions involve the failure of bone healing at the fusion site after six months, broken hardware or both. A clinical nonunio



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