Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
  • Senior Editor
    Brian McCurdy
  • Circulation and Subscriptions
    Bonnie Shannon
  • Art Director:
    Alana Balboni
  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
  • Telephone: (800) 237-7285, ext. 214
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • March 2008 | Volume 21 - Issue 3
    In regard to patients with painful diabetic neuropathy, the authors assessed the effect of a nutritional supplement for eight parameters of pain, numbness and perceived impairment.
    Clinical Editor: John S. Steinberg, DPM
    6,448 reads | 0 comments | 09/03/08
    Diabetic neuropathies are a consequence of long-term hyperglycemia and occur in patients with type 2 diabetes, usually those who are 40 years of age or older. Diabetic neuropathy may occur regardless of whether a patient has insulin-dependent or non-insulin dependent diabetes. Bear in mind that diabetic neuropathy may have a variety of clinical characteristics. Patients may have a symmetric or asymmetric presentation. They may have sensory or autonomic neuropathy. ... continue reading
    John H. McCord, DPM
    3,232 reads | 0 comments | 09/03/08
    A fellow podiatrist recently called and wanted my advice on what to do after retirement. In the course of our conversation, we talked about our journey during the first years of practice. He commented that he had struggles with discrimination by hospitals. He assumed that I had these problems based on my previous “Forum” columns. I assured him that I did have challenges but never considered them interesting enough to write about. However, the call did spark my curiosity so I dug out an old file titled “Hospital Privileges Fiasco.” It contained letters that I wrote and... continue reading
    Here one can see a diabetic foot ulcer (DFU). Peripheral arterial disease is cited by the panelists as a key risk factor for the development of these ulcers. The panelists emphasize the importance of a multidisciplinary team in preventing DFUs.
    Clinical Editor: Lawrence Karlock, DPM
    16,135 reads | 0 comments | 09/03/08
    When it comes to patients with diabetes and lower extremity ulcers and complications, what does the evidence-based medicine say about high-risk patients and proactive prevention? These panelists examine risk factors for ulcerations, appropriate screening and offer their thoughts on what works and what does not work in terms of prevention. Q: What does evidence-based medicine show in regard to who is at risk for limb loss and foot ulcerations? A: Thomas Zgonis, DPM, says approximately 15 percent of patients with diabetes will experience a... continue reading
    Kathleen Satterfield, DPM, FACFAOM, FAPWCA
    4,801 reads | 0 comments | 09/03/08
    The patient with diabetic neuropathy is truly overwhelmed. He or she has gone through the discovery of the disease and perhaps a subsequent refusal to believe it. The patient may not have been following the diet or medication regimen, and now he or she is facing neuropathy and other complications. These patients are now facing decisions about shoes, medications and perhaps even surgical decisions. There may have been career changes, difficulty paying bills and even shifting relationships. ... continue reading
    Here one can see a community-acquired MRSA infection in a college athlete with excoriation. Repeated close physical contacts and skin injuries such as cuts and abrasions put athletes at an increased risk for CA-MRSA infections.
    Guy Pupp, DPM, FACFAS, and Carmen B. April, DPM
    26,656 reads | 0 comments | 09/03/08
    In the past few months, we have heard numerous reports in the news about a “new super bug” that is resistant to conventional antibiotics and is sweeping through high school sports locker rooms and classrooms. The alleged new super bug is methicillin resistant Staphylococcus aureus (MRSA) and, more specifically, community-acquired MRSA (CA-MRSA). However, MRSA is not a new type of bacteria that has suddenly appeared in the community. The organism has actually been around for quite a few decades. In 1941, all S. aureus isolates were suscept... continue reading
    Keywords:

    4,391 reads | 0 comments | 09/03/08
    A Unique DressingA new dressing attacks wounds from more than one angle. Biostep™ Ag Collagen Matrix Dressings use a unique dual-action approach to target and deactivate excess matrix metalloproteinases (MMPs), according to the manufacturer Smith and Nephew Wound Management. The company says the dressings also use the antimicrobial effects of silver to minimize the chance of infection. Smith and Nephew says Biostep has a six-day wear time and is more absorbent than other dressings. ... continue reading
    Ronald A. Sage, DPM
    16,754 reads | 0 comments | 09/03/08
    A diabetic patient on dialysis presented with a non-healing great toe wound with exposed bone. A study submitted to the SAWC found a 19.5 annual incidence of ulceration in diabetic patients on hemodialysis.
    Brian McCurdy, Senior Editor
    4,629 reads | 0 comments | 09/03/08
    Two abstracts, which will be presented at the upcoming Symposium on Advanced Wound Care (SAWC), seek to address the impact of dialysis upon diabetic wound healing and the long-term mortality rates of those who undergo non-traumatic amputation. For the one abstract’s retrospective review, researchers evaluated 150 patients with diabetes on hemodialysis. These patients had 30 months of follow-up for foot ulcers, infections, amputations and death. The abstract authors sought to determine if the patients received “standard preventative care” consistent with patien... continue reading
    Here one can see a hallux ulcer in a foot with hallux limitus. The ulcer healed in two months after surgeons performed a Keller arthroplasty to reduce the plantar pressure.
    Lee C. Rogers, DPM
    11,554 reads | 0 comments | 09/03/08
    The World Health Organization and the International Diabetes Federation have stated that up to 85 percent of diabetic lower extremity amputations are preventable. There are approximately 82,000 diabetes-related lower extremity amputations (LEA) annually at an estimated cost of over $11 billion.1,2 Eighty-five percent of amputations are preceded by a foot ulcer.3 Diabetic foot ulcers are caused by neuropathy, deformity and repetitive microtrauma.4 The treatment of diabetic foot ulcers may cost the United States healthcare system as much as $19 billion ... continue reading
    This MRI is of a 48-year-old patient who presented complaining of numbness in the ball of his right foot. He said he had more pain with rest than with activity.
    Dina Stock, DPM, Cory Baxter, DPM, James Sferra, MD, Christopher Herbert, DPM, and Elizabeth Baracz, BS
    23,235 reads | 0 comments | 09/03/08
    Tarsal tunnel syndrome is an entrapment of the posterior tibial nerve or its branches within the tarsal tunnel.1 This syndrome is most frequently unilateral as opposed to carpal tunnel syndrome in the upper extremity, which is typically bilateral.2 Keck and Lam first described the term “tarsal tunnel syndrome” in 1962.3,4 Malaisé first described the clinical signs and symptoms of tarsal tunnel syndrome in 1918. Some of the symptoms include numbness or tingling in the soles of the feet and toes or a burning pain in the ankles.... continue reading