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  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
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  • March 2008 | Volume 21 - Issue 3
    Babak Baravarian, DPM
    19,039 reads | 0 comments | 03/03/08
    The treatment of patients with diabetes and associated complications has been extensively studied. Over the past several decades, the treatment of foot and ankle ailments in patients with diabetes has dramatically shifted from conservative measures of “do not perform surgery” to the present day thinking that has taught us that diabetic feet are not very different from normal feet. The most common misconception with diabetic foot ailments has been that the loss of limbs is due to severe vascular problems. However, with time, we have found that vascular issues in the ... continue reading
    Bob Baravarian, DPM
    11,628 reads | 0 comments | 03/03/08
    Ankle arthritis has been the subject of much research and researchers have made a great deal of progress in this area in the past 50 years. In the past, physicians primarily treated post-traumatic arthritis, which accounts for much of the cause of ankle arthritis, with casting. This often caused malalignment and poor articular position, resulting in rapid arthritis of the hindfoot and ankle. With the advent of internal fixation and external fixation advances, proper anatomic alignment of the hindfoot and ankle has resulted in a dramatic decrease in the rate of post-traumatic ar ... continue reading
    Depressed patients have poorer adherence to diabetes treatment regimens. Depression is clinically important because it is associated with higher rates of mortality in patients with diabetes.
    James Wrobel, DPM
    8,715 reads | 0 comments | 03/03/08
    When it comes to patients with diabetes, the important roles of depression and distress have received more attention in the literature within the past year.1-6 While these topics are typically off our radar screens, having a stronger understanding of these connections can enable podiatric physicians to make meaningful differences in our patients’ lives. We care for patients in transitional health states across the continuum of care when these problems are more likely to surface. We also have more frequent contacts that can make us more sensitive and responsive to subt ... continue reading
    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
    7,020 reads | 0 comments | 03/03/08
    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