Volume 15 - Issue 5 - May 2002

Diabetes Watch »

How To Recognize Skin Disorders In Diabetic Patients

By Anthony Yung, DPM | 9667 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 | 31884 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 | 8258 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



Feature »

A Closer Look At Endoscopic Plantar Fasciotomy

By Stephen L. Barrett, DPM | 41887 reads | 0 comments

Prior to the development of the first endoscopic foot surgery, there was a strong desire not only to find a better, less invasive method to treat recalcitrant mechanical plantar fasciitis surgically but also to develop a more universally consistent surgical approach to what has been labeled an “endemic problem.” Indeed, the standard of care regarding the surgical management of the heel pain has radically changed since the introduction of the endoscopic plantar fasciotomy (EPF).
In 1990, there was an almost universal perception within the podiatric community that the spur was the primary c



Forum »

Emphasizing The Concerns Of Podiatry Students

By Megan Lawton | 4252 reads | 0 comments

I have always loved sports and knew I wanted to be able to treat athletes’ anomalies medically. I participated in many sports up through college. Whether I was playing volleyball, fastpitch games or doing a triathlon, I found that athlete anomalies typically involved the foot and ankle. I found the podiatry profession fit my life. Not only could I treat athletes and others, I could incorporate surgery into some treatments.
After I decided to pursue podiatry as a career, I started thinking about my future. I’m not alone. As the podiatric profession continues to evolve, students often wond



Feature »

Distal Tibia: Is It The Best Source For Bone Graft?

By Jesse Burks, DPM, MS | 9051 reads | 0 comments

Numerous primary and revisional surgical procedures mandate using either osseous autografts or allografts. Although allografts continue to increase in popularity, most podiatric surgeons will agree that autografts offer distinct advantages in healing and are preferable when possible. In comparison to autogenous grafts, allografts help facilitate an absence of donor site morbidity, unlimited supply and decreased surgical time. However, autografts provide numerous benefits such as host compatibility, viable precursor cells and superior immunologic properties.1,2
As with any surgical procedure