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
  • June 2002 | Volume 15 - Issue 6
    Here you can see a pressure ulcer of nine months duration with eschar formation on the left heel. The patient has a history of prostate cancer and peripheral vascular disease.
    By Tamara D. Fishman, DPM
    11,592 reads | 0 comments | 06/03/02
    Currently, over 34 million Americans are age 65 and over. This figure is expected to double to over 68 million by the year 2030. As a result, there has been a tremendous growth in nursing homes and the related federal regulations that oversee these facilities. Pressure ulcers are particularly problematic in this patient population. According to the Agency for Health Care Policy and Research (AHCPR) guidelines, the incidence of pressure ulcers (often referred to as bedsores) in long-term care facilities was estimated to be as high as 23 percent in 1989. Pressure ulcers (also called decubitus... continue reading

    90,358 reads | 2 comments | 06/03/02
    Using rearfoot posts on custom foot orthoses has become a mainstay of orthotic therapy in podiatry. However, it has been shown that measuring neutral position of the subtalar joint via inversion and eversion of the calcaneus is flawed in terms of its reproducibility. Studies concerning whether neutral position of the subtalar joint is a viable method of assessment have questioned the foundation of podiatric biomechanics. Yet in offices around the world, the 4-degree varus rearfoot post seems to be a standard approach. With this in mind, our expert panelists offer their take on this issue. ... continue reading
    For this painful heloma durum (HD), the author injected the underlying bursal area with 1/2 mL of betamethasone sodium phosphate.
    By Gary L. Dockery, DPM
    32,168 reads | 0 comments | 06/03/02
    There are a number of keratotic and painful lesions that form on the weightbearing and pressure areas of the foot. You’ll often find that many of these conditions won’t respond to simple debridement and padding, and ultimately prove to be difficult to treat. In general, hyperkeratosis indicates an increased keratinocyte activity resulting from stimulation of the epidermis by intermittent or increased pressure. Abnormalities in keratinization may represent thickenings, which are commonly referred to as corns, calluses, helomas, hyperkeratoses or tylomas. However, be aware that several unre... continue reading
    By Mark A. Caselli, DPM
    27,967 reads | 0 comments | 06/03/02
    A 14-year-old male athlete comes into your office with a chief complaint of ankle pain. He says he had the pain right after a soccer match. His parents and coach concluded that he had sprained his ankle. However, despite treatment, which consisted of rest, ice and the use of an Ace wrap, the patient’s pain continued for two months. He has pain in his ankle when standing and walking, and is not able to run or return to play. Upon further questioning, you find out that neither his foot nor his ankle were ever swollen or ecchymotic, and he cannot recall an exact instance of twisting his ankle... continue reading
    The shape of the orthotic plate should match the shape of the plantar aspect of the foot with the STJ in neutral position and the MTJ(s) pronated and locked.
    By Arnold Ross, DPM
    7,916 reads | 0 comments | 06/03/02
    Numerous patients use orthotics and have improved foot function as a result of wearing them. Not only do they experience relief from previous pain and symptoms, but wearing orthotics also helps to prevent recurrence of foot, leg and other skeletal pains and conditions. Unfortunately, there are also numbers of patients who are either unable to tolerate their orthotics or are not getting symptomatic relief. We are often asked to evaluate many of these patients and assist them in getting better results from their orthotics. People may hear about orthotics in different ways, whether it’s throug... continue reading
    By Jeff Hall, Editor
    1,791 reads | 0 comments | 06/03/02
    Sometimes, it’s the subtle comment that gives you pause. Shortly after giving a lecture at a recent conference, a DPM found out that a particular company had sponsored the series of lectures he had participated in and he expressed regret. “If I had known (the company) was sponsoring the lecture, I would have mentioned their product.” Then there are the more outrageous examples of drug company influence, like the one captured in an éxpose on ABC’s Primetime earlier this year. On the program, a doctor revealed that he had received approximately $10,000 worth of freebies from var... continue reading
    By Pamela M. Jensen, DPM
    26,139 reads | 0 comments | 06/03/02
    Post-surgical hypertrophic bone formation can be a frustrating problem. It has been identified at fracture, osteotomy and amputation sites. The majority of patients with hypertrophic bone formation are largely asymptomatic and practitioners often identify the condition via radiographs they get for other pathologies. However, those who are symptomatic often have a problematic non-healing wound at the site and can complain of pain, swelling or even decreased range of motion if a joint is involved. Most of the literature addresses hypertrophic bone formation as a complication associated with ac... continue reading
    New from Bianco Brothers, the Suture Shears reportedly allow you to remove sutures quickly and effortlessly.

    4,111 reads | 0 comments | 06/03/02
    As a sign of the technology times, MediNotes recently introduced the most updated version of its Charting Plus software. The Charting Plus Version 4.2 features updated components and enhanced functionality for all your electronic medical recordkeeping. Some of the revisions to the software include new ways to format note text, an enhanced chief complaint section and tables that you can now lay out in rows and columns. New customization allows you to add new folders to the Object Explorer and referral letters now have custom layouts. An image and graphics tool allows you to store digital ima... continue reading
    By John McCord, DPM
    2,786 reads | 0 comments | 06/03/02
    I received a letter last week about another crisis approaching podiatry. The letter was from my insurance company and it warned that premiums were going up because of the malpractice crisis. In my mind, malpractice isn’t a crisis until I become a defendant. In 27 years, I have not had that pleasure. Yet. I review closed claims for my state podiatry licensing board. I have not noticed an increase in the number of claims but the settlements and jury awards are climbing like a homesick angel. Twenty years ago, a $75,000 settlement was shocking. The last case I saw had a $1.3 million jury verd ... continue reading
    The CompuMed system, featuring the Wand from Milestone Scientific, may offer a less painful alternative to traditional anesthesia.
    By Gina DiGironimo, Production Editor
    3,599 reads | 0 comments | 06/03/02
    Many patients are fearful of the pain and pinching associated with syringes and needles. Often, the anticipation of the anesthetic needle causes more discomfort and distress than the procedure itself. Milestone Scientific recently introduced an alternative to the traditional anesthetic needle injection that may reduce the pain and anxiety needles cause. The CompuMed system delivers computer-controlled anesthesia, which you can regulate. The system features a slow injection mode and a fast injection mode. The company says the system’s microprocessor automatically delivers safe and effective... continue reading