Volume 15 - Issue 6 - June 2002

Technology In Practice »

CompuMed: A Pain-Free Alternative For Anesthesia?

By Gina DiGironimo, Production Editor | 3177 reads | 0 comments

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



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Six Ways To Achieve Practice Excellence

By Brian McCurdy, Associate Editor | 8795 reads | 0 comments

Do enough people know about your practice? Do enough primary care doctors know about your practice? Are you getting enough referrals or are most of them going to the DPM two blocks over? Several DPMs and a podiatric assistant say you have to be skilled in patient empathy, excel at staff relations and be a savvy marketer, among other things, if you want to build and sustain a thriving podiatric practice.



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Secrets To Treating Stress Fracture Of The Ankle

By Amol Saxena, DPM, and Andrew Cassidy, DPM | 142426 reads | 0 comments

Stress fractures in and around the ankle are most often due to repetitive stress. These injuries are often underdiagnosed and may be misdiagnosed as “shin splints.” In fact, the symptoms may persist for an extended period before the diagnosis of a stress fracture is even made. One reason for this is these types of injuries are often sports-related. Athletes, in general, may have a higher pain threshold and continue to exercise, which can exacerbate symptoms.
At the Palo Alto Medical Foundation, we see a predominantly athletic population in our sports medicine department. Our goal is not



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How To Diagnose And Treat Pressure Ulcers

By Tamara D. Fishman, DPM | 10561 reads | 0 comments

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



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When Injection Therapy Can Help Relieve Painful Lesions

By Gary L. Dockery, DPM | 29001 reads | 0 comments

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



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Assessing Orthotic Quality

By Arnold Ross, DPM | 7224 reads | 0 comments

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



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