Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
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    Brian McCurdy
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    Bonnie Shannon
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    Alana Balboni
  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
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  • July 2002 | Volume 15 - Issue 7
    Camille Ryans
    3,643 reads | 0 comments | 06/26/09
       There is a tendency for people to fear the unknown. Unfortunately, stereotypes abound about the incapability of the podiatric profession. It is up to everyone involved in the field directly or indirectly not to perpetuate this way of thinking.    Bias towards podiatry is a double-edged sword. On one side, the laypeople are constantly questioning the profession. ... continue reading
    Here is a postoperative view of the fixation with the shortened second metatarsal.
    By Thomas Cusumano, DPM
    44,924 reads | 0 comments | 09/03/08
    Metatarsalgia may develop from osseous, neurological, vascular or dermal etiologies. The causes are numerous and commonly involve a cavus foot structure, a long second metatarsal, short first metatarsal, hypermobile first ray, iatrogenic pain from forefoot surgery or manifest from a rheumatology-induced systemic disease. When symptoms persist, you may see callus lesions develop under the affected metatarsal. Keep in mind that these lesions can lead to stress fractures and compensation-induced pains in the lower extremity and back. ... continue reading
    This portrays a typical venous stasis ulcer. Note the location—medial malleolar—and the associated hemosiderosis, dermatitis and brawny edema.
    By Richard M. Stillman, MD, FACS
    14,907 reads | 0 comments | 09/03/08
    About four of 1,000 people will develop a leg ulcer during their lives, but the prevalence of leg ulcers rises dramatically with age, increasing to about 1 percent in people over the age of 60 and 2 percent in people over the age of 80. In the U.S., about 3 million people suffer from leg ulceration, costing an annual $4 billion in treatment costs and losses of over 2 million days from work. In general, diagnosing the cause of leg and foot wounds requires examining the wound, the extremity and the patient. Let’s start by taking a look at venous problems. Any disease state that leads to ven... continue reading
    By Robert Smith
    8,038 reads | 0 comments | 09/03/08
    Unfortunately, it doesn’t always work out and the staffer you thought to be perfect for your team winds up bringing down your practice in some significant way. It is when you recognize that you must fire the employee that the real work of managing your office truly begins. Indeed, with the increasingly litigious nature of our era, firing staffers has become a problematic process, fraught with many legal and ethical landmines. “We all know how to terminate someone,” notes Hal Ornstein, DPM, who has a private practice in Howell, N.J. “It’s not hard to say ‘You’re fired.’ The id... continue reading
    By Patrick Agnew, DPM
    5,455 reads | 0 comments | 09/03/08
    Is the term “overuse injuries” really appropriate? After all, many so-called “overuse” injuries of the lower extremity are unilateral. In most cases, the right foot is used just as much as the left foot so the term becomes illogical. Perhaps stress failure phenomena would be a more accurate description of these injuries. Some examples of mechanisms leading to stress failure problems include repetitive motion, repetitive loading and repetitive impact. Your patients might encounter repetitive motion injuries in endurance sports like swimming or sports such as cross-country running or b... continue reading
    Here you can see a status post open first ray amputation. Panafil treatment has been initiated.
    By Jonathan Moore, DPM, MS, A. Patti Smith, MD, and John S. Steinberg, DPM
    16,121 reads | 0 comments | 09/03/08
    The wound is in constant evolution. Changes arise and you need to be able to respond accordingly in your treatment course. Indeed, understanding the biochemical dynamics of wound healing is vital for proper product selection (see “Understanding The Phases Of Wound Healing” on page 42). The challenge to the practitioner is to have the knowledge base with which to sort through the thousands of topical agents and dressings available today. Insights On Topical Agents With Collagen Let’s start out with a discussion of the biologic topical agents that contain collagen. Collagen hastens wou... continue reading
    Here you can see a large, complex diabetic foot wound after emergent intraoperative debridement.
    By Brian Short, DPM, Matthew Claxton, DPM, and David G. Armstrong, DPM
    37,974 reads | 1 comments | 09/03/08
    Chronic wounds such as diabetic foot ulcers, venous stasis ulcers and decubitis ulcers are leading causes of morbidity and mortality in elderly patients and significantly contribute to health care costs.1-4 Wounds of these types often lead to complications such as infection and amputation.5-7 The ADA currently reports diabetes is prevalent in at least 17 million Americans, many of whom do not know they have the disease. Of these, approximately 15 percent will experience a foot ulcer or other complication requiring hospitalization during the course of the disease.8, 9 Similarly, venous wounds... continue reading
    By Jeff Hall, Editor-In-Chief
    2,118 reads | 0 comments | 09/03/08
    New figures from the Centers For Disease Control (CDC) continue to cast a sobering view on treating diabetes in the years to come. Now there are 17 million Americans who have the disease and nearly six million of them are unaware they have the condition, according to CDC estimates. The prevalence of the disease, the sixth-leading cause of death in the United States, has increased 33 percent in the last decade. Even more troubling is the fact that the demographics of the diabetes population are growing wider. The CDC notes that over a million new cases will be diagnosed each year among patien... continue reading
    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. (Photo courtesy of Tamara Fishman, DPM.)

    50,110 reads | 0 comments | 09/03/08
    Many leading researchers and wound care practitioners have shown that one of the most important elements in treating wounds is performing regular debridement of tissue (such as eschar) which interferes with wound healing. Timothy Shea, DPM, says the standard approach is to initially debride eschar (and other non-viable tissue) until you get down to good viable tissue and do subsequent debridement every seven to 10 days until you see good granulation tissue. But what about the presence of black eschar? According to Alexander Reyzelman, DPM, there is a bit of controversy over whether you should... continue reading
    By John McCord, DPM
    2,664 reads | 0 comments | 09/03/08
    I graduated from podiatry school and went through residency in the mid-‘70s, about the same time power instruments were introduced to podiatric surgeons. We wore grounded booties and used noisy nitrogen-driven drills. When you walked past an O.R. with a foot case going, it sounded like a Black & Decker convention. We loved our power instruments. The problem with these new tools was young podiatrists became totally dependent upon nitrogen- and later electrically-powered drills, saws and wire drivers. Hand tools like osteotomes and mallets were retired to hospital storage closets. The new bre... continue reading