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
  • July 2002 | Volume 15 - Issue 7
    Camille Ryans
    4,167 reads | 0 comments | 07/26/02
       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
    47,810 reads | 0 comments | 07/26/02
    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
    Candela’s C-Beam laser offers the latest treatment of psoriatic plaque and plantar verruca.
    By Brian McCurdy, Associate Editor
    3,239 reads | 0 comments | 07/03/02
    Podiatrists looking for new ways of treating plantar verruca may want to check out a new advance in laser treatments. The C-beam is a laser that penetrates below the epidermal surface to get to the root of plantar and palmar psoriasis. Frank Russo, DPM, has been using the C-beam for several weeks to treat plantar warts and other ailments and says it’s the “newest and best thing going.” “(The C-Beam) is easy to use for us and the patients have been really receptive to it," says Dr. Russo. "If I had a plantar wart, this is how I would treat it.” Dr. Russo says the C-beam is differe... 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
    17,190 reads | 0 comments | 07/03/02
    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
    New from KCI, the VAC Advanced Therapy System is the latest model to help heal wounds.

    2,787 reads | 0 comments | 07/03/02
    Are you looking for a new advance to help promote quicker wound healing for your patients? You may want to check out Xenaderm, a new prescription ointment unveiled by Healthpoint, Ltd. According to the company, Xenaderm stimulates the capillary bed, increasing circulation in the wound site. Using the ointment helps improve epithelialization by reducing premature epithelial desiccation. Healthpoint also notes that Xenaderm acts as a protective covering for the wound. According to Healthpoint, using Xenaderm (available in 60-gram tubes) reduces the need to use multiple products since the ... 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
    40,456 reads | 1 comments | 07/03/02
    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
    A 64-year-old female with NIDDM presented with right and left leg ulcerations (as shown above).
    By Tamara D. Fishman, DPM
    6,447 reads | 0 comments | 07/03/02
    Many people with diabetes develop skin manifestations as a result of having the disease. In some instances, such skin problems may be the first sign that the patient has diabetes. Proper recognition is the key to successful treatment, but making the proper diagnosis can be difficult. Some conditions may have similar characteristics and presentations. With this in mind, test your diagnostic acumen with the following case. A 64-year-old female with non-insulin-dependent diabetes mellitus came into the office with right and left leg ulcerations. The patient’s past medical history is significan... continue reading
    By Jeff Hall, Editor-In-Chief
    2,335 reads | 0 comments | 07/03/02
    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.)

    56,184 reads | 0 comments | 07/03/02
    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
    2,893 reads | 0 comments | 07/03/02
    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