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  • Executive Editor/VP-Special Projects:
    Jeff Hall
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    Brian McCurdy
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    Bonnie Shannon
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  • 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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  • September 2002 | Volume 15 - Issue 9
    This woman has rheumatoid vasculitic ulcers on both of her legs. Dr. Karlock says he has used growth factors with success on vasculitic ulcers.

    10,411 reads | 0 comments | 09/03/08
    The array of wound care products can be quite astounding. Choosing the right product(s) for your patient can be difficult. With this in mind, our panelists, strongly emphasizing case-by-case management, share their experiences, success stories and caveats with certain wound care products. Read on for what five expert panelists had to say about treating neuropathic ulcers, when to use growth factors and the role of wet-to-dry dressings. Q: What wound care products do you use on the diabetic neuropathic ulcer? A: All of the panelists agree that appropriate product selection is done on ... continue reading
    By John McCord, DPM
    2,017 reads | 0 comments | 09/03/08
    I usually enjoy my work. My office is efficient. The patients appreciate our help. My staff is like family. Most weeks go by fast and end upbeat. Last week was an exception. The efficient office self-destructed when the computer medical billing program died. Something corrupted all the financial data and it vanished. The backup tapes were disabled. Neither the software support guy nor the hardware technician could bring it back to life. The vascular surgeon with whom I have shared space for the past four years suffered a major bout of burnout and left practice last week. He is 44 and looks 60... continue reading
    Here is a follow-up view of the same patient. Three weeks later, the eruption had cleared with twice daily application of ciclopirox 0.77% cream.
    By James Q. Del Rosso, DO, FAOCD
    17,182 reads | 0 comments | 09/03/08
    Dermatoses of the lower extremities are fairly common.1 These conditions include infectious, inflammatory, vascular, neoplastic and traumatic dermatoses. Many dermatologic conditions (i.e. psoriasis, lichen planus) that exhibit the potential for widespread distribution can be prone to occur on the legs, ankles or feet in some patients. Other disorders characteristically involve the lower extremities. For example, dyshidrotic eczema and pitted keratolysis are examples of dermatoses that involve the plantar surface of the foot. ... continue reading

    5,421 reads | 0 comments | 09/03/08
    It was with great incredulity that I read the article by Dr. Barrett entitled “A Closer Look At Endoscopic Plantar Fasciotomy” (see the May issue, pg. 38). He writes: “Prior to the development of endoscopic foot surgery, there was a strong desire not only to find a better, less invasive method to treat … plantar fasciitis surgically … Indeed, the standard of care … has changed radically since the … EPF.” The inference here, of course, is that after EPF, that desire has been fulfilled and it is now the standard of care. The truth is that in the facilities where I perform surger... continue reading
    Athletes often injure their toes on artificial turf, as seen here. The condition known as turf toe often requires taping and a turf toe plate.
    By Richard T. Braver, DPM
    8,618 reads | 0 comments | 09/03/08
    High contact. High intensity. It’s no surprise that many injuries occur on the football field. An injury may occur as an athlete is blocking an opposing player or as he is being tackled by another player. Other injuries may occur when players either sprint downfield, make sharp cuts to avoid being tackled, or make other movements that involve much rotation in order to catch or deflect the football. Playing surfaces can also lead to injuries (see “Artificial Turf Vs. Natural Grass: Which Is Better?” on page 48). Certainly, the first metatarsal phalangeal joint is one of the most injured ... continue reading
    By Pamela M. Jensen, DPM
    6,614 reads | 0 comments | 09/03/08
    Diet and exercise are essential for blood sugar management and are subject of much frustration for the diabetic patient and the physician. With each visit to the physician’s office, the patient has to anticipate the stern lecture about exercising, controlling his or her diet, abstaining from sweets, and testing his or her sugars regularly or face the multitude of complications from diabetes. In addition, physicians may also give a patient a handout with the recommendations from the American Diabetes Association. But does this method work? King and Armstrong studied the effectiveness of thi... continue reading
    Here is a close-up view of moderate onychomycosis.
    By Aditya K. Gupta, MD, PhD, and Jennifer Ryder, HBSc
    10,904 reads | 0 comments | 09/03/08
    Onychomycosis is a common nail infection, which is often chronic, difficult to eradicate and tends to recur.1 Current therapeutic approaches include mechanical or chemical avulsion, topical therapy, oral therapy or a combination of one or more of these treatment modalities. Treatment of onychomycosis has improved greatly with the addition of broad-spectrum oral antifungal agents and topical nail lacquers. However, even with the therapeutic advances, onychomycosis continues to increase in prevalence, treatment is not always successful, and relapse and reinfection may occur even after... continue reading
    Here is a chronic tear of an Achilles tendon.
    By Babak Baravarian, DPM
    22,118 reads | 0 comments | 09/03/08
    Chronic posterior ankle pain is a very difficult problem for foot and ankle surgeons. Given the multiple potential tendinous and osseous causes of pain, doing a proper diagnostic workup is essential for proper care. With this in mind, let’s consider the following case of a 52-year-old Caucasian male who presents with chronic pain and weakness of the posterior ankle. A computer salesman with an avid love for golf and tennis, the patient plays tennis on the weekends and golf at least once a week for business. Approximately two months ago, while playing tennis, he began to feel pain in the ... continue reading
    By Steven D. Chinn, DPM, MS
    5,201 reads | 0 comments | 09/03/08
    All medical practices are essentially small enterprises, not very different from any of the Fortune 500 companies. Practices generate revenue by providing services or selling products. They also have expenses for staff, rent, equipment and insurance. There are also elements of marketing, finance, human resources, etc. Like all companies, podiatric practices are challenged by inefficiency and the desire to continue improving on their profit margins. When the typical private practitioner hears phrases such as “Quality Improvement,” “Total Quality Management (TQM)” or “Process Enhancem... continue reading
    Langer introduces the L.XCEL orthosis with computer-aided technology for 
custom orthotics.

    4,336 reads | 0 comments | 09/03/08
    Looking for a custom orthotic that will improve the gait of your patients? Look no further than the Langer L.XCEL orthotic line, which minimizes energy consumption and absorbs forces created by weight stress transmission during gait. According to Langer, the new orthoses are the result of computer-aided technology that is used to evaluate patient models and create custom orthotics from two proprietary materials: LangerFlex and LangerZorb. Langer notes the L.XCEL orthotics are made from either a plastic cast or foam impression, and are value-priced at $55. For an additional charge, patie... continue reading