Volume 21 - Issue 11 - November 2008

Diabetes Watch »

Emphasizing The Multidisciplinary Approach To Diabetic Limb Salvage

Melissa Adams, DPM, and John S. Steinberg, DPM | 10784 reads | 0 comments

   The prevalence of individuals with diabetes continues to rise. The disease now affects nearly 24 million Americans or 7.8 percent of the population of the United States.1 Consequently, the demand for diabetic foot care continues to increase and this is exemplified by the one-year incidence of newly occurring ulcerations in patients with diabetes ranging from 1 to 2.6 percent. 2

   It is important to realize that foot ulcers occur in 12 to 25 percent of patients with diabetes and ulcers precede 84 percent of all non-traumatic amputation



News and Trends »

News and Trends

Brian McCurdy, Senior Editor | 5817 reads | 0 comments

Study Suggests Benefit Of Conservative Surgery For Diabetic Foot Osteomyelitis

Could conservative surgery have an impact in treating osteomyelitis in the diabetic foot? A recent study published in Diabetologia found that surgery without amputation was successful in nearly half of the patients with diabetic foot osteomyelitis.

   In the study, researchers assessed 185 consecutive patients with diabetic foot osteomyelitis and histopathological confirmation of bone involvement. Histopathological analysis revealed that 50.8 percent of patients had acute osteomyeliti



Continuing Education »

Managing The Jones Fracture In Active Patients

Christopher R. Corwin, DPM, MS | 2594 reads | 0 comments

Please click here for the full Continuing Medical Education article:

www.naccme.com/program/2008-pd-11/

Given the challenges of diagnosing Jones fractures to the fifth metatarsal and facilitating a timely return to sports activities, the author offers insights on injury classification schemes and pertinent pearls on conservative treatment. The author also offers a step-by-step guide to surgical management and post-op care.



Feature »

Current Concepts And Controversies With In-Office Dispensing

John V. Guiliana, DPM, MS | 10864 reads | 0 comments

While there are a variety of perceptions about the nature of in-office dispensing, this author addresses key issues and says it can be a valuable addition to one’s practice for physicians and patients.

     One of the hottest debates in podiatric medicine involves the process of dispensing products to patients. Many feel that dispensing ancillary products provides patients with a plethora of value while opponents argue that dispensing is only a source of physician profit.

     Products that are currently being dispensed by podiatrists include mois



Feature »

A Guide To Conservative Stabilization Of The Neuromuscular Foot

Dennis Janisse, CPed, and Erick Janisse, CPed, CO | 14651 reads | 0 comments

Given the difficulties of managing neuromuscular conditions in the lower extremity, these authors offer key insights on the use of orthoses, shoe modifications and bracing devices for treating dilemmas ranging from lateral ankle instability to dropfoot.

     The neuromuscular lower extremity presents a variety of challenges for the podiatrist, pedorthist, orthotist and physical therapist. Accordingly, one should have a strong understanding of the role of conservative stabilization for patients who have neurological deviations and deficits that may be caused by a variet



Feature »

When Lateral Band Injury Leads To Plantar Fasciitis

Lisa M. Schoene DPM, ATC, and Brian R. Kincaid, DC | 43205 reads | 0 comments

Although podiatrists commonly encounter plantar fasciitis, injuries to the lateral band of the fascia are less frequently diagnosed. These authors offer anatomical insights, pertinent diagnostic pearls and key tips on treatment options.

     When we think of heel pain, we traditionally think of the anatomy, etiology and the symptomatology of “medial band plantar fasciitis,” and do not give much thought to the lateral band. However, injury to this band does exist both at the calcaneus and at the insertion point at the plantar aspect of the fifth metatarsal base. The