Volume 15 - Issue 11 - November 2002
Diagnostic Dilemmas »
A patient comes into the office with pain in the posterior aspect of her ankle. She doesn’t recall injuring the leg, but notes she has had the pain for over six months and that it is present at all times. An active dancer with the local ballet company, the patient adds that she experiences chronic pain when doing any form of dancing. She says the pain is far worse with high heels and ballet shoes en-pointe, but finds it more tolerable when wearing stable flat shoes.
The pain is deeper than the superficial Achilles tendon region and does not radiate to any region.
An examination of the pat
In regard to the article “Restoring Sensation In Diabetic Patients” (see pg. 38, September issue) and the editorial (see “PSSD: Assessing Its Value And Potential,” pg. 12, September issue), we have been using the Pressure Specified Sensory Device (PSSD) at the University of Texas since March of 2001. We have been pleasantly surprised with the results of the testing. It has been beneficial in both diabetic and non-diabetic patients with nerve symptoms.
The strength of the device is it allows you to look critically at the severity of nerve damage and allows earlier, more sensitive de
New Products »
Looking for a more durable antifungal medication that can give your patients better penetration?
You may want to consider Loprox Topical Suspension (TS), a new antifungal medication from Medicis. According to Medicis, the cream- based Loprox TS permeates the skin’s cracks and crevices and does not rinse off after vigorous washing and rinsing in warm water.
The company says you can use Loprox TS to treat large or hairy areas of the skin. The new cream is available in 30 and 60 mL sizes.
Product: Loprox Topical Suspension
For more information, circle 398 on your reade
News and Trends »
While plantar fasciitis is the most common cause of heel pain, there’s not exactly a universal approach when it comes to conservative treatment for this condition. Now a recent study suggests that prefabricated night splints may offer better results than the oft-recommended standing stretching in relieving symptoms of plantar fasciitis.
The open retrospective study, which was published in the July/August edition of The Journal of Foot And Ankle Surgery, revolved around 160 patients who had unilateral or bilateral plantar fasciitis. In addition to a standard treatment regimen, the re
Surgical Pearls »
There are many methods you can use to prepare the first metatarsophalangeal joint (MPJ) for arthrodesis. One of those techniques involves using a cup and cone reamer system. Using this system can be helpful, especially when there has been some trauma to the joint surface, when you’re dealing with an extremely arthritic joint with hypertrophy or when the patient has a square metatarsal head. These conditions could potentially prohibit an exact coaptation of the opposing bones.
However, the cup and cone reamer system (Howmedica) is designed to take advantage of the convexity of the first met
Technology In Practice »
As more literature surfaces about the potential benefits of hyaluronic acid in healing difficult wounds, podiatrists are starting to take a closer look at the IPM Wound Gel, a 2.5% sodium hyaluronate-based wound dressing. According to L.A.M. Pharmaceutical, the manufacturer of the product, a study found that 27 patients with 53 refractory ulcers were able to achieve an 89 percent healing rate within 25 weeks of using the gel.
Robert Snyder, DPM, says similar research on the IPM Wound Gel was conducted at the University of Miami.1
“Their data suggests the (IPM Wound Gel) may enha
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