Volume 15 - Issue 11 - November 2002

News and Trends »

Heel Pain Study: Night Splints In, Stretching Out?

By Brian McCurdy, Associate Editor | 9280 reads | 0 comments

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 »

Can A Reamer System Improve First MPJ Fusions?

By Jason S. Harrod, DPM | 5971 reads | 0 comments

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 »

New Wound Gel Takes Hyaluronic Acid A Step Further

By Gina DiGironimo, Production Editor | 5479 reads | 0 comments

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



Wound Care Q&A »

Surgical Insights On Neuropathic Ulcers

Clinical Editor: Lawrence Karlock, DPM | 6431 reads | 0 comments

Neuropathic ulcers can be extremely problematic for diabetes patients and podiatrists alike. Exploring the ins and outs of surgical treatment, our expert panelists take a closer look at specific ulcers, helpful techniques, the merits of preoperative vascular testing and postoperative protocols.

Q: Do you perform prophylactic diabetic foot surgery? If yes, what are the common types of situations in which you would use this treatment option?
A:
All of the panelists consider prophylactic surgery in diabetes patients when conservative treatment options have failed to resolve an ulcer.



Feature »

Conquering Achilles Tendonitis In Athletes

By Patrick DeHeer, DPM, and Stephen M. Offutt, DPM, MS | 38664 reads | 1 comments

In a survey of professional athletic trainers and team physicians, Achilles tendonitis ranked third behind ankle sprains and plantar fasciitis as the primary presenting complaint within the athletic population.1 Additionally, it accounts for up to 18 percent of all running injuries.2 The condition is highly prevalent among runners, but it is also common in any athlete who endures repetitive high impact microtrauma.3



Feature »

Mastering Difficult Heel Ulcers

By Robert J. Snyder, DPM, CWS, and Heather Perrigo, RN | 26488 reads | 0 comments

Pressure ulcer disease represents a significant medical problem both nationally and internationally. Approximately 1.7 million people in the United States develop these maladies at an annual cost of between $2.2 billion and $3.6 billion.1 With the population aging, assisted living and nursing facilities flourishing and obesity creating catastrophic increases in diabetes and other diseases, it is likely the number of ulcerations will continue to increase.
The pressure ulcer is an area of localized damage to the skin and underlying tissue caused by pressure, sheer, friction and/or a



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