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
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  • Email: jhall@hmpcommunications.com
  • March 2009 | Volume 22 - Issue 3
    Kathleen Satterfield, DPM
    12,185 reads | 0 comments | 02/27/09
       Given that neuropathy can have a complex range of manifestations, the diagnosis of the condition is not always as obvious as it initially seems. This author emphasizes the importance of a thorough diagnostic workup and the underappreciated value of communicating with the patient.    When a 62-year-old minister got a referral to see a podiatric physician for neuropathic pain and dystrophic, “dry” changes to his feet, he noted his frustration with previous physicians. He said he felt like “one of those lab rats that has been given one drug and then anoth... continue reading
    Camille Ryans
    4,922 reads | 0 comments | 02/26/09
       I recently started my indentured servitude, also known as third-year clinical rotations, and I have already picked up on some quirky behaviors from a select few patients. While sitting in one of our examination rooms on a Monday morning, it occurred to me that patients could be fabricating stories for their personal protection. Alternatively, perhaps there is just a glitch in this human interaction. A lot goes into taking an accurate history and physical. The patient and healthcare provider exchange quite a bit of information. However, the unspoken communication seems to ... continue reading

    3,328 reads | 0 comments | 02/26/09
    Orthotics For Arthritis    New orthotics may offer more options for patients dealing with arthritis.    Footmaxx Orthotics introduces a line of orthotics which targets patients with arthritis-related complaints in the lower extremity. The company says the three orthotics, called Arthritic 1, Arthritic 2 and Arthritic 3, can be beneficial for patients with varying stages of arthritis.    Arthritic 1 is for patients with early stage arthritis and is the most flexible and accommodative orthotic, according to the company. Footmaxx sa... continue reading
    Lauren Grant, Editorial Assistant
    9,653 reads | 0 comments | 02/26/09
       For podiatric surgeons looking to reduce complications, improve outcomes and facilitate less postoperative pain for patients, a new implant may prove to be more beneficial than K-wire fixation in correcting hammertoe deformities.    One may use the Smart Toe™ memory implant to help correct hammertoe deformities in toes two through five, according to MMI-USA, the manufacturer of the implant. The Smart Toe offers an implant comprised of a special alloy with shape memory properties called NiTinol. The company notes that these properties resist potential rotat... continue reading
    Bob Baravarian, DPM
    9,848 reads | 0 comments | 02/26/09
       Nerve surgery, especially tarsal tunnel surgery, has been very difficult to perform. More often than not, it is a poorly used treatment in foot and ankle care. Often, the diagnosis is difficult to make and surgical treatment may not result in the best outcomes if physicians have not emphasized careful patient selection.    To date, the most common workup for tarsal tunnel and other peripheral nerve problems has been a nerve conduction test (NCV) with or without an electromyelogram (EMG). Both of these tests have shown moderately good potential in the upper ... continue reading
    Gary Peter Jolly, DPM, FACFAS
    19,644 reads | 0 comments | 02/26/09
       Compression neuropathies of the posterior tibial nerve and its branches are a fairly common group of disorders, which are often misdiagnosed.1,2 In order to diagnose lesions of these nerves accurately, one must maintain a fairly high index of suspicion of their presentation. Relying on abnormal findings via electromyography and nerve conduction velocity testing is risky because the incidence of false negatives is quite high.2,3    In contrast, pressure specific sensory testing may produce false positive results. Although the classical ... continue reading
    Nancy R. Megas MSN, CRNP
    12,343 reads | 1 comments | 02/26/09
       We have all bemoaned non-adherent patients with out-of-control blood sugars who nod agreeably and then ignore everything we say. Not surprisingly, their wounds heal poorly and discouragement sets in with these patients. Their behavior appears to defy logic until we look at how prevalent depression and anxiety disorders are among patents with diabetes and how these disorders affect healing. The picture begins to make even more sense when we consider the effect of prolonged hyperglycemia on the brain. ... continue reading

    4,784 reads | 0 comments | 02/26/09
    Study Examines Shoelace Patterns On Running Shoes By Brian McCurdy, Senior Editor    Before hitting the track, runners must take various factors into account to streamline their performance. A recent study in the Journal of Sports Medicine explores how different shoelace patterns can affect the biomechanics of runners.    According to the study, researchers evaluated 20 experienced runners and the influence of shoelace tightness and the number of laced eyelets upon foot pronation during contact, tibial acceleration and plantar pressure di... continue reading
    Ryan H. Fitzgerald, DPM
    32,260 reads | 0 comments | 02/26/09
    Given that osteomyelitis in the diabetic foot can lead to complications such as limb loss, ensuring a proper diagnosis and timely treatment is vital. Accordingly, this author surveys the literature to review pertinent classification systems, the merits of different imaging techniques and current thoughts on the debate over conservative therapy versus surgical treatment.    The worldwide incidence of diabetes has reached nearly epidemic proportions. With this increased incidence, there has been a significant rise in the comorbidities commonly associated with the disea... continue reading
    Shaun Hafner, DPM, Nancy Han, DPM, John Aruny, MD, Jonathan J. Key, DPM, Jeff Indes, MD, Bart E. Muhs, MD, PhD, Bauer Sumpio, MD, PhD, and Peter Blume, DPM
    12,864 reads | 0 comments | 02/26/09
       Given the challenges of managing chronic wounds in patients with peripheral arterial disease, these authors offer a review of current concepts in revascularization and how these procedures may facilitate improved wound healing.    Perfusion is the most fundamental requirement to heal a wound. According to current estimates, peripheral arterial disease (PAD) affects over 12 million people in the United States and more than half are asymptomatic.1,2    As PAD progresses to advanced stages such as non-healing wounds or critical ... continue reading