Volume 22 - Issue 8 - August 2009

Diabetes Watch »

Is HbA1c A Reliable Test In Patients With Diabetes And Renal Disease?

Melissa L. Adams, DPM | 20069 reads | 0 comments

   Reportedly 23.6 million individuals in the United States (or 8 percent of the American population) are affected by diabetes.1 Many of those with diabetes will develop related comorbidities such as microvascular pathology in the retina, renal glomeruli and peripheral nerves. Other comorbidities include accelerated atherosclerotic microvascular disease affecting arteries that supply the heart, brain and lower extremities.2,3

News and Trends »

August 2009

4655 reads | 0 comments

Online Poll Examines Vascular Workup For Patients With Diabetes

By Lauren Grant, Editorial Assistant

   Slightly more than one-third of podiatrists surveyed in a recent online poll said they refer 10 to 20 percent of their patients with diabetes for further vascular workup.

Feature »

Issues And Answers In Staff Management

Lynn Homisak, PRT | 5410 reads | 0 comments

Managing staff members can add to the challenges that already exist in a busy podiatric practice. This author draws upon her experience to help resolve common issues such as conflicts over staff responsibilities and salary issues.

   Managing staff can be challenging. There is no doubt about it. Well, there are various reasons why it can be challenging but there are a couple of common factors when it comes to staff issues.

Point-Counterpoint »

Bunion Surgery: Should You Perform A Lateral Release?

Neal Blitz, DPM and Lawrence DiDomenico, DPM | 25146 reads | 0 comments

Yes. Neal Blitz, DPM says the lateral release is a common component of bunion surgery as it aids in bunion correction and assists with reduction of the intermetatarsal angle when surgeons combine this procedure with structural realignment of the first metatarsal.

Feature »

Essential Insights On Bioengineered Alternative Tissues

Ryan H. Fitzgerald, DPM, Paul J. Kim, DPM, and John S. Steinberg, DPM | 12820 reads | 0 comments

While bioengineered alternative tissue (BAT) products show promise in the management of complicated lower extremity ulcerations, the variety of these emerging modalities can lead to confusion on appropriate indications and proper use. Accordingly, these authors provide a timely update, suggest the use of new terminology and survey the most recent literature on the efficacy of BAT modalities.

Feature »

Keys To Conservative Care For Adult-Acquired Flatfoot

Karolina S. Varnay, DPM, and Alan Ng, DPM | 15294 reads | 0 comments

Given the common nature of adult-acquired flatfoot, these authors offer a closer look at the use of popular orthoses and braces in managing the various stages of flatfoot secondary to posterior tibial tendon dysfunction.

   A wide assortment of conservative treatment options exists for the treatment of adult-acquired flatfoot (AAF). Unfortunately, there is little research to support the use of one device over another. For many podiatrists, surgical treatment has become the mainstay of treatment for advanced posterior tibial tendon dysfunction (PTTD).