Volume 16 - Issue 1 - January 2003
Wound Care Q&A »
As Aristidis Veves, MD and Thanh Dinh, DPM, point out, it is well-known that the chronic diabetic foot ulcer is stuck in the inflammation phase of the wound healing cycle. Research studies have shown that non-healing wounds may have specific biochemical imbalances, notes Liza Ovington, PhD. In particular, non-healing wounds have been shown to have excessively high levels of proteolytic enzymes such as matrix metalloproteases (MMPs).
While these enzymes are necessary in various aspects of the healing process, such as cellular migration, debridement and phagocytosis, Dr. Ovington notes that hi
While the great majority of hallux valgus deformities can be accommodated with a wide toe-box shoe, secondary deformities, such as painful hammer digit syndrome and metatarsalgia, coupled with patient demands, often drive the need for operative intervention. In addition, some individuals are averse to wearing any type of special shoes and wish to have the deformity corrected rather than accommodated.
When an operation is indicated in your opinion and in concert with the patient’s wishes, the goals for the ideal hallux valgus operation are as follows:
• joint congruity with full, pain-fre
Continuing Education »
In our profession, we do not receive extensive training in medical nutrition and its link to wound healing and the prevention of infections. Most podiatric and medical school curriculums devote only a limited amount of time to nutritional instruction for their students. Granted, podiatrists are aware of the nutritional requirements for the diabetic patients. Preoperatively, we usually work alongside an internist or primary care physician to help these patients balance their insulin and glucose levels during and after the foot surgeries.
While several large orthotic laboratories have offered AFOs for over 20 years, the increasing demand for the devices has become a significant phenomenon in the podiatric field. Why have podiatrists turned to AFOs more and more in recent years? There are three key reasons that have caused this shift in treatment.
First, there has been a meteoric rise in the number of patients who have challenging foot and ankle pathologies. Two of these pathologies, adult acquired flatfoot secondary to posterior tibial tendon insufficiency and diabetic Charcot’s arthropathy, have disappointing treatment re
It had long been assumed that many medical practices (including podiatric practitioners) were lagging behind in complying with then-forthcoming HIPAA regulations. The actual figures released after the recent October deadline confirm those assumptions.
The Centers for Medicare and Medicaid Services (CMS) indicate about 550,000 health care organizations filed for a one-year extension to delay HIPAA compliance. “It had previously been estimated that there were more than 2 million physician practices and other clinical Level 1 entity groups impacted by the law,” according to Dr. David Marcink
Editor's Perspective »
Perspective. They say it comes with age and is the result of an ongoing culmination of life experiences. It is the hope that as we develop this sense of wisdom, we’ll be better equipped to make smarter choices and decisions that may have a lasting impact.
However, no matter how much perspective we have, the gravity of economic realities has a way of derailing our long-term view. Certainly, bottom-line decisions are more prevalent given the current downturn in the economy. More than ever, though, it is clearly critical to maintain perspective when it comes to cost concerns in wound care fo
- « Previous
- | Page 2 of 2 |
- Next »