Volume 16 - Issue 2 - February 2003

Editor's Perspective »

High Resolution Ultrasound: Hope Or Hype?

By Jeff A. Hall, Editor in Chief | 2099 reads | 0 comments

It offers more proactive diagnostics. It offers a more precise diagnostic view. It’s more portable. It fosters better patient compliance. These are just some of the claims that have been made about the potential impact of using high resolution ultrasound (or ultrasound biomicroscopy) in both diagnosing, monitoring and, in some cases, facilitating effective treatment for certain conditions you may see in your practice.
Speaking strictly from a layman’s perspective, the possibilities of using this modality for some podiatric applications do sound intriguing. I was particularly struck by the

Forum »

What Hiring A New Associate Can Do For You

By John McCord, DPM | 2607 reads | 0 comments

After a very pleasant 26 years of solo practice, I hired a young associate. Mike is a good kid with excellent surgical skills. My patients like him and he has added a new element of energy to my practice.
Mike had called my office seeking work about 18 months ago. He told me he was entering his second year of a PSR-24 and wanted to work in a small town in western Washington. I was happy with my solo practice but stayed on the phone to be polite. Then I told him I had no need for an associate. We exchanged e-mail addresses and I expected not to hear from him again. Wrong!
Mike sent me an e-ma

Diabetes Watch »

How To Identify Underlying Causes Of Problem Wounds

By Yuki Morita, DPM | 7588 reads | 0 comments

Recent advancements in technology have led to numerous adjunctive therapies for healing chronic wounds. In many cases, though, we can achieve healing in a short period of time once we identify the underlying factors that inhibit proper healing. With this in mind, let’s take a closer look at some of these common impediments.
While wound hypoxia is the most common obstacle we see, it is also the most difficult hurdle in facilitating wound healing. You can measure wound hypoxia with transcutaneous oxygen pressure (TcPO2). A TcPO2 reading of less than 40mmHg has been correlated with poor wound

Sports Medicine »

Assessing And Treating Cold-Related Injuries Among Athletes

By Mark Caselli, DPM | 20846 reads | 0 comments

Skiers, ice-skaters, joggers, mountain climbers and outdoor enthusiasts are all prone to cold-related skin injuries. Local cold injuries occur when the core (consisting of internal structures such as the brain, heart, lungs and abdominal organs) temperature is maintained but the shell (skin, muscles and extremities) temperature dramatically decreases.
The feet are among the most commonly affected body parts with these local cold injuries. Duration of the exposure, the temperature to which the skin has been exposed and the wind velocity are the three most important factors to consider when de

Practice Builders »

Referral Generator: Work Smarter At Patient Education

By Chris E. Vance, DPM | 6204 reads | 0 comments

Predictably, the most sought after and most efficient medical practices have a common denominator: the ability to educate and communicate in a timely and effective manner. Patients do not come to us for our ability to make a buttress pad or apply an Unna boot. They come to us for our diagnostic ability and to be effectively educated on their condition and the available treatment options. As an educator, you are viewed as the authority and the relater of valuable information.
Patients will retain information differently but all learn by different methods: verbal, tactile, visual or auditory. M

Orthotics Q&A »

Key Pearls For Prescribing AFOs

Clinical Editor: Howard Dananberg, DPM | 7532 reads | 0 comments

You may find that even the best of custom foot orthotics are insufficient to manage a particular patient’s problem. Either too much force is applied to the foot or perhaps the foot orthotic cannot provide the necessary support. In some of these cases, one may consider using an ankle foot orthotic (AFO). In a follow-up to last month’s cover story, a panel of experts address how and when they employ these devices in treatment.

Q: In what type of situation do you consider using an AFO or similar brace?
Alan Banks, DPM, uses an AFO in various situations, saying the device can be

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