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
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • March 2003 | Volume 16 - Issue 3
    Aircast’s Pneumatic Walker Diabetic System has multi-aircell support to provide graduated, pulsating compression.
    By Gina DiGironimo, Production Editor
    2,112 reads | 0 comments | 04/03/03
    When diabetic patients have lower extremity injuries, they may have trouble weightbearing and getting around can prove difficult. Not only do you want to promote healing, you also want to enhance patient mobility. You may recommend traditional casting braces or something tailored specifically for your diabetic patient. One such option is the Pneumatic Walker Diabetic System. Aircast, the manufacturer of the device, offers two other walking braces, the Pneumatic Walker and the Foam Walker, which provide pneumatic and semi-pneumatic support respectively. However, the Pneumatic Walker Diabetic S... continue reading
    Clinical Editor: Lawrence Karlock, DPM
    8,182 reads | 0 comments | 03/03/03
    Plastic and reconstructive surgery techniques can be a significant adjunct for podiatric surgeons in managing diabetic foot wounds and tissue loss. With this in mind, the panelists discuss a variety of techniques (including split-thickness skin grafting and muscle flaps) and indications for chronic ulcers, the neuropathic foot and pressure-induced heel ulcerations. Q: When do you consider reconstructive plastic surgical techniques in the management of diabetic foot ulcers? A: Peter Blume, DPM, says he considers plastic surgery techniques for these ulcers when offloading and conserva ... continue reading
    By Eric Espensen, DPM, and Minh Mach, MD
    6,719 reads | 0 comments | 03/03/03
    The prevalence of diabetes, especially that of type 2 in children, is increasing at an alarming rate worldwide. Although no data currently exists to determine the extent to which type 2 diabetes has emerged among U.S. children and adolescents, researchers at the Centers for Disease Control and Prevention estimate that among new cases of childhood diabetes, the proportion of those with type 2 diabetes ranges between 8 percent and 43 percent.1 ... continue reading
    By Richard M. Stillman, MD, FACS Clinical Editor: John Steinberg, DPM
    9,624 reads | 0 comments | 03/03/03
    Managing foot wounds in diabetes patients forms much of the core practice of wound care and podiatry. In the United States, the annual cost for the care of diabetic foot wounds exceeds $5 billion.1 It’s been estimated that anywhere from 2.5 to 10.7 percent of patients with diabetes develop a foot wound each year. Even for wounds that heal, the recurrence rate is approximately 55 percent over the next five years. According to one study, the prevalence of neuropathy in the diabetic population is 33.5 percent, the prevalence of vascular disease is 12.7 percent and the prevalence of ... continue reading
    Guest Clinical Editor: Tamara Fishman, DPM
    5,654 reads | 0 comments | 03/03/03
    A patient’s medical history can provide you with critical information that is necessary to differentiate among the various types of lower extremity ulcerations. Not only are there many different etiologies of lower extremity ulcers, it’s also important to be aware of the patient’s underlying medical conditions as well, as you will see in the following case study. A 38-year-old Caucasian female patient recounted her underlying medical conditions when she came in for evaluation and treatment of her left leg ulceration. She injured the side of her leg while walking and had the ulceration f ... continue reading
    By Brian McCurdy, Associate Editor
    9,612 reads | 0 comments | 03/03/03
    The American Diabetes Association (ADA) recently released its 2003 Clinical Practice Recommendations and one of the highlights is a new methodology of diagnosing diabetes. Using an altered version of a test may change the number of how many people are diagnosed with diabetes, according to the ADA. The ADA recommends practitioners use the following criteria: • Symptoms of diabetes plus casual plasma glucose concentration 200 mg/dl (11.1 mmol/l); or • FPG >126 mg/dl (7.0 mmol/l); or • 2-h PG > 200 mg/dl (11.1 mmol/l) during an OGTT. The new criteria change the previous recommendat ... continue reading
    By Jeff Hall, Editor-in-Chief
    3,475 reads | 0 comments | 03/03/03
    How helpful is therapeutic footwear for patients with diabetes? It has been one of the most hotly debated questions over the last few months, especially in the aftermath of a controversial study that was published last year in the Journal of the American Medical Association (JAMA). (See “Study Questions Necessity Of Diabetic Footwear,” News And Trends, August 2002.) The randomized study of 400 people who had diabetes and a history of foot ulcers had three study groups. One group wore therapeutic shoes and custom inserts, another group wore therapeutic footwear and prefabricated ... continue reading
    By Matthew J. Claxton, DPM, and David G. Armstrong, DPM
    18,567 reads | 0 comments | 03/03/03
    Foot ulcers are the major risk factor for amputation among people with diabetes. Fifteen percent of people with diabetes will experience a foot ulcer. In this particular patient population, 14 to 24 percent will require lower extremity amputation.1 Loss of protective sensation and repetitive mechanical trauma (high foot pressures) are the major causes of diabetic foot ulceration.2,3 As per the ADA consensus report, the plantar forefoot is the most common location for foot ulcers.1 The underlying source of forefoot ulceration is increased forefoot pressure t ... continue reading
    By Anthony Poggio, DPM
    27,512 reads | 0 comments | 03/03/03
    Diabetes is one of the more common conditions that we treat. Our training and expertise in this area make us an integral part of the multidisciplinary team approach. Given that diabetes is a multi-system disorder, diagnosis and treatment tends to be more complicated. Indeed, treating these patients may involve more frequent visits, more detailed examinations and more complex decision making. A significant number of patients in virtually any podiatric practice are diabetic. Given this high volume, errors in billing and coding can have a major financial impact on a practice. Improperly submitt ... continue reading
    By John McCord, DPM
    4,846 reads | 0 comments | 03/03/03
    My patient was a 40-something, peroxide blonde, personal fitness trainer. It was her first visit and she complained, “You have to do something about my nails. I can’t have this flaw with my job.” Her nails looked nearly normal with only slight thickening and very faint yellow discoloration. She had a history of liver dysfunction. I explained that her problem wasn’t serious enough to treat and the oral medications for fungus nails were contraindicated because of her health history. At this point, Blondie screamed at me because I had nothing to cure her nails. I sat back and made a few ... continue reading