Volume 16 - Issue 3 - March 2003

Continuing Education »

Addressing Tendon Balancing Concerns In Diabetic Patients

By Matthew J. Claxton, DPM, and David G. Armstrong, DPM | 18165 reads | 0 comments

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



Feature »

Maximize Your Reimbursement: A Guide To Billing In Diabetic Care

By Anthony Poggio, DPM | 26513 reads | 0 comments

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



Feature »

Expert Insights On Painful Diabetic Neuropathy

Moderator: David G. Armstrong, DPM; Panelists: Andrew Boulton, MD, A. Lee Dellon, MD, Jeffrey Page, DPM and Barry Rosenblum, DPM | 8436 reads | 0 comments

Painful diabetic neuropathy is perhaps one of the most discussed and hotly debated subjects in podiatry. Emerging research and emerging treatments have fueled the fire even further. With this in mind, David G. Armstrong, DPM, a member of the American Diabetes Association’s National Board of Directors, posed a number of questions to leading authorities on this controversial subject. Here’s what they had to say …

Q: How prevalent is painful diabetic neuropathy in your practice?
A:
All of the panelists note they see a large number of patients with neuropathy secondary to diabete



Feature »

How To Treat Onychomycosis In Diabetic Patients

By Richard A. Pollak, DPM, MS | 15551 reads | 0 comments

Diabetes mellitus is a major health problem in the United States, afflicting approximately 17 million people, with 1 million new cases diagnosed each year in people 20 and older.1 Patients with diabetes are at increased risk for toenail onychomycosis, which can cause discomfort, interfere with mobility, impair quality of life and lead to serious secondary infections and subsequent complications.2
Recent large epidemiological studies have shown the prevalence of onychomycosis in the diabetic population to be as high as 35 percent, compared to estimates ranging from 2 to 1



Feature »

What You Should Know About Type 2 Diabetes And Kids

By Eric Espensen, DPM, and Minh Mach, MD | 6520 reads | 0 comments

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



Diagnostic Dilemmas »

Diagnosing Repeated Lower Extremity Ulcerations

Guest Clinical Editor: Tamara Fishman, DPM | 5485 reads | 0 comments

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