Volume 16 - Issue 4 - April 2003
Diabetes Watch »
It is believed that 15 percent of diabetics will develop a foot or leg ulceration at some point during the course of their disease and that 50 percent will recur within 18 months.1 Approximately 80 percent of diabetic ulcers occur plantarly due to abnormal pressures. Most of these ulcers can be treated with sharp debridement, offloading devices and local wound care.2-4 Once you’ve achieved ulcer healing, utilizing custom orthotics with extra depth shoes will often prevent recurrence and reduce the needed frequency of pre-ulcerative keratoma debridements.
New Products »
Your debriding arsenal just became a little fuller with the introduction of two new sizes of popular debriding ointments.
New from Healthpoint, Panafil and Accuzyme are now available in 6-gram unit packages. According to the company, the smaller packaging of these ointments provides patients with convenience and is a safe, easy option for first time applications.
Healthpoint notes the unit dose will reduce potential waste and is appropriate for situations requiring less therapy.
Product: Accuzyme and Panafil Unit Dose
For more information, Circle 399 on your read
News and Trends »
Beginning this month, the Centers for Medicare and Medicaid Services (CMS) will expand its coverage of hyperbaric oxygen therapy (HBO) to include the treatment of diabetic wounds in the lower extremities. According to the CMS, in order to qualify for this coverage, patients must have: type 1 or type 2 diabetes and a lower extremity wound due to diabetes; a wound that is classified as a Wagner grade III or higher; and have failed an adequate course of standard wound therapy.
Caroline Fife, MD, says the expanded coverage is a “big step forward.”
“It represents an understanding on the par
Orthotics Q&A »
Have you seen your share of patients who have back pain as a result of compensating for gait-related problems? If so, you’re not alone. Some patients may indeed get relief from lower back pain after getting custom orthotics. With this in mind, our expert panelists tackle this important subject.
Q: Podiatrists often report that many of their patients experience relief of low back pain after receiving custom orthotics. What is the relationship?
Yes, Mark H. Feldman, MS, DPM, cites technical advances in the devices and promising results from studies.
Diligent study of normal ankle biomechanics and review of previous implant failures has led to the development of a new generation of total ankle replacement (TAR) implants. The newer implants provide a better means of dissipating the rotational forces at the joint surface by using a meniscus-like bearing between the tibial and talar components, while maintaining the integrity and stability of the joint.1-4
This improvement, coupled with improved cementless fixation, has
Practice Builders »
More often than not, we feel like we’re doing the managed care company a favor by applying. There’s also a tendency to believe the process is so cut and dry that we can apply at the last minute. Let’s clear up these misconceptions. If you don’t apply and apply properly, someone else will. Secondly, as our mothers use to tell us, haste makes waste. Indeed, simple mistakes can slow the process down to a snail’s pace and/or cause the company to reject your application.
First, I strongly recommend filling out the application yourself. Often, the application will ask for information that
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