Volume 16 - Issue 6 - June 2003

Sports Medicine »

Treating Foot And Ankle Injuries In Ballet Dancers

By Mark A. Caselli, DPM | 61291 reads | 0 comments

The dancer’s feet are comparable to a concert pianist’s hands. Extensive training, often beginning before the age of 10, is common, especially among girls. Through the years, changing styles and great leaps have placed increased strain on the foot, resulting in the variety of dance injuries we must diagnose and treat today.
In a follow-up to the last column (see “How To Identify And Treat Common Ballet Injuries,” pg. 70, April issue), let’s take a closer look at other common foot and ankle injuries that affect ballet dancers.
The most common acute injury in theatrical dance is the



Technology In Practice »

New Wound Dressing Offers Promise Of Improved Healing

By Brian McCurdy, Associate Editor | 3910 reads | 0 comments

It can be challenging to maintain an optimum environment for wound healing in certain patients. It can also be challenging to sift through the vast array of wound care dressings on the market and find the right one that will help your patient. However, you may welcome the arrival of a new dressing that is reportedly cost-effective, easy to use and has a wide range of potential indications.
You can use the phytacare Alginate Hydrogel wound dressing to treat a wide variety of lower extremity wounds, ranging from diabetic ulcers and pressure ulcers to abrasions and second-degree burns, accordin



Feature »

How To Triumph Over Shin Pain

By Nicholas M. Romansky, DPM, and David C. Erfle, DPM | 35053 reads | 0 comments

Shin splints are common among runners and individuals who participate in soccer, football, field hockey, lacrosse, etc. This overuse injury usually develops gradually over a period of weeks to months but may occur after a single, excessive bout of exercise. Individuals typically complain of pain in one of two locations: the lower inside half of the tibia and, less commonly, the upper outside portion of the tibia.
Shin splints, also known as medial tibial stress syndrome, are an inflammation of the soft tissue surrounding the bone lining of the tibia at the origin of several leg muscles. Exce



Continuing Education »

How To Diagnose And Treat Foreign Body Injuries

By Tamara D. Fishman, DPM | 65620 reads | 0 comments

Puncture wounds caused by foreign bodies can be deceptive in appearance. This is because many show little or no signs of external damage, yet they may have caused a serious internal injury. Some of the more common objects that cause these injuries include nails, pins or tacks, wood, glass and thorns. There is usually little bleeding from puncture wounds and these wounds seem to close almost immediately.

However, this does not mean treatment is not necessary. Puncture wounds do have a risk of becoming infected. The object that caused the wound may carry spores of tetanus or other bacteria



Feature »

Eight Steps To Ensuring OSHA Compliance

By Steven D. Chinn, DPM, CHE | 7560 reads | 0 comments

Is your practice as safe as it needs to be? When Congress created the Occupational Safety and Health Administration (OSHA) in 1971, the intent was to decrease the number of workplace injuries, illnesses and deaths. In 1999, there were over 5.7 million occupational injuries and illnesses in the United States. Approximately 6.3 employees out of every 100 experienced a job-related injury or illness.
All medical practices are expected to comply with the regulations regardless of the number of employees. Some of the critical areas emphasized over the years include injury and illness prevention, em



Point-Counterpoint »

Is Osteomyelitis Primarily A Surgical Disease?

By Michael D. Dujela, DPM, and Eric Espensen, DPM | 10256 reads | 0 comments

Yes, Dr. Dujela points to key principles and case studies that convey the need for surgical treatment in facilitating curative results.

The notion that osteomyelitis is “primarily” a surgical disease does not discount the importance of adjunctive antibiotic therapy. However, in the presence of established osteomyelitis, surgical treatment should be the mainstay with antibiotics playing a supporting role.
The basic philosophy in the surgical treatment of osteomyelitis is foot salvage. Essentially, we are attempting to achieve a balance between resecting adequate bone for curative resul