Volume 16 - Issue 6 - June 2003

Technology In Practice »

New Wound Dressing Offers Promise Of Improved Healing

By Brian McCurdy, Associate Editor | 3725 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 | 31417 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 | 57325 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 | 7096 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 | 9521 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



Feature »

How To Detect Soft Tissue Tumors

By John H. Walter Jr., DPM, MS, and Larry R. Goss, DPM | 82033 reads | 0 comments

Soft tissue tumors may often be overlooked or mistaken as “simple lesions.” For example, ganglion cysts occur so frequently in the foot and ankle that it has often led to the careless assumption that every asymptomatic, soft, movable mass represents a benign lesion. Unfortunately, this lackadaisical confidence can lead to misdiagnosis and disaster in certain situations.
Although rare, some “simple lesions” may actually represent a malignant process that goes undiagnosed until skeletal metastasis occurs or amputation is required. This tragedy could potentially lead to malpractice liti