Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
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    Brian McCurdy
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    Bonnie Shannon
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    Alana Balboni
  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
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  • July 2003 | Volume 16 - Issue 7
    Anti-Shox® High Performance Socks may prevent blisters.

    2,380 reads | 0 comments | 09/03/08
    Looking for a new wound dressing that stands out from the crowd? If you have been pleased with Smith and Nephew’s Allevyn wound dressings, you now have even more options with four new dressings. Allevyn Thin has a two-layer construction and is useful for treating wounds with low to moderate exudate, according to the company. Allevyn Plus Adhesive features a 50 percent thicker core than Allevyn Adhesive and is based on trilaminate technology. Allevyn Plus Cavity features a unique polyurethane matrix design and the company says its two-sided low tack natural adhesive provides high absorbenc... continue reading
    In the diabetic foot, split thickness skin grafts are frequently used in non-weightbearing areas or to cover donor sites of locally raised flaps.
    By Thomas Zgonis, DPM, Gary Peter Jolly, DPM, and Peter Blume, DPM
    11,739 reads | 0 comments | 09/03/08
    The soft tissue envelope of the foot resists severe mechanical stresses on a daily basis and protects the underlying structures from injury. However, an injury to the foot or a chronic ulcer can cause a defect in the soft tissues and presents a daunting challenge for the foot and ankle specialist. When the defect is on the sole of the foot, the injury may be disastrous. Historically, soft tissue lesions have been treated conservatively via various techniques of offloading, local wound care, molded shoes, inserts and orthoses. While some wounds lend themselves well to non-operative treatment,... continue reading
    Gabapentin (Neurontin) does not have any direct effect on GABA-ergic receptors and does not affect GABA uptake or metabolism.
    By Matt Rampetsreiter, DPM, and Raymond Abdo, DPM
    27,596 reads | 1 comments | 09/03/08
    Diabetic peripheral neuropathy is very common sequelae of diabetes mellitus. Patients often complain of burning, tingling, numbness and even sharp stabbing pain. These symptoms can cause sleep disturbances as well as problems with daily activities. Many primary care physicians and podiatrists overlook these symptoms which, in most cases, have been going on for years. ... continue reading
    Here is a chronic midfoot ulceration that resulted from a Charcot deformity.
    By Pamela M. Jensen, DPM, and John S. Steinberg, DPM
    23,443 reads | 0 comments | 09/03/08
    Neuropathic osteoarthropathy, or Charcot arthropathy, is a condition associated with a loss of sensory nerve function and concurrent vascular dynamic changes. In the acute setting, Charcot can result in bone and joint deformation and fragmentation. If it is not treated early and aggressively, the collapse of involved joints will cause instability, deformity and subject bony prominences to ulceration and infection. The incidence in the United States and internationally of those with diabetes who have Charcot arthropathy ranges from 7.5 to 13 percent. Internationally, 10 to 20 percent of tho... continue reading
    By Babak Baravarian, DPM
    14,604 reads | 0 comments | 09/03/08
    A patient comes into the office with an aching sensation in the posterior aspect of the right leg. He notes the pain has been increasing in the past two to three months and has gotten worse since he began to exercise. Specifically, in the past three weeks, the patient says he has had tightness in the Achilles tendon region. During that specific time period, the patient notes that he began a walking program on a slight hill by his house. He notes the hill provides a slight exertion that has been excellent for his stamina. The patient says he has only had the pain after a long climb and when h... continue reading
    By J. Michael Miller, DPM
    10,147 reads | 0 comments | 09/03/08
    Minimizing postoperative discomfort for patients is a common goal of all surgeons. Techniques for achieving this goal seem to vary significantly among surgical specialties. Unfortunately, patients often have preconceived expectations that they will experience considerable discomfort after foot surgery. This is usually based on their experience with other surgical procedures or from discussions with other people in their community who have expressed their “experience” with foot surgery. This fear of significant postoperative discomfort occasionally will preclude some patients from undergo... continue reading
    Clinical Editor: Lawrence Karlock, DPM
    15,613 reads | 0 comments | 09/03/08
    While there is not an overwhelming amount of literature on hyperbaric oxygen therapy (HBO), the recent decision by the Centers for Medicare and Medicaid Services (CMS) to cover the use of HBO in treating diabetic foot wounds has fueled new discussions on the potential efficacy of the modality. With this in mind, our panelists discuss their experiences in using HBO, the current literature on the subject and reimbursement issues. Q: What has been your experience in using hyperbaric oxygen therapy (HBO) to treat lower extremity wounds? A: Leon Brill, DPM, says he has had a “very posi... continue reading
    The Active Off-Loading Insole reduces shear forces that can harm granulating wound tissues or the whole plantar surface.
    By Robi Garthwait, Contributing Editor
    6,312 reads | 0 comments | 09/03/08
    With the rate of diabetes cases skyrocketing and the number of lower-limb amputations also on the rise, a new insole may provide hope for those suffering the adverse effects of plantar ulcers. Used in conjunction with the company’s Active Off-Loading Walker (formerly known as the DH Walker), Woundcare Shoes or DH Pressure Relief Shoe, Royce Medical’s Active Off-Loading Insole has been deemed “the platinum solution for healing plantar ulcers.” Hoping to alleviate some of the pain and trauma associated with treating plantar ulcers, the company set out to provide an “active environment... continue reading

    25,933 reads | 0 comments | 09/03/08
    Yes, these authors say tissue replacements can facilitate shorter healing times and reduce the risk of complications from chronic wounds. By Jason R. Hanft, DPM, Andre Williams, DPM, Constantine Kyramarios, DPM, and Kerry Temar, DPM, MS The goals in treating diabetic foot ulcers are to obtain wound closure as quickly as possible, lower the probability of amputation and decrease recurrent ulcerations. Timely healing is important because the longer a diabetic foot ulcer remains unhealed, the greater the risk for infection, hospitalization and progression of the ulcer to require lim... continue reading
    This 53-year-old male with insulin-dependent diabetes initially presented with a chronic ulcer on his right plantar first MPJ. As you can see, the clinical exam noted a grossly infected right first MPJ with an exposed metatarsal joint.
    By Alan J. Cantor, DPM, CWS
    12,687 reads | 0 comments | 09/03/08
    The wound care industry has produced and marketed a flurry of new options for clinicians in a very short period of time. Indeed, some experts wonder whether this has created confusion among clinicians, further widening the gap between academic clinicians and those who are in everyday community or office settings.1 As Professor Terence Ryan pointed out, “There is a difference between the ‘gold standards’ of the elite and the logistics of providing care in the environments of those with limited access to expertise.”2 A February 2002 survey of podiatrists in the Un... continue reading