Volume 16 - Issue 7 - July 2003

Continuing Education »

Managing Ulcers On The Charcot Foot

By Pamela M. Jensen, DPM, and John S. Steinberg, DPM | 22071 reads | 0 comments

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



New Products »

Dress You Up

2268 reads | 0 comments

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



Diabetes Watch »

Choosing Medications For Painful Diabetic Neuropathy

By Matt Rampetsreiter, DPM, and Raymond Abdo, DPM | 26204 reads | 1 comments

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.



Diagnostic Dilemmas »

When Achilles Tendonitis Is Not Caused By A Tight Achilles

By Babak Baravarian, DPM | 13758 reads | 0 comments

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



Surgical Pearls »

How To Minimize Post-Op Pain After Reconstructive Surgery

By J. Michael Miller, DPM | 9574 reads | 0 comments

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



Wound Care Q&A »

Roundtable Insights On Hyperbaric Oxygen Therapy

Clinical Editor: Lawrence Karlock, DPM | 14886 reads | 0 comments

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



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