Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
  • Senior Editor
    Brian McCurdy
  • Circulation and Subscriptions
    Bonnie Shannon
  • Art Director:
    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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  • Email: jhall@hmpcommunications.com
  • July 2003 | Volume 16 - Issue 7
    By J. Michael Miller, DPM
    10,411 reads | 0 comments | 07/03/03
    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
    By Alexander M. Reyzelman, DPM, and Justin A. Tidwell, DPM
    7,934 reads | 0 comments | 07/03/03
    Treating chronic lower extremity ulcerations successfully depends on how well one understands the complex and dynamic interaction of multiple factors that contribute to the slow or non-healing nature of these ulcerations. Wound bed preparation, which is essential to managing difficult ulcerations, involves exudate reduction, appropriate debridement and the reduction of the wound’s bioburden. Indeed, removing the local barriers to healing will prepare the wound bed to support the activities necessary for wound healing. The process of wound bed preparation begins with the initial evaluatio ... continue reading
    Clinical Editor: Lawrence Karlock, DPM
    15,909 reads | 0 comments | 07/03/03
    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
    By Jeff Hall, Editor-in-Chief
    1,866 reads | 0 comments | 07/03/03
    The avalanche of bad news is unrelenting. The medical malpractice crisis seems to be getting worse. In addition to the 18 states already declared as “crisis” states by the American Medical Association, physicians in another 26 states are facing escalating insurance premiums as well, according to a recent article in The New England Journal Of Medicine. Combine that with dwindling reimbursement for services and even the most dedicated physician would be hard-pressed for an optimistic view. However, in the midst of all this depressing news, there is a very intriguing study that reaf ... continue reading
    By Robi Garthwait, Contributing Editor
    6,459 reads | 0 comments | 07/03/03
    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
    By John H. McCord, DPM
    1,912 reads | 0 comments | 07/03/03
    I always like to spend a few minutes getting acquainted with patients who are new to my practice. I start by reading the face sheet on the chart before entering the examination room. This tells me where the patient lives and works, and the reason for the visit. It also lets me know about the patient’s general health. A new patient came to my office a few months ago. The chart told me she was 46 years old, had come from a town about 70 miles from my clinic and had bunions. Most of the medical questions were left blank. It was obvious she didn’t like filling out forms. I don’t either so ... continue reading

    26,401 reads | 0 comments | 07/03/03
    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
    By Brian McCurdy, Associate Editor
    5,131 reads | 0 comments | 07/03/03
    Does your insurance provider cover extracorporeal shockwave therapy (ESWT) for musculoskeletal indications like plantar fasciitis? Some providers may re-examine their coverage, following a decision by the Blue Cross Blue Shield Association Technology Evaluation Center to reverse its recommendations on the scientific efficacy of the therapy. After evaluating several studies, the center found shock wave treatment does not meet its criteria for coverage. The recent assessment reverses a December 2001 recommendation that shockwave therapy met the criteria of improving health outcomes. The Techno ... continue reading
    By Alan J. Cantor, DPM, CWS
    12,917 reads | 0 comments | 07/03/03
    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

    2,460 reads | 0 comments | 07/03/03
    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