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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  • July 2003 | Volume 16 - Issue 7

    2,674 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
    By Thomas Zgonis, DPM, Gary Peter Jolly, DPM, and Peter Blume, DPM
    13,136 reads | 0 comments | 07/03/03
    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
    By Matt Rampetsreiter, DPM, and Raymond Abdo, DPM
    30,354 reads | 1 comments | 07/03/03
    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
    By Pamela M. Jensen, DPM, and John S. Steinberg, DPM
    25,842 reads | 0 comments | 07/03/03
    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
    16,500 reads | 0 comments | 07/03/03
    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
    11,352 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
    8,526 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
    16,790 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
    2,038 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
    6,975 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