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
  • Telephone: (800) 237-7285, ext. 214
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • July 2003 | Volume 16 - Issue 7
    By Jeff Hall, Editor-in-Chief
    1,853 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
    6,411 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
    1,879 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

    26,209 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
    5,078 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
    12,842 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

    2,435 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
    11,917 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
    27,904 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
    23,832 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