Volume 16 - Issue 8 - August 2003

Sports Medicine »

Preventing Foot Injuries In Diabetic Athletes

By Mark A. Caselli, DPM | 7666 reads | 0 comments

Exercise plays an important role in the management of both insulin-dependent diabetes (IDDM) and non-insulin-dependent diabetes (NIDDM). Regular exercise, especially aerobic exercise, strengthens the heart and circulatory system, thus reducing the chance of heart disease and stroke. It helps decrease blood cholesterol and increases the levels of the “good” high-density lipoprotein (HDL) in the blood. Exercise lowers blood glucose levels, both during exercise and for several hours afterward.
Walking is probably the best, safest and least expensive form of exercise. It can fit into almost a



Technology In Practice »

When Material Choices Pay Off: A Closer Look At The DBX6

By Brian McCurdy, Associate Editor | 3066 reads | 0 comments

When fabricating an orthotic, flexibility and convenience are essential. You want the ability to start over if you make any mistakes and you need options as far as the styles of material. Another must is an orthotic that you can make quickly and easily, and one that you can use in a variety of shoes.
The features of the DBX6® enhance the convenience of fabricating orthotics. At just 1.5 mm thick, the device offers cross-shoe flexibility and facilitates effective shoe compliance, according to the manufacturer Northwest Podiatric Laboratory. At 1.2 ounces, the DBX6 is the lightest material av



Practice Builders »

Enhance Patient Compliance By Targeting Different Learning Styles

By Chris Vance, DPM | 9492 reads | 0 comments

In over 25 years of practice, I have witnessed the importance of recognizing patient learning styles. As a physician and now as a practice consultant, I have found that communication is of strategic importance. As physicians, we must educate our patients first through effective communication. Only then will our patients understand their condition and agree to our recommended course of treatment.
“If teachers teach exclusively in a manner that favors the students’ less preferred learning style, the students’ discomfort level can interfere with their ability to learn and memorize,” not



Feature »

A Helpful Primer On Total Contact Casts

By Jeffrey Jensen, DPM, Anna Weber, DPM, Eric Jaakola, DPM, and Matthew Dairman, DPM | 22280 reads | 1 comments

Neuropathic foot ulcers are the most common precursor of lower–extremity amputation in patients with diabetes.1 In the podiatry literature, as well as other wound care literature, the total contact cast (TCC) has long been considered the gold standard for treating non-infected, neuropathic foot ulcerations.2 The TCC heals wounds by reducing weightbearing pressure and shear force to the plantar aspect of the foot. The unique well-molded, minimally-padded construct of the cast allows it to maintain “total contact” with the foot and lower leg.
Clinical results overwh



Feature »

How To Handle Lapidus Complications

By Neal M. Blitz, DPM, and Ronald G. Ray, DPM, PT | 26601 reads | 0 comments

The lapidus arthrodesis for the treatment of symptomatic hallux valgus remains a controversial subject in foot surgery. Since its inception in the early 1900s, the lapidus arthrodesis has been abandoned by many surgeons mainly due to its high complication rate, particularly nonunion. However, it has regained popularity in recent years due to better fixation techniques and an improved understanding of first ray biomechanics.
The major advantage of performing a metatarsocuneiform arthrodesis is it allows you to realign the first metatarsal at the apex of the deformity along with stabilizing th



Continuing Education »

A Guide To Treatments For Onychomycosis

By John Mozena, DPM | 16681 reads | 0 comments

Onychomycosis is the number one diagnosed and treated disease by podiatrists today. While the disease was first recognized in the United States in 1928, it has only recently been brought under control with drugs that have been introduced in the last 10 years. With the advent of safer oral and topical medications, there has been a renewed focus on increasing efficacy rates. The current research seems to be centered on synergistic activity of oral and topical medications as well as different vehicles to add additional penetration of the medication.
Onychomycosis is present in 2 to 3 percent