Volume 16 - Issue 9 - September 2003
Diagnostic Dilemmas »
A very difficult patient for me to treat is a young patient who has rheumatoid arthritis with severe deformity of the foot and ankle. This is typically a patient whose age may range from the late 20s to late 50s and is active except for his or her foot pain. With this in mind, let’s consider the following case study.
A 27-year-old female presented with a 12-year history of rheumatoid arthritis and extreme pain and deformity of the forefoot. While both feet are painful, she says the left foot is more severe than the right. The patient says the pain is in the region of the lateral fourth and
New Products »
When working with compression bandages, it can be tricky to find just the right level of compression.
That’s where ProGuide comes in. The Smith & Nephew product, a multi-layer bandage system, can help you get to the exact level of compression you need when treating venous leg ulcers.
ProGuide utilizes the company’s Vari-Stretch™ Technology and is composed of three layers: a non-adherent wound contact layer, a super-absorbent padding layer and an outer compression layer, according to the company.
It is available in three sizes, allowing you to find bandages for different ankle size
Technology In Practice »
When looking for a wound dressing, you have no shortage of options. You also probably have no shortage of expectations and neither do your patients. You want to ensure shorter healing times, fewer healing complications, simple usage and eliminate soaking for your patients.
One may want to consider the AmeriGel Wound Dressing, a hydrogel dressing that is indicated for pressure ulcers, venous stasis ulcers, diabetic skin ulcers, first- and second-degree burns, postsurgical incisions, cuts and abrasions. The manufacturer AmerX Health Care says using the dressing reduces healing time between 20
Yes, Mark Hofbauer, DPM, cites the limited indications of the procedure. He says the first MPJ fusion is a better option for hallux abductovalgus patients as it provides enhanced stability and biomechanical effects.
For the past 10 to 15 years, there has been a great debate over whether the Keller bunionectomy has become an outdated procedure. Proponents on both sides have been able to make solid arguments. The Keller bunionectomy began to get a black eye years ago when surgeons stretched the indications for its use. This was due in part because it was an easy, quick procedure to perform. A
Who would have thought that when we finally went into practice after years of podiatry school and residency, we would be more dependent on third party payers for our existence than our patients? In fact, recent studies have indicated that, on the average, we spend one-half to one full hour per patient on paperwork and insurance matters. For many podiatrists to whom I have spoken, the “hassle factor” of trying to get paid from insurance companies seems to be the primary reason many of them are not happy with private practice.
Keep in mind this is a game of sorts. The insurers want to keep
Editor's Perspective »
Three years ago, enrollments at podiatry schools were in serious decline and it was deemed a crisis situation. It got to the point where some even suggested reducing the number of podiatry schools from seven to six or perhaps five. However, experienced educators noted that enrollment trends are very cyclical and, sure enough, there have been positive increases in enrollment the last two years.
According to the American Association of Colleges of Podiatric Medicine (AACPM), the total first year enrollment at the six AACPM schools improved to 461 in 2003, a 15 percent increase from two years
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