Volume 16 - Issue 10 - October 2003

Diabetes Watch »

Can Antibiotic Beads Have An Impact In Osteomyelitis Cases?

By Anthony C. Yung, DPM, and John S. Steinberg, DPM | 19656 reads | 1 comments

Surgical debridement of infected bone is an unfortunate reality for those of us who frequently treat patients with diabetes. While adequate debridement is the most important step in treating osteomyelitis, many authors have commented on the adjunctive role of antibiotics in this clinical dilemma.1-3 Systemic antibiotics are routinely used preoperatively and have been advocated for six weeks or more. However, infected bone may become devascularized, making the delivery of systemic antibiotics less than desirable. Delivering systemic antibiotics may also be compromised when there is a



Practice Builders »

How To Establish And Maintain A Diabetic Shoe Program

By Jonathan Moore, DPM, MS and Kimberly Moore, OTR | 30105 reads | 3 comments

If you as a podiatric physician have not established yourself as the expert of the diabetic foot within your area, now is the time. There is no reason why you shouldn’t be the “go to” guy or gal in your community when it comes to treating, managing and preventing diabetes-related lower extremity complications.
Managing the diabetic foot is all about a team approach and establishing yourself as the quarterback will not only improve the quality of care for your patients but it can also greatly enhance your business.
The podiatric literature is replete with dozens of studies demonstrating



Technology In Practice »

Smoothing Over Calluses: Why DPMs Are Calling On Callex

By Robi Garthwait, Contributing Editor | 4834 reads | 0 comments

The average person takes 8,000 to 10,000 steps a day, according to the American Podiatric Medical Association (APMA). Add in exercise, poor-fitting shoes and possible diabetes-related complications, and it is no wonder that 5 percent of the United States population have corns or calluses.
With this in mind, Xenna Corporation introduced the Callex ointment earlier this year. The acid-free ointment uses natural plant enzymes to exfoliate hyperkeratotic tissue. Those who have used the product cite ease of use, quick results and overall effectiveness wherever dry, thickened skin is a problem.



Feature »

Taking A Closer Look At In-Office Dispensing

By Robert Smith, Contributing Editor | 7290 reads | 0 comments

In-office product dispensing adds yet another role podiatrists must play for their patients—not only must you be a physician and healer, you now must be a retailer as well. While an increasing number of podiatric practices make products available for sale in treatment rooms, reception areas or even their own retail shops, some still decry the practice as exploitative, greedy or unethical. However, DPMs who dispense products in the office emphatically deny such judgments.
“We hear so much about why some podiatrists won’t dispense products,” says Hal Ornstein, DPM, a New Jersey-based pr



Feature »

Treatment Solutions For Common Soccer Injuries

By Richard T. Braver, DPM | 61036 reads | 1 comments

Soccer is the most widely played sport in the world. There are two good reasons for the popularity of youth soccer versus other American sports such as football. It is more appealing to female participants and there are far fewer traumatic injuries. However, there is still an abundance of soccer injuries. In particular, there is a higher incidence of shin splints and plantar fasciitis among women and a higher incidence of contusions among men. Podiatric physicians who treat sports injuries have also seen an abundance of posterior heel pain in children.



Feature »

A New Approach To Using Growth Factors In Wound Healing

By Stephen L. Barrett, DPM, CWS | 15592 reads | 0 comments

There has been a plethora of advances, especially within the last several years, for the treatment of chronic wounds. One of the more notable advancements is the use of autologous platelet-derived growth factors. Not only have platelet-derived growth factors gained notoriety in specialties such as orthopedic, maxillofacial and plastic surgery, the technology is increasingly being recognized as an important modality for accelerating healing in chronic wounds.1-3
Human epidermal growth factor (EGF) has been shown to enhance wound healing in diabetic ulcers.4 Researchers ha



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