Volume 16 - Issue 10 - October 2003
Practice Builders »
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 »
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.
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
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.
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
Continuing Education »
The common thread shared by virtually all antibiotics relevant to podiatry is their activity against S. aureus. After all, S. aureus is by far the predominant infecting organism in lower extremity skin and skin structure infections. The rationale behind choosing an appropriate anti-staphylococcal drug is a daunting task given the ever-changing resistance pattern of this formidable organism.
Today, virtually all strains of S. aureus found in lower extremity infections produce beta-lactamase. Beta-lactamase (also known as penicillinase) is an enzyme that cleaves t