Volume 16 - Issue 12 - December 2003

Continuing Education »

How To Select The Right Procedure For Hallux Limitus

By Harold Schoenhaus, DPM | 18541 reads | 0 comments

When it comes to hallux limitus, there are several circumstances in which one may see this decreased range of motion of the first metatarsophalangeal joint. You may note a limited range in the direction of dorsiflexion, plantarflexion or both. Depending upon the etiology, you may see the restriction during nonweightbearing, static stance or during the propulsive phase of gait.
The etiology may be secondary to direct macrotrauma to the great toe joint, metabolic conditions such as gouty arthritis or, most commonly, first ray hypermobility associated with abnormal pronation. Hypermobility of



Editor's Perspective »

Flipping The Script For Unconventional Remedies?

By Jeff Hall, Editor-in-Chief | 1691 reads | 0 comments

The consumer ads for pain management pharmaceuticals keep coming fast and furious. In one ad, you may see a woman standing at a window grimacing, clutching her painful knee as she watches her children play in the back yard. In the next scene, you see her smiling and pushing her daughter on a swing. You hear the voiceover come in: “Ask your physician about (fill in the name of the medication here).”
Then there’s the obligatory close-up shot of the product with a rosy glow behind it and perhaps a brief hushed warning about possible side effects.
Imagine flipping the script on the voic



Letters »

Another View Of Podiatric Residency Funding

3315 reads | 0 comments

In regard to last month’s “Letters” section (see “A Closer Look At Federal Funding For Residencies,” page 14, November), teaching hospitals that have intern and residency training programs and that also treat Medicare patients are currently being reimbursed by the Centers For Medicare And Medicaid Services (CMS) for direct and indirect expenses.
The direct expenses would cover such financial items as intern/resident salaries, health insurance, meals, malpractice insurance and educational expenses. This is usually the smaller of the amounts received by the hospital administration. Th



Forum »

Why It Pays To Be Cautious With 'Funny Looking Lesions'

By John McCord, DPM | 3305 reads | 0 comments

I have performed more than 300 unnecessary excisional biopsies during the past 28 years. They were unnecessary because the pathology reports were negative. The lesions were not malignant. It’s the five positive biopsies that made all this unnecessary surgery worth doing. I learned early in my career about the risk of neglecting to biopsy a “funny looking lesion.”
A lady in her late 50s came to me the first month I was in private practice. She had a very painful ingrown toenail. The toe seemed normal and there was hardly any incurvation of the nail border. The skin was slightly red and



News and Trends »

CDC Warns Of MRSA In Athletes

By Brian McCurdy, Associate Editor | 4880 reads | 0 comments

Methicillin-resistant Staph aureus (MRSA) infections have become increasingly prevalent in recent years in various populations. Over the past year and a half, there have been outbreaks of MRSA on athletic teams, prompting a recent report by the Centers For Disease Control and Prevention (CDC) that warned competitive athletes of the potential for infection.
In an August edition of the Mortality and Morbidity Weekly Report (MMWR), the CDC noted an MRSA outbreak on a Colorado fencing team that occurred in February. One month before that, two Indiana high school wrestlers suffered



Technology In Practice »

How A New Dressing May Enhance Healing Of Heel Ulcers

By Brian McCurdy, Associate Editor | 5423 reads | 0 comments

Ideally, a treatment should be quick and easy to use without sacrificing patient comfort. Negative pressure wound therapy can work well on wounds as it helps to remove exudate and enhance granulation. Continuing to improve upon its VAC therapy, KCI has introduced the new VAC® GranuFoam Heel Dressing. Designed just for heel wounds, the dressing has won raves from a few podiatrists for its quality, speed and ease of use. Colleen Schwartz, DPM, introduced the dressing at the American Podiatric Medical Association meeting in August and praises its benefits.
Dr. Schwartz