Volume 17 - Issue 6 - June 2004
Diabetes Watch »
Serious foot infections result from a combination of factors including disease, injury, neuropathy, vascular impairment and insufficient wound healing. Diabetic patients, in particular, are at high risk of developing serious complications in lower extremities that can lead to amputation. Of the estimated 17 million people who have Type 1 and Type 2 diabetes, almost 15 percent will undergo lower extremity amputation during their lifetime.1,2 Approximately 80 percent of diabetes-related amputations are preceded by chronic foot ulcers.3-5
Many chronic foot ulcers in diabet
Orthotics Q&A »
There is no shortage of issues to consider when you are prescribing custom orthotics for different types of patients, whether it’s knowing what to look for during the biomechanical exam or understanding the keys to proper casting. With these things in mind, our expert panelists explore various issues from prescribing orthotics for athletes to altering orthotics in case of improper fit.
Q: What keys do you look for in your biomechanical exam?
A: Patrick Nunan, DPM, starts his biomechanical exam by having the patient sit on an exam table while he evaluates the joints’ range of mot
Practice Builders »
When you decide to hire a new podiatrist for your practice, one of the most important decisions you will face is deciding how much to pay your new hire. Ideally, you want to pay a base salary and offer an incentive that encourages the new podiatrist to work hard, pay for him- or herself quickly and then participate in the collections above his or her costs to the practice.
Potential employees are looking for compensation that will allow for a reasonable lifestyle along with loan payments. The challenge is how to take both of these concepts and create an agreement that is acceptable to each pa
Technology In Practice »
While some patients may only see dehydrated feet as a minor nuisance, it can lead to further problems such as fungal infections and ulcerations. However, one emerging product can not only combat anhidrosis but may be helpful in treating a variety of skin problems, including psoriasis and icthyosis.
Podiatrists are turning to AmeriGel Care Lotion to solve an array of skin problems, citing its particular effectiveness with patients who have diabetes. The lotion, which contains Oakin™ or oak extract, is “the first and only antimicrobial, antifungal, antiinflammatory and antipruritic lotion
News and Trends »
Two new international studies reveal intriguing findings in the realm of diabetes research. In the Finland-United States Investigation of NIDDM Genetics (FUSION) study, which involved over 1,200 patients, researchers identified 10 single nucleotide polymorphisms (SNPs) that are associated with type 2 diabetes in the Finnish population. According to the study, which was published in a recent issue of Diabetes, these SNPs were located within or close to the hepatocyte nuclear factor 4 alpha (HNF4A) gene, which influences the expression of glucose metabolic genes.
In a separate study, whi
New Products »
A new cushion may help keep your patients’ heels cool and comfortable while speeding up the healing process.
For patients suffering from plantar fasciitis, the Sol Step™ provides cushioning and absorbs shock of the heel’s plantar aspect, according to the device’s manufacturer, Brown Medical. The company says the product’s neoprene stocking-like support offers a comfortable fit and the compression to the heel and arch accelerates healing.
Sol Step’s Sealed Ice™ pad cushions each foot. The company says the product can also provide up to 20 minutes of col
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