Volume 17 - Issue 7 - July 2004
There has been a six-fold increase in diabetes mellitus over the last four decades in the United States.1 Indeed, 798,000 new diabetic patients are diagnosed each year in the U.S.2,3 The statistics are particularly disturbing when it comes to lower extremity amputation among people with diabetes.
Lower extremity amputation among the diabetic population increased from 67,000 in 1994 to 140,000 in 2000.4 While amputation in the diabetic population is a viable option in the presence of significant peripheral arterial disease and gangrene, life expectancy after m
Continuing Education »
In clinical practice, two of the most common types of infected wounds podiatrists see are ulcerations and postoperative incision sites. In order to resolve these infections and ultimately close these wounds, one must have a strong understanding of the etiology of infected ulcerations and post-op infections, how to assess these wounds and how to select appropriate treatment options.
Editor's Perspective »
Consider the dizzying array of choices one must make when a patient presents with a non-healing wound. In some cases, determining the etiology can be a daunting challenge. In their guest column for Diabetes Watch, Damieon Brown, DPM, and Javier La Fontaine, DPM, discuss the difficulties of detecting diabetic autonomic neuropathy and provide an illuminating case study that reflects the subsequent challenges of treating these patients for chronic wounds (see page 20).
Within this month’s continuing education article, “How To Detect And Treat Infected Wounds” (see page 68), John S. Stei
Wound healing is a complex process that depends upon the delicate balance of physical and spiritual well-being of the individual. In order to maintain this required balance for wound healing, clinicians must be aware of and evaluate five major conditions including: adequate perfusion, decreased bacterial load, protection from mechanical stress, sufficient nutrition and the patient’s psychosocial status.
While one can evaluate the first three conditions through clinical examination techniques, laboratory assays and special studies, the nutritional status and psychosocial status of the patie
First, I’d like to say that the article on adult-acquired flatfoot (AAF) was insightful and thorough (see the cover story “A New Approach To Adult-Acquired Flatfoot,” pg. 32, May issue). It is now my reference on AAF. However, I found that the heel pain article left questions unanswered (see “Conquering Conservative Care For Heel Pain,” pg. 48, May issue). I wonder why James Losito, DPM, offered his comments on Extracorporeal Shockwave Therapy (ESWT) while having very limited knowledge of ESWT.
Out of the three methods of generating shockwave, Dr. Losito only describes one. By his
I never enjoyed the yearly planning session with my undergraduate advisor at the University of Washington. It was the beginning of my senior year and the advisor was disturbed at my lack of a life plan. He noted I had taken a lot of science courses and had done well. I explained science to me was like reading a cookbook and my roommates were pre-med. No, I had not considered applying to medical school. I admitted dodging the draft was my main interest in college.
My advisor suggested a business class called Conflict Resolution. It was a graduate level course and didn’t interest me at all.