Volume 18 - Issue 3 - March 2005
New Products »
A Step Toward A Perfect Fit
The newest product for digital foot scanning expands on previously developed technology.
The iStep Footwear Integration Technology (FIT) expands on the iStep Pressure Plate, a computer system that measures arch type and pressure points as a patient walks, according to Apex Foot Health Industries, the manufacturer of both products.
The company’s patented FIT is particularly valuable in retail as the technology allows one to categorize patients based on their foot measurements, arch types and
Diabetes Watch »
Chronic critical limb ischemia has been defined as a non-healing ulceration or gangrene of the foot or toes, and/or rest pain that requires regular use of analgesics.1 These patients will require some type of intervention to resolve their condition. It can be particularly challenging to salvage the limb of a patient who has failed a bypass. The objective of revascularization is to augment blood flow to allow for wound healing and avoid major amputation resulting in the need for a prosthesis.
Amputation of one or more digits or even transmetatar
Diagnostic Dilemmas »
Problems with the lateral column are more common than we believe. Although there is a great deal of understanding of medial column problems and their solutions, there is not as much information on lateral column symptoms, causes and treatment options. With this in mind, let us take a closer look at these potential symptoms and treatment options that our institute has found helpful for such problems.
A typical patient may have an equinus and pain in the lateral foot and ankle. The pain is localized to the rearfoot and lateral ankle with tenderness along th
News and Trends »
The potential side effects of nonsteroidal antiinflammatory drugs (NSAIDs), including COX-2 inhibitors, have been well documented recently. The highly publicized Public Health Advisory from the Food and Drug Administration on celecoxib (Celebrex) and rofecoxib (Vioxx) has increased the discussion about the safety of such agents. What types of side effects should one be wary of with NSAIDs and COX-2 inhibitors, and what screening precautions can one take?
Nicholas Grumbine, DPM, has seen gastrointestinal (GI) difficulties and bleeding in patients taking
Surgical Pearls »
Back when I left the didactic world of podiatry school and entered my residency, I was ready for a transition that would blend the books with practice. Of course, the first two surgeries I performed did not fit the mold. The first one was a cartilage articulation preservation procedure (CAPP) and the other was a Keller procedure.
The CAPP procedure was familiar to me only in books and the Keller seemed “outdated.” To my surprise, both surgeries turned out well and gave me an appreciation that diverse types of procedures can have a good outcome when t
Wound Care Q&A »
While there is quite an array of choices when it comes to choosing appropriate wound care modalities for lower-extremity wounds, there is not, as one panelist points out, a lot of published evidence for guidance. With this in mind, our expert panelists discuss a variety of wound care scenarios and how their clinical experience guides their decision-making on dressings and debriding agents.
Q: Given the multitude of wound care dressings available, how do you narrow down your choice of wound dressings?
A: Eric Espensen, DPM, and
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