Volume 18 - Issue 3 - March 2005

Continuing Education »

How To Manage Heel Ulcers In Patients With Diabetes

By Jonathan Moore, DPM, and Pamela Jensen, DPM | 37262 reads | 0 comments

   Diabetic heel ulcers constitute one of the most frustrating problems for podiatric physicians. Pressure ulcers affect nearly 2 million people each year and account for annual healthcare costs that range between $2.2 billion and $3.6 billion. The heel is the second leading site for development of pressure ulcers after the sacrum.1 While patients with diabetes are living longer than in the past, the incidence of hospital-acquired heel ulcers increased from 19 percent in 1989 to 30 percent in 1993.2

   Costs for heel ulcers are nearly dou



Editor's Perspective »

Addressing The Ongoing Challenge Of Diabetes Care

By Jeff Hall, Executive Editor | 2036 reads | 0 comments

   Over 18 percent of people age 60 and over in the United States have diabetes. According to the American Diabetes Association, 1.3 million new cases of diabetes are diagnosed every year in people over the age of 20. Between 60 to 70 percent of people with diabetes have mild to severe forms of nervous system damage, a major contributing factor to lower-extremity amputation. Greater than 60 percent of nontraumatic lower-limb amputations in the U.S. occur among patients with diabetes.

   With these statistics in mind, we present our Fifth Annual Diabetes theme



Forum »

Learning About Surgeons From A Narcissistic Cat

By John McCord, DPM | 4588 reads | 0 comments

   One of my most valuable fixed assets is my old cat Bob. He is actually my son’s cat. My son asked if we would watch Bob while he explored the world for a few months. That was nine years ago. Bob is a narcissist. He has all of the narcissistic personality traits. He is exploitative, grandiose, preoccupied with success, feels unique, feels entitled, seeks admiration, lacks empathy, is envious and is hypersensitive to criticism.

   Bob’s behavior is often disruptive to the rest of the family pets, which have all run away at this point. There is not a thing



Letters »

What About Cryosurgery For Interdigital Neuritis?

3986 reads | 0 comments

   Babak Baravarian, DPM, first of all, I want to say I always find your articles very educational and informative. As a CryoStar cryoanalgesic certified podiatrist with over 100 clinical cases under my wings, I wanted to add my spin on interdigital neuritis to your perspective (see “How To Diagnose And Treat Interdigital Neuritis,” page 67, January issue).

   The use of cyroablation for treatment of Morton’s neuromas received FDA approval in June of 2003. With my colleague, Lawrence Fallat, DPM, and the other 19 CryoStar surgeons, we have treated well o



New Products »

New Products

5806 reads | 0 comments

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 »

Exploring Limb Salvage Options In Patients With Chronic Limb Ischemia

By John E. Aruny, MD, Peter Blume, DPM, Bauer Sumpio, MD, PhD, and Benjamin Buren, DPM | 13317 reads | 0 comments

   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