Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
  • Senior Editor
    Brian McCurdy
  • Circulation and Subscriptions
    Bonnie Shannon
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    Alana Balboni
  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
  • Telephone: (800) 237-7285, ext. 214
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • July 2005 | Volume 18 - Issue 7
    Here one can see cellulitis on a patient’s right foot with localized signs of infection. Early aggressive surgical debridement is crucial to avoid subsequent proximal amputations.
    By Warren S. Joseph, DPM, Thomas Zgonis, DPM, and Thomas S. Roukis, DPM
    42,716 reads | 0 comments | 09/03/08
       Diabetic foot infections arising from ulcerations are the largest non-traumatic cause of lower extremity amputations. Contributing factors include peripheral neuropathy and vascular disease, rigid pedal deformities, local trauma and pressure, extensive soft tissue loss, multi-system failure, non-compliance and severe infection.    Over the decades, there have been a number of shifts in the way clinicians approach diabetic foot infections (DFIs). Throughout the ‘60s and into the ‘70s, clinicians felt most DFIs were, like other skin and skin structure inf... continue reading
    By Peter A. Blume, DPM, Kenneth L. Cornell, DPM, Bauer Sumpio, MD, and John Aruny, MD; and Mardon R. Day, DPM
    9,621 reads | 0 comments | 09/03/08
       Yes, these panelists say ischemia plays a significant role in chronic ulcerations and emphasize the importance of a thorough vascular workup in these patients. By Peter A. Blume, DPM, Kenneth L. Cornell, DPM, Bauer Sumpio, MD, and John Aruny, MD    Clinicians must consider numerous factors when evaluating and treating ulcerations of the foot. Ulceration in the foot most frequently occurs as a result of a combination of neuropathy, ischemia and trauma. Ulcerations that become chronic in nature frequently result in a lower extremity that is at an i... continue reading
    Here you can see a typical neuropathic forefoot ulcer before tendon lengthening (gastrocnemius-soleus and posterior tibial).
    By J. Monroe Laborde, MD, MS
    18,732 reads | 0 comments | 09/03/08
    The above X-ray of the right ankle of a 10-year-old boy shows lucency in the tibial metaphysis secondary to acute hematogenous osteomyelitis (AHO).
    By Michael Schreck, DPM
    26,979 reads | 0 comments | 09/03/08
       Although both acute hematogenous osteomyelitis (AHO) and chronic recurrent multifocal osteomyelitis (CRMO) are somewhat uncommon, differentiating between the two can be tricky. Having a strong grasp of the etiology and presentation of these conditions can go a long way toward preventing a delayed or inappropriate diagnosis, which could be harmful for pediatric patients.    Pediatric hematogenous osteomyelitis may occur secondary to a traumatic injury and/or an acquired illness or other immunosuppressive condition. Acute hematogenous osteomyelitis reportedly ... continue reading
    Here is a view of the ankle with arthritic changes of multiple joints. Such a presentation is typical of early rheumatoid changes.
    By Babak Baravarian, DPM
    10,656 reads | 0 comments | 09/03/08
       Forefoot issues related to rheumatoid arthritis (RA) are well noted with fusion of the great toe being a standard procedure in association with relocation or resection of the lesser metatarsophalangeal joints, and fusion of the proximal interphalangeal joints. Surgeons have also been successful in treating the rearfoot with fusion procedures once the arthritis is not tolerable with bracing and medication.    As a patient grows older, it is easier to address the issues of RA in the ankle. In the thin and fairly sedentary patient, ankle replacement is a good ... continue reading
    Here is an example of a MRSA infection with accompanying cellulitis. (Photo courtesy of Lawrence Karlock, DPM)
    By Jason R. Hanft, DPM, and Brigette Smith, DPM
    47,571 reads | 0 comments | 09/03/08
       Since every wound has the potential for infection, it is important to differentiate between infection and colonization.1 There is no textbook that depicts all the possible appearances of wounds that contain bacteria. Indeed, the potential of wounds to heal or become infected depends on many variables. Wound care specialists have a responsibility to become familiar with the these variables as well as develop a trained eye for the clinical appearance of a wound so they may render the appropriate treatment.    There is an enormous amount of informat... continue reading
    By John McCord, DPM
    3,823 reads | 0 comments | 09/03/08
       This is the time of my professional life when I planned to slow down with fewer clinic hours, less surgery and maybe a few more nursing home visits. It has not worked out that way. Three years ago, I hired an associate who had just completed a quality PSR-24 in a university hospital. The place was an advanced trauma center with a lot of emergency room activity to stimulate young podiatric residents.    He asked about my referral experience from our local emergency room. I received a handful of referrals and consults over the years, and just accepted that tr... continue reading
    By Kristin Titko, DPM
    7,666 reads | 0 comments | 09/03/08
       In the competitive world of medicine, half of the battle for the specialists today is establishing a positive relationship with a primary care physician. It can be initially intimidating to some podiatrists to compete against more established orthopedic foot and ankle specialists in their area. However, if the primary care physician is aware of a DPM’s scope of practice, abilities, strengths, successes and knowledge of limitations, he or she can help the podiatric practice thrive in the local community. ... continue reading
    By Jeff Hall, Executive Editor
    1,769 reads | 0 comments | 09/03/08
       In a recent position statement, “Third-Party Reimbursement For Diabetes Care, Self-Management Education and Supplies,” the American Diabetes Association (ADA) doesn’t exactly mince words. “To reach diabetes treatment goals, practitioners should have access to all classes of antidiabetic medications, equipment and supplies without undue controls. Without appropriate safeguards, these controls could constitute an obstruction of effective care.”    What about patients who do not have pain or cannot feel pain due to neuropathy? One of the often-cited s... continue reading

    7,619 reads | 0 comments | 09/03/08
    Promoting Wound Healing    The newest wound dressing uses a combination of several ingredients to remove exudate and promote healing.    In order to facilitate wound healing, Promogran Prisma™ Matrix combines collagen, oxidized regenerated cellulose (ORC) and silver ORC+, according to the manufacturer, Johnson & Johnson Wound Management. The company says the chronic wound dressing removes the destructive elements of the wound, maintains a bacterial balance, reduces bacterial growth and utilizes silver to ensure healthy growth of tissue... continue reading