Volume 18 - Issue 7 - July 2005

Surgical Pearls »

How To Manage Surgical Pain In Elderly Patients

By Erwin Juda, DPM, R.Ph. | 11271 reads | 0 comments

   Pain management in the elderly remains one of the most challenging issues for the podiatric surgeon. As life expectancy continues to advance, more geriatric patients will undergo surgery. While these patients may undergo these procedures to help facilitate independence and a better quality of life, one must carefully weigh the risks and benefits of surgical intervention in this patient population.

   Regardless of the success of the given surgical procedure, one may still encounter significant tissue damage and the subsequent release of pain and inflammator



Technology In Practice »

Managing Neuropathic Pain: Why Axsain Is A Viable Alternative

By Robi Garthwait, Contributing Editor | 6487 reads | 0 comments

   For patients suffering from neuropathic pain, quality of life can be a real issue. Traditional over-the-counter remedies have often not been enough to combat the effects of diabetic neuropathy or postherpetic neuralgia. However, with the introduction of Axsain (capsaicin 0.25%), doctors now have a new weapon in their armamentarium to fight pain.

   Used alone or as an adjunctive therapy to supplement oral medications, Axsain contains three times as much capsaicin as other brands currently on the market. It works by depleting sensory nerves of t



Feature »

Point-Counterpoint: Is Ischemia A Direct Risk Factor For Ulceration?

By Peter A. Blume, DPM, Kenneth L. Cornell, DPM, Bauer Sumpio, MD, and John Aruny, MD; and Mardon R. Day, DPM | 9164 reads | 0 comments

   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



Feature »

How To Detect Pediatric Osteomyelitis

By Michael Schreck, DPM | 25548 reads | 0 comments

   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



Continuing Education »

How To Differentiate Between Infected Wounds And Colonized Wounds

By Jason R. Hanft, DPM, and Brigette Smith, DPM | 44884 reads | 0 comments

   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



Feature »

Building Referrals And Relationships With Primary Care Providers

By Kristin Titko, DPM | 6824 reads | 0 comments

   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.



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