Volume 18 - Issue 7 - July 2005
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
New Products »
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
News and Trends »
Podology in Spain has evolved from a subspecialty of nursing into its own undergrad degree. As a result, Juan Goez, DPM, says the profession is undergoing the same “growing pains” that American podiatry suffered in the 1960s and ‘70s. As the profession grows, PRESENT (Podiatric Residency Education Services Network) Courseware, an online provider of lecture content to U.S. podiatric residency programs, is expanding its series of lectures into Spain to provide podologists with insights into the medical and surgical experience of American DPMs.
Surgical Pearls »
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 »
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
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