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  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
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  • August 2005 | Volume 18 - Issue 8
    When it comes to evaluating biomechanical considerations in static stance, Nicholas Sol, DPM, CPed, says it is important to keep in mind that a patient may have over 30 different standing postures.
    Guest Clinical Editor: Nicholas Sol, DPM, CPed
    8,715 reads | 0 comments | 09/03/08
       Evaluating biomechanics in static stance poses unique challenges because of the differences between static stance and dynamic gait. In addition, one must take the occupation of patients into account when modifying orthotics for patients who spend a significant amount of weightbearing time in static stance. That said, let us take a closer look at what these expert panelists have to say on the subject.    Q: What are the key differences between approaching the biomechanics of static stance and dynamic gait?    A: Podiatry schools and... continue reading
    The crossover second toe deformity, as seen here, has been repaired and the hallux valgus deformity will be corrected with arthrodesis of the metatarsophalangeal joint.
    By Jesse B. Burks, DPM
    36,291 reads | 0 comments | 09/03/08
       The bunion deformity is one of the most common deformities that podiatric foot and ankle surgeons treat. As with other conditions, the conservative and surgical measures vary based on the patient’s expectations and the surgeon’s experience. Although there are limited conservative options available such as shoe modifications and prescription orthoses, most podiatric physicians would agree that surgical correction is often necessary for a symptomatic bunion deformity.    While there are several considerations in choosing the appropriate surgical procedure,... continue reading
    Implementing software decision support and tracking tools may go a long way toward facilitating more effective visits and follow-up care for patients with diabetes.
    By Barbara Aung, DPM and Kim Jungkind, MPH, RN, CCM
    5,195 reads | 0 comments | 09/03/08
       Podiatric medical practices strive to provide patients with high quality care. Patients with diabetes pose an added challenge due to the comprehensive nature of the condition and resulting complications. In a proactive effort to improve visit planning and improve the care of these patients, podiatrists may want to consider the use of software decision support and tracking tools to assist them in delivering needs-based care to their patients.    We have found success with a simple, practical registry, decision support and tracking system. As a “connected h... continue reading
    By Robi Garthwait, Contributing Editor
    4,872 reads | 0 comments | 09/03/08
       The performance review can be a difficult proposition as there is a certain amount of dread and anticipation for both the employer and the employee. One must address the tricky issue of pay or salary. Performing a thorough performance review is also important from a legal perspective. For example, a fired employee may claim he or she was never told about a particular area of deficiency.    There is a desire to cover all the relevant areas and issues in the performance review but some people have trouble being tactful and honest at the same time. A common mi ... continue reading
    By Mark A. Caselli, DPM, Edward C. Rzonca, DPM and John J. Rainieri, DPM
    27,404 reads | 0 comments | 09/03/08
       The sport of cycling has grown in popularity in recent years. Spurred on by Lance Armstrong’s successes in the Tour de France and the increasing popularity of mountain biking (the first Olympic mountain bike race was held at the 1996 summer games in Atlanta), participation in bicycling is second only to swimming.    The Bureau of Transportation Statistics at the U.S. Department of Transportation estimates that more than 49 million Americans ride bicycles at least monthly, with over 5 million people riding at least 20 days per month. Cycling creates a trem... continue reading
    When it comes to treating chronic joint and neuromuscular pain in the lower extremity, there are nutriceutical treatment options according to the author.
    By John E. Hahn, DPM, ND
    14,589 reads | 0 comments | 09/03/08
       Many of my colleagues have voiced concerns regarding the use of nutriceuticals in their practices. The expressed concerns range from “These things are unproven” and “There is no FDA scrutiny over these products” to “They don’t work all the time” and “There are no scientific, double-blind, placebo-controlled studies on their safety or effectiveness.”    I had many of the same doubts before I incorporated nutriceuticals into my practice over 12 years ago. Since my training in podiatry school was allopathic in nature, it was difficult for me t... continue reading
    A 73-year-old patient presented with rest pain and a non-healing ulcer that had been persistent for four months. The patient was hypertensive, had hypercholesterolemia and an ankle-brachial index of 0.55 suggested peripheral arterial disease.
    By Brian McCurdy, Associate Editor
    16,827 reads | 0 comments | 09/03/08
       New technologies abound and there is certainly no shortage of new innovations. There are new medications for diabetic neuropathic pain and antibiotic-resistant infections. There are innovative matrices that may enhance the healing environment for wounds. There are leading advances in the limb salvage arena as well as impressive modalities for facilitating bone healing. With that said, let us take a closer look at several new and emerging innovations that may prove beneficial to podiatrists and their patients.    1. Tigecycline (Tygacil™, Wye... continue reading
    Jerry Gross, DPM, says the AmeriGel Hydrogel Saturated Gauze Dressing provides “the moisturizing and debriding qualities needed in many of our non-healing wounds.”
    By Robi Garthwait, Contributing Editor
    3,549 reads | 0 comments | 09/03/08
       Podiatrists have turned to AmeriGel Care Lotion to solve an array of skin problems, including psoriasis and ichthyosis. Building upon the success of the lotion, AmeriGel Hydrogel Saturated Gauze Dressing utilizes the same key ingredient with an eye toward providing long-term moist wound care.    What makes the AmeriGel Gauze Dressing unique among the impregnated gauze dressings available today is the use of Oakin™ as its primary ingredient, according to the manufacturer, AmerX Health Care Corp. Oakin provides antifungal, antimicrobial and autoly... continue reading
    By Jeff Hall, Executive Editor
    1,882 reads | 0 comments | 09/03/08
       What has always struck me about the podiatry profession is the diverse array of niches within the field. Podiatrists may specialize in the sports medicine arena or excel in ensuring appropriate wound care for high-risk patients with diabetes. Podiatric doctors may be known for their stellar surgical expertise while other DPMs have a strong knowledge of podiatric dermatology.    Addressing the diversity of the podiatric experience is a challenge that we look forward to with each issue. Nowhere is this diversity more apparent than in this month's edition, one... continue reading
    When it comes to patients with diabetic peripheral neuropathy (like the patient shown above), the author says there is enough evidence and basic science-based research to show compression plays a role in part of the underlying nerve pain and symptoms.
    By Babak Baravarian, DPM
    24,904 reads | 0 comments | 09/03/08
       As we evolve in our treatment of foot and ankle conditions, it seems like each treatment meets with some reservation from the medical community. As podiatric physicians, our mindset is scientific in nature and we need hard facts and evidence-based results to show each treatment option is beneficial. I am with the mainstream in that thinking but I also try to rationalize a treatment option and see why it may or may not benefit a patient.    To that extent, there has been a great deal of interest in treatment options for diabetic neuropathy. A. Lee Dellon, MD... continue reading