Editorial Staff

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

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
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  • December 2005 | Volume 18 - Issue 12
    By John H. McCord, DPM
    3,451 reads | 0 comments | 09/03/08
       Two years ago, I finished a 10-year period as a member of my state podiatric medical licensing board. During that period, I frequently wondered what a podiatrist must feel when he or she receives a registered letter with a notification of a complaint to the board.    Complaints against DPMs came from a variety of sources. Most were from disgruntled patients. Some came from other DPMs, especially when a partnership between two podiatrists breaks up. Some came from the board of pharmacy when a DPM was perceived to be over-prescribing narcotics or possibly Via... continue reading
    Here is a close-up view of purulent exudate with a paronychia.
    By Alexander Reyzelman, DPM
    74,064 reads | 3 comments | 09/03/08
       Ingrown toenails are one of the most common presenting pedal foot maladies with an estimated 20 percent of those who present seeking foot care for this problem.1,2 Chemical matrixectomy is one of the most common surgical procedures podiatrists perform. Although the technique for the matrixectomy procedure is fairly simple and straightforward, there are many modifications to the procedure and there are controversial issues including the use of adjunctive antibiotics and postoperative care.    In order to understand the evolution of the procedure, o... continue reading
    The overall incidence of diabetes may be increasing due to declining diets and sedentary lifestyles, notes Ken Rehm, DPM.
    By Brian McCurdy, Associate Editor
    6,157 reads | 0 comments | 09/03/08
       The prevalence of diabetes in the United States has increased by 14 percent in the last two years, according to a recent report by the Centers for Disease Control and Prevention (CDC). The report concludes that 20.8 million people in the U.S., 7 percent of the population, have the disease and 6.2 million of these people are undiagnosed. In 2003, an estimated 18.2 million people had diabetes, according to the CDC.    Why the rapid rise in diabetes prevalence in just two years? The overall incidence of diabetes may be increasing due to declining diets and sed... continue reading
    By Martin C. Yorath, DPM
    10,384 reads | 0 comments | 09/03/08
       It is important to appreciate where the preoperative history and physical examination fits into the overall patient history and physical (H&P) hierarchy. As noted in the previous article (see “Why Complete H&Ps Should Be More Common In Podiatry,” page 56, September issue), the preoperative history and physical examination are essential for screening patients and assessing possible surgical risks.    After evaluating these findings, podiatric physicians can make decisions regarding their patients’ suitability and stability to undergo a planned foot or... continue reading
    As you can see, this diabetic patient has an infected neuropathic ulcer and a gangrenous digit. (Photo courtesy of Lawrence Karlock, DPM)
    By Mark Kosinski, DPM, and Warren Joseph, DPM
    54,847 reads | 0 comments | 09/03/08
       Many exciting antibiotics have either recently been approved, received a new FDA indication or will soon become available. Some are well known and have already been incorporated into clinical practice. Many are the first in their respective classes and have novel mechanisms of action. What place, if any, do these drugs have in the treatment of diabetic foot infections (DFIs)?    That said, let us take a look at a number of newer as well as time-tested antibiotics and assess their efficacy for DFIs.    • Linezolid (Zyvox, Pfizer) and q... continue reading
    By Steven Peltz, CHBC
    10,338 reads | 1 comments | 09/03/08
       Right now, many senior residents and fellows are facing the next step in their career, namely joining a practice. The idea of getting paid more than what they have received for the past few years along with working in a practice brings them a sense of excitement and foreboding.    After the interview process and mutual acceptance by each party, the discussion eventually turns to the topic of partnership. The owners only want to hire someone who will become an owner of the practice and will eventually buy them out. The owners explained in great detail the pro ... continue reading
    Every time you get a referral from a physician, fax them your thank you consult letter and mail a hard copy within 24 hours.
    By Steven Peltz, CHBC
    4,516 reads | 0 comments | 09/03/08
       Any practice goes through a number of stages. The “going into practice stage” begins when you make the decision to start your own practice and ends when your cash flow exceeds your expenses, and you begin to take home a paycheck that covers your living expenses.    The third stage is the mature stage where the practice is utilizing between 80 and 100 percent of the time available for patient treatment, and the patient wait for an appointment is longer than two weeks.    In between those two stages is the second stage, the growth stage. ... continue reading
    In this pre-op lateral radiograph, one can see a Stage II Modified Regnauld Classification of hallux rigidus.
    By Lawrence A. DiDomenico, DPM, and Alfonso A. Haro III, DPM
    47,604 reads | 0 comments | 09/03/08
       Surgical recommendations are sparse when evaluating treatment options for the athletic population diagnosed with hallux limitus, hallux rigidus or first metatarsophalangeal (MPJ) osteoarthritis. However, we have found success in treating athletes with first MPJ arthrodesis, and helping them to achieve pain relief and a return to activities.    Several surgeons have found similar success as evidenced by a review of the literature on this subject. In 1996, Bouche, et. al., advocated first MPJ arthrodesis in active patients, reporting that it could “relieve ... continue reading
    Here is a polypropylene functional foot orthosis with an EVA rearfoot post. Howard Horowitz, DPM, prefers using an extrinsic rearfoot post in order to help control the rearfoot as much as possible immediately after heel strike. (Photo courtesy of Alona Ka

    15,538 reads | 0 comments | 09/03/08
       Given the nuances of making adjustments to orthotic prescriptions, our expert panelists discuss their approaches in using adjustments such as first ray cutouts and metatarsal pads, and the tools necessary for making modifications. They also discuss which adjustments they will make themselves and which ones they will send out to an orthotics lab. Without further delay, here is what they had to say.    Q: How do you incorporate footwear when determining appropriate orthotic prescriptions?    A: Ideally, Howard Horowitz, DPM, says one s... continue reading
    By Jeff Hall, Executive Editor
    3,231 reads | 0 comments | 09/03/08
       Despite the increased awareness of diabetes in recent years and its potentially devastating complications, the recent report from the Centers for Disease Control and Prevention (CDC) offers a grim portrait of the effort to curtail and prevent the condition. In the last two years alone, there has been a 14 percent increase in the prevalence of diabetes in the United States (see page 8, “News And Trends”).    The estimated number of Americans with diabetes now stands at 20.8 million people in the United States, a 2.6 million increase from 2003. The CDC es... continue reading