Volume 19 - Issue 1 - January 2006

News and Trends »

Can Microcirculation Changes Predict Non-Healing Ulcers?

By Brian McCurdy, Associate Editor | 15441 reads | 0 comments

   Researchers of a recent study say assessing microcirculation changes may help predict whether diabetic foot ulcers will heal. The authors of the study, which was published in a recent issue of The Lancet, utilized medical hyperspectral imaging to perform these assessments and add that the new technology may help identify patients with diabetes who are at higher risk for foot ulcers.

   Researchers of the study examined 108 patients, including 51 patients with diabetic neuropathy, 36 with diabetes but no neuropathy and 21 control patients without diab



Diabetes Watch »

Reconciling Combination Therapy With EBM: Where Do We Go From Here?

By Kathleen Satterfield, DPM | 8904 reads | 0 comments

   One will not find combination therapies mentioned in evidence based medicine (EBM) journals or in research trials. In fact, one will rarely find combination therapies mentioned in many trade publications either. Purists often claim this concept presents a mixed message. How can one track performance and outcomes if he or she is using combination therapies? What component worked?

   Detractors sometimes call the practice of using combination therapy “the shotgun approach.” They say it does not denote much finesse and represents excess. Proponents weigh i



Continuing Education »

Key Insights On Writing Orthotic Prescriptions

By Lawrence Huppin, DPM, and Paul Scherer, DPM | 20897 reads | 0 comments

   When it comes to an effective prescription for custom foot orthoses, podiatrists must consider the dysfunction of that particular patient’s foot in order to achieve a satisfactory clinical outcome. Addressing the specific needs of the pathology producing the dysfunction as well as the symptoms the patient is experiencing makes the difference between treatment success and failure.

   Dispensing the same prescription orthotic for posterior tibial dysfunction and plantar fasciitis will not produce the same successful outcomes as a colleague who prescribes p



Editor's Perspective »

Combination Therapy: Should We See It More In Podiatric Clinical Trials?

By Jeff Hall, Executive Editor | 2195 reads | 0 comments

   Given the ongoing emphasis toward incorporating more evidence-based medicine (EBM) in podiatry, there has been a noticeable increase of published clinical trials in the peer-reviewed podiatry literature. For example, in the November/December 2005 issue of the Journal of the American Podiatric Medical Association (JAPMA), six out of the eight original articles are clinical trials.

   While these developments are certainly encouraging, there does seem to be a lack of published clinical trials involving combination therapy — the combination of one or



Surgical Pearls »

Taking A Novel Approach To Hammertoe Surgery

By John A. DeBello, DPM, Kordai I. DeCoteau, DPM, and Eric Beatty, DPM | 19521 reads | 0 comments

   Hammertoes may have an etiology that is either congenital or acquired. Pain and cosmetic appearance are the leading factors for patients wanting surgical intervention for hammertoe deformities. While there are a variety of approaches for hammertoe correction, we have found success with a novel approach that emphasizes the use of medial and lateral incisions.

   Typically, surgeons use dorsal linear, dorsal longitudinal semi-elliptical, dorsal transverse semi-elliptical, plantar longitudinal and medial/lateral incisions in hammertoe surgery.1 Howe



Wound Care Q&A »

Treating Lower Extremity Wounds In The Face Of Systemic Disease

Clinical Editor: Lawrence Karlock, DPM | 7706 reads | 0 comments

   Systemic diseases as varied as diabetes, renal failure and rheumatoid arthritis can affect the healing of lower extremity wounds. When it comes to treating chronic wounds, there is an array of testing one can employ to rule out systemic disease as a potential cause. There are also key warning signs that may indicate a possible malignancy. With these issues in mind, our multidisciplinary panel offered the following insights.

   Q: What are the most common systemic diseases that manifest themselves as lower extremity wounds?

   A: Dia



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