Volume 19 - Issue 2 - February 2006

Forum »

Revisiting My Stance On Ultrasound Machines

By John H. McCord, DPM | 4774 reads | 0 comments

   I keep a one-eyed monster locked in the staff bathroom of my clinic. I am not afraid of the thing. There just is not another practical space to store it and I am kind of embarrassed about having it. It is a diagnostic musculoskeletal ultrasound machine.

   Most DPMs would be proud to have this stylish symbol of high-tech medicine displayed where all could see it. I keep mine hidden because I am the guy who authored a very negative editorial about diagnostic ultrasound units in podiatry offices.

   I encountered a bunch of salespeople at the



Editor's Perspective »

Embracing Change: A New Look For Podiatry Today

By Jeff Hall, Executive Editor | 2546 reads | 0 comments

   Over the years, I have been accused of being resistant to change. I am not exactly sure why I have been branded with this label. Granted, the folks at the local Subway start making my sandwich when I walk in the door to grab lunch. Yes, I have gotten the same haircut since college and yes, I have only owned a cell phone for the past year.

   Somewhat sensitive to these issues, our Art department started working on column redesigns in the magazine without telling me at first. Knowing how anal-retentive I am about word counts, Vic Geanopulos, our Creative Dire



News and Trends »

Can A New Brace Provide A Treatment Alternative For Ingrown Toenails?

By Brian McCurdy, Associate Editor | 19814 reads | 0 comments

While the matrixectomy is a common procedure of choice for ingrown toenails, researchers from Germany believe an orthonyxia procedure, delivered via a new brace, may be more effective in treating these toenails.
In a study, which was recently published in the Journal of the American Podiatric Medical Association (JAPMA), the researchers found that patients who wore the brace experienced reduced pain and a quicker return to work than those who underwent surgery. However, a couple of DPMs are skeptical.
The recent study in JAPMA examined 41 patients with ingrown toenails. Twent



Diabetes Watch »

Assessing The Potential Of Nitric Oxide In The Diabetic Foot

By Paul J. Kim, DPM | 44878 reads | 0 comments

   Researchers have studied nitric oxide (NO) extensively for the past 40 years. However, there has been an increased interest within the past 15 years. In 1998, the Nobel Prize in Physiology and Medicine was awarded to scientists who worked out the signaling mechanisms for NO in the human body.

   Nitric oxide is an endogenous gas produced by cells with many diverse physiological effects. The substrate arginine is converted by the enzyme nitric oxide synthase (NOS) to citrulline with the liberation of NO (see “A Closer Look At Nitric Oxide Production” belo



Practice Builders »

The PMA Identity Crisis: Where Do We Go From Here?

By Lynn Homisak, PRT | 10414 reads | 0 comments

Mention creating a legal scope of practice for the podiatric medical assistant (PMA) to a group of doctors and you will likely stir some opinions and controversy. Unfortunately, at this point, only opinions can frame the discussion. Without a written scope of practice, there is no standardization of what an assistant can and cannot do. There is only individual interpretation and this is usually based on personal experiences within one’s own office.
Here is the only reality that we know to be true. Some individuals are hired to file charts, answer the phone and bring patients back to a trea



Orthotics Q&A »

Inside Insights On The Evolution Of Orthotic Therapy

Guest Clinical Editor: Douglas Richie Jr., DPM | 10202 reads | 0 comments

   Over the last decade, there have been a variety of changes and trends that have shaped the evolution of orthotic therapy. Accordingly, our expert panelists discuss pertinent orthotic prescription trends. They also examine the importance of having a strong background in biomechanics and whether the podiatric profession is “giving away” its biomechanics expertise to non-podiatric physicians.

   Q: What specific changes have you observed in the overall utilization of functional foot orthoses in the typical podiatric practice in the past 10 years? Are or



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