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
  • Telephone: (800) 237-7285, ext. 214
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • March 2006 | Volume 19 - Issue 3
    By Stephanie C. Wu, DPM, MS, Lawrence A. Lavery, DPM, MPH, and David G. Armstrong, DPM, PhD
    9,142 reads | 0 comments | 03/03/06
    Non-healing skin ulcerations of the lower extremities affect millions of people in the United States and impose tremendous medical, psychosocial and financial impact. These wounds may be secondary to a myriad of etiologies including pressure, metabolic, trauma, venous, arterial etiologies and diabetic neuropathy.1 The Wound Healing Society defines chronic ulcerations as wounds that have “failed to proceed through an orderly and timely process to produce anatomic and functional integrity, or proceeded through the repair process without establishing a sustained anatomic and functi ... continue reading
    By Kathleen Satterfield, DPM
    29,233 reads | 0 comments | 03/03/06
    Diabetic peripheral neuropathy (DPN) is a “diagnosis of exclusion.” Diagnostic challenges are one thing but few practitioners relish that phrase when it comes to DPN. For this condition, the practitioner needs to cast a very wide net of tests and keep an open mind regarding clinical suspicion in order to reach an accurate diagnostic conclusion. How likely is it that there could be another neuropathy-causing disease or medical condition resulting in these same lower extremity symptoms? Does the podiatric physician really need to consider thyroid problems, vitamin B12 deficiencies, nerve en ... continue reading
    By John H. McCord, DPM
    2,557 reads | 0 comments | 03/03/06
       I have a small list of items that I prefer patients not bring to the office when they come for care. What is on the list?    • Supersized 32-oz. soft drinks    • Guns    • Pets    • Cell phones    The problem with 32-oz. soft drinks is obvious. I manipulate the painful heel. The patient lets out a screech and the Cherry Coke bounces off the ceiling before cascading onto my bald head.    Guns are a unique and challenging problem. I live in a rural community where ... continue reading
    By Thomas Zgonis, DPM, Thomas S. Roukis, DPM, and Douglas T. Cromack, MD, FACS
    18,823 reads | 0 comments | 03/03/06
    The goal of soft tissue coverage is to restore form and function. However, due to the anatomic complexity of the foot and ankle, soft tissue coverage in this area often falls short of Sir Harold Gillies’ adage to “… replace like with like.”1,2 Ideally, soft tissue coverage of the foot and ankle would involve primary repair free of tension and utilize neighboring sensate native tissue that is capable of withstanding the forces sustained during gait.1-3 Soft tissue wound coverage employs various forms of conservative and surgical techniques aimed at creating rapid ... continue reading
    By Jeff Hall, Executive Editor
    3,111 reads | 0 comments | 03/03/06
       I have long since given up looking for logic from the Bush administration. However, the recently proposed cuts in funding for diabetes research certainly fly in the face of very disturbing statistics about the prevalence and impact of this disease.    According to a recent news article in Diabetes Today, the proposed budget numbers would slash $11 million from funding for the National Institute of Diabetes and Digestive and Kidney Disease, a research division of the National Institutes of Health (NIH), and $20 million from funding for chronic disea ... continue reading
    By Brian McCurdy, Associate Editor
    6,767 reads | 0 comments | 03/03/06
    The benefits of exercise in preventing diabetes and improving general health are well established. Can exercise also facilitate improved wound healing among older adults? A recent study in the Journal of Gerontology: Medical Sciences found that wounds healed faster for patients who exercised compared to those who engaged in no activity. The study involved 28 healthy adults with a mean age of 61. The patients were assigned either to an exercise or non-exercise group. Researchers created small wounds on patients and conducted wound measurement three times a week to calculate the heali ... continue reading
    By John Hahn, DPM, ND
    16,098 reads | 0 comments | 03/03/06
    Nearly 21 million people in the United States have diabetes, according to the Centers For Disease Control and Prevention (CDC). Approximately 6.2 million of these people are not aware they have the disease. The CDC also estimates that over 40 million people have pre-diabetes, a condition that increases the risk of developing type 2 diabetes. Over 20 percent of adults 60 years of age and older have diabetes. ... continue reading
    By Jerome K. Steck, DPM, FACFAS, and George Vito, DPM, FACFAS
    5,771 reads | 0 comments | 03/03/06
    I read the recent article “A New Solution For The Arthritic Ankle?” (see page 36, December 2005) with interest. I applaud the authors for their work and agree that this is an option for patients with degenerative joint disease of the ankle. George R. Vito, DPM, et. al., accurately point out that there are few surgeons who have total ankle implant training and regularly perform this procedure. I have had years of training with the inventor of the only FDA approved ankle implant, and have performed a tremendous number of these procedures successfuly. Unfortunately, the authors’ review o ... continue reading
    By David Edward Marcinko, MBA, CMP, CFP
    7,083 reads | 0 comments | 03/03/06
    Fees are down, expenses are up and the days of fat profit margins for physicians are over. Managed care in some form is here to stay. The tidal wave of baby boomers approaching retirement suggests the pendulum will not swing back to the “good old days” of fee-for-service medicine. The U.S. government, the payer for more than 50 percent of the covered population, continues to ratchet down reimbursement. Accordingly, many doctors are now working harder than ever. Unfortunately, they are also prone to irrational investing behavior and making more investment mistakes than ever before. Here... continue reading
    By Glenn Weinraub, DPM
    12,117 reads | 0 comments | 03/03/06
    It is well established that poorly controlled diabetes mellitus leads to vasculopathy, immunopathy and neuropathy, all of which may contribute to osteopathy. However, in order to understand the nuances of bone healing in the diabetic population, one must first have a strong grasp of the fundamentals of bone biology and biomechanics (see “A Helpful Primer On Bone Structure” below). Bone is a dynamic medium with a multifactorial purpose including support of soft tissues, protection of soft tissues, locomotion and being a mineral reservoir. The growth, maintenance and healing of bone require ... continue reading