Volume 19 - Issue 4 - April 2006

Technology In Practice »

Emerging Supplement Offers Benefits In Treating Diabetic Neuropathy

By Anthony Leone, Special Projects Editor | 5376 reads | 0 comments

When it comes to adjunctive modalities for the treatment of diabetic neuropathy, podiatrists may want to consider the supplement Metanx (Pamlab). Two podiatrists cite the modality as a safe and effective treatment option for those with diabetic neuropathy.
Comprised of 2.8 mg of L-methylfolate, 25 mg of pyrioxal 5’-phosphate (B6) and 2 mg of methylcobalamin (B12), Metanx has been proven to increase nitric oxide (NO) synthesis and improve endothelial function, according to Allen Jacobs, DPM, and Theodore Varoz, DPM, PCPM, DFW. Dr. Jacobs notes that B6 facilitates neural regeneration and B12



New Products »

Soothing Itchy Conditions

4912 reads | 0 comments

For patients with dermatological conditions, a new product may be able to provide some relief.

Ammonium Lactate Cream 12% is indicated for ichthyosis vulgaris and xerosis, according to the manufacturer, Paddock Laboratories. The product offers 12% lactic acid neutralized with ammonium hydroxide, according to the company.
As Paddock Labs says, when one applies lactic acid to the skin, it may decrease corneocyte cohesion. In addition, the company says an in vitro study showed that in cadaver skin, 6.1 percent of the Ammonium Lactate Cream was absorbed in 68 hours. It is available in a lot



Forum »

Confessions Of A Not So Avid Football Fan

By John H. McCord, DPM | 1662 reads | 0 comments

I have never been much of a fan of American football. This is partly due to a trauma related to the game early in my life. My father took me to a University of Montana Grizzly game when I was 5 years old. Naturally, we sat in the cheap seats, rickety bleachers used mostly by impoverished students and my father.
It was my first opportunity to watch a football game and I tried to concentrate but the tedium of timeouts, huddles and slow movement of huge men adorned in padding and helmets caused me to daydream. I dozed off, fell out of the bleachers and fractured my clavicle. I swore off football



Continuing Education »

Essential Insights On Treating Fifth Metatarsal Fractures

By Nicholas Romansky, DPM, and Todd Becker, DPM | 116073 reads | 0 comments

Podiatric physicians commonly see fifth metatarsal fractures when treating active patients. The actual rate of occurrence is unknown but some estimate the rate at somewhere between 0.7 and 1.9 percent of all foot fractures. Fractures of the fifth metatarsal can occur at a number of locations and while some of these respond well to conservative treatment, other fractures have been notoriously hard to heal with high rates of nonunion and other complications.
Proper classification of these fractures and a strong understanding of the mechanism of injury will help guide the podiatric physician



Editor's Perspective »

Challenging Conventional Thinking On Orthotic Therapy And Podiatric Biomechanics

By Jeff Hall, Executive Editor | 2897 reads | 0 comments

Every now and then, I catch an episode of Bravo’s Inside The Actor’s Studio. At the end of the hour, the interviewee participates in a pithy, amusing and sometimes revealing questionnaire. One of the standard questions is “What is your least favorite word?” For me, it would be two words: conventional and assumption. Those who assume are too lazy to seek out the truth. Conventional implies there is one predominant way of doing things but the dynamic nature of our lives suggests different models.
Interestingly enough, a number of articles in this month’s issue offer challeng



News and Trends » MRSA

Can A New Molecular Test Enhance MRSA Detection?

By Brian McCurdy, Associate Editor | 6349 reads | 0 comments

Given the substantial rates of methicillin resistant Staphylococcus aureus (MRSA) infection in hospitals, early detection is vital to ensure timely and appropriate treatment. A new molecular test may significantly decrease the amount of time it takes to detect MRSA and possibly reduce transmission of the bacteria, according to the authors of a new study.

Researchers who conducted the two-year study, recently published in Critical Care, evaluated over 1,000 patients who had been admitted for longer than 24 hours to a medical intensive care unit (ICU) or surgical ICU. Authors of



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