Volume 19 - Issue 4 - April 2006
Ankle fractures in patients with diabetes and documented neuropathy present a significant challenge to the clinician. The majority of literature has indicated that ankle fractures in this particular patient population are often difficult to manage and complication rates are reportedly quite high. These poor outcomes are similar for both conservative and surgical treatment.
There are several factors implicated in the high complication rates one sees in the management of ankle fractures in patients with diabetic neuropathy. Many of these patients have significant osteopenia. The combination of
There is no other disease that so profoundly deforms the human foot as rheumatoid arthritis (RA). The pain symptoms from RA foot deformities limit mobility significantly in patients from adolescents to seniors. Although diabetes affects a greater number of people in the United States, the morbidity from RA is more severe.
A podiatrist’s expertise in the mechanical treatment of the rheumatoid foot is not only a professional obligation but also a guarantee of continued referrals from the rh
The United States Figure Skating Association (USFSA) regulates the testing and competition of 170,000 members, a number that represents a 63 percent increase over just one decade.
This surge in popularity can be partially attributed to figure skating becoming more financially accessible in lieu of the newer focus on only the freestyle aspect of the sport. The success of American figure skaters like Michelle Kwan and Brian Boitano have also increased the popularity of the sport.
This greater participation has subsequently brought about a higher level of competition. Both the athletic and a
While ensuring effective patient care is the primary goal of any podiatric practice, the practice is still a business so cutting costs is an important point of emphasis in keeping the practice operating at peak efficiency.
There are a number of avenues that DPMs can seek out in order to cut costs. Podiatrists can take a look at staffing procedures to work more effectively and cut costs. Podiatric practices can also be diligent in their interaction with suppliers to provide more affordable patient care. As far as office space and billing, a number of options are available to reduce overhead co
Sports Medicine »
Taping is a critical art as well as a science when it comes to the treatment and prevention of athletic injuries. Taping takes practice, creativity and adaptability. It is a very important part of a sports medicine practice. Not only is taping therapeutic, it can also be diagnostic in the evaluation and treatment of injuries in athletes since the athlete’s response to taping can indicate the effectiveness of orthotics in controlling biomechanical issues.
While taping is not a substitute for a comprehensive rehabilitation program, it is a key element in allowing an athlete to return to acti
Technology In Practice »
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
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