Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
  • Senior Editor
    Brian McCurdy
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    Bonnie Shannon
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    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
  • July 2006 | Volume 19 - Issue 7
    This photo shows the forefoot of a 47-year-old male patient who was injured by a rotating ship propeller. The photo was taken just before the first shockwave treatment.
    By John S. Steinberg, DPM, Lt. Col. Alexander Stojadinovic, MD, LCDR Eric Elster, MD, Lt. Col.(P) George Peoples, MD, and Chris E. Attinger, MD
    41,220 reads | 0 comments | 09/03/08
       Over the past several years, there has been a developing body of knowledge regarding the clinical applications of extracorporeal shockwave therapy (ESWT). The latest area of clinical investigation for this technology is in the arena of wound healing. Researchers are now studying ESWT as a new approach to wound healing with a particular emphasis on complex soft tissue wounds with and without underlying bone disruption. Hopefully, this article will serve as an introduction to this new topic and we hope the evidence-based data will soon follow as the ongoing clinical trials prog... continue reading
    Here is an acute deep space abscess in a patient who has diabetes. This infection will likely require a combination of aggressive surgical management and systemic antibiotic agents. (Photo courtesy of Ann Anderson, DPM, and John Steinberg, DPM)
    By Brian McCurdy, Senior Editor
    9,786 reads | 0 comments | 09/03/08
       It is no secret that foot infections can lead to a range of complications up to and including lower extremity amputation. However, a recent study has demonstrated a dramatically higher risk of both amputation and hospitalization in diabetes patients who develop foot infections as opposed to those without infection. The authors say this is the first prospective study to report the incidence of foot infections in a defined population as well as the risk factors for infection.    The study, published in a recent issue of Diabetes Care, found that patient... continue reading
    The wound (left) located on the medial aspect of the ankle appears relatively innocuous until one uses the Wound-Mapping™ Ultrasonic Assessment Method (right). One can clearly see the invasion of the distal end of the tibia, indicating that the patient ha
    By Martin Wendelken, DPM, RN, Oscar Alvarez, PhD, Lee Markowitz, DPM, Christopher Comfort, MD, and Linda Waltrous, RN
    9,496 reads | 0 comments | 09/03/08
       During the last few years, improvements continue to abound in wound care treatments and therapeutics. Specialized dressings, circulation boots, monochromatic infrared therapy, skin substitutes and negative pressure therapy along with variety of vehicles to deliver silver are only a few of the advances. There have also been emerging developments in the diagnostic arena, including thermography, infrared temperature devices, pressure detection mats and devices to test for sensory defects and neuropathy.    Despite all of these advances, standard wound care (sha... continue reading
    By Jeff Hall, Executive Editor
    2,249 reads | 0 comments | 09/03/08
       The importance of resolving infections and facilitating quicker wound healing is commonly understood when it comes to managing lower extremity ulcerations in patients with diabetes. Indeed, a recent study in Diabetes Care emphasizes just how important those treatment goals are in the diabetic population.    According to the study, those who have a diabetic foot infection have over a 150 times greater risk of amputation and a 55.7 times increased risk of hospitalization than those without infection (see page 10, “News and Trends”).   &... continue reading
    In order to maintain a high number of referrals, the author recommends putting on a short, lunchtime presentation on a few simple diagnoses for referring physicians. Doing so can translate into the referring doctors recalling your practice when they need
    By Steven Peltz, CHBC
    6,963 reads | 0 comments | 09/03/08
       A detailed assessment of the day-to-day operations, billing and marketing of a podiatric practice can greatly enhance one’s results while planning a personnel transition within the practice.    With this in mind, I conducted an operational and revenue analysis for a doctor with the objective of helping him to plan for the future of his practice and the location of his practice.    The analysis has a couple of key sections. First, we reviews the processes in the doctor’s office such as scheduling, patient intake and patient flow. We mo... continue reading
    Among people diagnosed with type 2 diabetes, 67 percent have a BMI greater than 27 and 46 percent have a BMI greater than 30. An estimated 70 percent of diabetes risk in the U.S. can be attributed to excess weight.
    By Chad Friedman, DPM, and Doug Pacaccio, DPM
    6,371 reads | 0 comments | 09/03/08
       The complications stemming from obesity have been well documented. In recent years, the popularity of the gastric bypass procedure has increased as a method of combating obesity. As the literature shows, gastric bypass has a positive effect on diabetes itself as well as diabetic neuropathy. However, the surgery is not without its risks and the entire health care team must be aware of both the benefits and downsides.    According to data from the 1999-2000 National Health and Nutrition Examination Survey, two-thirds of the United States population is overwe... continue reading
    This X-ray shows a transmetatarsal amputation. Transmetatarsal amputations can provide long-term success for limb salvage, according to the authors.
    By Christine Salonga, DPM, and Peter Blume, DPM
    79,371 reads | 2 comments | 09/03/08
       Lower extremity limb preservation among patients with diabetes continuously challenges the foot and ankle surgeon. With a significant population afflicted by this disease, podiatric physicians often perform amputations, a complication related to diabetes.1-4 The literature shows that pedal amputations occur in 60 percent of all nontraumatic lower extremity amputations with foot related disease as the most frequent cause for hospital admission.4,5    Transmetatarsal amputations, a common partial foot amputation, succeed with long-term ef... continue reading
    Here is a full-thickness grease burn suffered by a 36-year-old woman. Note the waxy white coloring due to the depth of the burn. (Photo courtesy of Alan J. Cantor, DPM)
    Clinical Editor: Lawrence Karlock, DPM
    17,725 reads | 0 comments | 09/03/08
       Treating partial- and full-thickness burns present unique challenges for podiatrists. Although one may need to refer burns to a burn center, there are measures DPMs can take to treat burns and help relieve the patient’s pain. Accordingly, these expert panelists discuss their preferred modalities for wounds, methods of management and their thoughts on the role of bioengineered tissues and oral antibiotics.    Q: What is your initial management of lower extremity burn wounds as far as partial-thickness (second degree) versus full-thickness (third degree)... continue reading
    By Babak Baravarian, DPM
    98,213 reads | 0 comments | 09/03/08
       An ankle sprain can be a debilitating and often difficult problem to overcome. In most cases, patients do not seek treatment immediately and/or the treatment offered is not up to par. I have spent a great deal of time at the local family practice and emergency room offices explaining how the treatment they offered their patients at the initial visits was not aggressive enough. Indeed, when initial treatment for ankle sprains is not aggressive enough, it may result in chronic instability and the need for surgery.    Accordingly, let us take a closer look at t... continue reading
    Here one can see degenerative and erosive changes to the first metatarsal head. The transverse Z-osteotomy is one of many treatments for hallux limitus. (Photo courtesy of Harold Schoenhaus, DPM)
    By Daniel K. Lee, DPM, and Gregory E. Tilley, DPM
    16,146 reads | 0 comments | 09/03/08
       There have been many surgical treatment modalities described in the podiatric and orthopedic literature for the correction of hallux limitus.1-5 Since the Regnauld procedure was introduced in 1968, surgeons have used it in the treatment of a pathologically long proximal phalanx and hallux limitus.6 However, since its development, this procedure has been characterized as a technically challenging procedure for the treatment of hallux limitus with or without moderate degenerative arthritis.7-10    In 1995, Kissel, et. al., and... continue reading