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
  • July 2006 | Volume 19 - Issue 7
    Interphlex Flexible Stabilization Rods are indicated for hammertoe correction. They maintain toe length by stabilizing and preserving the joint space, notes the manufacturer OsteoMed.
    By Anthony Leone, Special Projects Editor
    4,014 reads | 0 comments | 09/03/08
       While many surgeons may opt for traditional arthroplasty, those who are looking for improved stability may want to consider the use of Interphlex Flexible Stabilization Rods.    Comprised of 80-durometer medical grade silicone, the Interphlex rods help maintain toe length by stabilizing and preserving the joint space, according to the product’s manufacturer OsteoMed, Inc. The company notes the stiffness of the rods addresses toe migration while the spacer provides stability of the joint space.    OsteoMed says the Interphlex rods are indi... continue reading
    Here one can see a histological crosssection of the human plantar skin at six times magnification using hematoxylin and eosin staining techniques. (Photo courtesy of Linda Walters, PhD)
    By Paul J. Kim, DPM, Karolina S. Dybowski, BS, and John S. Steinberg, DPM
    38,835 reads | 0 comments | 09/03/08
       The medical management of wounds today is vastly different than wound management was a few years ago. Evidence-based research has provided the practitioner with new technologies that can predictably heal wounds that previously would have threatened limb loss.    The team approach to complex wound management has been widely embraced and many communities now have referral centers and hospital-based teams that provide multidisciplinary care. With an estimated 20.8 million people in the United States now affected by diabetes and a 15 percent lifetime incidence ... continue reading
    Here one can see multiple ischemic ulcers on the dorsal aspect of the left foot. Skin mottling is present along with epidermolysis.
    By Guy Pupp, DPM, FACFAS, and Chad Westphal, DPM
    82,784 reads | 0 comments | 09/03/08
       Diabetes is clearly an epidemic in this country. According to the most recent statistics from the Centers for Disease Control and Prevention, 18.2 million people in the United States have the disease and 1.3 million new cases are diagnosed each year. Foot infection is the most common reason for lower extremity amputation and leads to billions of dollars a year in hospitalization costs in this country alone.    Despite becoming almost commonplace, diabetic foot infections are often mismanaged, particularly with regard to antibiotics. The solution to this pro... continue reading
    By John H. McCord, DPM
    2,513 reads | 0 comments | 09/03/08
       I always seem to have a small following of patients who have fallen through the cracks of health insurance coverage. My practice policy is “No Financial Barriers to Care.” In other words, we take care of them and provide care according to their needs.    Dean was a perfect example of a patient falling through the cracks. He presented in my office seven years ago with a crushed foot. He was trying to move a bull into a corral and a beast that weighed around 800 pounds stepped on his left foot.    Dean was 63 years old and had stopped wor... continue reading
    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
    41,032 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
    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
    9,380 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
    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
    9,692 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
    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
    6,865 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
    By Jeff Hall, Executive Editor
    2,223 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
    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
    78,467 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