Volume 19 - Issue 7 - July 2006
Treatment Dilemmas »
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
New Products »
Treating Wounds From Every Angle
Patients can now use two tested wound care products in a spray emulsion form.
Accuzyme and Panafil are perfect for elderly patients, particularly those who suffer from arthritis, according to Healthpoint, the manufacturer of both products. The spray emulsion format does not require direct contact from the patient or person applying the enzymatic debridement products. Healthpoint says the “no touch” application may reduce the chance of infection and help prevent disturbing the wound bed.
Technology In Practice »
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
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
News and Trends »
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
Editor's Perspective »
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”).