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
  • August 2006 | Volume 19 - Issue 8
    Up to 62 percent of Americans with diabetes have diabetic peripheral neuropathy, which is one of the most commonly encountered neuropathic pain syndromes in clinical practice.
    By Stephanie Wu, DPM, MSc
    30,468 reads | 0 comments | 09/03/08
       Approximately 800,000 new cases of diabetes mellitus are diagnosed each year. The disease affects over 18 million people, approximately 6 percent of the population of the United States.1 Type 2 diabetes, which is typically not diagnosed in patients under age 45, is overwhelmingly the most prevalent of all types of diabetes as it affects nearly 17 million Americans.1 Symptoms of Type 2 diabetes are often not detected until they are severe or until patients seek treatment for related complications.2 Diabetes complications can result in blindness... continue reading
    By John H. McCord, DPM
    2,341 reads | 0 comments | 09/03/08
       I do not care much for equipment failures. If you take good care of your stuff and do not abuse your equipment and instruments, they should last forever or at least for another three years until I retire. Tell that to my cast saw.    A patient of mine fell off her horse and broke her lateral malleolus. Since the fracture was slightly displaced and the patient was a real macho cowgirl, I felt that a fiberglass walking cast with a couple of extra rolls was the safest way to go. She griped and complained while I was putting on the cast. She said she wouldn’... continue reading
    By Brian McCurdy, Senior Editor
    6,090 reads | 0 comments | 09/03/08
    CMS To Begin Competitive Bidding Process For DME    Changes are underway at the federal level to the durable medical equipment (DME) system for Medicare patients and may have an effect on podiatry practices and patient care. The Center for Medicare and Medicaid Services (CMS) proposes a system that will open up the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) system to competitive bidding. As part of the plan, only those suppliers chosen through the bidding will be permitted to supply items to Medicare beneficiaries in product areas cover... continue reading
    By John E. Hahn, DPM, ND
    12,073 reads | 0 comments | 09/03/08
       The modern podiatric physician is faced with many challenges when it comes to appropriate patient selection for surgical procedures. Specifically, when it comes to the high-risk patient with diabetes, there are potential challenges that can lead to postoperative complications and potential lawsuits. Indeed, some of these high-risk patients may experience delayed wound healing with no obvious preoperative disease elucidated in the preoperative history, physical and conventional laboratory studies.    Faced with these challenges, the astute podiatric physician ... continue reading
    Leaving an isolated digit predisposes the foot to other ulcerations due to the biomechanically unstable deformity. (Photo courtesy of Kathleen Satterfield, DPM)
    By Ronald A. Sage, DPM
    8,187 reads | 0 comments | 09/03/08
       Reducing the number of lower extremity amputations is a goal for all clinicians caring for patients with diabetes. In spite of this, the numbers of limb-threatening infections and subsequent amputations continue to rise each year. While medical and surgical interventions are frequently successful in facilitating limb salvage in patients facing amputation, failures in limb salvage attempts do occur. These failures result in multiple trips to the operating room, significant potential morbidity and prolonged disability.    In order to more accurately predict... continue reading
    Here one can see a 59-year-old female with diabetic neuropathy who fell and sustained a fracture. These photos were taken one day after the fall. The author questions whether care for fractures should vary depending on whether a patient has diabetic neuro
    By Molly Judge, DPM
    14,658 reads | 0 comments | 09/03/08
       For foot and ankle specialists, the diagnosis and complete management of neuropathic arthropathy ranks among the most daunting challenges. Currently, one makes the clinical diagnosis when there is a compilation of clinical and radiographic findings suspicious for the condition. The diagnosis relies upon the histopathology to identify the neuropathic joint destruction.    Once one makes a diagnosis, either definitively or clinically, the treatment approach remains the discretion of the physician. Those best trained for treating this condition rely on the lit... continue reading
    One may use the EZ Frame to offload plantar wounds or to help facilitate the treatment of osteomyelitis.
    By Brian McCurdy, Senior Editor
    17,190 reads | 0 comments | 09/03/08
       As the podiatry profession continues to grow, new technologies emerge to help DPMs address key challenges in providing optimal care for their patients. These modalities include not only novel antibiotics to fight infection but a time-tested therapy that is just gaining prominence in the United States. Podiatrists may also enjoy the benefits of new cryogenic technology, wound care innovations and a re-emerging surgical procedure. Without further delay, let us take a closer look at these emerging innovations.    1. Bacteriophage Therapy (Phage Internation... continue reading
    By Anthony Leone, Special Projects Editor
    10,886 reads | 0 comments | 09/03/08
       Perhaps your staff is battling an insurance company for appropriate reimbursement on a handful of claims. Perhaps you are wrestling with declining accounts receivable. Perhaps you are referring patients to other sources when you could be handling more of their DME needs. Perhaps you are debating whether you can afford to invest in new diagnostic technology for your practice.    Needless to say, office revenue affects nearly every aspect of maintaining and expanding a thriving practice. With this in mind, we turned to leading practitioners and practice mana ... continue reading
    By Gary “Dock” Dockery, DPM, FACFAS
    77,550 reads | 0 comments | 09/03/08
       Podiatric physicians are often presented with dilemmas when diagnosing various dermatological conditions as these conditions may have overlapping symptoms. An accurate diagnosis is dependent on the patient history, physical examination and asking key questions to elicit telling answers from the patient. Accordingly, we have launched a new bimonthly column, “Dermatology Diagnosis,” that will test one’s skills in diagnosing dermatological conditions. Without further delay, let us consider the first case.    A 26-year-old male presents with a four-day h... continue reading
    By Jeff Hall, Executive Editor
    2,459 reads | 0 comments | 09/03/08
       Imagine this scenario. A 75-year-old patient presents to a podiatric surgeon for treatment of a fracture of the fifth metatarsal base tuberosity. Instead of placing the patient in a walker, the podiatrist gives the patient crutches so he or she can see a CMS-approved durable medical equipment (DME) supplier in order to get the walker. The DPM just hopes the walker is correctly sized, modified when necessary and applied correctly.    Indeed, this may become the new reality as the Centers for Medicare and Medicaid Services (CMS) has proposed a competitive bi... continue reading