Volume 19 - Issue 8 - August 2006

Feature »

Emerging Innovations In Treatment

By Brian McCurdy, Senior Editor | 16479 reads | 0 comments

   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



Dermatology Diagnosis »

When A Patient Presents With A Lower Extremity Rash

By Gary “Dock” Dockery, DPM, FACFAS | 67233 reads | 0 comments

   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



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How To Detect And Treat Pruritus

By Gary L. Dockery, DPM, FACFAS | 48883 reads | 0 comments

   Pruritus is a symptom complex rather than a dermatological condition. It is a very common manifestation of skin diseases described as an itch that makes a person want to scratch. It can be frustrating and cause some patients severe discomfort. Chronic itching can lead to sleeplessness, anxiety, depression and behavioral disorders (especially in young children). Symptoms of pruritus can be a result of skin conditions such as dry skin (xerosis), atopic dermatitis, eczema and contact dermatitis. Pruritus can also present with certain internal disorders or may be due to altered p



Feature »

Key Insights For Addressing Infected Hardware

By Neal M. Blitz, DPM, FACFAS | 36362 reads | 0 comments

   Screws, plates, staples, pins and wires are the hardware that the foot and ankle surgeon uses to fixate fractures, fusions and/or osteotomies. An infection involving hardware may jeopardize the bone healing process and is a precarious situation for both the patient and the surgeon. In some situations, the infection may be easily managed yet it can be limb threatening in other situations. Like any infection, early diagnosis is paramount.

   Hardware is necessary to stabilize osseous segments until one achieves complete bone healing, a process that typically



Feature »

Point-Counterpoint: Intermetatarsal Neuromas: Is Neurectomy The Best Option?

By Patrick A. DeHeer, DPM, and Bruce Werber, DPM | 15485 reads | 0 comments

   Yes. By Patrick A. DeHeer, DPM. While this author has had success with conservative treatment, particularly sclerosing therapy, he emphasizes that a plantar approach to the neurectomy can be effective when surgery is indicated.

   Morton’s neuroma is a commonly encountered forefoot pathology that has many different treatment options available for the foot and ankle specialist. What are these options, when does one implement each type of treatment and when does surgical intervention become the best option for the patient?

   Before lookin



Feature »

Case Studies In Painful Diabetic Neuropathy

By Stephanie Wu, DPM, MSc | 29357 reads | 0 comments

   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