Volume 20 - Issue 2 - February 2007

Dermatology Diagnosis »

When Multiple Lesions Fail To Resolve On The Lower Extremities

By Gary “Dock” Dockery, DPM, FACFAS | 39624 reads | 0 comments

      A 51-year-old man presents to the clinic with a chief complaint of multiple warts on both lower legs and feet. He reports that the lesions have been present for almost two years and appear to be increasing in numbers and size. The patient saw his family physician a year ago and was told to begin treating the warts with an over-the-counter wart medication containing a low percentage of salicylic acid. Since that time, he has randomly applied the wart cream with little success but did note that some of the lesions appeared to get smaller with treatment.

    &nb



New Products »

New Products

4420 reads | 0 comments

Positive Results From Negative Pressure Therapy

      For wound healing, DPMs might find success with the power of negative pressure therapy.

      The Vario 18ci negative pressure wound therapy system is an AC/DC C/I aspriator and wound dressing kit that can promote healing and the development of granulation tissue, according to the manufacturer Medela Medical Technology. The company says the product can treat stage III and IV pressure ulcers, neuropathic and venous insufficiency ulcers, dehisced wounds, partial-thickness burns, skin grafts and fl



Forum »

To Hybrid Or Not To Hybrid? A Few Key Questions To Ask

By John H. McCord, DPM | 2119 reads | 0 comments

      I noticed a small piece of paper under the windshield wiper of my car as I started to leave the doctors’ parking lot of the hospital. I stopped and retrieved what turned out to be a prescription. There was no name on it and it was not signed. There was a scrawled inscription: “Be sure to remove foil wrapper before inserting. Ha Ha!”

      One of my colleagues was making fun of the fact that my new car resembles a suppository. I took a mental inventory of possible suspects who had reason to get back at me for past pranks. The list quickly grew quite



News and Trends »

Can A High-Low Ratio Help Prevent Amputation?

By Brian McCurdy, Senior Editor | 4876 reads | 0 comments

      As lower-extremity amputation rates continue to be a serious concern, DPMs continue to work to find effective prevention strategies. A recent study in the Journal of Foot and Ankle Surgery examines the efficacy of using a high to low amputation ratio to identify patients who may be at a greater risk for amputation.

      The study proposed and evaluated a high to low (Hi-Lo) amputation ratio as another quality measure to provide insight into high-risk foot surveillance that goes beyond foot screening. Researchers performed a secondary analysis on



Letters »

Clearing Up Misconceptions On Cryoneuroablation

6275 reads | 0 comments

      I read with interest the discussion of heel pain authored by Stephen Barrett, DPM (see “Should You Change Your Approach To Plantar Fasciosis?,” page 48, November 2006 issue). As a pain management physician who has treated podiatry failures for the last 15 years, I cannot agree more with his assessment of the misdiagnosis of “plantar fasciitis.”

      I also find it interesting that he confirms the etiology (and, by extension, the appropriate treatment) of a heel tendonosis. Regenerative injection therapy, known in the past as prolotherapy, makes



Diabetes Watch »

Can Incretin Mimetics Improve Beta Cell Dysfunction

By Mackenzi Nelson, DPM, and John S. Steinberg, DPM | 7115 reads | 0 comments

      Since the discovery of diabetes, researchers have worked diligently to extend the life expectancy of those affected by diabetes. From the advent of insulin in 1921 until the present day, advances in medical management have had a very significant impact on life expectancy and glycemic control in this population.1 Helpful treatments ranging from diet and exercise to oral drug therapy and exogenous insulin have steady advances in the treatment of this patient population.

      Medications that are currently available for the management of blood gl



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