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
  • March 2007 | Volume 20 - Issue 3
    By Rachel Grieder, DPM, Sean McMurray, DPM, and Matthew J. Claxton, DPM
    11,659 reads | 0 comments | 09/03/08
          The neuropathic foot presents unique challenges when treating and preventing chronic wounds. One of the most difficult challenges is offloading the neuropathic foot without compromising function or causing a transfer of pressure that leads to further ulceration. When performing a limb salvage procedure, the goal is to provide the patient with a stable, plantargrade foot while still allowing for ambulation.1       In choosing the appropriate procedure to offload the foot, it is important to consider minimal bone resection versus a partial pedal... continue reading

    3,600 reads | 0 comments | 09/03/08
    Picturing Wounds Accurately      As wounds progress through different stages of healing, it is important to have an accurate method of tracking their progress.      With the new PictZar® medical software program, one would take a digital photo and load that photo and a ruler into the computer, according to Medline Industries, the manufacturer of the software program. The company says the product then accurately calibrates to the ruler and measures the wound’s length, width, circumference and area.      Medline says ... continue reading
    This radiograph reveals osteomyelitis. A new study in Diabetes Care finds that the probe-to-bone test has a relatively low positive predictive value when DPMs use it to diagnose osteomyelitis in patients with diabetic foot wounds. (Photo courtesy of Lawre
    By Brian McCurdy, Senior Editor
    10,296 reads | 0 comments | 09/03/08
    How Effective Is The PTB Test In Diagnosing Osteomyelitis?      There has been some recent debate within the profession about the effectiveness of the probe-to-bone (PTB) test in diagnosing osteomyelitis. A new study in Diabetes Care has found that the PTB test has a relatively low positive predictive value when it is utilized for diabetic patients with foot wounds.      The two-year study tracked 1,666 patients with diabetes who underwent regular foot exams and were instructed to come to the clinic if they developed signs of lower-extremity ... continue reading
    By Wendy Tyrrell MEd, DPodM, MChS, and Rose A. Cooper, PhD
    26,058 reads | 0 comments | 09/03/08
         Honey is an ancient wound remedy that is reappearing in clinical practice in developed countries. The availability of licensed wound care products in Europe, New Zealand and Australia is prompting healthcare practitioners in conventional medicine to consider the use of honey within their treatment armamentarium. Ulcer remedies such as honey are necessary as the prevalence of diabetes rises.      The American Diabetes Association has estimated that about 7 percent of the population had diabetes.1 It is an increasing problem that has serious impl... continue reading
    By Larry Crystal, DPM
    2,347 reads | 0 comments | 09/03/08
         “Good morning, Chief” “Here comes the Chief” and “Good morning, Mr. President” are all greetings that I have heard since I was elected into the position of Medical Staff President of a tri-campus rural hospital with 65 active staff and 45 mid-level providers. So how did the only podiatrist on staff come to serve as Chief of Staff?      Some might say that my election was the result of a fortune of circumstance and those with experience in medical staff leadership might say that I was the victim of circumstance. Regardless, I have had the honor ... continue reading
    By Larry Crystal, DPM
    3,180 reads | 0 comments | 09/03/08
          “Good morning, Chief” “Here comes the Chief” and “Good morning, Mr. President” are all greetings that I have heard since I was elected into the position of Medical Staff President of a tri-campus rural hospital with 65 active staff and 45 mid-level providers. So how did the only podiatrist on staff come to serve as Chief of Staff?       Some might say that my election was the result of a fortune of circumstance and those with experience in medical staff leadership might say that I was the victim of circumstance. Regardless, I have had the hono... continue reading
    This X-ray depicts a short first metatarsal caused by prior bunion surgery. This patient’s complaints were pain under the second toe joint.
    By William D. Fishco, DPM, FACFAS
    67,765 reads | 1 comments | 09/03/08
         Metatarsalgia is a diagnostic term used to describe pain in the ball of the foot. Gerard V. Yu, DPM, eloquently described and illustrated predislocation syndrome in 1995. What Dr. Yu described was a clinical syndrome characterized by focal pain under a lesser metatarsophalangeal joint (MPJ), most often affecting the second toe joint.1      Subjective symptoms reported by those afflicted with this syndrome would be described as a “grape-like” swelling under the affected toe joint, and a feeling as if there were a stone bruise on the ball of ... continue reading
    Here one can see a renal failure patient with a problematic lateral foot wound. Note the nonviable tissue and dehiscence.
    By Jessica Kaylor, BA, and John S. Steinberg, DPM
    15,347 reads | 1 comments | 09/03/08
          Although the patient with diabetes and renal failure presents serious challenges to the limb salvage team, there is evidence and argument to support aggressive treatment and attempted limb salvage in a multidisciplinary clinical environment. An abundance of medical literature discusses the separate wound care challenges posed by diabetes and renal failure.       Less work has been done, however, to identify proper treatment and salvage techniques for patients who suffer from both maladies. While many do opt for primary amputation in the patient with diab... continue reading
    One study found that non-compliant patients were over 50 percent more likely to have foot ulcerations and, with increasing underlying neuropathy and deformity, they became more than 20 times more likely than the compliant patients to have an amputation.
    By Kathleen Satterfield, DPM
    5,294 reads | 0 comments | 09/03/08
         The basic question is really “How do you get someone to do something that they do not especially want to do?” The fictional Tom Sawyer was the classic king of this skill but as physicians, we are trying to do something a bit more complicated than getting someone to paint a fence. We are trying to get our patients to adhere to the instructions of given treatment regimens, such as taking a confusing regimen of pharmaceuticals or staying off an injured foot.      Although the word “non-compliance” is not in the title of this article, be assured that... continue reading
    In the photo above, note the presence of an ulcer in a patient with diabetes following a transmetatarsal amputation. (Photo courtesy of Marc Brenner, DPM)
    Clinical Editor: Lawrence Karlock, DPM
    20,593 reads | 0 comments | 09/03/08
         When it comes to patients with ischemic foot ulcers, potential complications can be dire. Accordingly, it is important to have a firm grasp on diagnostic studies as well as current and emerging treatment options that may enhance outcomes for patients.      With this in mind, our expert panelists discuss a range of issues related to the ischemic foot.      Q: How do you approach/work up the ischemic foot ulcer patient?      A: David E. Allie, MD, works up such patients “very, very aggressively.” Of the approxi... continue reading