Volume 20 - Issue 4 - April 2007

Diabetes Watch »

Islet Cell Transplantation: Can It Facilitate Insulin Independence?

By Jessica Kaylor, BA, and John S. Steinberg, DPM | 5878 reads | 0 comments

Do islet cells hold promise in treating diabetes? Islet cells are groupings of hormone-secreting cells in the pancreas that are responsible for several endocrine functions including the production of insulin. Pancreatic islets contain four different types of cells including: insulin-producing beta cells, glucagon-releasing alpha cells, somatostatin-producing delta cells and cells that contain polypeptides (PP cells). Each individual islet contains approximately 1,000 of these four types of cells.



Practice Builders »

How A Retrospective Analysis Can Bolster Practice Profitability

By Kevin McDonald, DPM | 8260 reads | 0 comments

Podiatrists in private practice really have two jobs: taking care of foot and ankle problems, and running a business that makes a profit. While the science and art of solving various pedal problems are described elsewhere in this publication, we will offer a closer look at the second component of being a podiatrist, namely running the business.



Dermatology Diagnosis »

Treating A Child With Multiple, Mildly Pruritic Papules

By Gary “Dock” Dockery, DPM, FACFAS | 15311 reads | 0 comments

An 11-year-old boy presents to the clinic with a chief complaint of multiple bumps on his right leg and foot. He reports the lesions have been present for almost two months and appear to be increasing in number and size. The boy did not see his pediatrician or family physician for this condition.



Feature »

How To Manage Isolated Lateral Column Pain

By Thomas J. Chang, DPM | 26557 reads | 0 comments

The lateral column of the foot includes the calcaneus, the cuboid, the fourth and fifth metatarsals as well as the calcaneocuboid (CC), cuboido-metatarsal and intermetatarsal joints. Injuries to the midtarsal joints are relatively uncommon. However, when these injuries do occur, there is a debate on the best way to approach the treatment.1



Feature »

A Guide To Pathology Specific Orthoses For RA

By Cherri S. Choate, DPM | 14589 reads | 0 comments

As the population ages, the impact of chronic disease is challenging the world of medicine. Rheumatoid arthritis (RA) is a chronic disease that affects more than 2.1 million Americans and, unlike osteoarthritis, the impact of RA typically starts much earlier in life.1 There is a wide range of pathology in the musculoskeletal system that may occur as RA progresses and in more advanced disease, more than 85 percent of patients have foot involvement.2 As RA progresses or in severe cases, deformity occurs earlier and patients struggle with disabling pain and functional limita



Feature »

How To Diagnose Peripheral Arterial Disease

By Kazu Suzuki, DPM, CWS | 48260 reads | 0 comments

Peripheral arterial disease can result in a range of serious complications and possible death. Accordingly, this author offers a closer look at non-invasive testing and assesses the pros and cons of these tests at the microcirculations and macrocirculation levels



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