Volume 20 - Issue 4 - April 2007

News and Trends »

Leading Authors Criticize Surgical Decompression For Diabetic Neuropathy

By Brian McCurdy, Senior Editor | 3680 reads | 0 comments

While some have touted surgical decompression as a possible treatment option for diabetic sensorimotor polyneuropathy (DPN), authors of a recent Diabetes Care commentary have challenged the validity of this procedure, calling it an unproven modality based on flawed hypotheses.



Letters »

Physical Therapy: Ancillary Service For Patients Or Referral For Profit?

6791 reads | 0 comments

I am writing in response to the recent feature article, “How To Provide Physical Therapy As An Ancillary Service,” written by Jonathan Moore, DPM (see pg. 36, February issue). Unfortunately, the article may lead some readers to believe that adding physical therapist services to a physician/medical practice is not without potential harm or controversy.



Diabetes Watch »

Islet Cell Transplantation: Can It Facilitate Insulin Independence?

By Jessica Kaylor, BA, and John S. Steinberg, DPM | 4343 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 | 5958 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 | 10016 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 | 17942 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