Volume 20 - Issue 8 - August 2007

Diabetes Watch »

A Guide To Emerging Advances In Diabetic Foot Ulcer Healing

By Lee C. Rogers, DPM | 9046 reads | 0 comments

Over the past decade, the podiatric profession has seen an array of advances in diabetic foot ulcer healing. These advances ranged from the advent of a platelet-derived growth factor (Regranex, Johnson and Johnson) and negative pressure wound therapy (VAC therapy, KCI) to hydroscalpel debridement (Versajet, Smith and Nephew) and various prediction models (University of Texas Diabetic Foot Ulcer and Foot Risk Classifications).



Dermatology Diagnosis »

When An Adult Patient Presents With Red Spots On The Feet

By G. “Dock” Dockery, DPM, FACFAS | 190407 reads | 0 comments

It is late in the summer when a 29-year-old Caucasian female, employed as a medical assistant in your foot and ankle clinic, presents with a two-day history of red spots on her feet. The red spots became small fluid-filled vesicles, which are present mostly on the soles. She says she has broken one of the small vesicles and it expressed a clear fluid.

The lesions are causing mild discomfort but are not very pruritic. Otherwise, she feels a little fatigued and reports a slightly elevated oral temperature today. Additionally, she reports a mild headache and a slight sore throat. She



Orthotics Q&A »

Key Insights On Managing Pediatric Equinus With Orthoses

Guest Clinical Editor: Edwin Harris, DPM | 13074 reads | 0 comments

Pediatric equinus can be a challenging condition to diagnose and treat. With this in mind, these expert panelists discuss the differential diagnosis, the positioning of orthoses to control the condition, and the benefits that various modalities can have in managing the condition.

Q: How do you narrow down the differential diagnosis of pediatric equinus?
A:
Edwin Harris, DPM, cites several possible causes for equinus deformity including: hemiplegic and diplegic cerebral palsy, muscular dystrophies, peripheral neuropathy, spinal cord pathology, acquired contractu



Practice Builders »

Secrets To Stress Relief In A Busy Practice

By Kristin K. Titko, DPM | 3176 reads | 0 comments

If there is one thing that I have learned in the past eight years that I did not know in my first six years of practice, it is this: work does not have to be full tilt stress. In the past two years, I have nearly perfected this motto. While I am certain there is still room for improvement, I would like to share some of the changes that allow me to maintain my level of desired profit while minimizing the stress along the way.

Let me first warn you that some of what I want to share may be controversial. Some ideas stray far from the commonly accepted ideas of many specialists. They ma



Sports Medicine »

Understanding Common Knee Injuries And Lower Extremity Implications In Runners

By John F. Connors, DPM, and Ana J. Sanz, DPM | 13423 reads | 0 comments

To have a successful sports medicine practice, it is crucial to understand not only the foot and ankle but also the knee and hip, and the mechanism of injuries affecting these areas. Having the opportunity to treat and travel with the best runners in the world has forced me to have a stronger understanding of lower extremity biomechanics, the mechanics of running and the injuries associated with running.

The knee is the most commonly injured part of the body in runners. Most of these injuries are chronic, overuse type of injuries. Knee injuries are often caused by a failure of the i



Technology In Practice »

Versatile Dressing Facilitates Quicker Healing For A Variety Of Wounds

By Aaron Becker, Special Projects Editor | 2260 reads | 0 comments

With a wide range of indications, the AmeriGel Wound Dressing can be helpful in treating an array of lower extremity wounds. According to AmerX Health Care, the manufacturer of the wound dressing, the product reduces the healing time of matrixectomies by 20 to 50 percent. AmerX Health Care adds that the dressing has a demonstrated efficacy of 77 percent in wound care applications.

The company says the AmeriGel Wound Dressing is the only FDA-approved, antimicrobial hydrogel. According to the company, the dressing is indicated for stage I-IV pressure ulcers, venous stasis ulcers, diab



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