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
  • | Volume 20 - Issue
    By David Edward Marcinko, MBA, CMP, and Hope Rachel Hetico, RN, MHA, CMP
    7,306 reads | 0 comments | 09/03/08
    When one speaks of maximizing medical practice reimbursement, most physicians immediately think of the National Correct Coding Initiative (NCCI) or coding-oriented consultants. However, bolstering reimbursement involves more than just using the newest Current Procedural Terminology® (CPT) codes, parsing old codes or even becoming a CPT coding expert. It is the entire economic compliance ecosystem that surrounds the office cash flow and revenue recognition cycle. This cycle is defined as the process that serves patients, accounts for receivables and collects those receivables from ... continue reading
    Here one can see a fracture in a patient with diabetic neuropathy after she fell. A new study says patients with diabetes face an increased risk of complications following trauma surgery.
    By Brian McCurdy, Senior Editor
    4,081 reads | 0 comments | 09/03/08
    Patients with diabetes face a higher risk of complications in a number of areas. A large study recently published in the Archives of Surgery notes that those with diabetes also face more complications from trauma surgery. From 1984 to 2002, researchers examined 12,489 patients with diabetes, matching their ages, sex and injury severity with 12,489 non-diabetic patients from 27 Pennsylvania trauma centers. The study concluded that patients with diabetes spent more time in the intensive care unit and received ventilator support for a longer period of time. Twenty-three perc... continue reading
    By Gerard Guerin, DPM, CWS
    8,960 reads | 0 comments | 09/03/08
    Podiatrists commonly encounter and treat skin and skin-structure infections (SSSIs), ranging from cellulitis to more complicated surgical site infections and infected diabetic foot ulcers. Aerobic gram-positive cocci, such as Staphylococcus aureus and streptococci, are the most common causative agents of skin infections.1 While the treatment of simple and superficial infections is relatively straightforward with brief courses of oral antibiotics, many skin infections of the foot are complicated by diabetes.1,2 Foot ulceration, usually secondary to peripheral n... continue reading
    By Alexander Reyzelman, DPM, Joseph Fiorito, Cody Hoover and Michael Brewer
    12,439 reads | 0 comments | 09/03/08
    In the podiatric profession, we are frequently faced with chronic painful musculoskeletal processes that get labeled as arthritis, chronic plantar fasciitis, neuroma, etc. Perhaps it would behoove us to start thinking of an underlying neurological pathology that may be responsible for foot or ankle pain. In the senior author’s opinion, there is more neurological pathology causing foot and ankle pain than is being diagnosed. This may explain the cases in which patients have chronic musculoskeletal conditions and undergo surgery, but their pain never improves. Accordingly,... continue reading
    By G. “Dock” Dockery, DPM, FACFAS
    9,655 reads | 0 comments | 09/03/08
    A 37-year-old Caucasian male presents with a chief complaint of a nodular growth on the left calf. He first noticed the bump about two months ago but says he did not think too much about it until recently. At that time, he noticed it was causing mild discomfort when he touched it but the growth was only slightly pruritic. The lesion did not appear to be infected and it did not drain or bleed at any time. He says he checked the rest of his body for any similar looking lesions and found none. Otherwise, he has no other complaints or concerns. The patient has not changed his diet or ... continue reading
    By Lawrence A. Lavery, DPM
    4,666 reads | 0 comments | 09/03/08
    Preventing foot ulceration and re-ulceration in high-risk patients with diabetes is a challenge. Clinical outcomes are much better when high-risk patients receive proper foot care, education and protective shoes. There is a growing body of work which demonstrates that programs aimed at treatment and prevention significantly reduce ulcers, amputations and hospital admission.1-4 However, even at “centers of excellence for the diabetic foot,” the rate of ulcer recurrence is still very high. In a randomized clinical trial, Uccioli reported a 28 percent re-ulceration rate... continue reading
    (Photo courtesy of Ronald Valmassy, DPM)
Mary Keen, MD, emphasizes the importance of gait training with a pediatric physical therapist.
    Guest Clinical Editor: Edwin Harris, DPM
    9,320 reads | 0 comments | 09/03/08
    Given that toe walking and other gait disturbances are common among children, these expert panelists take a closer look at these conditions, offer keys to the diagnostic assessment and share their insights on appropriate treatment modalities and physical therapy regimens.Q: What is your treatment plan for children with diplegia and hemiplegia?A: Mary Keen, MD, says most children with diplegia and hemiplegia walk so she strives to facilitate independent ambulation. In order to achieve safe, efficient ambulation, Dr. Keen says children need ad... continue reading
    By Patrick DeHeer, DPM, and Debra Mardis, DPM
    16,443 reads | 0 comments | 09/03/08
    Approximately 50 percent of all sports injuries are secondary to overuse.1 Overuse injuries result from repetitive microtrauma that leads to local tissue damage in the form of cellular and extracellular degeneration. Injury is most likely to occur when an athlete changes the intensity or length of training. This has been described as the “principle of transition.”1 A discrepancy between work and recovery can lead to breakdown on a cellular, extracellular or systemic level. Other factors that can influence wear and tear include biomechanical abnormalities, poor train... continue reading
    Running shoes are lightest in weight and offer maximum cushioning. They are designed for linear activity and should never be worn for court activity.
    By Josh White, DPM, CPed
    19,682 reads | 1 comments | 09/03/08
    For professional athletes and weekend warriors alike, having the right shoe and the correct fit can mean the difference between participating and sitting on the sidelines. Since most podiatrists now fit shoes in their offices, it is imperative that they develop a true expertise in this critical aspect of foot care, particularly with respect to the special needs of athletes. Providing proper shoe fit and selection for active individuals holds great potential for both injury prevention and for practice expansion. When podiatrists themselves fit patients with athletic shoes, it fills... continue reading
    Post-op pressure on the amputation site of the lower extremity resulted in this chronic non-healing wound for six months.
    By Patris A. Toney, DPM, MPH, and Vickie R. Driver, DPM, MS
    4,638 reads | 0 comments | 09/03/08
    The future of growth factor therapy in wound care is advancing rapidly. There is also increasing evidence in the literature to support the efficacy of growth factors in wounds, particularly chronic wounds, and how they can help facilitate desired healing outcomes. With advances in research over the past decades, physicians and researchers have teamed together to isolate and identify the disruption(s) in the sequence of wound healing that lead to chronic wounds. Upon a closer examination of the phases of wound healing on the cellular level, it is clear that cytokines, particularly g... continue reading