Volume 20 - Issue -

Feature »

How To Treat Overuse Injuries In Athletes

By Patrick DeHeer, DPM, and Debra Mardis, DPM | 11282 reads | 0 comments

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



Feature »

Current Insights On Growth Factor Therapy

By Patris A. Toney, DPM, MPH, and Vickie R. Driver, DPM, MS | 3079 reads | 0 comments

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



Continuing Education »

A Guide To Current Concepts In Skin Grafting

By Tod Storm, DPM | 7702 reads | 0 comments
Continuing Education Course #157
October 2007

I am pleased to introduce the latest article, “A Guide To Current Concepts In Skin Grafting,” in our CE series. This series, brought to you by the North American Center for Continuing Medical Education (NACCME), consists


Feature »

Inside Secrets For Maximizing Reimbursement

By David Edward Marcinko, MBA, CMP, and Hope Rachel Hetico, RN, MHA, CMP | 5099 reads | 0 comments

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



News and Trends »

Do Trauma Patients With Diabetes Face Higher Complication Rates?

By Brian McCurdy, Senior Editor | 3225 reads | 0 comments

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



Diabetes Watch »

Can Daptomycin Have An Impact With Skin And Skin Structure Infections?

By Gerard Guerin, DPM, CWS | 7345 reads | 0 comments

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



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