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
  • November 2007 | Volume 20 - Issue 11
    With a calcaneal stress fracture, pain is usually not as significant with plantar palpation but there may be increased pain intensity with a direct side-to-side compression of the heel as shown above.
    By Charles F. Peebles, DPM
    6,565 reads | 0 comments | 11/03/07
    By John H. McCord, DPM
    2,334 reads | 0 comments | 11/03/07
    I am going through an interesting phase of my career as a podiatrist. I am trying to find a replacement for myself when I walk out the back door December 31, 2008. I plan to throw the keys to the office behind me and lock myself out. My license expires that day. This day also marks my 62nd birthday. I do not plan to dabble in podiatry until I get old(er) and feeble. Replacing me is an interesting challenge. I advertised the job of an associate for my partner, who will be taking over the practice. Seven well qualified young podiatrists applied. They have all had or are completing thr ... continue reading
    In a new study, 10 to 18 percent of patients with diabetes said they would sacrifice eight to 10 years of life in perfect health to avoid a life of diabetic treatments.
    By Brian McCurdy, Senior Editor
    6,505 reads | 0 comments | 11/03/07
    Given that patients with diabetes can face extensive treatments due to the risk of complications, adherence to treatment regimens may be a problem due to a perceived decline in their quality of life. A new study finds that although end-stage complications have the greatest effect on quality of life, comprehensive treatments affect quality of life to the degree that some patients were willing to forego years of healthy living to avoid treatments. In the study, which was recently published in Diabetes Care, researchers interviewed 701 patients with diabetes a ... continue reading
    This cadaveric dissection depicts the location of the sural nerve in relation to an endoscopic gastrocnemius recession. The top of the picture shows the proximal leg with a medial view on the left side and a lateral view on the right.
    By Paul J. Kim, DPM, Clinical Editor: John S. Steinberg, DPM
    26,882 reads | 0 comments | 11/03/07
    While various researchers have implicated the equinus deformity as a major deforming force in a host of foot and ankle pathologies, the exact definition of equinus remains unclear.1-4 However, Root states that “the minimal range of ankle joint dorsiflexion that is necessary for normal locomotion is 10 degrees.”5 Subsequent studies report that the ankle joint range of motion for asymptomatic patients ranges from 0 to 13.1 degrees with the knee extended and from 5 to 22.3 degrees with the knee flexed.6-9 The implication from these studies and ... continue reading
    Here one can see a lawnmower injury suffered by a pediatric patient. Molly Judge, DPM, generally tries to use simple mechanical forms of wound coverage in the acute setting.
    Clinical Editor: Lawrence Karlock, DPM
    41,630 reads | 0 comments | 11/03/07
    Important questions arise when traumatic wounds occur in the lower extremity. Accordingly, our expert panelists address key considerations in the initial evaluation and when one should consider an amputation. They also explore the use of soft tissue coverage, skin substitutes and topical dressings with traumatic wounds. Q: What protocol/triage steps do you utilize in the initial evaluation of a traumatic wound? A: For a patient with extreme pain and a traumatic wound that requires immediate surgical debridement, Molly Judge, DPM, says pain management and a ... continue reading
    By Marc Katz, DPM
    28,758 reads | 0 comments | 11/03/07
    Cryosurgery is an effective pain relief modality that uses freezing temperatures for ablation of the nerves that provide sensation to the heel. While this treatment is relatively new for foot pain, physicians have utilized cryosurgery for pain relief for decades. This modality has proven to be a viable treatment and is an excellent choice for appropriate patients prior to considering more invasive procedures. Heel pain has become an epidemic in our society. Diabetes, arthritis, weight gain, injuries, previous heel surgery and other medical conditions are known contributing factors. ... continue reading
    The PathFormer cable is connected to a pair of monitoring electrodes on the patient’s skin. The operator presses and holds down the actuating button until the cutter automatically pulls away from the nail after creating a microconduit.
    By Andreas Boker, MD; Clinical Editor: Jesse Burks, DPM
    20,665 reads | 0 comments | 11/03/07
    The fully keratinized, thick multilayered structure of the nail plate presents a formidable barrier to nail bed access. This limits the options for treatment of nail diseases such as onychomycosis and subungual hematoma from nail trauma. Until recently, clinicians considered nail removal as an option for formal repair of the nail bed for subungual hematomas involving large regions of the nail bed.1 Penetration enhancing formulations have aided the delivery of molecules to the nail bed through the impermeable nail plate.2 Researchers have used a carbon diox ... continue reading
    By Stephen L. Barrett, DPM, MBA, CWS
    118,076 reads | 0 comments | 11/03/07
    As with any peripheral nerve surgery, tarsal tunnel surgery is demanding and can sometimes be excessively difficult. Additionally, one may not have a full appreciation of the outcome until some point in the postoperative period — if at all — when the nerve has had adequate time for recovery and/or regeneration. Sadly, there are many misnomers in podiatric medicine and surgery. For example, the nomenclature of “tarsal tunnel syndrome” implies that the site of chronic nerve entrapment is at the level of the tarsal tunnel, ... continue reading
    The grid pattern on the foot indicates the point of greatest tenderness in relation to plantar fascia pain. Use of a 0.062 K-wire or 18-gauge needle to penetrate through the skin and fat to the level of fascia.
    By Babak Baravarian, DPM, and Bora Rhim, DPM
    18,968 reads | 0 comments | 11/03/07
    In the United States, at least 10 percent of the population experiences heel pain secondary to plantar fasciitis. Reportedly, 600,000 outpatient visits to medical professionals a year are due to plantar fasciitis.1 According to a 2003 study, plantar fasciitis frequently occurs in people who are on their feet most of the day, those who are obese and those who have limited ankle dorsiflexion.2 However, it is important to recognize that all heel pain symptoms do not stem from plantar fasciitis. There are many different etiologies for heel pain and making the ... continue reading
    (Photo courtesy of Kirk Herring, DPM) Clinicians may pursue cast immobilization in conjunction with giving a final corticosteroid injection.
    By Eric M. Feit, DPM and Alona Kashanian, DPM
    16,387 reads | 0 comments | 11/03/07
    Over the years, podiatrists have become the primary health care providers for all forefoot conditions and most rearfoot conditions. With greater public awareness and increased referrals from primary care doctors, heel pain pathology is perhaps the most common foot pathology we treat in our offices. As a result, many new devices and surgical techniques have emerged in recent years to help improve our outcomes. Unfortunately, some of these newer methods and techniques are not always necessary and may not demonstrate the same outcomes that some of the research states. It ... continue reading