Volume 20 - Issue 11 - November 2007

Technology In Practice »

Facilitating Healing In A Variety Of Lower Extremity Wounds

By Aaron Becker, Special Projects Editor | 2434 reads | 0 comments

Ocean Aid Spray, which recently garnered the American Podiatric Medical Association Seal of Approval, offers a wound care solution that combines an enzymatic debridement therapy with all-natural elements to help protect and nourish cells.

The spray uses a combination of reverse osmosis filtered water, coral reef salt and lysozyme to reduce wound healing time by almost 50 percent, according to Ocean Aid, the manufacturer of the product.

Ocean Aid cites the inclusion of lysozyme as essential to the product’s ability to facilitate wound healing. Lysozyme is a nat



New Products »

Simplifying Silver

1498 reads | 0 comments

Healing wounds with silver is a tried and true practice, and a new product makes silver use simpler.

Allevyn™ Ag Silver Wound Dressings are composed of hydrocellular foam and are part of a line of products that manage fluids and have moisture balance, according to the manufacturer Smith and Nephew.

The company notes the dressings have a seven-day wear time. During this time, the dressings release silver in a sustained fashion and provide bactericidal protection against methicillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa, according to the company.



Forum »

Passing The Torch To A New Partner

By John H. McCord, DPM | 1798 reads | 0 comments

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



Treatment Dilemmas »

A Closer Look At A New Algorithm For Treating Plantar Fasciitis

By Babak Baravarian, DPM, and Bora Rhim, DPM | 16482 reads | 0 comments

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



Feature »

Case Studies In Cryosurgery For Heel Pain

By Marc Katz, DPM | 23311 reads | 0 comments

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.



Feature »

How To Maximize Outcomes In Tarsal Tunnel Surgery

By Stephen L. Barrett, DPM, MBA, CWS | 79509 reads | 0 comments

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,



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