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
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  • December 2007 | Volume 20 - Issue 12
    By Glenn Weinraub, DPM, FACFAS
    14,404 reads | 0 comments | 12/03/07
    Approximately 6 million extremity fractures occur in the United States each year. Five to 10 percent of these fractures will go on to delayed or nonunion. In regard to lost wages and additional treatment for delayed and nonunions, this translates into an annual economic loss to the United States of $3 to $6 billion. One of the vexing and controversial issues related to the use of electric bone stimulation regards the actual definition of when a delayed or a nonunion occurs. The historic definition of a nonunion by the FDA was that of osseous discontinuity of nine months’ ... continue reading
    ProLab Orthotics says its Custom Stabilizer AFO offers non-surgical stabilization of the rearfoot and ankle in all three planes. Jonathan Kreger, DPM, reports excellent patient compliance.
    By Aaron Becker, Special Projects Editor
    4,078 reads | 0 comments | 12/03/07
    Emerging as a custom gauntlet-type ankle-foot orthosis (AFO) with wide-reaching indications, the ProLab Orthotics Custom Gauntlet AFO reportedly offers non-surgical stabilization of the rearfoot and ankle in all three planes. Jonathan Kreger, DPM, attests he uses the Gauntlet AFO for conditions beyond the manufacturer’s recommended indications with very positive results. “Compliance with the Stabilizer AFO is excellent and much better than with standard polypropylene ankle and foot orthoses or other braces,” maintains Dr. Kreger.   ... continue reading
    By John Hahn, DPM, ND
    21,449 reads | 0 comments | 12/03/07
    Podiatric physicians and surgeons have a wide array of modalities to choose from when it comes to the treatment of chronic joint disease and the pain related to these conditions. These modalities include oral analgesics that are opioid-based, nonsteroidal antiinflammatories (NSAIDs) and various forms of glucocorticoids that patients can take both orally and in injection form. There are also various forms of injectable hyaluronic acid to rehydrate and cushion the joint. Due to the chronic nature of the disease involving the joints, efficacy and side effects are important considerati ... continue reading
    By John H. McCord, DPM
    3,522 reads | 0 comments | 12/03/07
    My partner and I recently had the pleasure of having a fourth-year podiatry student assist with surgery for a displaced ankle fracture. This was a young man who accompanied his grandmother to our office about four years ago. He let us know that he was finished with his bachelor’s degree in biology and was applying to several medical schools. He seemed interested in our work so I invited him to spend a day with us in the clinic. Four years ago, he spent several days observing us in our daily office work and a few days in surgery. Now he is on the verge of completing podiatry ... continue reading
    Here one can see microdebridement of tendons. The device shown above essentially causes a controlled inflammatory reaction, which allows for revascularization of a relatively avascular tissue (tendon).
    By William Fishco, DPM
    3,444 reads | 0 comments | 12/03/07
    A study in the British Journal of Sports Medicine suggests running shoes of different prices have comparable cushioning regardless of cost.
    By Brian McCurdy, Senior Editor
    10,406 reads | 0 comments | 12/03/07
    When choosing a pair of running shoes, consumers have a wide range of choices with a number of models available in different price ranges. Does buying a more expensive running shoe necessarily translate into getting a better quality shoe? A recent study suggests there may not be that much difference in cushioning between inexpensive and more expensive shoes. The study, which was recently published in the British Journal of Sports Medicine, compared a total of nine pairs of men’s running shoes from three different manufacturers. Researchers compared low-priced shoes (&poun ... continue reading
    Here one can see a patient with a severe burn wound, which was later successfully treated with escharectomy, negative pressure, skin substitutes and hyperbaric oxygen.
    By Kazu Suzuki, DPM, CWS; Clinical Editor: John S. Steinberg, DPM
    25,496 reads | 0 comments | 12/03/07
       Hyperbaric oxygen (HBO) chambers are currently located in over 750 facilities in the United States. New wound care centers are opening monthly across the country and most incorporate HBO chambers. Which foot and ankle conditions benefit from HBO treatment? Does clinical evidence support HBO treatments?    Patients undergoing HBO therapy enter a chamber filled with 100 percent oxygen atmosphere pressurized to 2.0 to 2.5 ATA (atmospheric pressure absolute), which is equivalent to the pressure 33 to 48 feet below sea level. Hyperbaric oxygen therapy treatment ... continue reading
    By G. “Dock” Dockery, DPM, FACFAS
    17,980 reads | 1 comments | 12/03/07
    A 60-year-old Caucasian female patient presents for consultation to the foot and ankle clinic regarding a one-year history of an erythematous, scaly and irregular lesion on the sole of her right foot. She notes the lesion is entirely asymptomatic. She originally saw a primary care physician about the lesion. The physician told her that she had a case of “athlete’s feet” and recommended an over-the-counter (OTC) antifungal cream. After four weeks of treatment with the antifungal cream, the patient showed no improvement. The primary care physician then re-diag ... continue reading
    Scott Spencer, DPM, does not believe that he must focus on one specific area to create a foot orthotic that will properly serve the patient. He stresses the importance of getting a clear idea of what all the areas of the foot are doing during function, an
    Guest Clinical Editor: Scott Spencer, DPM
    7,847 reads | 0 comments | 12/03/07
    Q: How do you evaluate a patient for foot orthotic devices? A: All three panelists will perform a gait analysis. Russell Volpe, DPM, begins by assessing what he wants the orthosis to accomplish once he decides a CFO is indicated. If control of motion is needed, he will tailor material selection and many of the plaster modifications and prescription items to help accomplish that goal. If Dr. Volpe’s desired goal is accommodation, soft-tissue supplementation or assistance with motion, he will gear material selection and prescription features toward those goals. He also c ... continue reading
    By Catherine Cheung, DPM
    28,841 reads | 0 comments | 12/03/07
       Ankle arthroscopy is an extremely useful skill for a foot and ankle surgeon. Foot and ankle surgeons use ankle arthroscopies to treat a variety of problems, including osteochondral defects, loose osteochondral fragments, ankle impingement, post-traumatic fibrous bands, synovitis and ligamentous/capsular injuries.    Ankle arthroscopy has several advantages over an open ankle procedure. The surgery is minimally invasive and has a low complication rate. One can perform this on an outpatient basis and it facilitates a relatively easy postoperative recovery per ... continue reading