Volume 20 - Issue 12 - December 2007
Diabetes Watch »
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
Dermatology Diagnosis »
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
Orthotics Q&A »
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
Practice Builders »
Many people are faced with the stress of “so much to do and so little time.” They blame poor time management as the culprit when, in fact, the underlying issue in many cases is their inability to properly delegate tasks. They have a need to do it all themselves when there are others who can and are willing to lend a hand.
Are you one of those people? Face it: there is only so much you can do to add value to your practice without enlisting the help of others. If you find you are among the many who would “rather do it yourself,” you will also find that sooner or later
Technology In Practice »
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.
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