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
  • July 2008 | Volume 21 - Issue 7
    An extensive CDC survey notes that arthritis creates an additional barrier to exercise for patients with diabetes. Cherri Choate, DPM, suggests low-impact water exercises for such patients.
    Brian McCurdy, Senior Editor
    4,795 reads | 0 comments | 09/03/08
    Getting patients with diabetes to exercise may be an uphill battle due to disease concerns. The combination of arthritis with diabetes can be an additional barrier to activity, according to a large survey conducted by the Centers for Disease Control and Prevention (CDC). The CDC utilized 2005 and 2007 data from the Behavioral Risk Factor Surveillance System (BRFSS), which surveyed hundreds of thousands of people across the United States and its territories. The BRFSS survey indicated that the prevalence of arthritis in adults diagnosed with diabetes was 52 percent. Furthermore... continue reading
    This plantar midfoot wound failed to close after the placement of a split thickness skin graft.
    George Liu, DPM, FACFAS, and John Steinberg, DPM, FACFAS
    20,449 reads | 0 comments | 09/03/08
       Diabetic foot ulcers are among the many complications encountered with poorly controlled diabetes mellitus. Approximately 15 percent of all patients with diabetes will experience an ulcer in their lifetimes.1,2 Additionally, 85 percent of all nontraumatic lower extremity amputations are preceded by a preventable ulceration.3,4    Diabetic foot ulcerations pose a considerable economic burden. In 1995, Medicare spent $1.5 billion on diabetic lower extremity ulcers.5 One retrospective analysis found that foot ulc... continue reading
    Here one can see MRSA of the heel after wound debridement.The patient received linezolid postoperatively.
    Eliza Addis-Thomas, DPM, Jon Key, DPM, FACFAS and Peter A. Blume, DPM, FACFAS
    60,490 reads | 0 comments | 09/03/08
    Staphylococcus aureus is a common pathogen that can result in everything from minor skin infections to osteomyelitis, bacteremia, endocarditis and pneumonia.1 In podiatry, infections with Staphylococcus aureus, especially methicillinresistant Staphylococcus aureus (MRSA), are something physicians see on a daily basis. In a study determining the prevalence of MRSA in infected and uninfected diabetic foot ulcers, 61 percent of infected diabetic foot ulcers were infected with MRSA.2 With the emergence of multi-drug resistant St... continue reading

    2,106 reads | 0 comments | 09/03/08
    I have just finished reading the article, “EBM: Can It Be A Reality In Practice?” (see page 38 in the May issue). I acknowledge and understand the viewpoints presented in the article. However, if we all waited for articles to be peer reviewed before trying a new treatment, how would this help patients currently? When a new technology or modality appears, and it is presented in a journal that is not peer reviewed, should we be skeptical of using the modality on our patients? Someone has to take the initiative to try the new product and report back to... continue reading
    Guy Pupp, DPM, FACFAS, and Channa Williams, DPM
    17,732 reads | 0 comments | 09/03/08
    Biofilms reportedly cause an estimated 1 million nosocomial infections each year in the United States.1 Surgically, these microorganisms may cause abscesses, prosthetic failure and osteomyelitis. These complications may require surgical excision of the infected prosthesis and underlying soft tissue along with reconstruction of the affected part. Understanding the nature of biofilms through research and clinical experience is key to providing the appropriate treatment. Moreover, such treatment and prevention may even lead to the eradication of serious, chronic illnesse... continue reading
    David E. Allie, MD
    25,287 reads | 0 comments | 09/03/08
    Our contemporary knowledge and critical limb ischemia (CLI) tools have allowed us to dispel many myths regarding the endovascular treatments of lower extremity disease and CLI. These tools are not perfect but they have greatly improved over the last decade and certainly over the last two to three years. One of the biggest complaints I hear from podiatrists is “the surgeons and interventionalists in my area do not believe these things work.” Accordingly, let us take a closer look at some of these myths and the corresponding realities. Myth: Most CLI patien... continue reading
    In this angiogram after laser and SilverHawk endovascular atherectomy, one can see opening of the anterior tibial artery of the right leg.
    Lauren A. Fisher, DPM, Hillarie L. Sizemore, DPM, and Khurram H. Khan, DPM
    13,038 reads | 0 comments | 09/03/08
    Peripheral arterial disease (PAD) is a very common condition that affects 20 to 30 percent of patients over 50 years of age, equating to an estimated 10 million Americans. As the population ages, the incidence of PAD will likely increase dramatically.1 Intermittent claudication is a symptom among patients with PAD and one can use the presence of these symptoms as a diagnostic tool.2 True claudication is an aching or cramping within the muscles in the involved extremity that is exertion-related, relieved by rest and occurs at a relatively constant walking ... continue reading
    Lawrence Karlock, DPM
    Clinical Editor: Lawrence Karlock, DPM
    9,304 reads | 0 comments | 09/03/08
    Even if a wound appears to be benign, one must obviously be vigilant against the possibility of malignancy. These expert panelists discuss identifying malignant wounds, taking biopsies and when one might consider an amputation. Q: What clinical insights lead you to suspect that a lower extremity wound may have an underlying malignancy? A: M. Joel Morse, DPM, suspects malignancy if a wound does not look like it should. For example, if a neuropathic wound does not behave like it should with offloading, one should suspect melanoma. If a wound sh... continue reading
    Here one can see a preoperative lateral view of hallux valgus showing instability in the dorsal and plantar planes.
    Justin Franson, DPM, and Babak Baravarian, DPM
    36,825 reads | 0 comments | 09/03/08
    Bunion surgery is perhaps the most common procedure we perform in podiatry. Since bunions come in all shapes and sizes, several different types of procedures have emerged along with various refinements over the years. Accordingly, let us take a closer look at what makes these procedures work well. Conversely, we need to ask some tough questions.Why do some bunion surgeries fail? Why do some people seem to recover better than others? How can we minimize poor outcomes? Our group has been involved in many revision bunion surgeries so there is a certain level of failures and compl... continue reading
    AmeriGel (AmerX Health Care) contains Oakin™, an oak extract with natural tannins that have reportedly been proven to reduce infections and inflammation, and speed healing.
    Robi Garthwait, Contributing Editor
    6,744 reads | 0 comments | 09/03/08
    Can the natural oak extract Oakin™ enhance the healing properties of a wound dressing? AmeriGel Wound Dressing (AmerX Health Care), which contains Oakin, has received high marks from podiatrists for its ability to promote healing, especially following nail surgeries. The company notes that AmeriGel Wound Dressing reduces wound bioburden through its antimicrobial and antifungal properties, and assists in debridement. The dressing also reportedly balances the mix of matrix metalloproteinases (MMPs) and tissue inhibitory matrix proteins (TIMPs) in the wound matrix... continue reading