Volume 15 - Issue 4 - April 2002
The last decade has seen a tremendous evolution in the field of advanced wound management, both as a discipline and in regard to the development of wound healing therapies. New dressings, human skin equivalents, and barometric intervention all compete for utilization in the wound healing process. While each of these options is a viable intervention, there still needs to be more recognition of how wound biology and histo-cellular function affect wound healing.
Indeed, understanding the process of healing wounds is essential for the clinician dedicated to wound medicine. Often, it is stated th
In order to treat lower extremity pediatric problems, it is essential to have a sound knowledge of the normal and abnormal development of the child’s lower extremities. As structural and positional developmental changes take place in a dynamic and continuous fashion, you must have a strong grasp of when and how the changes occur during normal maturation. Once you become comfortable with this knowledge, you can successfully diagnose and treat pediatric lower extremity gait abnormalities.
As many have stated, the early years of development represent the golden years of treatment when you ma
Diabetes Watch »
Over 16 million people in the United States have diabetes and this number is growing by the hour. Diabetes is now the fifth leading cause of death in this country.1 By understanding the pathophysiology of diabetes and the environmental factors which contribute to this disease, we can have a better focus on the scope and nature of the threat to our patient population with diabetes.
With this in mind, it’s important to have a thorough knowledge of the potential impact of insulin resistance syndrome, a condition in which the tissues of the body become desensitized to insulin. It is a chronic s
The lifeblood of a quality podiatry practice is a steady and diverse physician referral base. No podiatrist would argue that point. However, there is a flipside to the axiom that all referrals are a good thing. I’m thinking about the “referral traps” I have experienced over the past 27 years as a small town podiatrist.
Managed Care Insider »
Which managed care contracts should you sign? Which are truly beneficial for our individual practices? Many of us sign up for every managed care contract out of a sense of fear. There is this notion that if you don’t sign up, someone else will and you will lose access to a group of patients. Then when we submit claims or request authorizations, we find out that working with certain plans is cumbersome and frustrating. By that time, it is too late.
There have been many articles written about reviewing contracts from a legal perspective, but what about the practical aspects? There are sever
Orthotics Q&A »
Muscle strength testing is not always part of a standard podiatric biomechanical evaluation. Unfortunately, muscular weakness can often influence function and, if undetected, can lead to chronic pain in the joints which the weakened muscles support. There are several reasons for muscular weakness, but the most common cause is chronic inhibition signaling from the CNS. Since motor signals to muscles normally cycle between facilitation (excitation) and inhibition, an alteration in this signaling can often cause chronic inhibition and subsequent pain.
With this in mind, our expert panelists offe
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