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Navigating Pain Management Prescriptions In Wound Care

Clinical Editor: Kazu Suzuki, DPM, CWS | 16,621 reads | 0 comments | 12/19/2012

Offering insights and perspectives on prescribing medication for patients with painful wounds, these expert panelists discuss drugs for neuropathic pain, extended-release narcotics and how to be wary of pain medication “seekers.”

Q: Do you use gabapentin (Neurontin, Pfizer), pregabalin (Lyrica, Pfizer), or duloxetine (Cymbalta, Eli Lilly) and other medications for neuropathic pain? A:

“I would estimate that not a day goes by in which I have not prescribed antinociceptive therapy for neuropathic pain,” says Allen Jacobs, DPM.

Key Considerations For Utilizing Silver Dressings

By Chad Friedman, DPM, Elizabeth Bass, DPM, and John Steinberg, DPM | 18,183 reads | 0 comments | 05/03/2006

Given the increasing prevalence of antimicrobial resistance, there is a growing interest in emerging wound care products that contain silver. Topical silver has a broad range of antimicrobial activity and has been used extensively to help treat high-risk burn patients.

Should We Revisit Accepted Endpoints In The Studies Of Modalities For Wound Healing?

David G. Armstrong DPM MD PhD | 4,098 reads | 0 comments | 11/15/2012

Despite the high cost and potentially grave complications of chronic cutaneous ulcers, the Food and Drug Administration (FDA) has not approved a new drug therapy for such ulcers in over a decade. Indeed, the mortality rate of chronic ulcers can eclipse that of many cancers. This begs the question: Should we apply the endpoints researchers use for drugs in cancer studies in a similar fashion to studies of modalities for chronic cutaneous ulcers?

Accelerating Wound Healing

hmpadmin | 5,221 reads | 0 comments | 06/03/2003

Are chronic wounds throwing you for a loop? If so, you may want to consider using CellerateRX, a new wound care gel and powder that reportedly helps to jumpstart the healing process. Advanced Wound Care, the manufacturer of the product, says CellerateRX has an array of indications ranging from diabetic ulcers and surgical wounds to pressure ulcers and second-degree burns. The company notes that CellerateRX promotes and accelerates cellular regeneration by replicating the natural fibroconnective template.

The largest randomized, multicenter, controlled trial on negative pressure wound therapy (NPWT) concluded that NPWT is more effective than advanced moist wound therapy in facilitating the closure of diabetic foot ulcers and reducing secondary amputations.

Study Says NPWT More Effective Than Moist Dressings For DFUs

Brian McCurdy, Senior Editor | 17,200 reads | 0 comments | 04/03/2008

Negative pressure wound therapy (NPWT) is more effective than advanced moist wound therapy in facilitating the closure of diabetic foot ulcers and reducing secondary amputations. These are the findings of researchers who recently published the largest randomized, multicenter, controlled trial on NPWT.

Pertinent Insights On Antimicrobial Dressings And Infection Control

Clinical Editor: Kazu Suzuki, DPM, CWS | 20,377 reads | 0 comments | 04/23/2012

These expert panelists debate the use of antimicrobial dressings versus regular wound dressings, the efficacy of antiseptics and whether sterile gloves are useful in reducing the risk of infection.

Questioning The Evidence Behind The Use Of Silver Dressings

Warren S. Joseph DPM FIDSA | 4,599 reads | 1 comments | 07/30/2010

A few months ago, Robert Kirsner, MD, PhD, and Stephanie Wu, DPM, invited me to write a chapter on “Antimicrobial Therapy” in their upcoming Wound Healing Society Yearbook. The design of the chapter is a review of a recently published primary study and two or more secondary studies.

A Guide To Compression Dressings For Venous Ulcers

Nancy Slone-Rivera, MS, ANP-C, CWON, CFCN, and Stephanie C. Wu, DPM, MSc | 62,323 reads | 1 comments | 01/25/2012

Given the relatively common incidence of venous insufficiency and the high likelihood of recurrence with venous leg ulcers, these authors offer a thorough review of the literature and share their insights on compression modalities ranging from inelastic (short stretch) bandages to intermittent pneumatic compression therapy.

Exploring The Potential Of Acellular Dermis Grafts For Wound Healing And Soft Tissue Repair

J. Palmer Branch, DPM, FACFAS | 30,530 reads | 0 comments | 11/29/2012

Offering insights from the literature, practical pearls and coding tips, this author discusses the use of acellular dermis grafts for foot and ankle applications including wound healing, tendon and ligament repair and soft tissue supplementation.

Honey-Based Dressings: Can They Have An Impact For Diabetic Foot Ulcers?

By Wendy Tyrrell MEd, DPodM, MChS, and Rose A. Cooper, PhD | 43,816 reads | 0 comments | 03/03/2007

     Honey is an ancient wound remedy that is reappearing in clinical practice in developed countries. The availability of licensed wound care products in Europe, New Zealand and Australia is prompting healthcare practitioners in conventional medicine to consider the use of honey within their treatment armamentarium. Ulcer remedies such as honey are necessary as the prevalence of diabetes rises.