Podiatry Today

Podiatry Today






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Non-Accredited Education

Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited


Understanding Collagen Dressings and their Benefit in Wound Care

Complimentary Archived Webcast
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News and Trends

College Offers Accelerated DO Program For DPMs

Richard Bui, DPM, and Khiem Vu, DPM, (below right) are the first two podiatrists seeking doctor of osteopathy (DO) degrees at the Nova Southeastern University College of Osteopathic Medicine. Both believe the DO degree will enhance their podiatric knowledKhiem Vu, DPM, Richard Bui, DPM, (above left) are the first two podiatrists seeking doctor of osteopathy (DO) degrees at the Nova Southeastern University College of Osteopathic Medicine. Both believe the DO degree will enhance their podiatric knowledge anWhile some hospitals are unwilling to let DPMs obtain patient histories and perform general physical exams, Dr. Levy says a DPM/DO would be able to perform these tasks in hospitals.When it comes to chronic diabetic foot ulcers (see above photo), a new study shows intriguing results for an emerging platelet-derived growth factor treatment.
VOLUME: 18 PUBLICATION DATE: Sep 01 2005
Issue Number: 
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   Adding a new twist to the ongoing debate about dual degrees for podiatrists, the Nova Southeastern University College of Osteopathic Medicine (NSU-COM) recently announced that two podiatrists have enrolled in the college’s new, accelerated doctor of osteopathic medicine (DO) program. College officials say the program is the first of its kind developed specifically for DPMs.

   The program was formulated in association with the American Board of Podiatric Orthopedics and Primary Podiatric Medicine, according to Leonard A. Levy, DPM, MPH, an Associate Dean f

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Online Podiatry Stores: Can They Enhance Revenue And Patient Care?

OurDoctorStore.com creates online storefronts for DPMs. The company cites the benefits of additional income for podiatrists without the overhead costs of carrying inventory in the office and more convenience for patients.The Medicare Coverage Advisory Committee recently heard testimony from various wound care experts as it examines the topic of standard care for chronic wounds. (Photo courtesy of Jonathan Moore, DPM)
VOLUME: 18 PUBLICATION DATE: Jun 01 2005
Issue Number: 
6

   When patients seek out podiatric products, they may be referred to companies and Web sites that may not offer a proper selection. Patients may have to search hours for the right product and podiatrists might lose potential income by not offering the items themselves. However, one company lets doctors sell the products they recommend through customized Web sites.

   OurDoctorStore.com creates Internet storefronts for physicians. Lowell Scott Weil, Jr., DPM, MBA, says the company offers several benefits for podiatrists and their patients. One advantage of the

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CDC: Diabetes Prevalence Up 14 Percent In Two Years

The overall incidence of diabetes may be increasing due to declining diets and sedentary lifestyles, notes Ken Rehm, DPM.Here is a MRSA infection that was acquired in the community following a gunshot wound to the lateral foot. (Photo courtesy of David G. Armstrong, DPM, PhD)
VOLUME: 18 PUBLICATION DATE: Dec 01 2005
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12

   The prevalence of diabetes in the United States has increased by 14 percent in the last two years, according to a recent report by the Centers for Disease Control and Prevention (CDC). The report concludes that 20.8 million people in the U.S., 7 percent of the population, have the disease and 6.2 million of these people are undiagnosed. In 2003, an estimated 18.2 million people had diabetes, according to the CDC.

   Why the rapid rise in diabetes prevalence in just two years? The overall incidence of diabetes may be increasing due to declining diets and sed

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How To Convince Pre-Diabetic Patients About Lifestyle Changes

Regular exercise is vital for patients with pre-diabetes or those who are borderline diabetic, according to Eric Feit, DPM, a Past President of the Los Angeles chapter of the American Diabetes Association.Given the array of NSAID medications available, Dr. Caldwell says it is important to know the different groups of non-selective NSAIDs.
VOLUME: 18 PUBLICATION DATE: Aug 01 2005
Issue Number: 
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   Maintaining a nutritious diet and exercise plan is paramount for patients with diabetes in order to reduce the risk of complications from the disease. For pre-diabetic patients, making such lifestyle changes may also be helpful in warding off diabetes. Encouraging pre-diabetic patients to change their habits was a primary focus of discussion recently at the American Diabetes Association (ADA) 65th Annual Scientific Sessions.

   Participants in the ADA sessions

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International Olympic Committee Seeks DPM's Advice For 2008 Olympics

Nicholas Romansky, DPM, recommends having more podiatrists at event sites at the 2008 Olympics in Beijing.
VOLUME: 18 PUBLICATION DATE: Oct 01 2005
Issue Number: 
10

   Officials of the International Olympic Committee (IOC) are already in the midst of planning for the 2008 Olympics in Beijing. In order to facilitate improved treatment for athletic injuries, they recently sought out the suggestions of a United States podiatrist who treated athletes at the Athens Olympiad last year. Nicholas Romansky, DPM, who headed up the U.S. podiatry contingent at the 2004 Olympics, spoke recently to the IOC regarding his clinical experiences and made suggestions for the next games.

   Dr. Romansky reviewed injury trends, noted how the c

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Nerve Decompression Study Offers Provocative Findings

This patient has a painful neuropathic foot. A new study involving 100 patients with neuropathy found that the majority of patients had significant pain reduction a year after undergoing peripheral nerve decompression. (Photo courtesy of Stephen Barrett,
VOLUME: 18 PUBLICATION DATE: Nov 01 2005
Issue Number: 
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   While previous studies have touted the benefits of peripheral nerve decompression for patients with neuropathy, a new study in the Journal of the American Podiatric Medical Association (JAPMA) reveals positive effects on sensation, neuropathic pain and patient balance. Authors of the study found that 87 percent of patients with numbness reported improved sensation and 92 percent who had preoperative balance problems had improved balance a year after undergoing the procedure.

   According to the study, which involved 60 patients with diabetic neuropat

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Study: Infection Dramatically Raises Risk Of Amputation, Hospitalization

Here is an acute deep space abscess in a patient who has diabetes. This infection will likely require a combination of aggressive surgical management and systemic antibiotic agents. (Photo courtesy of Ann Anderson, DPM, and John Steinberg, DPM)This large plantar neuropathic ulceration has no clinical signs of infection. While this wound would benefit from topical antimicrobials, systemic antibiotics are not needed. Drs. Lavery and Lipsky both caution against inappropriate use of systemtic antib
VOLUME: 19 PUBLICATION DATE: Jul 01 2006
Issue Number: 
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   It is no secret that foot infections can lead to a range of complications up to and including lower extremity amputation. However, a recent study has demonstrated a dramatically higher risk of both amputation and hospitalization in diabetes patients who develop foot infections as opposed to those without infection. The authors say this is the first prospective study to report the incidence of foot infections in a defined population as well as the risk factors for infection.

   The study, published in a recent issue of Diabetes Care, found that patient

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Can A Diabetic Foot Surgery Classification System Help Predict Complications?

Here one can see a postoperative wound dehiscence after a lateral ankle surgical procedure.Here is a view of a transmetatarsal amputation. A recent retrospective study examines possible predictive factors for complications. (Photo courtesy of John E. Aruny, MD, and Peter Blume, DPM)The culture and sensitivities for this postoperative infection grew out as community-acquired MRSA. (Photo courtesy of David G. Armstrong, DPM, PhD)A new study says depressed patients with diabetes do not exhibit enhanced self-care when undergoing depression treatment.
VOLUME: 19 PUBLICATION DATE: May 01 2006
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Various classification systems categorize diabetic wounds and infections. One system, devised in 2003, categorizes different levels of non-vascular diabetic foot surgery. How effective is such a system? A recent study, the first to evaluate the system’s effectiveness, suggests including various risk factors in the system may better predict surgical complications.
The study, presented as an abstract at the American College of Foot and Ankle Surgeons Annual Scientific Meeting, evaluates the classification system’s four categories: elective, prophylactic, curative and emergency surgery. Res

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Can Exercise Expedite Wound Healing In Older Patients?

Here is a preoperative view of chronic midfoot Charcot neuroarthropathy.
VOLUME: 19 PUBLICATION DATE: Mar 01 2006
Issue Number: 
3

The benefits of exercise in preventing diabetes and improving general health are well established. Can exercise also facilitate improved wound healing among older adults? A recent study in the Journal of Gerontology: Medical Sciences found that wounds healed faster for patients who exercised compared to those who engaged in no activity.

The study involved 28 healthy adults with a mean age of 61. The patients were assigned either to an exercise or non-exercise group. Researchers created small wounds on patients and conducted wound measurement three times a week to calculate the heali

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Can A New Molecular Test Enhance MRSA Detection?

Here is an MRSA-infected anterior ankle wound. Authors of a recent study say a new molecular test (qMRSA) may facilitate quicker detection of MRSA. (Photo courtesy of David G. Armstrong, DPM, PhD)Addressing diet and sedentary lifestyles is critical to reducing risk factors for type 2 diabetes in children, according to Kathleen Satterfield, DPM.
VOLUME: 19 PUBLICATION DATE: Apr 01 2006
Issue Number: 
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Given the substantial rates of methicillin resistant Staphylococcus aureus (MRSA) infection in hospitals, early detection is vital to ensure timely and appropriate treatment. A new molecular test may significantly decrease the amount of time it takes to detect MRSA and possibly reduce transmission of the bacteria, according to the authors of a new study.

Researchers who conducted the two-year study, recently published in Critical Care, evaluated over 1,000 patients who had been admitted for longer than 24 hours to a medical intensive care unit (ICU) or surgical ICU. Authors of

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CME Showcase

"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"

A Complimentary On-Demand CE/CME Webcast

This activity is supported by an educational grant from Advanced Biohealing.
This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).

To access this Webcast, visit www.naccme.com/program/n-550/





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