Volume 17 - Issue 7 - July 2004
Wound healing is a complex process that depends upon the delicate balance of physical and spiritual well-being of the individual. In order to maintain this required balance for wound healing, clinicians must be aware of and evaluate five major conditions including: adequate perfusion, decreased bacterial load, protection from mechanical stress, sufficient nutrition and the patient’s psychosocial status.
While one can evaluate the first three conditions through clinical examination techniques, laboratory assays and special studies, the nutritional status and psychosocial status of the patie
First, I’d like to say that the article on adult-acquired flatfoot (AAF) was insightful and thorough (see the cover story “A New Approach To Adult-Acquired Flatfoot,” pg. 32, May issue). It is now my reference on AAF. However, I found that the heel pain article left questions unanswered (see “Conquering Conservative Care For Heel Pain,” pg. 48, May issue). I wonder why James Losito, DPM, offered his comments on Extracorporeal Shockwave Therapy (ESWT) while having very limited knowledge of ESWT.
Out of the three methods of generating shockwave, Dr. Losito only describes one. By his
I never enjoyed the yearly planning session with my undergraduate advisor at the University of Washington. It was the beginning of my senior year and the advisor was disturbed at my lack of a life plan. He noted I had taken a lot of science courses and had done well. I explained science to me was like reading a cookbook and my roommates were pre-med. No, I had not considered applying to medical school. I admitted dodging the draft was my main interest in college.
My advisor suggested a business class called Conflict Resolution. It was a graduate level course and didn’t interest me at all.
Diabetes Watch »
Autonomic neuropathy may significantly affect the quality of life of patients with diabetes. Unfortunately, despite the common prevalence of this condition in this population, autonomic neuropathy is one of the least understood and recognized complications of diabetes. Not only is there a cloudy picture in regard to the pathogenesis of the condition, there are various clinical manifestations with no degree of consistency in which they may occur.
With this in mind, let’s take a closer look at this potentially serious complication among people with diabetes.
Autonomic neuropathy generally in
Diagnostic Dilemmas »
Chances are, you have seen patients present to your office with pain after undergoing a bunion surgery, which you may or may not have performed. If you were the operating surgeon, it is easy enough to research the specific procedure that you performed. However, in many cases of hallux varus complications, the patients wind up in another surgeon’s office for reconstruction. Obtaining all the prior operative and post-op information will aid in tailoring the revisional surgery.
With this in mind, let’s consider the following case. A 55-year-old female patient returns to the office for a fol
New Products »
When treating diabetic patients who have neuropathic ulcers, it can be challenging to apply a wound care ointment with a wooden applicator or cotton swab due to pain tolerance issues.
However, a new spray version of Panafil® may be able to address these concerns. Healthpoint, the manufacturer of Panafil Spray, says the spray is light so it doesn’t hurt a sensitive wound bed and facilitates easier access with tough to reach areas of irregularly-shaped wounds.
The company also emphasizes that using the spray minimizes the potential for cross-contamination, a significant benefi
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