DPM Blogs

Addressing Complications Of Retained Foreign Bodies

Kristine Hoffman DPM
9/2/14 | 144 reads | 0 comments
Retained foreign bodies are a relatively common injury and over 50 percent of foreign body injuries affect the foot.1,2 The most common foreign bodies are needles, metal, glass, wood, plastic and stone. Due to potential complications from retained foreign bodies, one should remove them unless removal puts neurovascular or other critical structures at high risk of iatrogenic damage. Possible complications from retained foreign bodies include infection, migration, stiffness, granuloma formation and pain. Read More.

Addressing Calcaneus Gait With AFOs

Larry Huppin DPM
8/28/14 | 235 reads | 0 comments
I received a call from a colleague with questions regarding how to make an AFO for a patient who had a poor outcome following a spinal surgery. She developed a dropfoot on the left side. This is not an unusual complication of such a surgery. What was unusual, however, was that on the right side, she had posterior weakness rather than anterior weakness and developed a calcaneus type of gait. She has a difficult time plantarflexing her right foot. This resulted in her walking on her heel on the right side while having a typical dropfoot on the left side. Read More.

Bolstering Heel Pain Therapy And Patient Adherence At Home

Jenny L Sanders DPM
8/27/14 | 368 reads | 0 comments
The treatment of plantar fasciitis not only depends on in-office modalities but also on patients doing exercises on their own. With a new patient-friendly kit, patients can continue the healing at home. Thera-Band and Biofreeze are trusted brands in the podiatric and rehabilitation community. Now the Hygenic Corporation offers both in a new kit, the First Step To Foot Relief, specifically designed to treat plantar fasciitis. Read More.

Learning To Pick Your Battles When Surgery Is Not The Answer

William Fishco DPM FACFAS
8/26/14 | 418 reads | 1 comments
Pediatric flatfoot is a common condition that we see on a regular basis. I have case that I want to share with you. A 14-year-old male presented with his mother and grandmother for a second opinion regarding surgery. His parents were concerned because of the way he walks. His feet turn out, according to his mother. For years, his pediatrician told the family that he would eventually grow out of it. Now that he is a teenager and still walking with an out-toed attitude, his pediatrician decided to refer him to a specialist for evaluation. Read More.

Podiatric Dermatology Quiz: Can You Identify This Skin Lesion?

Tracey Vlahovic DPM
8/22/14 | 678 reads | 0 comments
Can you identify the condition shown in the photo on the left? Read More.

Should You Consider Maggot Debridement For Wounds?

Alison J. Garten DPM
8/21/14 | 475 reads | 2 comments
At our wound care center, we recently had a patient who presented with maggots in her wound. At first glance I thought it was worrisome but then I remembered that maggot therapy is still common for wounds that need debridement. I wanted to revisit maggot therapy to see if I should be considering this treatment as an additional option to heal my patients. Read More.

Ensuring Prompt And Effective Treatment Of Burns

Jeffrey Bowman DPM MS
8/19/14 | 292 reads | 0 comments
With barbeques, the popularity of outdoor activities and many occupations surrounding hot objects, patients commonly present with burns. Thermal injuries can come from chemicals and electricity, not just from fire or the sun. We typically classify burns into three categories depending on severity and what the skin looks like: first degree, second degree and third degree.1-4 However, there is a fourth degree. Read More.

How Do We Explain ‘Incidental’ MRI Findings To Patients?

Doug Richie Jr. DPM FACFAS
8/13/14 | 494 reads | 0 comments
When I first entered clinical practice over 30 years ago, diagnostic imaging studies were limited to plain radiographs, arthrography and nuclear medicine bone scans. With the emergence and improvement of magnetic resonance imaging (MRI), we have better ability and accuracy to investigate and confirm the presence of pathologies in the foot and ankle. Unfortunately, this often opens up a can of worms as almost every MRI study reveals the presence of findings that are not related to the symptoms of the patient, i.e. so-called “incidental” findings. Read More.

Current Insights On Perioperative Management Of Anticoagulation Therapy

Allen Jacobs DPM FACFAS
8/12/14 | 481 reads | 0 comments
Increasingly, the podiatric physician must perform surgery on patients receiving anticoagulant therapy. Decisions on the perioperative management of anticoagulation represent a balance among concerns regarding postoperative hematoma, excessive bleeding and patient safety with consideration of the reasons why the patient started on anticoagulant therapy. Read More.