Utilizing Semi-Custom Orthotics For Neuromas

Nicholas A Campitelli DPM FACFAS
9/19/13 | 4713 reads | 6 comments
Too often, physicians prescribe custom fabricated orthoses to treat a forefoot issue when they can address the problem through the use of a semi-custom orthotic. Do we need to cast, mold and scan the foot, et cetera, to produce a custom rearfoot shell, which we can attach to the forefoot device? Do we need to control the rearfoot to help the forefoot pathology? The debatable answer is that it depends on the pathology. Read More.

What I Have Learned About Treating Sesamoiditis

Nicholas A Campitelli DPM FACFAS
8/16/13 | 5613 reads | 0 comments
I have been intrigued by sesamoiditis since I suffered from it as a resident. I lived with the condition for 10 years before finally realizing I was creating the problem by the way I was running and walking. After making this discovery, my outlook on treating sesamoiditis changed. I no longer relied on treating it through inserts and offloading devices. I began focusing on strengthening the foot, proper walking and running form, and shoe gear. Read More.

Are Minimalist Running Shoes Really To Blame When It Comes To Running Injuries?

Nicholas A Campitelli DPM FACFAS
8/1/13 | 4022 reads | 1 comments
Have we forgotten about pronation? With all the hype surrounding minimalist shoes, the concern has shifted from controlling motion to simply avoiding minimalist shoes. This has happened not because minimalist shoes don't control motion but plain and simple because they allegedly cause injury. Read More.

Defending My Position On Orthoses

Nicholas A Campitelli DPM FACFAS
5/15/13 | 8955 reads | 12 comments
Our profession needs to keep an open mind in regard to shoes and treating running injuries. People do not change what they are doing unless they have a reason to change. I continue to see runners not responding to orthotics and stability control shoes in my practice so I have provided a change, one that is working for others and myself. Of course, there is not a preponderance of evidence to support this change but there are emerging studies that support my thinking regarding the use of minimalist shoes. I have cited these studies in the past and will continue to do so. Read More.

Can Minimalist Shoes Be Beneficial For Osteoarthritis-Related Knee Pain?

Nicholas A Campitelli DPM FACFAS
4/19/13 | 6549 reads | 21 comments
A new study accepted for publication in Arthritis & Rheumatism says patients walking barefoot or wearing minimalist shoes have reported a reduction in knee adduction as well as reduced pain.1 This article is greatly needed in the world of orthopedics where the majority of orthopedists are still prescribing foot orthotics to treat many of the lower extremity injuries that do not warrant surgery. Read More.

Maintaining Perspective With Changes In Coverage For High-End Products

Nicholas A Campitelli DPM FACFAS
3/18/13 | 2227 reads | 1 comments
Approaching my 10th year in practice, I have seen more than a few changes, not only in the field of healthcare but also in the field of pharmaceuticals. As a resident, I caught the end of the era of golf trips, high-priced dinners with wine and baseball games with unlimited snacks. As I began practicing with my multispecialty group, I was still seeing weekly lunches and Starbucks, which ended up being a second cup of coffee for the morning. Read More.

Why It’s Important To Find Time Away From Your Practice

Nicholas A Campitelli DPM FACFAS
1/18/13 | 2142 reads | 0 comments
I thought I would start the year off on a different note than what I had focused my previous blogs on. As we all set goals for the new year within our practice, it is important to remember that our work is not the only reason we exist. While it is easy to fall into the daily rat race, trying to stay abreast of the latest advancements in podiatry, there is more to life than podiatry. Read More.

Staying In Stride With Your Running Patients

Nicholas A Campitelli DPM FACFAS
12/24/12 | 2729 reads | 1 comments
I recently attended “The Running Event,” a symposium in Austin, TX for retailers and shoe manufacturers involved in the running industry. In addition to seeing the debut of new products, attendees heard lectures addressing a myriad of topics such as running form, injuries, lower extremity biomechanics and marketing strategies for retailers. Read More.

How The Minimalist Shoe Movement Has Affected My Practice And The Profession

Nicholas A Campitelli DPM FACFAS
10/31/12 | 7275 reads | 1 comments
More than two years ago, I made a shift in my practice. People told me that I would lose patients, that my colleagues would be taking care of all the stress fractures that I would create, and that I should lose my license because I was violating the Hippocratic Oath of doing no harm. Read More.