Keys To Using Lasers When Treating Onychomycosis

Patrick DeHeer DPM FACFAS
10/18/13 | 2464 reads | 0 comments
After researching our electronic medical records, I have found that I’ve treated over 1,500 cases of onychomycosis throughout the past four years. I make it constant practice to critically analyze my outcomes and strive to look for ways to make those outcomes more predictable. (Please note that I have no financial interest in any of the products I will be discussing.) Read More.

Reignite Staff Commitment To Bring In New Patients

Patrick DeHeer DPM FACFAS
9/18/13 | 4262 reads | 1 comments
You are losing money every month. New patients who could become part of your practice are slipping through the cracks simply because your staff is not fully engaged. New patients are the lifeblood to any practice. Without a steady stream of new patients, a practice will wither and die. There is a very simple test you can use with your staff to compare your new patient ceiling to your current monthly new patient average. This is called the check test. Read More.

A Closer Look At Heel Pain And Baxter’s Neuritis

Patrick DeHeer DPM FACFAS
8/14/13 | 4536 reads | 1 comments
Through my 23 years of practice, I often think of the old adage, “When you hear hoof beats, think horses, not zebras.” I consider myself a very good diagnostician. I base my diagnoses on comprehensive history and physical examination. However, there are times when the patient is not progressing as expected and those “hoof beats” are actually zebras. One such case is heel pain from Baxter’s neuritis, which is entrapment of the first branch of the lateral plantar nerve. Read More.

Avoiding A ‘Slippery Slope’ When Treating Intractable Plantar Keratosis

Patrick DeHeer DPM FACFAS
7/16/13 | 4859 reads | 2 comments
There are a few foot and ankle surgical procedures that I consider a slippery slope with tremendous uncertainty regarding poor cost versus reward ratios. One of these procedures is the surgical treatment for intractable plantar keratosis via a lesser metatarsal osteotomy. Read More.

An Overview Of Surgical Treatments For Stage II Tibialis Posterior Tendon Dysfunction

Patrick DeHeer DPM FACFAS
6/18/13 | 3295 reads | 0 comments
Regardless of the etiology of the deformity, the three principles for flexible flatfoot deformity surgical correction include: • removal of any deforming force of the leg onto the foot; • perpendicular alignment of the hindfoot to the ground; and • a parallel relationship of the forefoot to the rearfoot. This applies to pediatric flexible flatfoot, adult flexible flatfoot and stage II tibialis posterior tendon dysfunction The treatment of stage II tibialis posterior tendon dysfunction has evolved over the years to a well-documented group of procedures. Read More.

Amazon Review Says Podiatrists Are Not Experts On Ankle Surgery

Patrick DeHeer DPM FACFAS
5/21/13 | 5621 reads | 32 comments
Every once in awhile you come across something that makes your blood boil. My trigger was simply reading reviews of the most current edition of McGlamry's Comprehensive Textbook of Foot and Ankle Surgery on Amazon.com. What infuriated me was the following review: Read More.

What A Spanish Podiatrist Learned From Visiting With Podiatrists In The United States

Patrick DeHeer DPM FACFAS
4/11/13 | 4660 reads | 0 comments
Editor’s note: This entry’s guest author is Gabriel Aguirrezabal, a Spanish podiatrist. He is in private practice in Bilbao in Basque Country, Spain. I am Gabriel Aguirrezabal, a Spanish podiatrist. I am very thankful to Dr. DeHeer and his colleagues for welcoming me into Indianapolis for two weeks in March. During my journey, I wanted to develop new podiatric skills and discover how doctors practice podiatric medicine in the United States. I was able to rotate through a variety of podiatric settings such as surgery, clinical practice and even wound care. Read More.

Is Bone Marrow Aspirate Concentrate The Newest Game Changer In Podiatric Surgery?

Patrick DeHeer DPM FACFAS
2/28/13 | 8479 reads | 2 comments
What do AO technique, external fixation and locking plate technology have in common? They are all game changers for foot and ankle surgeons. They have become gold standards. Game changers do not come along often. However, when they do, both surgeons and patients benefit. Surgeons benefit from simplification of surgical techniques and patients benefit from better outcomes. Another game changer is bone marrow aspirate concentrate. When will this become as commonplace as American orthopedic technique, external fixation or locking plate technology? Read More.

Sharing Your Podiatric Knowledge: Why Those Who Can Should Teach

Patrick DeHeer DPM FACFAS
1/16/13 | 2727 reads | 0 comments
Knowledge is a gift that we must share and pass on. When you keep it to yourself, you diminish the power of knowledge. Without sharing knowledge, especially knowledge that derives its source from experience, a society, including the profession of podiatric medicine, is cheated. Read More.