Fighting For Subtalar Arthroereisis Insurance Coverage

Patrick DeHeer DPM FACFAS
3/15/12 | 5154 reads | 4 comments
Insurance companies are up there on my list of least favorites along with malpractice attorneys, plaintiff professional expert witnesses and foot and ankle orthopedic surgeons who initiate lawsuits against podiatrists. I have written about the latter groups already (see http://tinyurl.com/7mocb9t ). The insurance companies are next and I have a specific bone to pick with several of them including the gargantuan Anthem/Blue Cross. Read More.

How State Associations Can Eliminate 'Plaintiff Shills' In Malpractice Cases

Patrick DeHeer DPM FACFAS
2/20/12 | 4353 reads | 2 comments
One of the most overlooked components of malpractice is the role of the expert witness. I have written about this in a previous blog, “Should Courtrooms Bar ‘Hired Guns’ As Expert Witnesses in Malpractice Cases?” (see http://tinyurl.com/7st2zlj). Read More.

How To Find Balance In Your Practice And Life

Patrick DeHeer DPM FACFAS
1/24/12 | 3887 reads | 1 comments
Do you have balance in your professional career and personal life? I am not sure I do. From my discussion with other colleagues, I believe most of you do not either. One of the reasons I became a podiatrist was to have a “normal” lifestyle but that has never seemed to materialize. I have always had a good work ethic but why does a good work ethic still seem to create an unbalanced life? As we start a new year and I enter my 21st year of practice, I am going to strive to find better balance in my life. I hope this provokes you to consider the balance in your life. Read More.

My Top Ten Podiatric Pet Peeves

Patrick DeHeer DPM FACFAS
12/21/11 | 4308 reads | 5 comments
10. Podiatrists instructing patients to cut their toenails straight across. Where did this originate? Where is the evidence-based medicine for this approach? If everyone’s nails are shaped differently, why would everyone cut them the same? I have always told patients to follow the shape of the nail when trimming. Read More.

Resistant Plantar Fasciitis: Why We Should Opt For A Gastrocnemius Recession Before Even Considering A Plantar Fasciotomy

Patrick DeHeer DPM FACFAS
11/22/11 | 5767 reads | 2 comments
It is a rare occasion in one’s professional career to experience a paradigm shift in philosophy, even if it is on just one topic. Plantar fasciitis is the most common condition I see on a daily basis. Up to 85 percent of the time, I am able to treat it conservatively. For the past 20 years, when it came to patients who did not respond to conservative treatment or did not have associated nerve entrapment, I have done a plantar fasciotomy. Read More.

Have DPMs Abandoned Taping In Their Practice?

Patrick DeHeer DPM FACFAS
10/19/11 | 3602 reads | 6 comments
It is disappointing to hear DPMs say they do not use taping in practice, especially when their reasoning is that they only do surgery. If someone does not use taping, I believe he or she is turning away from podiatric roots, which are based strongly in lower extremity biomechanics. The study of biomechanics and its relationship to pathologies and treatment make podiatric medicine unique. Read More.

In Memory Of Richard O. Lundeen, DPM

Patrick DeHeer DPM FACFAS
9/16/11 | 4525 reads | 11 comments
On Sept. 3, 2011, podiatry lost one of its true innovators and legendary figures, Richard O. Lundeen, DPM. He was tragically hit by a car while riding a motor scooter. Although Rick had been out of podiatry for several years, his influence remains profound. Read More.

Is A New Brace The Answer For Equinus?

Patrick DeHeer DPM FACFAS
8/24/11 | 5396 reads | 1 comments
If you have been reading my recent blogs, you realize I have been writing a significant amount about equinus (see http://bit.ly/pHai03 and http://bit.ly/koOj86 ). I think equinus is underdiagnosed, undertreated and underappreciated by those who treat foot and ankle pathologies. The gastrocnemius recession procedure is a great answer for equinus but I think we have a much better opportunity to treat equinus non-surgically in the near future than we have ever had at our disposal. Read More.

Surveying The Literature To Find An Absolute Definition Of Equinus

Patrick DeHeer DPM FACFAS
7/22/11 | 3980 reads | 0 comments
“Equinus deformity is the most profound causal agent in foot pathomechanics and is frequently linked to common foot pathology,” is a quote from an article by Johnson and Christensen.1 This statement about equinus is something that is vastly underappreciated. It is profound but in my opinion, we as practitioners are not paying enough attention to it. I believe that is because there is no absolute definition of equinus. Read More.