Thanks For Playing Orthopedics

Allen Jacobs DPM FACFAS
7/28/10 | 4937 reads | 4 comments
Increasingly, podiatric physicians are being employed by orthopedic surgery groups to provide varying levels of care for foot and ankle surgery. The degree of acceptance for podiatric physician care by such groups is somewhat variable. However, it would seem that overall the competency of podiatrists as physicians and surgeons has been increasingly accepted. Read More.

A TENS Unit For Heel Pain? Questioning The Ethics Behind Some ‘Practice Management’ Lectures

Allen Jacobs DPM FACFAS
6/1/10 | 8623 reads | 5 comments
I have had the opportunity to listen to so-called "practice management" presentations at a number of state and APMA component society meetings. To be quite frank about it, the content presented is nothing less than offensive as it advocates profit motive over patient care. What is even more shocking in my opinion is the seeming growing relationship of the APMA with these programs. Read More.

Do Advances In Plantar Fasciitis Treatment Hold Up To Scientific Scrutiny?

Allen Jacobs DPM FACFAS
4/27/10 | 7648 reads | 7 comments
I am constantly amazed at the variety of treatment modalities that are effective for plantar fasciitis. In fact, I am amazed when a modality exists that is not effective for plantar fasciitis. Just think about all that you learn at conferences, see in exhibit halls and read in non-peer reviewed journals. You would have to be an idiot not to be able to cure plantar fasciitis. Read More.

STJ Arthroereisis: Implanting Some Thoughts On The Prevailing Lack Of Insurance Coverage

Allen Jacobs DPM FACFAS
3/23/10 | 7123 reads | 0 comments
If you were to take the time to do so, you would find that many insurance carrier policies exclude coverage for subtalar joint (STJ) arthroeresis, characterizing it as investigational or even experimental. Read More.

Can Metformin Use Increase The Risk Of Diabetic Neuropathy?

Allen Jacobs DPM FACFAS
3/1/10 | 8787 reads | 1 comments
Metformin (Glucophage, Bristol-Myers Squibb) is a commonly utilized biguanide agent for the treatment of diabetes. Increasingly, it appears that metformin may paradoxically increase the risk of neuropathy in the patient with diabetes. Therefore, when you see a patient with diabetes who is taking metformin, greater surveillance may be necessary for the presence of sensory, autonomic and motor neuropathy. Read More.

Why A Post-Op Fatality Is A Wake-Up Call On DVT Prophylaxis

Allen Jacobs DPM FACFAS
1/20/10 | 7274 reads | 2 comments
The issue of deep vein thrombosis (DVT) prophylaxis remains controversial with reference to foot and ankle surgery. The limited available studies for review suggest that the incidence of DVT and pulmonary embolism (PE) following foot surgery is acceptably low, and that routine prophylaxis is not required. However, many of these same articles suggest that one should consider prophylaxis when several risk factors for DVT or pulmonary embolism (PE) are present. Read More.

Regnault’s HAT Graft Procedure: Can It Have An Impact For Hallux Rigidus And Hallux Valgus?

Allen Jacobs DPM FACFAS
12/3/09 | 4157 reads | 0 comments
Over the years, I have continued to employ the osteochondral graft procedure (HAT graft procedure), described by Bernard Regnault, MD, in selected cases of hallux valgus and hallux rigidus. I find the procedure to be reliable in satisfying the requirements of elderly patients as it offers a viable alternative to arthrodesis, resection arthroplasty or implant arthroplasty. Read More.

Are Ethics Getting Shortchanged In Student And Residency Training?

Allen Jacobs DPM FACFAS
10/20/09 | 2985 reads | 1 comments
Recently, there was discussion on Podiatry Management online regarding the professional conduct of students and residents. The discussion was centered on what was perceived to have been “unprofessional” conduct, and a discussion of the evaluation of so-called “non-cognitive behaviors” ensued. Read More.

A Closer Look At The Modified Hoke Arthrodesis For Flatfoot Deformity

Allen Jacobs DPM FACFAS
9/25/09 | 6388 reads | 0 comments
For many years, I have employed a modification of the traditional Hoke procedure in the management of flatfoot deformity. Surgeons generally employ medial column stabilization in flatfoot deformity to augment other pronation limiting surgical interventions such as arthroereisis, tendo-Achilles lengthening (TAL), calcaneal osteotomy, etc. Read More.