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

Allen Jacobs DPM FACFAS
4/27/10 | 7241 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 | 6892 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 | 8021 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 | 7089 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 | 3920 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 | 2872 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 | 6091 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.

Why I Advocate The Medial Incision Approach In Hallux Valgus Correction

Allen Jacobs DPM FACFAS
8/20/09 | 8182 reads | 4 comments
   Many years ago (more than I wish to recall), Guido LaPorta, DPM, turned me on to the medial incision for the correction of hallux valgus deformity. Over the years, I have found that the medial incisional approach to hallux valgus correction has been most effective and is associated with less postoperative problems than I have encountered with the traditional dorsal-medial longitudinal incision for hallux valgus surgery. Read More.

When ‘Not Guilty’ Does Not Necessarily Mean Innocent

Allen Jacobs DPM FACFAS
7/29/09 | 3737 reads | 3 comments
I recently had the opportunity to participate in a malpractice case in which I testified as an expert witness in support of the allegations that a plaintiff brought against her podiatric physician. The case ended with a defense verdict. The famous defense attorney F. Lee Bailey once noted that not guilty does not mean innocent, it means you were able to successfully “beat the rap.” Read More.