Lateral Column Pain: Underscoring The Challenges In Diagnosis And Treatment

William Fishco DPM FACFAS
10/12/09 | 12156 reads | 0 comments
The majority of patient encounters to the podiatrist are secondary to pain in the foot and/or ankle. If we draw an imaginary line bisecting the lower leg and extending distally to the third toe, pain in the medial aspect of the foot and ankle is typically straightforward. Read More.

Keeping Surgery Simple: Why K-Wires Are Underrated

William Fishco DPM FACFAS
9/4/09 | 9939 reads | 3 comments
In some of my earlier blogs, I wrote about how I like to keep things simple in daily practice. This concept also applies to surgery. Let’s face it: we are always looking for better ways of doing things in surgery. That is what separates a surgeon from a technician. Maybe you want to tweak the way you make your bone cut or try different fixation techniques. After all, we are always striving for perfection every time we walk into the operating room. Read More.

Three Secrets For A Successful Podiatry Practice

William Fishco DPM FACFAS
7/28/09 | 10664 reads | 0 comments
I would like to share with you my business secrets for a successful podiatry practice. Unfortunately, no one teaches us how to run a business in podiatry school. When you get up in the morning and head to the office, you may not consider yourself a businessman/woman but you are. You basically have two hats to wear. Read More.

Why I Prefer Having A ‘Mom and Pop’ Podiatry Practice

William Fishco DPM FACFAS
7/1/09 | 4419 reads | 3 comments
What is the best practice model for today’s podiatrist? I can tell you from experience that I have tried just about everything and I think I have figured it out. Most of us have had the same dream starting out in podiatry school when we envisioned our practice as an empire. In your dream, you may have envisioned multiple offices blanketing all corners of the metropolitan city. Most of us dream and think big because we are motivated and intelligent people. After all, that is what got us to where we are now. Read More.

Should We Biopsy Everything?

William Fishco DPM FACFAS
6/2/09 | 4351 reads | 1 comments
Tissue biopsy is underutilized in our profession. Can you think of a reason not to biopsy tissue? Are we that concerned about saving health care dollars? Read More.

Is Clinical Examination A Lost Art?

William Fishco DPM FACFAS
5/1/09 | 2819 reads | 1 comments
We live in a high-tech world. Medicine and surgery are not exempt. I personally think we are all prone to forget the basic tenets of diagnosis. Think way back to podiatry school when you learned the fundamentals (range of motion, manual muscle testing, gait exam, etc.) of examining the foot and ankle. Today, it is all about diagnostic ultrasound, MRIs, CTs, bone scans and other “hands-off” testing modalities. Certainly, these tests have their place in working up a difficult diagnosis but let us not forget the most important aspect of examination. It is not uncommon for me to see pa Read More.