DPM Blogs

Addressing Toe Web Space Infections In Patients With Diabetes

Allen Jacobs DPM FACFAS
7/11/14 | 410 reads | 0 comments
Toe web space infection can be associated with significant morbidity. Not infrequently, toe web space infections result in cellulitis. This may progress from initial tinea pedis and skin xerosis.1 One can appreciate the significance of preventing cellulitis, particularly in a patient with diabetes, by looking at a study predicting foot ulceration in VA patients.2 The study authors found that onychomycosis and tinea pedis are two of the top seven predictors of foot ulceration in this study population.2 Read More.

Finding The Right Foot For Aesthetic Surgery

Stephen Barrett DPM FACFAS
7/10/14 | 393 reads | 0 comments
“Dong, dong, dong.” The bell tower clock had just finished ringing in the new midnight. The prince quickly ran outside to the front steps of the palace to find the beautiful lass who had captivated him that night. He could not find her. She had disappeared into the dark, still night as quickly as she had stolen his heart. Read More.

A Closer Look At Non-Dermatologic Disorders Associated With Psoriasis

Kristine Hoffman DPM
7/8/14 | 355 reads | 0 comments
Psoriasis is one of the most common skin conditions, affecting 2 to 4 percent of the population.1 Etiologies for this chronic, immune-mediated skin disease include both genetic and environmental factors. The five main types of psoriasis are plaque, guttate, inverse, pustular and erythrodermic. Nail changes (psoriatic onychodystrophy) are a common feature of psoriasis and include pitting, whitening, yellow-red oil drop or salmon spot discoloration, thickening, subungual hyperkeratosis and onycholysis. Nail changes occur in 40 to 45 percent of patients with psoriasis.2 Read More.

How Much Should You Be Paying Your Podiatric Medical Assistants?

Lynn Homisak PRT
7/3/14 | 717 reads | 0 comments
I’d like to share with you a two-part question that both staff and doctors ask me frequently (maybe you’re even one of the ones who have approached me): What is the “going rate” average salary for a podiatric medical assistant and is there a salary “cap” for what an assistant should be earning? As long as the podiatric medical assistant’s scope of practice remains undefined, training remains on the job and marginal at best, and tasks delegated to staff vary from office to office, determining an average “going rate” salary will continue to be a challenge in our profession. Read More.

Why Charging Patients For A Biomechanical Evaluation Makes Sense

Jenny L Sanders DPM
7/2/14 | 522 reads | 0 comments
Let’s face it. Insurance reimbursements are shrinking while the costs of maintaining a successful podiatry practice are increasing. Critical to surviving in this challenging environment is finding ways to increase revenue sources without increasing overhead or staff costs. Read More.

Facilitating Insurance Coverage For Venous Ablation Procedures

Alison J. Garten DPM
6/26/14 | 713 reads | 2 comments
This is a follow up to my previous blog post regarding venous ablation procedures (see http://tinyurl.com/odulpd4 ). I recently had an eye-opening conversation with a vascular surgeon, Jane Lingelbach, MD, with whom I work closely at Healogics Wound Care Center. She recently expressed why there is a delay of treatment from the time of a requested consult to the time of a venous ablation procedure performed due to an ulceration in the presence of venous disease if indicated. Read More.

How To Diagnose And Treat The Sometimes Elusive CRPS

Jeffrey Bowman DPM MS
6/24/14 | 875 reads | 0 comments
Chronic regional pain syndrome (CRPS) can be extremely debilitating for patients and can have a sometimes elusive diagnosis. Often, clinicians might consider someone with chronic pain to be “mental.” In fact, CRPS is truly a diagnosis of exclusion.1 The following will not be a deep and detailed discussion of CRPS. My only goal is to provide you with a little more information so you don’t always assume psychological issues are the cause of an individual’s intractable pain. Read More.

Should Podiatric Physicians Surrender AFO Therapy To Pedorthists?

Doug Richie Jr. DPM FACFAS
6/23/14 | 818 reads | 4 comments
I often give workshops at scientific symposia covering topics relevant to ankle-foot orthotic (AFO) therapy. Often, people ask me questions about Medicare regulations for coding and billing for these devices. Recently, someone asked me about a new program in which a commercial AFO company offers to have a certified pedorthist (CPed) evaluate and treat patients in podiatric medical practices. Read More.