DPM Blogs

Are Gauntlets A Universal Solution For AFO Intervention?

Doug Richie Jr. DPM FACFAS
10/25/13 | 2051 reads | 2 comments
I often lecture on the topic of clinical indications for ankle-foot orthotic (AFO) therapy. Through interactions with many colleagues around the country, I am amazed at the number of practitioners who favor the use of gauntlet-style AFO devices for bracing the lower extremity. My suspicion is that the handsome reimbursement for these devices may supersede better judgment about patient adherence and improved clinical outcomes. Read More.

When Patients Present With Tarsal Tunnel Syndrome

Jeffrey Bowman DPM MS
10/24/13 | 3066 reads | 0 comments
Tarsal tunnel syndrome is an entrapment of the posterior tibial nerve or one of its branches within the tarsal canal by the flexor retinaculum, the fibro-osseous tunnels, or the deep fascia.1-4 Sixty to 80 percent of cases have a specific cause of compression and there are multiple factors.5 • A tumor within the tarsal canal that puts pressure on the nerve • Fracture of the calcaneus with a fragment compressed against the nerve • Severe pronation that stretches the soft tissue and compresses the nerve • Enlarged blood vessels (i.e. varicose veins) Read More.

Getting Runners Back On Their Feet After Subungual Hematomas

Nicholas A Campitelli DPM FACFAS
10/22/13 | 2981 reads | 0 comments
Subungual hematomas frequently occur in distance runners and I tend to see a lot of them in my practice. While it can be a controversial topic in regard to either draining or removing the entire nail, I learned early in my career that it is best to remove the entire nail. Read More.

Keys To Using Lasers When Treating Onychomycosis

Patrick DeHeer DPM FACFAS
10/18/13 | 2482 reads | 0 comments
After researching our electronic medical records, I have found that I’ve treated over 1,500 cases of onychomycosis throughout the past four years. I make it constant practice to critically analyze my outcomes and strive to look for ways to make those outcomes more predictable. (Please note that I have no financial interest in any of the products I will be discussing.) Read More.

Before Treating Their Feet, Try Walking In Their Shoes

Lynn Homisak PRT
10/17/13 | 2437 reads | 0 comments
Don’t your patients deserve an excellent treatment experience? Here are a few examples of providing an optimal environment for patients from the first moment they contact the office. On the phone. A unique thing happened to me the other day when I called a doctor’s office to make an appointment. I was a potential new patient; that should make me pretty special to them, don’t you think? “I’m sorry,” said the receptionist, “Dr. Mightierthanthou cannot see you until December 30th.” Read More.

Why Surgery Is A Bad Wager For Some Patients

Stephen Barrett DPM FACFAS
10/16/13 | 2678 reads | 0 comments
Slowly swirling the amber liquid in the crystal glass, with the nearly non-viscous fluid gracing the edges, I found myself turning inward, becoming increasing contemplative. As the liquid, provided “free” while I sat at the roulette wheel, enveloped the melting ice, I found myself wondering why we as surgeons have not been able to figure out how to game the odds like those savvy dudes who run the place where I happened to be being gamed myself — Vegas. Really, those Vegas cats know how to manipulate outcomes so they always come out on top. Read More.

What Do We Do When A Patient With A Chronic Ulceration Fails Conservative Therapy And Declines An Amputation?

Molly Judge DPM FACFAS
10/11/13 | 5365 reads | 2 comments
Chronic ulcerations, especially in patients with systemic disease, are troublesome to say the least. These patients’ visits are often intensive and laborious, taking a toll on both medical and clerical staff. When patients require outside consultations or hospital admission, telephone communications and added paperwork are costly at many levels. For many physicians, the added overhead expense becomes difficult to afford. Read More.

When An Orthosis Causes A Patient To Feel Laterally Unstable

Larry Huppin DPM
10/8/13 | 3983 reads | 0 comments
A colleague had a patient who presented with plantar fasciitis symptoms and he made her a pair of posted orthoses with a minimum cast fill. The devices worked extremely well at relieving her symptoms. The only problem is now she is feeling like she is somewhat laterally unstable on the left side only. She told the podiatrist she “wishes she had something to push her inward a little bit.” Read More.

How Evaluating Sock Liners Can Provide Diagnostic Insights

Jenny L Sanders DPM
10/7/13 | 4532 reads | 0 comments
A sock liner in a running shoe acts as a moisture barrier between the foot and the insole of the shoe, and provides light cushioning as well. Not all shoes have sock liners but those that do can provide a wealth of information for you and your patients. An easy way to educate patients about their foot function is to show them their sock liner wear patterns. Read More.