DPM Blogs

DFU Research Funding Gaps: 'A Clear And Present Medical And Fiscal Calamity'

David G. Armstrong DPM MD PhD
7/12/13 | 1881 reads | 1 comments
Although diabetes takes a costly toll, literally and figuratively, on the foot and ankle, there is a stunning gap in lower extremity diabetes research funding.1 Our recent study, published in Diabetes Care, examined U.S. National Institutes of Health funding for diabetes and diabetic foot ulcers. Our research revealed total spending of $7.1 billion in funding for overall diabetes research from 2002 to 2011 with only $11.8 million, or 0.17 percent, reserved for research on diabetic foot ulcers. As we note in the study, this is a 604-fold disparity. Read More.

‘WHAT Did My Staff Person Say On The Phone?’

Lynn Homisak PRT
7/11/13 | 1982 reads | 1 comments
Have you ever heard something your staff person said on the phone that you wish you hadn’t? It amazes me that even though doctors willingly hand over their phone, such a critical practice tool, to their staff, they do so without making proper phone etiquette training a mandatory requirement for the job. Sure, everyone is familiar with answering the phone but that doesn’t mean they are qualified to do so. Read More.

A Closer Look At The Relationship Between Sleep Disturbances And Chronic Pain

Stephen Barrett DPM FACFAS
7/10/13 | 2192 reads | 1 comments
It was unusual for the Midwestern summer to have an afternoon with such cool breezes as the winds rippled the wheat fields of the surrounding farms. I was stretched out on the bench seat of my uncle’s red 1964 Ford Fairlane. I had just finished one of those midday naps, which probably indicate some disturbance in my “sleep architecture” (that’s what the sleep experts call it). Read More.

Should You Use A Morton’s Extension For A Forefoot Varus?

Larry Huppin DPM
7/5/13 | 2567 reads | 0 comments
A colleague recently asked me the following question: In patients with a pediatric flatfoot or a young adult with flatfoot deformity with the subtalar joint in neutral upon standing and the first ray doesn't touch the ground, do you add a forefoot extension, first ray cutout or get the forefoot on the ground? Read More.

Easy Ways To Help Patients Monitor Shoe Wear

Jenny L Sanders DPM
7/2/13 | 1891 reads | 0 comments
It always surprises me when an injured athlete comes into the office with excessively worn running shoes and doesn’t know how old they are. Did the athlete buy them six months ago, a year ago? Has the athlete had the shoes for more than a year? Read More.

A Closer Look At Surgical Solutions For Metatarsalgia

William Fishco DPM FACFAS
7/1/13 | 2675 reads | 0 comments
Metatarsalgia is a common condition that we see on a regular basis. Pain under the second metatarsophalangeal joint (MPJ) is the most common area of pain. When performing a physical examination, it is critical to rule out other less common causes of pain such as neuromas, stress fractures, arthritic conditions of the MPJ, and skin conditions such as warts, calluses and porokeratoses. Read More.

Are We Finally Ready To Fix The Medicare Sustainable Growth Rate Formula?

Lee C. Rogers DPM
6/27/13 | 1982 reads | 0 comments
After several years of predicted physician pay decreases, people are finally talking about replacing the Medicare Sustainable Growth Rate (SGR) formula. This formula calculated an adjustment to the physician fee schedule of -21.3 percent in 2010, -25 percent in 2011 and -27.4 percent in 2012. The American Taxpayer Relief Act of 2012 had averted the most recent decrease and replaced the conversion factor with 0 percent until 2014. In all, Congress has overridden scheduled cuts 15 times since 2003. Read More.

Podiatric Dermatology Quiz: What Is Your Diagnosis Of This Disorder?

Tracey Vlahovic DPM
6/26/13 | 2903 reads | 4 comments
Can you identify the condition in the photo on the left? An eruption of lichenified or excoriated nodules, these lesions are thought to arise from incessant scratching or repeated rubbing. Various conditions ranging from atopic dermatitis and obstructive biliary disease to diabetes and chronic renal failure may predispose individuals to this condition. Read More.

Can Referrals To Vein Specialists Be Beneficial For Your Patients?

Jeffrey Bowman DPM MS
6/25/13 | 1779 reads | 0 comments
Many podiatric physicians undervalue the relationship between the podiatry practice and the vein specialist. There is a significant overlap of patients between these two disciplines. Many of the vein patients present with lower extremity venous insufficiency that leads to edema and varicosities. A large percentage of podiatry patients complain of either lower extremity edema or venous issues. The relationship between podiatrists and vein specialists can flourish with very little overlap in treatment and services as both practices work in the lower extremity. Read More.