DPM Blogs

Learning From The Wisdom Of James Ganley, DPM

Allen Jacobs DPM FACFAS
11/26/13 | 1804 reads | 3 comments
As a student at the Pennsylvania College of Podiatry, my classmates and myself had the privilege of studying orthopedics under the direction of James Ganley, DPM. Dr. Ganley was a friend of E. Dalton McGlamry, DPM, and in a manner similar to Dr. McGlamry set a standard of academic and a scientific excellence that far exceeded the podiatry profession in those days. He practiced in a smaller Pennsylvania town and published a good deal in various areas of lower extremity pathology, always maintaining a keen interest in pediatric orthopedics. Read More.

Obtaining A Rewarding Surgical Outcome With Plantar Plate Repair

Doug Richie Jr. DPM FACFAS
11/22/13 | 3842 reads | 0 comments
In a podiatric practice, a single rewarding interaction with a patient can easily override any of the negative encounters of the day. I recently had this type of positive experience with a patient who followed up six months after undergoing surgical repair of a tear of the plantar plate of the second metatarsophalangeal joint (MPJ). Read More.

Why Dr. Oz Does Not Have The Last Word On Bunion Surgery

Patrick DeHeer DPM FACFAS
11/21/13 | 5031 reads | 2 comments
When people perceive you as the expert of all things medical, you have a responsibility to report accurately based on current literature. Mehmet Oz, MD, is a cardiothoracic surgeon and television personality. Recently on his show, he profiled bunion surgery. He titled the show “The Surgery You Should Say ‘No’ To.” In my opinion, this show displayed some of the most irresponsible medical journalism I have witnessed in some time. The Dr. Oz Show is a popular daytime show that many turn to for medical information and education in a way the layperson can easily understand. Read More.

What To Tell Patients Who Ask ‘What's The Best Shoe For Me?’

Nicholas A Campitelli DPM FACFAS
11/20/13 | 2188 reads | 0 comments
I am sure at one time or another, if not daily, patients ask us the question of "What's the best shoe for me?" Depending on one's personality and willingness to talk, this could turn into a rather long discussion with your patient. Read More.

Can Muscle Strengthening Relieve Plantar Pressures In Patients With Diabetic Polyneuropathy?

David G. Armstrong DPM MD PhD
11/15/13 | 5908 reads | 0 comments
For patients with diabetic polyneuropathy, plantar foot ulcers can develop due to higher plantar pressures. Is muscle strengthening the answer to relieving such pressures? The results of a new study in the Journal of Foot and Ankle Research cast some doubt on this question, which many have had for some years.1 Read More.

Preventing Embezzlement In Your Office

Lynn Homisak PRT
11/14/13 | 1912 reads | 0 comments
I generally don’t get twisted up about the many office troubles I see. I acknowledge them, analyze them and help fix them. What I have noticed, however, is that every so often, the topic of embezzlement resurfaces, typically after another victim comes forward to tell his or her story. Read More.

Is It Time To Switch The Dial On Insurance Networks?

Stephen Barrett DPM FACFAS
11/13/13 | 2169 reads | 2 comments
I know this may “date me” a bit but I remember when network TV was the pinnacle of entertainment. Networks delivered high quality products that were substantive and complete. We were happy with it. There were few channels but great programming. Even as new channels were introduced, network TV was still the place to be. After all, billions of dollars in advertising money can’t be wrong, right? Read More.

Performing Revision Surgery Following The Lapidus Bunionectomy

Allen Jacobs DPM FACFAS
11/8/13 | 2763 reads | 0 comments
As with any bunion procedure, the Lapidus procedure may be associated with a number of potential complications and sequelae. Excessive elevation of the first metatarsal following the Lapidus procedure may result in lesser metatarsalgia or hallux limitus. Excessive shortening following the Lapidus procedure may also result in lesser metatarsalgia, hallux hammertoe deformity and lesser digital deformities. Injury to the peroneus longus or anterior tibial tendons may also occur as one performs the surgery in proximity to the insertion of these tendons. Read More.

When A Runner/Cyclist Presents With Second Metatarsal Pain

Larry Huppin DPM
11/7/13 | 2674 reads | 0 comments
A colleague recently asked me which orthotic type would be best for a runner/cyclist who has chronic sub-2nd MPJ capsulitis, which he felt was due to a relatively short first ray. The goal with any capsulitis is to reduce weightbearing on the painful metatarsal head so one should look at the orthotic prescription rather than a specific type of orthotic. Read More.