DPM Blogs

Can Diagnostic Ultrasound Be Useful In The Right Hands?

Ron Raducanu DPM FACFAS
9/4/13 | 3949 reads | 0 comments
My colleagues confound and confuse me at times. I was very fortunate that in my residency, I had significant exposure to the benefits of offering diagnostic ultrasound as a modality in my future practice. I learned (along with my attendings because this was "new" at the time), what to look for and how to make out all those shades of gray you see when evaluating an image on the screen. Luckily, we were also sending our images to a radiologist who was always open to have us call him and ask about the results, and teach us how to “see” what was there. Read More.

How To Address Smoking In The Podiatric Patient

Allen Jacobs DPM FACFAS
8/30/13 | 2321 reads | 0 comments
Last year, I acted as a moderator for an American College of Foot and Ankle Surgeons (ACFAS) podcast on the subject of complications. The panel consisted of rather well-known and accomplished podiatric surgeons. The subject of smoking came up and interestingly, no panel members stated that they would interdict the performance of surgery in someone who is smoking. In fact, one panel member stated that if he were to refuse to perform surgery on a patient who smoked that he literally would have no one to do surgery on. Read More.

Addressing Retrocalcaneal Exostosis Pain With Friction Management

Larry Huppin DPM
8/29/13 | 2380 reads | 0 comments
I recently had a patient in my office who had a complaint of posterior heel pain when wearing several different pairs of dress shoes. He had a fairly large retrocalcaneal exostosis on the right calcaneus at the proximal aspect of the posterior calcaneus. There are obviously a number of ways to address the retrocalcaneal exostosis. Our primary goals are to reduce pressure and reduce friction. Reducing pressure in this area is always a little tough without changing shoes. Although you can attempt to stretch shoes in this area, it is usually not particularly effective. Read More.

Can Oasis (Porcine Small Intestine Submucosa) Have An Impact For Pyoderma Gangrenosum?

Tracey Vlahovic DPM
8/27/13 | 3192 reads | 0 comments
Pyoderma gangrenosum is a rare, non-infectious neutrophilic dermatosis that results in painful, recurrent necrotizing ulcerations. The condition causes painful ulcerations, with a characteristic appearance of a violaceous undermined border, mainly on the lower extremity. The etiology is poorly understood and there is no defined treatment protocol. Read More.

Why First MPJ Fusion Is Superior To Implant Arthroplasty

Doug Richie Jr. DPM FACFAS
8/23/13 | 3484 reads | 9 comments
A few weeks ago, fellow Podiatry Today blogger Ron Raducanu, DPM, FACFAS, advocated that he prefers to use implant arthroplasty over arthrodesis when treating hallux rigidus.1 His blog illustrates some concerns I have regarding accurate reporting of the medical literature and the need to utilize evidence-based medicine in the selection of surgical procedures.2,3 Read More.

Recognizing The Damaging Impact Of PAD

Jeffrey Bowman DPM MS
8/22/13 | 2137 reads | 0 comments
A recent Lancet report noted that in 2010, 202 million people worldwide had peripheral artery disease (PAD).1 Consider the following statistics about PAD and related complications.2 • Those who smoke are two to three times more likely to have lower extremity PAD. • Patients with PAD are four to five times more likely to suffer a transient ischemic attack or stroke. • Those with PAD are two to six times more likely to die from coronary heart disease. Read More.

Why The Proposed 2014 Medicare Reimbursement Changes Will Harm Providers and Patients

Lee C. Rogers DPM
8/20/13 | 9933 reads | 0 comments
The Centers for Medicare and Medicaid Services (CMS) has published proposed changes to the Outpatient Prospective Payment System (OPPS) for 2014. Some of these changes will have a real impact on patients and providers. 1. A proposed change to the skin substitute policy to bundle payment of the graft and the procedure together. Read More.

What I Have Learned About Treating Sesamoiditis

Nicholas A Campitelli DPM FACFAS
8/16/13 | 4249 reads | 0 comments
I have been intrigued by sesamoiditis since I suffered from it as a resident. I lived with the condition for 10 years before finally realizing I was creating the problem by the way I was running and walking. After making this discovery, my outlook on treating sesamoiditis changed. I no longer relied on treating it through inserts and offloading devices. I began focusing on strengthening the foot, proper walking and running form, and shoe gear. Read More.

A Closer Look At Heel Pain And Baxter’s Neuritis

Patrick DeHeer DPM FACFAS
8/14/13 | 4567 reads | 1 comments
Through my 23 years of practice, I often think of the old adage, “When you hear hoof beats, think horses, not zebras.” I consider myself a very good diagnostician. I base my diagnoses on comprehensive history and physical examination. However, there are times when the patient is not progressing as expected and those “hoof beats” are actually zebras. One such case is heel pain from Baxter’s neuritis, which is entrapment of the first branch of the lateral plantar nerve. Read More.