DPM Blogs

Why First MPJ Fusion Is Superior To Implant Arthroplasty

Doug Richie Jr. DPM FACFAS
8/23/13 | 3530 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 | 2152 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 | 10065 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 | 4396 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 | 4689 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.

Avoiding Crippling Cases Of Drop Foot With Early Diagnosis

Stephen Barrett DPM FACFAS
8/13/13 | 4728 reads | 2 comments
“Inspector,” I said, peering down at the drooping appendage, “who did this?” The professorial detective looked up at me, shaking his head in utter disgust. Slowly turning away from the gory sight of the dangling drop foot, he cleared his throat with a loud, guttural noise. “You ask the wrong question, sir,” he snapped. “’Who’ is less important than ‘What’ in this case. Ignorance is to blame. Ignorance and its insidious cousin, Super Ego.” Read More.

Can Checking Skin Temperature Help Prevent Diabetic Neuropathic Ulceration?

David G. Armstrong DPM MD PhD
8/9/13 | 4060 reads | 1 comments
Monitoring skin temperature can be an effective method of predicting and preventing diabetic neuropathic foot ulceration, according to a recent study. Read More.

Why I Prefer First MPJ Implants To Being A ‘Fusion Guy’

Ron Raducanu DPM FACFAS
8/8/13 | 2199 reads | 1 comments
I’m not a first MPJ “Fusion Guy.” To be truthful, I have not done one primary first metatarsophalangeal joint fusion throughout my whole career. I have done some redos but not one primary first MPJ fusion has crossed my OR table so far. I don’t think one ever will as a primary procedure choice for hallux limitus, regardless of the stage or age of the patient. The fusions I have seen or had to redo for others just did not do well for a variety of reasons. I think the current technology for first MPJ implant arthroplasties are great in comparison to what has been available in the past. Read More.

How To Convert Wasted Time Into Saved Time

Lynn Homisak PRT
8/6/13 | 1864 reads | 0 comments
Have you ever thought about how some things you do waste instead of save your precious time? Sometimes, these disruptors are so commonplace that they happen without us even realizing it and yet they manage to mismanage our time and reek of inefficiency. I read that the average employee works for just 11 minutes before being distracted. Eleven minutes? It is no wonder we struggle to get things done. The following are just a couple of time-squandering culprits. How many do you recognize? Read More.