DPM Blogs

Why Wider Orthotics Tend To Be More Comfortable

Larry Huppin DPM
2/6/13 | 2675 reads | 0 comments
I had a patient come in recently for dispensing of new orthotic devices. He had worn orthoses for years and was starting to get a return of his plantar fasciitis symptoms. Another podiatrist provided the previous orthoses. Read More.

How To Create A Morton’s Extension Splint For Acute First MPJ Injuries

Jenny L Sanders DPM
2/4/13 | 2316 reads | 1 comments
Our clinic treats a large number of athletes having sustained acute injuries of the first metatarsophalangeal joint (MPJ). To reduce first MPJ motion, we fabricate a Morton’s extension splint, which temporarily restricts motion to allow healing. This splint is easy to make, cost-effective and patients can use it with any shoe providing they wear socks. Read More.

Revisiting The Consensus Recommendations Of The International Task Force On The Charcot Foot

Lee C. Rogers DPM
1/31/13 | 3148 reads | 0 comments
In February 2011, 18 Charcot foot experts from six different countries gathered in Paris at the La Salpetriere Hospital to achieve a consensus on the diagnosis and treatment of this debilitating condition. I was honored to co-chair this historic meeting with Robert Frykberg, DPM. Both the American Diabetes Association and the American Podiatric Medical Association sanctioned the International Task Force on the Charcot Foot. The proceedings were jointly published in Diabetes Care and the Journal of the American Podiatric Medical Association.1,2 Read More.

What To Do With Those Patients Who Weigh On Your Mind

William Fishco DPM FACFAS
1/29/13 | 2138 reads | 0 comments
Those of you who follow my blogs know that I usually write on an educational topic, typically surgery. This time, I think I will lament about some of the stresses and difficulties of our job. Read More.

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

Tracey Vlahovic DPM
1/28/13 | 3351 reads | 3 comments
Can you identify the condition in the photo on the left? This systemic vasculitis is characterized by purpura, abdominal pain, hematuria and arthritis. Approximately 75 percent of cases occur in children under the age of 12. The rash primarily involves the lower extremities and buttocks. Which of the following is your diagnosis? a) Morphea b) Henoch-Schonlein Purpura c) Pigmented Purpuric Dermatoses Read More.

New Medicare AFO Requirements: Making The Best Out Of A Bad Ruling

Doug Richie Jr. DPM FACFAS
1/24/13 | 3228 reads | 0 comments
Medicare has mandated new height requirements for ankle-foot orthoses (AFO) in a policy statement issued in July 2012. All practitioners must now dispense ankle-foot orthoses that reach a height within 4 cm of the head of the fibula. As a clinician who uses AFO devices regularly, I find this mandate challenging. As an owner of an AFO company, I view this challenge as a bewildering nightmare. Medicare instituted these new requirements without any opportunity for public comment or discussion. The language states: Read More.

Ankle Arthritis: To Fuse Or Not To Fuse?

Jeffrey Bowman DPM MS
1/23/13 | 3455 reads | 0 comments
Given that our current political leaders cannot seem to agree on much, let us look at what has divided podiatry into two parties: the “Fusion” party and the “Replacement” party. Today, a debate exists whether to fuse or replace an ankle joint. Both procedures are indicated for arthritis that occurs from normal joint degeneration, a traumatic event or inflammatory arthritis. Read More.

When Offloading Devices Are Harder To Remove, Are Wounds Easier To Heal?

David G. Armstrong DPM MD PhD
1/22/13 | 2405 reads | 0 comments
Here's an intriguing meta-analysis from a team in Adelaide in South Australia. In a recently published study in Diabetes/Metabolism Research and Reviews, Morona and colleagues compared different offloading devices for neuropathic foot ulcers in patients with diabetes.1 The researchers searched medical bibliographic databases, the Internet and reference lists from January 1966 to May 2012. They focused on systematic reviews and controlled studies comparing the use of different offloading devices. Read More.

Why It’s Important To Find Time Away From Your Practice

Nicholas A Campitelli DPM FACFAS
1/18/13 | 1927 reads | 0 comments
I thought I would start the year off on a different note than what I had focused my previous blogs on. As we all set goals for the new year within our practice, it is important to remember that our work is not the only reason we exist. While it is easy to fall into the daily rat race, trying to stay abreast of the latest advancements in podiatry, there is more to life than podiatry. Read More.