DPM Blogs

Are You Treating Heel Pain Like A Specialist?

Doug Richie Jr. DPM FACFAS
7/17/13 | 3288 reads | 0 comments
I often read and listen to colleagues describing their preferred treatment for plantar heel pain. I am surprised at how many podiatric physicians follow the same protocols typical of primary care providers. This raises a question: Why aren’t foot and ankle specialists really practicing like foot and ankle specialists? Read More.

Avoiding A ‘Slippery Slope’ When Treating Intractable Plantar Keratosis

Patrick DeHeer DPM FACFAS
7/16/13 | 5596 reads | 2 comments
There are a few foot and ankle surgical procedures that I consider a slippery slope with tremendous uncertainty regarding poor cost versus reward ratios. One of these procedures is the surgical treatment for intractable plantar keratosis via a lesser metatarsal osteotomy. Read More.

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

David G. Armstrong DPM MD PhD
7/12/13 | 2105 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 | 2203 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 | 2420 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 | 2824 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 | 2141 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 | 3467 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 | 2185 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.