DPM Blogs

Can You Diagnose This Condition?

Tracey Vlahovic DPM
5/21/14 | 1292 reads | 2 comments
What is your diagnosis of the condition shown in the photo on the left? Read More.

When Should You Refer Patients For Venous Ablation?

Alison J. Garten DPM
5/20/14 | 748 reads | 0 comments
I often have patients at the wound center who get referrals to me for care after a venous ablation procedure. I researched the procedure to explore what is involved and when we should be referring patients to a vein clinic or a vascular surgeon. Read More.

Are Hospital Denials On Requested Surgical Products Intruding Upon The Patient-Physician Relationship?

Patrick DeHeer DPM FACFAS
5/19/14 | 537 reads | 0 comments
Many physicians have long considered enemy #1 to be the almighty insurance company. Having insurance giants dictate patient care is often too much to take. While the insurance companies remain thorns in our sides, some of us are taking notice of another challenge on the horizon, equally repugnant in its intrusion of the patient-physician relationship. Read More.

Why Minimalist Shoes Do Not Create Injuries

Nicholas A Campitelli DPM FACFAS
5/16/14 | 1537 reads | 16 comments
The lawsuit against Vibram USA was for making false claims about its footwear product FiveFingers. The website touted many benefits. In particular, Vibram USA claimed your foot can become stronger by wearing FiveFingers. In my opinion, this is a true statement although it was not scientifically proven at the time the claims were made. Read More.

Is It Time For An MRI-Based Charcot Classification?

David G. Armstrong DPM MD PhD
5/14/14 | 560 reads | 0 comments
After decades of use, does the Eichenholtz classification for Charcot foot still hold up? A recent review in Swiss Medical Weekly argues that it is time for a new system.1 Read More.

Treating Acute Toenail Injuries In Athletes

Kristine Hoffman DPM
5/13/14 | 757 reads | 0 comments
Acute toenail injuries in athletes are a relatively common occurrence. These injuries can result from repetitive microtrauma, such as the nail plate contacting the end of the shoe during a long-distance running race, or a single traumatic event such as a crush injury from a player’s foot getting stepped on. Acute nail injuries can cause significant pain and temporary limitation of activities. Long-term complications of these nail injuries include secondary fungal infections and nail plate deformities. Read More.

What Really Happens When We Decompress A Nerve?

Stephen Barrett DPM FACFAS
5/8/14 | 669 reads | 0 comments
Sitting in the center of the third row in the Wiener Staatsoper (Vienna State Opera House), I was awestruck by how the opera company had so effortlessly put on one of my favorite operas, The Barber of Seville. Dr. Gointu Amabala, the famous neuroscientist from Mumbai, brought me to this magnificent venue. He loved the opera and would make the long trek to Vienna from India just to attend one performance. “So what did you think?” he asked in his clipped accent. Read More.

Does Making Patients Wait Come At A Price?

Lynn Homisak PRT
5/6/14 | 635 reads | 2 comments
How long do patients (typically) wait in your office? Fifteen minutes? Thirty? Sixty? Two hours? I say typically because there are times when we get knocked off our schedule. Sometimes the doctor (through no fault of his or her own) returns from surgery late. Sometimes an in-office emergency arises that requires immediate attention. Patients understand these extenuating circumstances. Read More.

Orthotic Adjustments For A Prominent Fifth Metatarsal Base: Plantar Or Lateral?

Larry Huppin DPM
5/5/14 | 506 reads | 0 comments
It is common to have to make orthotic adjustments for a prominent fifth metatarsal base. However, it is important to note on the prescription form whether the styloid process is prominent laterally or plantarly. There is a distinct difference in accommodating for these two. If the styloid is prominent plantarly, I recommend using a sweet spot. If it is prominent laterally, I would recommend adding extra lateral extension at the base of the fifth metatarsal. If it is prominent both laterally and plantarly, I would recommend both of those accommodations. Read More.