DPM Blogs

When ‘Ingrown Toenail’ Pain May Be Caused By A Subungual Exostosis

William Fishco DPM FACFAS
3/2/12 | 10055 reads | 0 comments
Disorders of toenails easily rank in the top five most common podiatric complaints in our patient population. We see ingrown toenails every day and sometimes we get into a rut assuming that the source of all pain from the toenail is the toenail itself. Read More.

Reminding Patients About Soleus Muscle Stretching To Help Counteract Plantar Fasciitis

Jenny L Sanders DPM
2/29/12 | 5392 reads | 0 comments
An American Podiatric Medical Association (APMA) Podiatric Practice Survey of nearly 3,000 podiatrists found that plantar fasciitis/heel pain was the most commonly treated condition.1 A longtime hypothesis is that reduced ankle dorsiflexion is the most important risk factor for the development of plantar fasciitis.2 Decreased ankle dorsiflexion secondary to a tight Achilles tendon may lead to compensatory pronation of the foot, which can contribute to plantar fasciitis.3 Read More.

How Clean Are The Surgical Instruments In Your OR?

Kathleen Satterfield DPM FACFAOM
2/27/12 | 2718 reads | 0 comments
It could never happen to you, right? I was shocked to hear the NBC News investigation that revealed that there are increasing incidences of dirty surgical tools ending up in our ORs. How could this even happen? We have all seen the used tools be whisked away from our OR back tables, specked with blood, bone and other bodily detritus, only to return the next time in the triple-packed sterilization packs. How could bacteria survive the process? Read More.

The Truth About AFOs And Fall Prevention

Doug Richie Jr. DPM FACFAS
2/24/12 | 7169 reads | 7 comments
Recently, a prominent podiatric company began marketing an ankle-foot orthosis (AFO) as the centerpiece of a fall prevention program targeted at elderly patients. To learn that a commonly used orthopedic device could now be used to prevent a catastrophic medical event would prompt any reasonable practitioner to look for the scientific evidence that could validate such a profound accomplishment. Read More.

Is A Wound Care Specialist The Best Answer For Your Patients With Wounds?

2/21/12 | 3124 reads | 2 comments
One of the truly great aspects of our profession is that in podiatric medicine, we can offer our services through a wide range of areas. Whether as a provider to our patients or as a consultant to colleagues from other disciplines, a podiatric physician’s value is limitless. This is especially true when one considers the infinite good that we are capable of bringing to the medical community. Read More.

How State Associations Can Eliminate 'Plaintiff Shills' In Malpractice Cases

Patrick DeHeer DPM FACFAS
2/20/12 | 4226 reads | 2 comments
One of the most overlooked components of malpractice is the role of the expert witness. I have written about this in a previous blog, “Should Courtrooms Bar ‘Hired Guns’ As Expert Witnesses in Malpractice Cases?” (see http://tinyurl.com/7st2zlj). Read More.

Do Runners Need Orthotics?

Nicholas A Campitelli DPM FACFAS
2/15/12 | 23761 reads | 20 comments
I routinely have runners present to our office demanding orthotics for their shoes. Even more common is the request for replacement orthotics. The question is: Should they even be running in an orthotic? Read More.

Will U.S. Amputation Rates Continue To Fall In People With Diabetes?

David G. Armstrong DPM MD PhD
2/13/12 | 4894 reads | 0 comments
There may be some good news in regard to amputation rates in patients with diabetes in the United States. A recent study in Diabetes Care found that nontraumatic lower extremity amputation rates have decreased in patients with diabetes over age 40.1 Lin and colleagues found the amputation discharge rate per 1,000 people with diabetes was 3.9 in 2008 — down from 11.2 in 1996. Read More.

Assessing An Innovative Non-Surgical Treatment For Paronychias

Tracey Vlahovic DPM
2/10/12 | 4147 reads | 0 comments
Have you ever wondered what non-surgical treatment you could do for your patient with a paronychia? I have had the pleasure of hearing Hiroko Arai, MD, speak multiple times on the subject at the Council for Nail Disorders and the American Academy of Dermatology Annual Meeting. She is a Japanese dermatologist who has pioneered the gutter splint for ingrown nails (sterilized plastic IV tubing fixed with acrylic resin).1 For details and pictures of this procedure, I highly suggest you read this article. Read More.