DPM Blogs

Breaking Out Of Our Apathy About Plantar Fasciopathy

Stephen Barrett DPM FACFAS
12/16/11 | 6951 reads | 1 comments
As I wrote in last month’s blog, I want to know more about human plantar fascia (see http://bit.ly/vDJesC ). I know you do as well because of the overwhelming response I had to the upcoming largest paper ever published on the subject of plantar fasciopathy. My goal is to have data on 1,000 plantar fascia, which come to the office cloaked in the simple costume of heel pain. I want to know what these fascia look like with high-resolution diagnostic ultrasound. Read More.

Do Dilemmas Over DVT Prophylaxis Keep You Up At Night?

Christopher F. Hyer DPM FACFAS
12/12/11 | 6272 reads | 0 comments
As physicians, we try to do everything in our powers to heal and improve our patients’ quality of life. Medicine and surgery are part science/part art and some problems have no definitive answers. Deep vein thrombosis (DVT) prophylaxis and foot and ankle surgery is one of my top clinical dilemmas and one I actively discuss with colleagues, fellows and residents. I would love to hear the online community’s thoughts as well. Read More.

Navigating Parental Minefields When Treating Kids

Ron Raducanu DPM FACFAS
12/8/11 | 2716 reads | 0 comments
As many of you know, I love working with kids. There is something about treating that population that I feel makes all the hard work in school and residency worth it. However, it does take a special kind of person to know how to deal with the challenges of this population. In the last couple of weeks, I was reminded why some of my colleagues just outright avoid this age group altogether. Read More.

Why Recommending Barefoot Running As An Alternative For Injured Runners Can Be A Reckless Proposition

Jenny L Sanders DPM
12/5/11 | 5915 reads | 0 comments
I recently blogged about minimalist shoes and injuries (see http://tinyurl.com/73qpd6x ). Dana Webb, DPM, commented on the blog, emphasizing the contention that effective minimalist running is all about technique. Here is the comment from Dr. Webb and my subsequent response. Read More.

Developing A Surgical Strategy For Metatarsalgia In The Cavus Foot

William Fishco DPM FACFAS
12/1/11 | 6934 reads | 0 comments
Metatarsalgia is one of the most common conditions that we treat on a daily basis. I am sure we all treat this the same way. After ruling out a neuroma, one typically treats metatarsalgia with shoe gear modifications such as stiff soled shoes and accommodative padding. Treatment ultimately leads towards an orthotic device with appropriate modifications such as metatarsal pads and cutouts. If there is significant equinus, then a heel cord stretching protocol may be part of the treatment plan. Read More.

Making Interprofessional Education A Priority To Improve Podiatric Parity

Kathleen Satterfield DPM FACFAOM
11/29/11 | 2605 reads | 6 comments
Much like John Lennon challenged, “Imagine all the people sharing all the world.” Can you imagine a medical educational system that encompasses MDs, DOs, RNs, PTs and all of the other healthcare providers, including DPMs? Imagine how productive it would be to teach other professions what a podiatrist is capable of doing with his or her education and three year training models, using real life cases to illustrate this model. Read More.

Are Surgical Prophylaxis Requirements At Hospitals Effective Or Do They Inadvertently Encourage Superfluous Antibiotic Use?

Warren S. Joseph DPM FIDSA
11/23/11 | 3539 reads | 0 comments
One of the most frequent questions people ask me is about when to use antibiotic prophylaxis in performing foot and ankle surgery. I have an entire lecture on this topic. In this lecture, I go through the data, or lack thereof, on the subject and enumerate the clinical situations (i.e. surgery longer than two hours, trauma surgery, immunocompromised hosts, etc.) in which surgeons have traditionally utilized prophylaxis. Read More.

Resistant Plantar Fasciitis: Why We Should Opt For A Gastrocnemius Recession Before Even Considering A Plantar Fasciotomy

Patrick DeHeer DPM FACFAS
11/22/11 | 5247 reads | 2 comments
It is a rare occasion in one’s professional career to experience a paradigm shift in philosophy, even if it is on just one topic. Plantar fasciitis is the most common condition I see on a daily basis. Up to 85 percent of the time, I am able to treat it conservatively. For the past 20 years, when it came to patients who did not respond to conservative treatment or did not have associated nerve entrapment, I have done a plantar fasciotomy. Read More.

Back To Basics: How To Ensure Effective Offloading With Total Contact Casting

Ryan H. Fitzgerald DPM
11/21/11 | 5245 reads | 0 comments
I recently had the opportunity to speak at a dinner meeting to a group of wound care clinicians. During a question and answer session, the topic of discussion drifted toward the use of total contact casting (TCC). I asked the meeting participants to indicate, with a show a hands, how many of them were using this modality regularly in their practice. I was shocked to see that the number was less than 10 percent. Read More.