DPM Blogs

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

Jenny L Sanders DPM
12/5/11 | 6126 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 | 7643 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 | 2688 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 | 3706 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 | 5773 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 | 5663 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.

What Happened To Continuing Education For Podiatric Biomechanics?

Doug Richie Jr. DPM FACFAS
11/18/11 | 3216 reads | 4 comments
While doing background research for this blog, I originally intended to focus on the reasons why topics relating to biomechanics have vanished from presentations at major podiatric conferences around the country. I wanted to review the lecture schedules from last year as well as upcoming meetings in 2012 to make sure that I was correct regarding the dearth of biomechanics lectures. Read More.

Can Diagnostic Ultrasound Help Us Break Free From Conservative Dogma About Plantar Fasciitis?

Stephen Barrett DPM FACFAS
11/16/11 | 3146 reads | 0 comments
Have you been thinking about the histological composition of plantar fascia lately? It haunts me every clinic day. Why? It’s because we know so much about it. Yet professionally, we have not integrated this knowledge fully, not even fractionally in the clinical arena like I know we can. Read More.

Are Medical Textbooks Obsolete?

Ron Raducanu DPM FACFAS
11/11/11 | 3189 reads | 0 comments
I am a voracious reader. I love books and immersing myself in the new worlds the best fiction writers create. I also love textbooks. Throughout college and podiatry school, I spent most of my money -- anything not reserved for living or education expenses -- on any text I could find. In between studying for exams, I would leaf through these texts to pick up bits of information I hoped would stick in my databank for future use. Read More.