DPM Blogs

How Can DPMs Prevent Falls In The Elderly?

Doug Richie Jr. DPM FACFAS
7/12/11 | 3800 reads | 0 comments
Later this month, I will have the privilege to present two lectures at the Annual Meeting of the American Podiatric Medical Association in Boston (see http://members.apma.org/Members/Events/TheNational.aspx ). My first lecture will cover the controversies of preventive ankle bracing. I have previously discussed this topic on my blog (see http://www.podiatrytoday.com/blogged/what-evidence-reveals-about-prophyl... ). Read More.

The Perfect Caper: Pulling Off The Minimally Invasive Achilles Tendinopathy Surgery

Stephen Barrett DPM FACFAS
7/11/11 | 3307 reads | 1 comments
With the adroit stealth and steeliness of a world-class bank robber, the surgeon slips the “garrote” atraumatically between the anterior surface of the Achilles tendon and the posterior aspect of Kager’s triangle. The implementer’s immense knowledge of the anatomical and histological terrain, perhaps greater than any other, allows him to completely avoid what most of his skilled contemporaries routinely and almost always seek during their mission. Read More.

Rethinking Clinical Study Protocols To Include Patients With Neuroischemic Wounds

David G. Armstrong DPM MD PhD
7/5/11 | 4068 reads | 0 comments
We at the Southern Arizona Limb Salvage Alliance (SALSA) wanted to give a heads up to some of the work that has been occupying our time. We are now working on a piece on neuroischemic wounds with our friends Bill Marston, MD, from the University of North Carolina, and Kel Cohen, MD, an Emeritus Professor from Medical College of Virginia. We are all rather flummoxed that many clinical studies in which we participate — and from which our patients can benefit — systematically exclude patients for whom these treatments may provide the most benefit. Read More.

What Is The Most Effective Treatment For Mucoid Cysts?

William Fishco DPM FACFAS
6/30/11 | 20924 reads | 0 comments
I am sure you have had your fair share of frustration with mucoid cysts in the past. We have all tried office-based treatments. Unfortunately, excision, cauterization, steroid injections and the like just do not work. It is unsettling for both you and your patient when the patient returns due to recurrence of the cyst. Read More.

Rethinking Warm-Up Exercises For The Lower Extremity For Patients With Active Lifestyles

Tracey Vlahovic DPM
6/28/11 | 3908 reads | 0 comments
Recently, I attended a seminar called “Feet: Our Dynamic Base” given by Eric Franklin, a dancer and movement educator. He elegantly described the biomechanics of the foot and ankle to an audience mostly consisting of Pilates instructors, dancers and laypeople. Those who know me well are familiar with my background as a trained dancer who ultimately became a Latin ballroom dancer, which greatly fueled my interest in podiatric medicine. It was logical to me as a dancer to pursue a field of medicine that I could truly relate to. Read More.

Should Cigarettes Include A Graphic Warning Label Highlighting Smoking-Related Foot Amputations?

Neal Blitz DPM FACFAS
6/24/11 | 4167 reads | 1 comments
This week the Food and Drug Administration released nine graphic warning labels to appear on cigarette packs.1 This is a strong message to deter people from smoking by illustrating a variety of related health hazards. The nine warnings did not include any imagery indicating that smoking can lead to foot and lower limb amputations. Podiatrists, vascular surgeons and orthopedists know that smoking can lead to several serious problems in the lower extremity. Some of these problems include wound healing difficulties, gangrene, non-unions and amputations. Read More.

Why Do We Overlook Equinus In Patients With Diabetes?

Patrick DeHeer DPM FACFAS
6/24/11 | 3230 reads | 1 comments
I find the extent of preventative care we provide for our patients with diabetes fascinating yet we continually ignore one of the most important factors in keeping our diabetic patients out of trouble. Equinus has been described as the most destructive force on the foot and even though we all know this, when it comes to our patients with diabetes, we often overlook equinus and concentrate on those mycotic toenails. Read More.

When Patients Ask For Recommendations On Sandals And Flip-Flops

Jenny L Sanders DPM
6/22/11 | 8463 reads | 0 comments
With increasing temperatures outside, patients will ask for recommendations for sandals. Accordingly, you will want to teach your patients about proper sandal design and fit. First and foremost, the more surface area contact there is between the foot and the sandal, the more support the foot will have. This means the wider the sandal and the higher the arch, the better the support as this will provide more of a foundation for the pronating foot. Read More.

Are You Injecting Steroids Into The Tarsal Tunnel For Tarsal Tunnel Syndrome?

Stephen Barrett DPM FACFAS
6/20/11 | 7329 reads | 0 comments
I am seeing too many drug injection injuries of the tibial nerve at the level of the tarsal tunnel, especially in very young patients. If you do inject steroids into the tarsal tunnel for tarsal tunnel syndrome, I have to ask a simple question: Why? I know the answers are going to be: “because that’s what I learned in residency,” “that is the way I was taught,” “I want to treat it conservatively,” or something like “it’s a neuritis and I want to treat the inflammation.” Another common reason that I frequently hear is “because that’s the way they do it for carpal tunnel syndrome.” Read More.