DPM Blogs

Is Pseudomonas A Legitimate Pathogen Or A Notorious Colonizer In Lower Extremity Infections?

Warren S. Joseph DPM FIDSA
5/19/11 | 6029 reads | 3 comments
For a number of years, I have referred in my lectures to the word I have termed “Pseudomonaphobia.” Basically, this is an irrational fear of the organism Pseudomonas aeruginosa when it is isolated from a culture of a wound in the foot. I really believe this arises in most podiatrists during the residency interview process when, without fail, the interviewer asks them, “How would you treat a Pseudomonas infection in the foot?” Read More.

Should Podiatrists Embrace Barefoot Running?

Neal Blitz DPM FACFAS
5/18/11 | 4254 reads | 3 comments
Hey, Doc, what is your position on barefoot/minimalist running? Unless you practice under a rock, then it is likely that you have noticed more and more people getting involved in the barefoot running movement. You do not have to be a sports medicine focused podiatrist to have treated patients who have tried minimalist running. Chances are that these particular patients are seeking your medical advice to a treat a foot problem "related" to this method of running. Perhaps you have treated patients who have developed plantar fasciitis, cuts and blisters, or perhaps even stress fractures. Read More.

Does Informed Consent Trump Standard Of Care?

Allen Jacobs DPM FACFAS
5/17/11 | 3103 reads | 3 comments
I would like to raise the following question: Can something be legal but not ethical? Informed consent is a powerful tool serving to protect clinicians from patients who claim they were not informed about their treatment. My question is whether true informed consent allows patient and clinician to bypass recognized standards of care for the patient. Read More.

Why Refining Our Podiatric Skills Is A Lifelong Process

Bryan Markinson DPM FASPD
5/13/11 | 3322 reads | 0 comments
“Not perfection as a final goal but the ever enduring process of perfecting, maturing, refining is the aim of living.” — John Dewey For the past several years, I have traveled all over the country for the predominant purpose of sharing with colleagues the essentials of podiatric dermatology, incorporating dermatology into your practice, the how and why of biopsy procedures, and risk management associated with what is for many a new dimension of practice. This has been in the form of straight lectures as well as “hands-on” pig feet workshops. Read More.

Raising Questions On Training And Double Standards For Hospital Privileges

Ron Raducanu DPM FACFAS
5/11/11 | 2898 reads | 3 comments
The controversy rages on. Patrick DeHeer, DPM, reminded us of this in his recent blog, “An Open Letter To Foot And Ankle Orthopedic Surgeons,” in which he discusses how we need to take charge of the constant uphill battle we are faced with when dealing with our orthopedic colleagues (see http://bit.ly/eaTMrN ). Even though we have made great strides in our exposure and training, there are still questions as to our expertise.   Read More.

Harnessing The Potential Of The Instep Plantar Fasciotomy

William Fishco DPM FACFAS
5/6/11 | 6285 reads | 2 comments
Day in and day out, there is one thing we can count on when we go to the office: we will be treating a patient with plantar fasciitis. Some days it seems like I treat plantar fasciitis all day long. Read More.

Exploring The Potential Of Bone Marrow Aspirate Concentrate

Stephen Barrett DPM FACFAS
5/4/11 | 5467 reads | 0 comments
Over the last couple of decades, I am sure that every time I have had the honor to teach or lecture at a symposium, I have always received much more knowledge, skills, insight or motivation than I have ever imparted. This was the case two weeks ago, when I had the honor of speaking and participating in live cases in Seoul, South Korea at the International Stem Cell Conference. More than 500 surgeons from South Korea attended; most were either plastic or orthopedic surgeons. Read More.

What You Should Know About Flex Grooves And Forefoot Pain

Jenny L Sanders DPM
5/2/11 | 4916 reads | 1 comments
Horizontal grooves in the forefoot of running shoe midsoles are called flex grooves. As the name implies, flex grooves are designed to promote forefoot flexion across the metatarsophalangeal joints (MPJs). In many cases of forefoot pain, however, this is exactly where you don’t want the shoe to bend. You actually want the shoe to be as inflexible as possible in this area when patients have hallux limitus, sesamoiditis and lesser MPJ capsulitis or predislocation syndrome. Read More.

Building A Better ‘Mousetrap’ For NPWT

Kathleen Satterfield DPM FACFAOM
4/28/11 | 3375 reads | 1 comments
The proof that a perfect solution has been achieved is when you don’t see a lot of other products on the market for a particular problem: it’s called building the better mousetrap. It seemed like KCI’s Vacuum Assisted Closure therapy (VAC® therapy) was just that for more than a decade. I had been a believer for multiple reasons as a wound care provider and unfortunately as a patient with a large abdominal wound. How often on the foot do we see wounds of the size and depth of an abdominal wound? Never. Read More.