DPM Blogs

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

Warren S. Joseph DPM FIDSA
11/23/11 | 3820 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 | 6141 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 | 5943 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 | 3340 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 | 3210 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 | 3271 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.

When The Science Of Surgery Becomes An Art

Christopher F. Hyer DPM FACFAS
11/9/11 | 3199 reads | 0 comments
What is the “art” of surgery? The term intimates there is a creative and constructive spirit to the practice. Obviously, an artist is one who is talented and skilled in the practice, and has some natural aptitude as well. True, both of these descriptions can apply to surgery as well so perhaps it is an art. Read More.

What You Should Know About Skin Changes In Obese Patients

Tracey Vlahovic DPM
11/4/11 | 4649 reads | 0 comments
A recent article in the British Journal of Dermatology outlined many of the skin conditions that occur in obese patients. As podiatric physicians, we are well aware of the effects of obesity on the lower extremity in relation to biomechanics but allow me to focus on some of the skin conditions in these patients. Read More.

Educating Patients About Worn Out Athletic Shoes

Jenny L Sanders DPM
11/1/11 | 4522 reads | 0 comments
We are routinely asked by patients to help them determine when their athletic shoes are worn out. Unfortunately, this is not a one-sentence answer and can be frustrating for both patient and practitioner when the question cannot be satisfactorily answered. Running shoe stores typically recommend 300 to 500 miles on a pair of running shoes but this number is useless when talking about gym shoes, hiking boots, basketball shoes, tennis shoes or any number of other sport specific shoes. Read More.