DPM Blogs

Rethinking Clinical Study Protocols To Include Patients With Neuroischemic Wounds

David G. Armstrong DPM MD PhD
7/5/11 | 4188 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 | 30038 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 | 4103 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 | 4421 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 | 3430 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 | 9899 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 | 8281 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.

What I Learned From My Patient Horror Stories

Kathleen Satterfield DPM FACFAOM
6/17/11 | 3548 reads | 0 comments
We all have these patient horror stories and we usually share them after one drink too many. These stories fall into one of three categories: bragging, laughing or crying. However, if we stop there, we have missed the point. These are the best cases to learn from. Please share some of your own and tell us what you have learned from yours. It is the professional version of “I will show you mine if you show me yours.” The Crying Case: Pseudomonas Resulting From A Submerged Cast Read More.

Dumb And Dumber: Questioning Risky Treatment In A Case Of Posterior Heel Pain

Allen Jacobs DPM FACFAS
6/15/11 | 3965 reads | 3 comments
In reviewing medical records, I often wonder why some doctors will place themselves into an arena that invites malpractice actions. Let me present an example, a recent case that I reviewed for a plaintiff. Although I did not feel that there was malpractice in this case, I did find the treatment of the patient interesting. A relatively healthy middle-aged female consulted a podiatrist for posterior heel pain. She had no prior treatment. Her medical history was significant for controlled hypertension and low thyroid function. Read More.