DPM Blogs

A Unique Continuing Education Mission Opportunity To Improve Diabetic Foot Care In Haiti

Patrick DeHeer DPM FACFAS
4/15/14 | 2108 reads | 0 comments
I love it when solutions to problems evolve naturally and you get the “light bulb” appearing above your head. I have been working on a solution for the Haiti Diabetic Foot Program located in the Hospital Bernard Mevs Project Medishare Program in Port-au-Prince, Haiti for some time. This is a comprehensive diabetic foot program run by Haitians for Haitians and supported by doctors from the United States. Read More.

Why Minimally Invasive Surgery Is An Art Even If It May Not Look Like It

Stephen Barrett DPM FACFAS
4/10/14 | 5384 reads | 1 comments
Seven years ago, I couldn’t believe I had just paid $250 to stand there in a New York art gallery staring at a single red dot in the middle of a large, all-black canvas. “It’s phenomenal, isn’t it?” a cultured voice whispered reverently near my ear. Since I was locked in a mental gymnastics event trying to decide why I had agreed to come to this affair in the first place, I did not hear her. “Excuse me,” the voice whispered more urgently, “it’s phenomenal, isn’t it?” Read More.

What Should You Expect From Your Employees?

Lynn Homisak PRT
4/9/14 | 919 reads | 0 comments
I have had a number of requests for me to discuss the qualities that define an exceptional staff person. The following is an excerpt taken from our SOS Employee Manual and clearly outlines employees’ behavioral expectations. Feel free to include it as part of your handbook. Accountability and responsibility. These qualities manifest in punctuality, performing duties in a consistent and efficient manner, an “I can” attitude, paying close attention to detail and following through on all given tasks. Doing things well is a step toward doing things better. Read More.

Treating Chronic Toenail Injuries In Athletes

Kristine Hoffman DPM
4/8/14 | 1214 reads | 0 comments
Both acute and chronic toenail injuries are common among athletes. While the symptoms of acute injuries such as subungual hematoma and paronychia lead patients to seek prompt treatment, chronic nail injuries can go untreated for years. Several sports including ballet, rock climbing and skiing require tight-fitting footwear, which predisposes athletes to toenail injuries. Read More.

Foot Orthotics For Cowboy Boots

Larry Huppin DPM
4/3/14 | 1090 reads | 0 comments
It is always a challenge to fit orthotic devices in cowboy boots. First of all, let me say that since I practice in Seattle, I am not the most experienced practitioner in fitting orthoses into cowboy boots. I am sure my colleagues in Phoenix, Austin, and other parts of the Southwest have much, much more experience using these types of devices. Given that, I have had several patients for whom I have made orthotics for cowboy boots. While I have ended up frustrated several times, I seem to have found a formula that works well. Read More.

Preventing And Treating Ankle Injuries From Aggressive Spikeball Games

Jenny L Sanders DPM
4/2/14 | 1099 reads | 0 comments
A patient came in last week with an ankle injury from a sport I had never heard of called Spikeball (www.spikeball.com/ ). Popular among college students, Spikeball is a cross between volleyball and four square. Essentially people play the game around a circular trampoline-like net, which sits on the ground. Four players surround the net and “spike” the ball into the net. The pace is fast and furious and can result in unstable, single-leg landings, leading to severe sprains and strains, especially at the ankle. Read More.

Can You Identify This Nail Disorder?

Tracey Vlahovic DPM
3/27/14 | 1830 reads | 5 comments
What is your diagnosis of the condition shown in the photo on the left? The idiopathic T-cell-mediated inflammatory condition generally affects several nails. The nails become thin, rough, ridged longitudinally, fissured and can develop a dorsal wing formation of the proximal nail fold (or pterygium formation) over the nail plate. Permanent scarring will ensue unless the matrix damage is addressed. Read More.

Unraveling The Mystery Of Metatarsalgia Under The Second Metatarsal Head

William Fishco DPM FACFAS
3/26/14 | 8614 reads | 1 comments
Metatarsalgia under the second metatarsal head is a condition we treat on a daily basis. Unfortunately, it can be difficult to treat and manage. Read More.

Facilitating Support And Comfort In Orthoses For Obese Patients

Larry Huppin DPM
3/25/14 | 1308 reads | 0 comments
A colleague recently called about a patient who felt his orthotic device was too hard. He wanted to know if he could possibly make a softer orthotic for this patient, who weighs 310 pounds. Or course, obese patients put significant pressure onto their feet. When they wear an orthosis, there is significant force between the orthosis and the foot, much more so than what would occur with a patient of average weight. This means that these patients have more potential to feel the arch of the orthosis as too high or too hard. Read More.