DPM Blogs

Orthotic Adjustments For A Prominent Fifth Metatarsal Base: Plantar Or Lateral?

Larry Huppin DPM
5/5/14 | 575 reads | 0 comments
It is common to have to make orthotic adjustments for a prominent fifth metatarsal base. However, it is important to note on the prescription form whether the styloid process is prominent laterally or plantarly. There is a distinct difference in accommodating for these two. If the styloid is prominent plantarly, I recommend using a sweet spot. If it is prominent laterally, I would recommend adding extra lateral extension at the base of the fifth metatarsal. If it is prominent both laterally and plantarly, I would recommend both of those accommodations. Read More.

Give This Test To Screen Quality Job Applicants

Jenny L Sanders DPM
4/30/14 | 635 reads | 0 comments
My office is currently hiring. Last year, I participated in a Q&A for Podiatry Today on hiring (http://www.podiatrytoday.com/keys-hiring-great-office-staff ). One of the most effective and simple tools I use when hiring is an alphabetization test I discovered in Medical Economics (http://medicaleconomics.modernmedicine.com/ ). For those of you who are not familiar with Medical Economics, there is a paid print subscription and free online access. The online version is filled with useful information on practice management, IT and finance. Read More.

What Makes A Great Surgeon?

William Fishco DPM FACFAS
4/29/14 | 597 reads | 0 comments
What makes a great surgeon? Certainly, sound surgical principles are paramount when handling tissues. I feel the most important ability that makes a great surgeon is knowing what to do if your “plan A” is not working out. Being able to assess a situation and make good surgical decisions is what separates a surgeon from a technician. Read More.

Hammer Time: Current Insights On Anatomical Considerations and Etiologic Factors With Hammertoe Deformity

Jeffrey Bowman DPM MS
4/28/14 | 715 reads | 0 comments
When considering foot deformities, there are two pathologies that we most commonly encounter: bunions and hammertoes. We have discussed in past blogs that a bunion is not just a bunion, and there is more to it. Hammertoes are just as involved. So what makes a hammertoe tick? Let’s break it down. In actuality there are three types:1,2 • A true hammertoe involves extension contracture at the metatarsophalangeal joint (MPJ). There is also a flexion contracture at the proximal interphalangeal joint (PIPJ) and an extension contracture at the distal interphalangeal joint (DIPJ). Read More.

Remembering Nutritional Analysis In The Wound Care Patient

Alison J. Garten DPM
4/23/14 | 824 reads | 0 comments
While attending a conference a several weeks ago, I ran into a colleague whose passion and expertise, like mine, is wound care. Our conversation centered upon the topic of nutrition and how often as doctors, we omit the patient's dietary habits in our treatment strategies. We are so focused on healing the wound that we may overlook the basics that would assist the healing process. Read More.

Can Strengthening The Abductor Hallucis Muscle Help Prevent Overuse Injuries?

Nicholas A Campitelli DPM FACFAS
4/22/14 | 3485 reads | 5 comments
We commonly overlook the abductor hallucis muscle in the foot and rarely does it even get recognition or discussion when it comes to any foot pathologies. However, recent literature has demonstrated its importance to the foot, especially to the medial longitudinal arch.1-4 Accordingly, let us examine the anatomy of the abductor hallucis and review how it may be more involved with the pathology we see on a day-to-day basis. Read More.

Monitoring The Truth In Medical Advertising

Doug Richie Jr. DPM FACFAS
4/21/14 | 815 reads | 1 comments
During my career, I have had the opportunity to work as a consultant to several footwear companies that market and advertise products directly to the consumer. Currently, I own a company that markets ankle-foot orthoses (AFOs) to healthcare professionals. This experience has taught me that until recently, there has been a clear difference in the standards maintained by companies that market to the consumer and those that market to medical professionals. Read More.

What I Learned From A Recent Malpractice Case On Warts

Allen Jacobs DPM FACFAS
4/17/14 | 1400 reads | 0 comments
I recently had the opportunity to participate as a defense expert in a malpractice case. The jury returned a verdict in favor of the defendant podiatrist, determining that the plaintiff was 75 percent responsible for damages and the defendant was 25 percent responsible. However, the case was in the commonwealth of Pennsylvania where, unless the jury finds the defendant podiatrist to be greater than 51 percent responsible, it is a defense verdict. Read More.

Are Lower Diabetic Amputation Rates In Italy A Cause For Hope?

David G. Armstrong DPM MD PhD
4/16/14 | 1051 reads | 0 comments
As the prevalence of diabetes rises, more people will face the complications of diabetes, including lower extremity amputation. However, there may be a ray of hope in the form of a recent study in PLOS One that notes a significant reduction in amputation rates among patients with diabetes in Italy.1 Read More.