DPM Blogs

Why Minimalist Shoes Do Not Create Injuries

Nicholas A Campitelli DPM FACFAS
5/16/14 | 1680 reads | 16 comments
The lawsuit against Vibram USA was for making false claims about its footwear product FiveFingers. The website touted many benefits. In particular, Vibram USA claimed your foot can become stronger by wearing FiveFingers. In my opinion, this is a true statement although it was not scientifically proven at the time the claims were made. Read More.

Is It Time For An MRI-Based Charcot Classification?

David G. Armstrong DPM MD PhD
5/14/14 | 653 reads | 0 comments
After decades of use, does the Eichenholtz classification for Charcot foot still hold up? A recent review in Swiss Medical Weekly argues that it is time for a new system.1 Read More.

Treating Acute Toenail Injuries In Athletes

Kristine Hoffman DPM
5/13/14 | 1000 reads | 0 comments
Acute toenail injuries in athletes are a relatively common occurrence. These injuries can result from repetitive microtrauma, such as the nail plate contacting the end of the shoe during a long-distance running race, or a single traumatic event such as a crush injury from a player’s foot getting stepped on. Acute nail injuries can cause significant pain and temporary limitation of activities. Long-term complications of these nail injuries include secondary fungal infections and nail plate deformities. Read More.

What Really Happens When We Decompress A Nerve?

Stephen Barrett DPM FACFAS
5/8/14 | 780 reads | 0 comments
Sitting in the center of the third row in the Wiener Staatsoper (Vienna State Opera House), I was awestruck by how the opera company had so effortlessly put on one of my favorite operas, The Barber of Seville. Dr. Gointu Amabala, the famous neuroscientist from Mumbai, brought me to this magnificent venue. He loved the opera and would make the long trek to Vienna from India just to attend one performance. “So what did you think?” he asked in his clipped accent. Read More.

Does Making Patients Wait Come At A Price?

Lynn Homisak PRT
5/6/14 | 720 reads | 2 comments
How long do patients (typically) wait in your office? Fifteen minutes? Thirty? Sixty? Two hours? I say typically because there are times when we get knocked off our schedule. Sometimes the doctor (through no fault of his or her own) returns from surgery late. Sometimes an in-office emergency arises that requires immediate attention. Patients understand these extenuating circumstances. Read More.

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

Larry Huppin DPM
5/5/14 | 616 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 | 670 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 | 645 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 | 761 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.