DPM Blogs

Should Cigarettes Include A Graphic Warning Label Highlighting Smoking-Related Foot Amputations?

Neal Blitz DPM FACFAS
6/24/11 | 4460 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 | 3454 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 | 9980 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 | 8393 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 | 3580 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 | 3995 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.

Are We Entering The Age Of Decay?

David G. Armstrong DPM MD PhD
6/10/11 | 3050 reads | 0 comments
I was listening to my favorite program the other night, BBC Radio 4's In Our Time. This program focused on “The Origins of Infectious Disease.” As usual, Melvyn Bragg puts forth a fascinating topic. One of the superb panelists, Steve Jones, BSc, PhD, a Professor of Genetics at University College London and a UK Stem Cell Foundation Trustee, pointed out that we could divide the roughly 200,000 years of Homo sapiens into the following three ages of death. The Age of Disaster: When we often met our demise as we were bitten, impaled or otherwise devoured. Read More.

How To Properly Align A Lapidus Bunionectomy In The Frontal Plane

Neal Blitz DPM FACFAS
6/7/11 | 4556 reads | 0 comments
Surgeons performing the Lapidus bunionectomy often consider the sagittal and frontal plane position of the first metatarsal bone. However, surgeons place less attention on the frontal plane position. It’s not that surgeons do not consider frontal plane position but it is a more subtle technical aspect of the procedure that has not been discussed much in the literature. Read More.

Key Insights On Osteochondral Lesions Of The Talus

William Fishco DPM FACFAS
6/3/11 | 8341 reads | 0 comments
Osteochondral lesions of the talus can be a cause of chronic ankle pain, which does not respond to typical treatment regimens of rest, ice, anti-inflammatory medication, immobilization, bracing, physical therapy and/or orthotic use. Osteochondral lesions can occur in any joint. Read More.