DPM Blogs

When Treatment Goes Awry For A Painful Lesion On The Third Metatarsal Head

Stephen Barrett DPM FACFAS
1/27/11 | 3770 reads | 3 comments
All of us get in clinical ruts and occasionally manage our clinics on autopilot. Do not let your training get in the way of your intellect and clinical observational skills. Remember, your training was only a foundation to get you to the minimum level of competency, a gateway to real surgical learning so to speak. It is your experience (perhaps the most important quality of a great surgeon) and continued desire to improve your surgical technique, preoperative diagnosis and postoperative management that will make you a true master surgeon. Read More.

A Closer Look At Surgical Options For Neglected Tendon Ruptures

William Fishco DPM FACFAS
1/21/11 | 10710 reads | 0 comments
Neglected tendon ruptures present challenges for reconstruction. The most common neglected ruptures that you will encounter include the Achilles, tibialis anterior, tibialis posterior and the peroneal tendons. Read More.

A Closer Look At The New IDSA Guidelines For MRSA In Skin And Soft Tissue Infections

Warren S. Joseph DPM FIDSA
1/19/11 | 6034 reads | 0 comments
After an extended, deliberative writing and review process, the brand new Infectious Diseases Society of America (IDSA) clinical practice guidelines on the treatment of methicillin resistant Staphylococcus aureus (MRSA) have finally been published (full text at http://cid.oxfordjournals.org/content/early/2011/01/04/cid.ciq146.abstract ). Read More.

Can A Dress Shoe Really Mimic A Sports Shoe?

Kathleen Satterfield DPM FACFAOM
1/14/11 | 6410 reads | 1 comments
Have your patients been Oprahsuaded? I had not seen that word until recently. However, it makes perfect sense when you realize that Oprah Winfrey, the one woman powerhouse who just started her own network, can make a simple remark about a product and cause it to surge immediately to the top of best selling lists around the world. Shoes are no exception. Maybe it is my move from South Texas to Southern California but I have been hearing a lot lately about women patients who are reluctant to wear tennis shoes when prescribed to do so. They want a more fashionable alternative. Read More.

Are You Following The Ottawa Ankle Rules?

Doug Richie Jr. DPM FACFAS
1/13/11 | 4134 reads | 1 comments
Last year, I was appointed to a panel to write a position statement for the National Athletic Trainers Association on the evaluation and treatment of the acute ankle sprain in the athlete. Part of my literature review has covered the Ottawa Ankle Rules (OARs) to determine their accuracy and reliability to rule out a fracture of the ankle after acute injury. It occurred to me that these clinical guidelines are not well known among podiatric physicians and a review of this subject may be beneficial. Read More.

Educating Patients On The Brannock Device And Shoe Sizes

Jenny L Sanders DPM
1/12/11 | 3828 reads | 0 comments
In 1927, Charles Brannock invented a measuring device that bears his name and is still used today in most retail shoe stores. According to the Brannock device, men’s shoe sizes are one size larger than women’s and not two sizes larger as commonly believed. For example, a men’s size 9 shoe would fit a woman’s size 10 foot. There is a 1/3-inch difference between sizes so if you need to go up or down a half size, you are only changing the size by 1/6-inch. This is not nearly as much as most patients think. Read More.

Questioning The Conventional Wisdom On Antibiotics And Prophylaxis

Warren S. Joseph DPM FIDSA
1/10/11 | 6011 reads | 0 comments
In my last blog (see http://bit.ly/eTSvDR ), I asked the readers for their opinions on antibiotic prophylaxis. Just as a recap, here are the clinical scenarios/questions that I posed. Read More.

Eleven Resolutions For Preventing And Treating DFUs In 2011

David G. Armstrong DPM MD PhD
1/6/11 | 3797 reads | 3 comments
As we begin 2011, we all want to put together our list of resolutions to accomplish in the new year. Lee C. Rogers, DPM, suggested we do the same for the diabetic foot and even got things started with a few of his own. Read More.

Wrestling With The Limitations Of Medicaid Programs

Patrick DeHeer DPM FACFAS
12/31/10 | 4202 reads | 2 comments
Medicaid programs have become increasingly difficult to participate in as a podiatric physician in almost every state. The same is true here in Indiana. There are very few podiatrists providing care for Medicaid patients in Indiana. I have debated this problem for my own practice over the past several years. I had made a decision to stop seeing Medicaid patients but I have had to reconsider my decision regarding this. This led me to wonder what others feel about their state programs and if they participate in them. Read More.