DPM Blogs

Why Do We Overlook Equinus In Patients With Diabetes?

Patrick DeHeer DPM FACFAS
6/24/11 | 3488 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 | 10078 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 | 8562 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 | 3607 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 | 4031 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 | 3079 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 | 4637 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 | 8432 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.

Why Conservative Treatment Is The Standard Of Care For Adult-Acquired Flatfoot

Doug Richie Jr. DPM FACFAS
6/2/11 | 4144 reads | 0 comments
There has been recent discussion on this Web site regarding the need or the effectiveness of conservative care prior to recommending or performing bunionectomy surgery (see http://bit.ly/f9x9MM ). I am in agreement with those who believe that conservative care is not necessary before performing bunion surgery in adults. When it comes to children and adolescents, I have seen improvement of symptoms and sometimes improvement of deformity with functional foot orthotic therapy. Therefore, I recommend conservative treatment for this group of patients before performing surgery. Read More.