DPM Blogs

Tarsal Coalition And Restoration Of Rearfoot Motion: Miracle Or Myth?

3/23/11 | 3414 reads | 2 comments
It is generally understood that the surgical excision of a tarsal coalition will restore motion to the rearfoot and a painful tarsal coalition is an indication to do surgery. However, what does it really mean to “restore motion”? Once this motion is restored, does this once rigid foot now function as a flexible foot? Read More.

Pertinent Pearls On Treating Insertional Tibialis Posterior Tendinitis

William Fishco DPM FACFAS
3/22/11 | 6542 reads | 2 comments
Insertional tibialis posterior tendinitis is a common cause of medial arch pain in adults. We tend to think about this condition in pediatric patients with a large navicular tuberosity and/or an os tibiale externum associated with a flat foot (Kidner foot type). When you have an adult with navicular tuberosity pain who has a normal X-ray and no os tibiale externum, you probably ask yourself, “Now what I am going to do with that?” Read More.

Working Toward A Better Definition And Treatments For The Charcot Foot

David G. Armstrong DPM MD PhD
3/17/11 | 3373 reads | 0 comments
The American Diabetes Association and the American Podiatric Medical Association recently convened an international task force of experts to make recommendations on the diabetic Charcot foot. The meeting was located in Paris at the famous Pitié-Salpêtrière Hospital, the institution where Jean-Martin Charcot practiced in the 19th century. Read More.

Why Mishandled Phone Calls Can Sabotage Your Practice

Patrick DeHeer DPM FACFAS
3/16/11 | 4582 reads | 0 comments
Do you know what the most important thing in your office? The answer may surprise you. It is not you. It is your phones and how your staff is answering them. Just think about it for a minute. If you have no patients calling in for appointments or patients who do call but are not scheduled, then it does not matter how great of a physician you are. To quote an old famous saying, “You have to put fannies in the seats.” Read More.

Raising Questions About The Technologic Imperative At Podiatry Conferences

Allen Jacobs DPM FACFAS
3/15/11 | 3076 reads | 3 comments
A recent meta-analysis has suggested that the evidence for the utilization of orthobiologic materials in place of autogenous bone grafting is low level evidence at best.1 There is hardly a podiatric scientific meeting wherein at least one, if not more than one, lecture was devoted to the need for the incorporation of orthobiologics in surgery, even routine surgeries such as osteotomy or arthrodesis in the non-compromised patient. Read More.

Advising Patients On Proper Ski Boot Fit

Jenny L Sanders DPM
3/11/11 | 4153 reads | 0 comments
During ski season, forefoot numbness due to tight fitting boots is a common problem. Due to the hard outer shell, patients find it difficult to determine proper fit. In addition, ski boot shops typically fit boots too snug, which directly contributes to the problem. An easy way to help your patients better understand fit is to have them bring in their ski boot inner liner and footbed. First remove the footbed and have the patient place his or her foot on it. If the patient’s toes extend beyond the footbed, plain and simple, the boot is too short. Read More.

Why The Association Of Extremity Nerve Surgeons Should Be A Clinical Interest Affiliate Group Of The APMA

Stephen Barrett DPM FACFAS
3/10/11 | 2837 reads | 1 comments
I have been reading many of the current website/blog postings from different colleagues. Sadly, I sometimes get the impression that there is this pervasive and growing perception out there that there is more “wrong” than “right” with our profession. Some of this is simply due to the fact that no matter how great a situation is, some folks just have to complain or focus entirely on the negative. They can’t help themselves. Maybe they have a bump in their endorphin release with continued negativism? Who knows? Read More.

Have You Heard About The Latest Onychomycosis Product That Is ‘80 Percent Effective’?

Warren S. Joseph DPM FIDSA
3/7/11 | 4885 reads | 2 comments
I was recently quoted in a very fair and balanced article on laser treatment of onychomycosis that was published in the Wall Street Journal and written by the newspaper’s Science Reporter Laura Johannes.1 During my interview with Ms. Johannes, I bemoaned the lack of published evidence not only for laser therapy of onychomycosis but for any of the recently promoted treatments, either device or solution. Read More.

What Kind Of Surgeon Are You: Functional Or Structural?

Kathleen Satterfield DPM FACFAOM
3/2/11 | 2961 reads | 3 comments
This is an interesting question and a timely one. This is what separates orthopedic surgeons from many podiatric surgeons but it is a distinction that our profession is close to losing. Recent changes to the CPME 320, the Council on Podiatric Medicine’s “rule book” that governs residency programs, reduced the emphasis on biomechanics and medicine in residency programs. Our new foot and ankle surgeons are becoming more structural and less functional. Are you unfamiliar with the terms? Let me explain. Read More.