DPM Blogs

Do Patients Really Need Four To Six Weeks Of IV Antibiotics For Osteomyelitis?

Warren S. Joseph DPM FIDSA
4/20/11 | 4053 reads | 0 comments
I have blogged a number of times about the questions surrounding some of the unknown, unproven issues surrounding the treatment of osteomyelitis, including the duration of antibiotic therapy and the “need” for surgical debridement. It continues to amaze me how — it does not matter where or to whom I lecture — if I ask the question, “How long do you need to treat osteomyelitis and via what route?” the answer is always the same “four to six weeks of IV therapy.” This comes despite a total lack of human evidence to support that position. Read More.

Key Insights On Treating Marine-Related Injuries To The Lower Extremity

Tracey Vlahovic DPM
4/19/11 | 3198 reads | 0 comments
Trout season has just begun in Pennsylvania and it made me wax poetic for the Goldfarb Foundation’s Montana conference, which combines fly fishing and continuing education lectures. During this past year’s conference in Missoula, Mt., I caught a lovely 20-inch brown trout and I got hooked on a new sport (pun intended). Read More.

Emphasizing Proper Shoe Fit And Better Shoe Choices For Children

Russell Volpe DPM
4/14/11 | 3278 reads | 1 comments
One of the most common questions I get from parents is, “What is the right shoe for my child?” I have different answers to this question based upon the age of the child and the activity for which the child will be using the shoe. Read More.

How Mini-Rail Fixators Can Be Beneficial For Jones Fractures

William Fishco DPM FACFAS
4/12/11 | 10912 reads | 3 comments
A Jones fracture is a fracture of the metaphyseal-diaphyseal junction of the fifth metatarsal base. Fractures in this area are known to have difficulty healing due to the tenuous blood supply to this area. To that end, one may treat these fractures with strict non-weightbearing for a minimum of six weeks or explore surgical options. Read More.

An Open Letter To Foot And Ankle Orthopedic Surgeons

Patrick DeHeer DPM FACFAS
4/8/11 | 6058 reads | 5 comments
Dear Fellow Foot and Ankle Specialist, I am writing this letter to your group to bring to light a worsening problem between our two groups that is being perpetuated by a handful of members from your group. We are never going to agree on which group is best qualified to take care of foot and ankle pathologies. In reality, though, there is more than enough work for all of us to be very busy. We should try to concentrate on what we have in common: the medical and surgical management of the foot and ankle, and our dedication to healing those placed in our care. Read More.

Can Fibrates Help Improve Sensation In Patients With Diabetic Neuropathy?

David G. Armstrong DPM MD PhD
4/6/11 | 3128 reads | 1 comments
At last year's Diabetic Foot Global Conference (DFCon10), Professor Tony Keech of Sydney, Australia, offered us some tantalizing evidence that fenofibrate had a net protective effect on preventing low-level amputations. While the rationale behind this was not entirely clear, further information at DFCon11 and further data seems to suggest the answer may lie in fenofibrate’s potential microvascular benefits. Read More.

When Patients Ask About Trail Running Shoes

Jenny L Sanders DPM
4/4/11 | 3226 reads | 1 comments
Giving patients guidance on trail running shoes can be a challenge as the design of these shoes is different from non-trail running shoes. Essentially, trail running shoes have a more rugged outsole of varying degrees to facilitate better grip of uneven terrain. They are also lower to the ground and softer for better shock absorption. Read More.

The New Attack Of The Multi-Drug Resistant Organisms

Warren S. Joseph DPM FIDSA
3/30/11 | 4192 reads | 0 comments
I recently returned from the Diabetic Foot Global Conference (DFCon) in Los Angeles. This is always my favorite scientific conference of the year. (I have blogged about it previously http://www.leinfections.com/diabetic-foot/the-olmos-award-and-dfcon-2010/). Read More.

Do You Inject The Plantar Fascia On The First Visit For Plantar Heel Pain?

Doug Richie Jr. DPM FACFAS
3/29/11 | 8869 reads | 8 comments
Over the past 12 months, I have treated three patients who presented with an acute rupture of the plantar fascia. Two of these patients were serious long-distance runners who experienced a crippling “pop” on the bottom of the foot during a run. The other patient tore his fascia pushing an automobile down the street. All three patients had experienced chronic heel pain for several months prior to their acute injury and none of them had ever received a corticosteroid injection. Read More.