DPM Blogs

Negotiating The Biomechanics Of Equinus

Russell Volpe DPM
5/27/11 | 4397 reads | 0 comments
As someone who teaches and writes a great deal about biomechanics, orthopedic and pediatric podiatric medicine, I often discuss equinus influences as among the most destructive on the foot in gait. This critical sagittal plane pathology can occur at any age and comes in congenital and acquired forms. As bipedal locomotion is essentially a sagittal plane event as we move the body forward on a horizontal surface, limitations in sagittal plane motion can lead to destructive compensations that ultimately precipitate pathology. Read More.

A Spirit Of Collaboration At The International Symposium On The Diabetic Foot

David G. Armstrong DPM MD PhD
5/25/11 | 2921 reads | 2 comments
The sixth annual International Symposium on the Diabetic Foot (ISDF) recently met in the Netherlands to achieve a consensus for the next generation of worldwide guidelines for the diabetic foot. I was one of 1,000 participants from 77 nations to attend with one mission: improve the quality of care for patients with diabetes. Read More.

Why Orthotics Are Not The Answer For Plantar Fasciitis

Patrick DeHeer DPM FACFAS
5/23/11 | 14272 reads | 9 comments
There are approximately 2 million documented cases of plantar fasciitis per year in the United States. For most podiatrists, this is the most common foot pathology we see in our practices.1 The “sacred cow” in the podiatric community for plantar fasciitis has always been custom orthoses. Read More.

Is Pseudomonas A Legitimate Pathogen Or A Notorious Colonizer In Lower Extremity Infections?

Warren S. Joseph DPM FIDSA
5/19/11 | 6399 reads | 3 comments
For a number of years, I have referred in my lectures to the word I have termed “Pseudomonaphobia.” Basically, this is an irrational fear of the organism Pseudomonas aeruginosa when it is isolated from a culture of a wound in the foot. I really believe this arises in most podiatrists during the residency interview process when, without fail, the interviewer asks them, “How would you treat a Pseudomonas infection in the foot?” Read More.

Should Podiatrists Embrace Barefoot Running?

5/18/11 | 4509 reads | 3 comments
Hey, Doc, what is your position on barefoot/minimalist running? Unless you practice under a rock, then it is likely that you have noticed more and more people getting involved in the barefoot running movement. You do not have to be a sports medicine focused podiatrist to have treated patients who have tried minimalist running. Chances are that these particular patients are seeking your medical advice to a treat a foot problem "related" to this method of running. Perhaps you have treated patients who have developed plantar fasciitis, cuts and blisters, or perhaps even stress fractures. Read More.

Does Informed Consent Trump Standard Of Care?

Allen Jacobs DPM FACFAS
5/17/11 | 3385 reads | 3 comments
I would like to raise the following question: Can something be legal but not ethical? Informed consent is a powerful tool serving to protect clinicians from patients who claim they were not informed about their treatment. My question is whether true informed consent allows patient and clinician to bypass recognized standards of care for the patient. Read More.

Why Refining Our Podiatric Skills Is A Lifelong Process

Bryan Markinson DPM FASPD
5/13/11 | 3512 reads | 0 comments
“Not perfection as a final goal but the ever enduring process of perfecting, maturing, refining is the aim of living.” — John Dewey For the past several years, I have traveled all over the country for the predominant purpose of sharing with colleagues the essentials of podiatric dermatology, incorporating dermatology into your practice, the how and why of biopsy procedures, and risk management associated with what is for many a new dimension of practice. This has been in the form of straight lectures as well as “hands-on” pig feet workshops. Read More.

Raising Questions On Training And Double Standards For Hospital Privileges

Ron Raducanu DPM FACFAS
5/11/11 | 3077 reads | 3 comments
The controversy rages on. Patrick DeHeer, DPM, reminded us of this in his recent blog, “An Open Letter To Foot And Ankle Orthopedic Surgeons,” in which he discusses how we need to take charge of the constant uphill battle we are faced with when dealing with our orthopedic colleagues (see http://bit.ly/eaTMrN ). Even though we have made great strides in our exposure and training, there are still questions as to our expertise.   Read More.

Harnessing The Potential Of The Instep Plantar Fasciotomy

William Fishco DPM FACFAS
5/6/11 | 7077 reads | 2 comments
Day in and day out, there is one thing we can count on when we go to the office: we will be treating a patient with plantar fasciitis. Some days it seems like I treat plantar fasciitis all day long. Read More.