DPM Blogs

Key Considerations When Recommending Elective Foot Surgery

William Fishco DPM FACFAS
9/3/10 | 3421 reads | 3 comments
The decision to recommend foot and ankle surgery is not always straightforward. Unless the clinical condition is a serious fracture, abscess or dislocation, we have to rely on other criteria. Unfortunately, the criteria that we rely on are mostly anecdotal. For example, we all learn somewhere in our training that we should consider surgery for plantar fasciitis after six months of active treatment, which usually includes a series of cortisone injections, physical therapy, orthotics and possibly an immobilization period. Do you always adhere to this treatment protocol dogma? Read More.

What Are The Best Athletic Shoes For Patients With Narrow Feet?

Jenny L Sanders DPM
9/1/10 | 14820 reads | 1 comments
Podiatrists are familiar with running shoe brands for wide feet with New Balance and Brooks being the most common. What about the narrow foot? Read More.

Representing The Foot In Works Of Art

Tracey Vlahovic DPM
8/26/10 | 5150 reads | 0 comments
When I was visiting the “Late Renoir” exhibit at the Philadelphia Museum of Art recently, I marveled at the paintings and sculptures the artist made late in his career. Of course while I was walking from painting to painting, I studied the shape of the foot and ankle in those artworks and I recalled what someone said to me years ago: “The foot and the hand are the most difficult to draw.” Read More.

Another Reason To Avoid Overuse Of Trimethoprim/ Sulfamethoxazole (TMP/SMX)

Warren S. Joseph DPM FIDSA
8/24/10 | 4467 reads | 0 comments
Those of you who have read my chapter on MRSA in the 3rd Edition of the Handbook of Lower Extremity Infections or listened to me lecture about MRSA know that I am less than happy with what I perceive to be the overuse of trimethoprim/sulfamethoxazole (TMP/SMX, Bactrim® or Septra®) used empirically against this bug. It seems to be first-line therapy by just about every emergency department, urgent care, primary care physician or anyone else treating skin and skin structure infections. Read More.

Will Tough Fiscal Choices In Arizona Hamper Patient Access To Podiatric Care?

David G. Armstrong DPM MD PhD
8/23/10 | 3164 reads | 1 comments
I was asked by the editorial staff of Podiatry Today to summarize our thoughts regarding recent fiscal rulings to reduce the weight of the Arizona Health Care Cost Containment System (AHCCCS) on the state of Arizona’s budget. One of those rulings eliminated all state Medicaid coverage of foot care provided by podiatrists. Read More.

Should Courtrooms Bar ‘Hired Guns’ As Expert Witnesses In Malpractice Cases?

Patrick DeHeer DPM FACFAS
8/20/10 | 3966 reads | 0 comments
It is something that most of us dread being part of on either side of the courtroom, but more than likely if you have been in practice for any length of time you have been involved with medical malpractice in one form or another. I have certainly been involved in all aspects of the medical malpractice over my 20 years of practice. Read More.

What The Evidence Reveals About Prophylactic Ankle Bracing

Doug Richie Jr. DPM FACFAS
8/19/10 | 5116 reads | 1 comments
At last month’s American Podiatric Medical Association (APMA) National Meeting in Seattle, I had the privilege of moderating a fascinating session titled “Controversies in Podiatric Sports Medicine,” which attracted a standing room only crowd in one of the main lecture halls. Topics such as “When to Operate on a Jones Fracture” and “Management of Second MTP Pathologies in the Runner” stimulated lively debate amongst the panelists. Read More.

Essential Keys To Patient And Family Education When Using Ex-Fix For Pediatric Patients

Ron Raducanu DPM FACFAS
8/12/10 | 2987 reads | 0 comments
Over the last couple of months, I have been discussing the use of external fixation in pediatric surgery (see http://tinyurl.com/24c3npl ). I have discussed the applications and the basics of the technique. For this month’s blog, I would like to share some pearls and tips from my experience with this technique over the years. Read More.

Cheering On The Champions Of Limb Salvage

Kathleen Satterfield DPM FACFAOM
8/10/10 | 3271 reads | 0 comments
Podiatry Today’s recent poll showed that not all of our colleagues are happy with their career choice (see http://www.podiatrytoday.com/if-you-had-do-it-all-over-again-would-you-s...). Among those are several podiatrists, who are now nearing retirement and were not fortunate enough to have gotten residency programs years ago. They have not been able to practice to the fullest extent of their potential and they feel that they were cheated out of what they could have done. Read More.