DPM Blogs

Why Mishandled Phone Calls Can Sabotage Your Practice

Patrick DeHeer DPM FACFAS
3/16/11 | 4654 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 | 3127 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 | 4235 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 | 2901 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 | 4969 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 | 3014 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.

Assessing Recent Systematic Reviews On Surgical Treatment For Hallux Rigidus

Doug Richie Jr. DPM FACFAS
3/1/11 | 3950 reads | 0 comments
I recently read an excellent article in Foot and Ankle International entitled “Evidence-Based Medicine: What Is It And How Should It Be Used?”1 The article begins with a brilliant quote from Spindler and colleagues: Read More.

When Casting And Manipulation Are Not Options For Metatarsus Adductus

Ron Raducanu DPM FACFAS
2/28/11 | 4324 reads | 0 comments
What is the next step when you see a patient with metatarsus adductus who is clearly not a candidate for casting or manipulation? Is the patient not a candidate because of age or activity level? Certainly, it is very difficult to cast a 3- or 4-year-old who is running at full tilt all day and there is a high likelihood that he or she will not respond to casting. Is surgery indicated at this point? Read More.

Balancing Our Hippocratic Oath With Risk Management Concerns In Problematic Patients

Stephen Barrett DPM FACFAS
2/25/11 | 3356 reads | 0 comments
There is no surgeon who would not readily agree there is nothing more important than a great patient outcome. Call it that “karmic euphoric goodie” of receiving thanks — sometimes unspoken but powerfully demonstrated — from patients by seeing them relieved of the condition for which they sought your expertise. Read More.