DPM Blogs

How The ACFAOM Lectures Cured A Phobia Of Biomechanics

Kathleen Satterfield DPM FACFAOM
9/15/10 | 3315 reads | 4 comments
Do you have a biomechanics phobia? Many of us do and until recently I did not know there was a cure. I attended an elegant little meeting last month in Florida that surprised me. I intended to take home ready-to-use ideas about wound care especially and I did. Surprisingly though, I ended up attending most of the biomechanics sessions and bragging to friends about everything that I had learned. You see, I am no biomechanical guru. In fact, it is quite the opposite. The subject usually gives me psychological hives although I have long advocated the importance of biomechanics. Read More.

Overcoming Podiatric Dogma On Neuromas And Peripheral Nerve Surgery

Stephen Barrett DPM FACFAS
9/13/10 | 39845 reads | 0 comments
Unfortunately, there is still a widespread reluctance to accept the undeniable truth that a “Morton’s neuroma” is nothing more than a peripheral nerve entrapment. However, I think there is more of a universal acceptance that when you cut out a Morton’s entrapment, the patient will end up with a recurrent Morton’s neuroma.1,2 Read More.

How A New Study Shows That Not All Vancomycin Is Created Equal

Warren S. Joseph DPM FIDSA
9/10/10 | 3480 reads | 0 comments
It is a rare study I read that literally makes me want to stop everything else I am doing and write a blog post about it. On a recent dreary, gray Sunday morning, I was just catching up on some backlogged journal reading when I picked up the August 2010 issue of Antimicrobial Agents and Chemotherapy. I came across a paper out of the University of Antioquia in Medellin, Colombia by Vesga and colleagues entitled “Generic vancomycin products fail in vivo despite being pharmaceutical equivalents of the innovator.”1 (See http://aac.asm.org/cgi/content/abstract/54/8/3271 .) Read More.

Key Considerations When Recommending Elective Foot Surgery

William Fishco DPM FACFAS
9/3/10 | 3432 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 | 14901 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 | 5171 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 | 4497 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 | 3174 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 | 3976 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.