DPM Blogs

What Do The IDSA MRSA Guidelines Recommend For Bone And Joint Infections?

Warren S. Joseph DPM FIDSA
1/27/11 | 4515 reads | 0 comments
For part two of this posting on the new Infectious Diseases Society of America (IDSA) methicillin resistant Staphylococcus aureus (MRSA) guidelines, I would like to comment on some of the executive summary points made about MRSA bone and joint infections. I will use a similar format as before with posting the actual text and then adding my comments in italics. Read More.

When Treatment Goes Awry For A Painful Lesion On The Third Metatarsal Head

Stephen Barrett DPM FACFAS
1/27/11 | 4155 reads | 3 comments
All of us get in clinical ruts and occasionally manage our clinics on autopilot. Do not let your training get in the way of your intellect and clinical observational skills. Remember, your training was only a foundation to get you to the minimum level of competency, a gateway to real surgical learning so to speak. It is your experience (perhaps the most important quality of a great surgeon) and continued desire to improve your surgical technique, preoperative diagnosis and postoperative management that will make you a true master surgeon. Read More.

A Closer Look At Surgical Options For Neglected Tendon Ruptures

William Fishco DPM FACFAS
1/21/11 | 12445 reads | 0 comments
Neglected tendon ruptures present challenges for reconstruction. The most common neglected ruptures that you will encounter include the Achilles, tibialis anterior, tibialis posterior and the peroneal tendons. Read More.

A Closer Look At The New IDSA Guidelines For MRSA In Skin And Soft Tissue Infections

Warren S. Joseph DPM FIDSA
1/19/11 | 6535 reads | 0 comments
After an extended, deliberative writing and review process, the brand new Infectious Diseases Society of America (IDSA) clinical practice guidelines on the treatment of methicillin resistant Staphylococcus aureus (MRSA) have finally been published (full text at http://cid.oxfordjournals.org/content/early/2011/01/04/cid.ciq146.abstract ). Read More.

Can A Dress Shoe Really Mimic A Sports Shoe?

Kathleen Satterfield DPM FACFAOM
1/14/11 | 7421 reads | 1 comments
Have your patients been Oprahsuaded? I had not seen that word until recently. However, it makes perfect sense when you realize that Oprah Winfrey, the one woman powerhouse who just started her own network, can make a simple remark about a product and cause it to surge immediately to the top of best selling lists around the world. Shoes are no exception. Maybe it is my move from South Texas to Southern California but I have been hearing a lot lately about women patients who are reluctant to wear tennis shoes when prescribed to do so. They want a more fashionable alternative. Read More.

Are You Following The Ottawa Ankle Rules?

Doug Richie Jr. DPM FACFAS
1/13/11 | 4367 reads | 1 comments
Last year, I was appointed to a panel to write a position statement for the National Athletic Trainers Association on the evaluation and treatment of the acute ankle sprain in the athlete. Part of my literature review has covered the Ottawa Ankle Rules (OARs) to determine their accuracy and reliability to rule out a fracture of the ankle after acute injury. It occurred to me that these clinical guidelines are not well known among podiatric physicians and a review of this subject may be beneficial. Read More.

Educating Patients On The Brannock Device And Shoe Sizes

Jenny L Sanders DPM
1/12/11 | 4094 reads | 0 comments
In 1927, Charles Brannock invented a measuring device that bears his name and is still used today in most retail shoe stores. According to the Brannock device, men’s shoe sizes are one size larger than women’s and not two sizes larger as commonly believed. For example, a men’s size 9 shoe would fit a woman’s size 10 foot. There is a 1/3-inch difference between sizes so if you need to go up or down a half size, you are only changing the size by 1/6-inch. This is not nearly as much as most patients think. Read More.

Questioning The Conventional Wisdom On Antibiotics And Prophylaxis

Warren S. Joseph DPM FIDSA
1/10/11 | 6604 reads | 0 comments
In my last blog (see http://bit.ly/eTSvDR ), I asked the readers for their opinions on antibiotic prophylaxis. Just as a recap, here are the clinical scenarios/questions that I posed. Read More.

Eleven Resolutions For Preventing And Treating DFUs In 2011

David G. Armstrong DPM MD PhD
1/6/11 | 3924 reads | 3 comments
As we begin 2011, we all want to put together our list of resolutions to accomplish in the new year. Lee C. Rogers, DPM, suggested we do the same for the diabetic foot and even got things started with a few of his own. Read More.