DPM Blogs

Can A Preflight Checklist Facilitate Smoother Surgeries And Better Outcomes?

Stephen Barrett DPM FACFAS
6/16/10 | 2342 reads | 2 comments
As I was cruising to my office one morning at 9,500 feet above sea level, overflying the spectacular red rocks of Sedona, Ariz., an epiphany occurred for this month’s blog. The air was glassy smooth, virtually no traffic was on the radios and my usually quirky autopilot was functioning to perfection. This gave me time to reflect on my surgeries from the previous day. Read More.

Mastering The Ilizarov Technique Of Callus Distraction In Pediatric Cases

Ron Raducanu DPM FACFAS
6/14/10 | 3294 reads | 0 comments
Over the last several blogs, I have been reviewing the use of external fixation for pediatric foot and ankle surgery. I discussed using this technique for non-elective cases such as fracture management. Last month I talked about elective application, more specifically for the use of lateral column lengthening and for brachymetatarsia. Both of these procedures use the Ilizarov technique of callus distraction and that will be the focus of this month’s blog. Read More.

Understanding The Impact Of Shoe Insoles And Midsoles

Jenny L Sanders DPM
6/11/10 | 4532 reads | 0 comments
Last month, I blogged about the shoe upper (see www.podiatrytoday.com/blogged/assessing-and-understanding-the-impact-of-...). This month, I will round out the discussion by examining the lower half of the shoe. Insole. The insole is the foundation of the shoe. In running shoes, it is the part of the shoe upon which the sock liner rests and is commonly referred to as the last. The softer the insole, the less torsional stability the shoe will have. The firmer the insole, the more structure and stability a shoe will have. Read More.

Why Metatarsalgia May Not Be What It Seems

William Fishco DPM FACFAS
6/9/10 | 41327 reads | 2 comments
I want to dedicate this blog to facilitate a better understanding of metatarsalgia. If you think of the top 10 problems that you see on a daily basis, “ball pain” is probably somewhere on that list. So when you walk into the treatment room with a new patient and your medical assistant says the patient is complaining of pain in the ball of the foot, what are you thinking? Maybe it is simply a dermatological problem such as a callus or wart. Maybe it is a Morton’s neuroma or a metatarsophalangeal joint (MPJ) problem such as capsulitis/bursitis. Read More.

Flip-Flops Versus Sandals: Does It Make A Difference For Patients With Diabetes?

Kathleen Satterfield DPM FACFAOM
6/8/10 | 3861 reads | 1 comments
Your patients cannot open a newspaper or magazine without reading about the dangers of wearing flip-flops. With summer upon us, the lure of “open air” shoe gear is appealing to many. Of course, as podiatric physicians, we also emphasize the dangers of these shoes, especially for our patients with diabetes who are at risk for road debris and foreign objects to be swept up under their feet between the surface of the sandal and the soles of their feet. Read More.

Key Insights On Revision Tarsal Coalition Surgery In Children And Adolescents

Neal Blitz DPM FACFAS
6/3/10 | 5243 reads | 0 comments
nealblitz@yahoo.com Revision tarsal coalition surgery is indeed more complex than primary tarsal coalition surgery. When simple resection has failed, there needs to be more diagnostic effort to identify the cause of recurrent pain. There is a general thought that the coalition itself is the cause of pain. However, it is the secondary effects that the coalition has on the foot that result in the pain cascade. This becomes evident when simple resection does not resolve the patient’s symptoms, warranting the first surgery. Read More.

A TENS Unit For Heel Pain? Questioning The Ethics Behind Some ‘Practice Management’ Lectures

Allen Jacobs DPM FACFAS
6/1/10 | 7790 reads | 5 comments
I have had the opportunity to listen to so-called "practice management" presentations at a number of state and APMA component society meetings. To be quite frank about it, the content presented is nothing less than offensive as it advocates profit motive over patient care. What is even more shocking in my opinion is the seeming growing relationship of the APMA with these programs. Read More.

Emphasizing The Importance Of Radiographs In Choosing A Bunion Procedure

Molly Judge DPM FACFAS
5/25/10 | 5721 reads | 2 comments
I have enclosed the radiographs (see above) that are associated with the case I presented in last month’s blog (http://www.podiatrytoday.com/blogged/can-you-select-a-bunion-procedure-b...). How does this change your procedure selection and are there any further tests you would order? Read More.

Are The New Rocker Sole Sneakers Worth The Hype?

Patrick DeHeer DPM FACFAS
5/24/10 | 21758 reads | 2 comments
If you are like me, you have had patients and nurses ask you about Shape Up shoes (Skechers). My first impression of these shoes was negative since Masai Barefoot Technologies (MBT, Masai Group International) shoes came out. My experience with a rocker sole shoe was singular for my postoperative ankle fusion patients. With increasing numbers of patients asking me about these shoes or wearing them, I thought I would do a little research on them to either confirm my judgment or change it. Read More.