DPM Blogs

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

Kathleen Satterfield DPM FACFAOM
6/8/10 | 4206 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

6/3/10 | 5646 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 | 8892 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 | 5885 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 | 24313 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.

A Closer Look At ‘Elective’ Ex-Fix For Pediatric Patients

Ron Raducanu DPM FACFAS
5/19/10 | 3011 reads | 0 comments
In the last blog, I discussed the use of external fixation for pediatric trauma. Now let us look at more “elective” applications of ex-fix in the pediatric population. The most common use of mini-rail type systems in the pediatric population is most likely for the lengthening of metatarsals for patients with painful brachymetatarsia. Another less common (if not more effective) application is for lateral column lengthening in severe pes valgo planus feet with lateral deviations at the calcaneocuboid joint. Read More.

Proposing A Mathematical Equation For Surgical Outcomes

Stephen Barrett DPM FACFAS
5/19/10 | 2938 reads | 1 comments
I recently read a great book called Super Crunchers, which illustrates the power of information technology. The book was written by Ian Ayres, an econometrician and professor at Yale Law School. He notes that from the analysis of huge amounts of data, really cool stuff can happen. One can make predictions that outperform the knowledge of “experts.” These predictions range from what is going to be a great Bordeaux red to what Hollywood films are going to break the box office records. Read More.

Are Runners Better Off Than They Were 30 Years Ago?

Doug Richie Jr. DPM FACFAS
5/17/10 | 3091 reads | 1 comments
In the book Born to Run, Christopher McDougall makes the observation that running injuries have not reduced in frequency over the past 30 years despite the perceived technical advances in athletic footwear over this same period of time. He suggests that runners have been ripped off by the hype and false claims made by running shoe manufacturers. While this assertion is partly true (overall running injury rates have not changed much in 30 years), the assumption that footwear has not improved the life of the runner is false. Read More.

Assessing And Understanding The Impact Of The Shoe Upper

Jenny L Sanders DPM
5/13/10 | 3536 reads | 0 comments
Having a better understanding of the anatomy of a shoe can be helpful in advising patients on shoewear, particularly when there is foot deformity or irritation from shoes. With this in mind, let us take a closer look at the upper of a shoe. Read More.