DPM Blogs

Striving To Stay At The Top Of Your Surgical Game

William Fishco DPM FACFAS
3/4/10 | 2505 reads | 1 comments
I have been practicing for 12 years now and some things have not changed. I still worry about my patients. I often wake up in the middle of the night feeling flushed when the stress of a recent surgery or an upcoming surgery is on my mind. You run the surgery over and over in your head questioning whether the fixation is strong enough. Will the patient be adherent? Did I get enough correction? Will the correction hold over time? Did I do the best procedure for that given circumstance? Read More.

Why Did DPMs Miss The Boat On Therapeutic Diabetic Hosiery?

Doug Richie Jr. DPM FACFAS
3/3/10 | 3355 reads | 3 comments
While the incidence of diabetes and foot-related complications continues to spiral out of control in this country, medical professionals need to step back and evaluate their role in preventive medicine. Most of my podiatric colleagues are unaware of the significant role that the Internet and direct-to-consumer businesses have in the care of the patient with diabetes. Today, millions of patients with diabetes turn to the Internet and commercial companies to provide information and products to prevent the complications of diabetes. Read More.

Why Shoe Fit Matters Even For Non-Deformed Feet

Jenny L Sanders DPM
3/1/10 | 5138 reads | 0 comments
Every podiatrist understands the relationship between poorly fitting shoes and foot deformity. Many of us routinely order diabetic shoes, extra-depth shoes and sometimes even casts for custom molded shoes for the deformed foot. For the non-deformed foot, we simply rely on an “approved shoe list” or a “specialty running shoe store” to which we send our patients. Read More.

Will CPME 320 Changes Jeopardize Dr. Jolly’s ‘Foot Function’ Goals For Surgical Outcomes?

Kathleen Satterfield DPM FACFAOM
3/1/10 | 2846 reads | 1 comments
If you have been involved in a really good grand rounds, you know what it means to prepare well for a surgery, a care plan or a discharge. As a first-year resident in Connecticut a long time ago, I remember facing Gary Jolly, DPM, and proposing a surgical procedure for one of his patients. I gave him a typical “NLDOCAT” breakdown of the patient’s problem. After describing the nature, location, duration, onset, course, aggravation and treatment for the patient, I was proud of my presentation to this brilliant surgeon. Read More.

Can Metformin Use Increase The Risk Of Diabetic Neuropathy?

Allen Jacobs DPM FACFAS
3/1/10 | 8775 reads | 1 comments
Metformin (Glucophage, Bristol-Myers Squibb) is a commonly utilized biguanide agent for the treatment of diabetes. Increasingly, it appears that metformin may paradoxically increase the risk of neuropathy in the patient with diabetes. Therefore, when you see a patient with diabetes who is taking metformin, greater surveillance may be necessary for the presence of sensory, autonomic and motor neuropathy. Read More.

Recognizing The Potential Impact Of Stress With Skin Conditions

Tracey Vlahovic DPM
2/25/10 | 2897 reads | 0 comments
How many times has a new or established patient presented to you with a new onset skin rash that was acute and angry in nature? As you are digging deeper with your patient interview, you find that a large stress (or stressors) has occurred in that person’s life. Sources of stress may include unemployment, divorce, a new baby, etc. Read More.

Is The Closing Base Wedge Osteotomy Extinct?

Patrick DeHeer DPM FACFAS
2/22/10 | 6215 reads | 2 comments
The closing base wedge osteotomy (CBWO) has long been a favorite for the severe bunion deformity in podiatric surgical history, especially throughout the 1970s and 1980s. Has the once sacred procedure become extinct? Is this procedure still a viable option for the severe bunion deformity? Do the potential complications move this procedure to the back of the bus when it comes to treating the severe bunion deformity? In my opinion, the answer to all of these questions is yes. Read More.

Can An Electrical Stimulation Device Be Part Of A ‘Pacemaker’ In Neuropathic Patients?

David G. Armstrong DPM MD PhD
2/16/10 | 2846 reads | 0 comments
For patients with diabetic and motor neuropathy, an electrical stimulation device, combined with pressure monitoring and thermometry, may be able to act as a “pacemaker” to stimulate the foot. At the Southern Arizona Limb Salvage Alliance (SALSA), we have become increasingly interested in the Walkaide system (Hanger Orthopaedics) and its potential future as a delivery system for extracorporeal nerve and muscle stimulation. The device uses electrical stimulation to improve walking in patients with post-stroke footdrop, according to the company. Read More.

When a Child Presents With An Underlapping Toe

Ron Raducanu DPM FACFAS
2/16/10 | 4749 reads | 1 comments
Sometimes you have to think outside of the box. This is especially the case when it comes to possible surgical intervention in the pediatric population. Even the simplest procedure can test your skills and experience. Recently, a very pleasant family brought in their two and a half year-old daughter so she could be evaluated for “walking problems.“ I eventually diagnosed these walking problems as a severe metatarsus adductus. I decided to attempt conservative management with a custom-molded orthotic with a medial flange. This initially helped the toddler. Read More.