DPM Blogs

Making An Orthotic Accommodation For Plantar Bone Callus

Larry Huppin DPM
1/30/14 | 1630 reads | 0 comments
A colleague recently asked for my opinion on a patient who suffered a midfoot fracture at the base of the fourth and fifth metatarsal shafts. The patient had no treatment at the time of the injury and healed with a large bone callus on the plantar surface of the metatarsals. These bone calluses create a large prominence on the plantar foot. This area is taking excessive pressure, leading to pain, keratoma formation and occasional skin breakdown. My colleague was looking for suggestions on an orthotic prescription for the patient’s foot. Read More.

What Kind Of Dermatitis Is This?

Tracey Vlahovic DPM
1/27/14 | 2104 reads | 1 comments
Can you identify the kind of dermatitis shown in the photo on the left? The lesions, which can appear on the legs and arms, are often xerotic but may contain fluid-filled vesicles. Most cases of this pruritic dermatitis are idiopathic. Some cases have been associated with antiviral medications used to treat hepatitis. This condition is more prevalent in males and is often exacerbated in the winter months. Read More.

How Do Walking Boots Affect Balance?

Doug Richie Jr. DPM FACFAS
1/24/14 | 2447 reads | 0 comments
We commonly prescribe walking boots, sometimes referred to as controlled ankle motion (CAM) walkers, for the treatment of diabetic foot ulcerations, fractures and tendon injuries of the lower extremity. Clinicians continue to be baffled and frustrated by the fact that, in spite of the significance of these pathologies, patients have very poor adherence in wearing these devices that are a vital part of the treatment plan. Read More.

A Guide To Treating Acute And Chronic Lateral Ankle Injuries

Jeffrey Bowman DPM MS
1/23/14 | 3315 reads | 0 comments
Weak ankles. They are the bane of all athletes, dancers and, well … everyone. What do I mean when I say “weak ankles”? This refers to instability of the surrounding ligaments or tendons due to an acute injury or repeated injuries, leading to a chronic problem. We sometimes confuse sprain and strain. Ligaments/tendons are sprained while muscles are strained. Now there is much to discuss concerning lateral ankle sprains and subsequent instability. Read More.

Keeping Up With Technology To Enhance Our Practices

Nicholas A Campitelli DPM FACFAS
1/21/14 | 1806 reads | 0 comments
For my first blog post of 2014, I thought I would start the year off by discussing how important it is to stay abreast with technology today and how it relates to our profession and even our practice. I have only been in practice for nine years now and I cannot believe how much change has occurred. Technology has completely redefined the way we not only practice but more importantly the way we keep up with medicine. Read More.

Why The Flexor Digitorum Longus Transfer Offers Effective Hammertoe/Claw Toe Correction

Patrick DeHeer DPM FACFAS
1/16/14 | 9353 reads | 0 comments
Sometimes the procedures that we perceive as the simplest are those fraught with the most peril. Surgeons often think of hammertoe surgery as such a procedure, regardless of the type. Both arthrodesis and arthroplasty come with baggage and substantial complications that surgeons often downplay because, after all, “it is just a toe.” Tell that to the person who owns that toe and see if he or she feels the same way. Read More.

How Urinalysis Can Filter Out Illegitimate Requests For Pain Meds

Stephen Barrett DPM FACFAS
1/14/14 | 2596 reads | 1 comments
It is yellow in color, usually clear, has a specific gravity ranging from 1.001 to 1.035 and a pH of 4.6 to 8.0. It doesn’t look (or smell) like anything special (most of the time), but it has the power to give us great insight. This yellow fluid cannot lie. Granted, its vessel can damn sure play some games, even buying fake fluid on the Internet in an attempt to mask other deceptions. However, this yellow fluid is what it is and it is what they have ingested, smoked, snorted and ultimately metabolized. Read More.

Current Insights On Differentiating Vascular Pain From Neuropathic Pain

Allen Jacobs DPM FACFAS
1/13/14 | 5320 reads | 0 comments
Not infrequently we face patients who have diabetes or other comorbid conditions with which vascular disease and neuropathy are both associated. At times, differentiating vascular pain from neuropathic pain can be difficult. In a patient with diabetes, vascular pain secondary to loss of blood flow may result from ischemia, vasculitis, vasospasm or vascular compression. Neuropathic pain may result from diabetic neuropathy, nerve entrapment such as tarsal tunnel syndrome, or spinal compression syndrome. Read More.