Volume 21 - Issue 4 - April 2008

Forum »

Two Degrees Are Not Always Better Than One

Camille P. Ryans | 3199 reads | 0 comments

With the recent explosion of the dual degree concept, one must ponder both the advantages and disadvantages of obtaining such titles. I am opposed to the concept of the dual MD/DPM degree.
The field of podiatry is unique in that it offers the opportunity to specialize in a doctorate-level medical profession early in one’s education. Entering students are aware of what their specialty will be from day one. This provides a sense of security and devotion to a chosen profession.
Possibly the most significant difference between the training of podiatry students and allopathi

Technology In Practice »

Does The TOG GaitScan Facilitate Optimal Orthotic Therapy?

Robi Garthwait, Contributing Editor | 3801 reads | 0 comments

For even the most experienced practitioners, it can be difficult to find the best orthotic solution to help address abnormal foot function. A gait analysis system is often necessary to accurately assess an individual’s need for orthotic therapy.
The TOG GaitScan™ enables physicians to record timing sequences during gait as a patient walks or runs across a pressure plate. The product utilizes 4,096 sensors and scans at a rate of 300Hz (scans per second) to produce over 1 million data points to aid in foot analysis, according to The Orthotic Group, the manufacturer of the T

Point-Counterpoint »

Managing Pediatric Metatarsus Adductus: Should You Treat It?

Russell G. Volpe, DPM and By Richard M. Jay, DPM | 24479 reads | 0 comments

Yes, this author advocates early treatment for moderate to severe metatarsus adductus, and semi-rigid or rigid deformity. He cites problematic compensatory effects from residual deformities and a documented association between metatarsus adductus and hallux abducto valgus deformity.

Metatarsus adductus is a transverse plane congenital deformity with adduction of the forefoot at the tarsometatarsal joint. It has a reported incidence of one per 1,000 live births. However, it has been acknowledged that this may reflect only the severe cases and the true incidence may be

Feature »

What You Should Know About Malignant Melanoma

Nathan J. Lashley, DPM, and Patrick J. McKee, DPM | 11810 reads | 1 comments

In an article published in the New England Journal of Medicine (NEJM) in 2006, the author gives an account of a 53-year-old female patient who received treatment from a podiatrist for a plantar wart for two years. She underwent electrocoagulation therapy without histological examination.
Her lesion grew and she eventually sought the care of the NEJM author, who biopsied the lesion and noticed enlarged inguinal lymph nodes. The biopsy revealed amelanotic melanoma exceeding 6 mm in thickness (Clark’s level IV). Despite excision of the lesion and involved l

Diabetes Watch »

Waveform Electrostimulation: Can It Be Another Option For Painful Peripheral Neuropathy?

Raymond Abdo, DPM, and Jaret Walker, DPM | 21991 reads | 0 comments

According to the Centers for Disease Control and Prevention (CDC), approximately 7 percent of the population in the United States has diabetes mellitus. Approximately 30 percent of patients with diabetes over the age of 40 have some kind of impaired sensation of the foot. Sensorimotor neuropathy is the primary risk factor for developing a diabetic foot ulcer, which leads to 85 percent of diabetic lower extremity amputations.1
Sensory neuropathy causes paresthesia and loss of protective sensation, which can lead to ulcerations and lower extremity amputations. Motor n

Dermatology Diagnosis »

When A Patient Has An Unusual Growth On A Toe

Joel Morse, DPM | 41515 reads | 0 comments

A 43-year-old African-American male presents to the office with an irritated fourth toe with no known trauma to the toe. There is a horny projection of skin coming from the posterior nail fold with a nail-like structure at the tip. It has been present for the past two years and had recently become larger.

The lesion is asymptomatic except for physical inconveniences.
The patient reports that the toe is painful only in shoes. The patient works as a custodian and spends a lot of time on his feet. He has recent onset diabetes of three years but has not been to a podiatrist in the