Volume 21 - Issue 4 - April 2008
Practice Builders »
It is always amazing to me how many physicians do not buy their own real estate in the first couple of years of practice. I have heard physicians say it is too expensive, they just want to rent, they are too busy to look into the area or they do not know much about real estate. Working too hard and not having enough time to research this area are poor excuses.
Real estate is the number one long-term, wealth-building vehicle available to all physicians. Look around at your most growing areas. New medical office buildings and projects are sprouting up everywhere. Read the full story »
Sports Medicine »
Occasionally, a podiatrist may encounter an athletic patient who does not improve with traditional treatment. We tend to focus on the injured area and may overlook weakness of the core muscles, which may contribute to foot or leg pain. The core muscles are extremely important in lower extremity muscle function.
The core muscles include the stomach muscles (the rectus abdominus, transverse abdominus, external and internal obliques and erector spinae) and the hip abductors (the gluteus medius and gluteus minimus).
If the core muscles are weak, particularly the gluteal muscl
Diabetes Watch »
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 »
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
Orthotics Q&A »
Injuries to the second metatarsophalangeal joint (MPJ) can be challenging to treat. Our expert panelists discuss predisposing factors to injury and review pertinent biomechanical considerations. They also discuss conservative treatment options, including variations of orthotic therapy and modifications that they have employed in clinical practice.
Q: What are the predisposing factors (gender, foot type, activity, etc.) that are associated with injuries to the second MPJ?
A: Second MPJ injuries may have a variety of etiological causes, accordi
Using plates and screws for bone fixation is a standard and successful technique. However, any fixation with plates and screws involves some amount of additional trauma and insult to the osseous blood supply of fracture fragments. These disturbances increase the risk of delayed union and infection.1
Indeed, reconstructive and trauma procedures of the foot and ankle present unique challenges for foot and ankle surgeons. As these cases grow in complexity, certain principles prevail in ensuring predictable and successful outcomes. These principles emphasize the protection of