Volume 21 - Issue 5 - May 2008

News and Trends »

Study Sparks Debate About Treatment Options For Ingrown Toenails

Brian McCurdy, Senior Editor | 10156 reads | 0 comments

Patients commonly present with ingrown toenails and treatments range from chemical matrixectomy to the newer orthonyxia procedure. A new study in the Journal of the American College of Surgery concludes that orthonyxia, using a metal brace for the toe, is superior to partial matrix excision in terms of recovery and patient satisfaction.
Researchers randomized 105 consecutive patients with 109 toenails, excluding patients with diabetes and/or paronychias. Fifty-eight patients underwent partial matrix excision, which included 5 to 10 mL of lidocaine 1%, according to th

Surgical Pearls »

What You Should Know About Screening For PAD

Benjamin Sefcik, DPM, and Peter M. Wilusz, DPM | 8544 reads | 0 comments

We are an aging population. One can ascertain that with aging comes an increased incidence of comorbid conditions. With the vast majority of podiatric surgical cases being elective, documentation supporting the vascular system prior to surgery will protect the surgeon from postoperative complications associated with circulatory issues, or may help surgeons recognize an asymptomatic issue for appropriate intervention prior to surgery. Recognition of asymptomatic circulatory issues is of particular importance in the younger diabetic population prior to surgery.
Systemic atheroscle

Technology In Practice »

Searching For An Alternative To NSAIDs

Robi Garthwait, Contributing Editor | 3412 reads | 0 comments

Podiatrists looking for an alternative to nonsteroidal anti-inflammatory drugs (NSAIDs) for the treatment of a vast array of painful conditions may have a viable option in Traumeel (Heel Inc.).
Available in injectables, tablets, ointment, gel and drops, Traumeel has been in use for over 60 years, according to Heel Inc. Physicians have used Traumeel to treat muscular pain, acute sprains of the ankle, tendonitis and postoperative pain, as well as a variety of other conditions ranging from dislocations and contusions to minor pain from osteoarthritis, rheumatoid arthritis and gout

Feature »

Secrets To Preventing And Treating Baseball Injuries

Nicholas Romansky, DPM, and Bill Sayer, MS | 9481 reads | 0 comments

With spring finally here, amateurs and professionals alike have returned to the baseball diamond. More than 40 million Americans participate in baseball and softball each year. According to the American Academy of Orthopedic Surgeons (AAOS), there are over 500,000 injuries per year related to baseball.
American children begin playing organized baseball at 5 or 6 and some people continue to play the sport past the age of 60 whether games are competitive or during a family picnic. As a result of this, different injury patterns present themselves. Most of us who have played can

Feature »

Can Evidence-Based Medicine Be A Reality In Practice?

Robert J. Smith, Contributing Editor | 5282 reads | 0 comments

It is said that the best science is repeatable science. If you pour x into y in certain measures and under specific conditions, z will occur every time. In podiatry, such certainty is not always that certain. The treatment regimen one utilizes for the lower extremity wound of one patient with diabetes may work in healing the diabetic ulcerations of three other patients but not a fourth. Her wound might require a different therapy or a combination of therapies. Her z requires a different x and y.
However, the regimen you prescribed for your first patient should work. It has bee

Feature »

How To Master Billing For Orthotics

Anthony Poggio, DPM | 56712 reads | 2 comments

Orthotics are an integral part of podiatric practice. They provide viable treatment options for many conditions that we treat. However, there are also associated hard costs with orthotics that can be a financial detriment to the practice if the office cannot collect fees in a timely fashion.
Obviously, your staff should be very aware of coverage criteria for the principal insurance companies that your office commonly deals with when it comes to payment for any service rendered in the office. This will save a lot of time in determining whether orthotics may be a covered benefit f

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