Volume 21 - Issue 6 - June 2008

Technology In Practice »

Can The HyProCure Implant Provide The Answer For Hyperpronation?

By Robi Garthwait, Contributing Editor | 7451 reads | 3 comments

For DPMs dealing with the common condition of hyperpronation, the HyProCure Sinus Tarsi Implant may be one of the more intriguing treatment options to date.
Composed of medical grade titanium, the implant serves as an internal orthotic that essentially turns the negative space of the sinus tarsi into a positive space, according to the implant’s manufacturer Gramedica.
Gramedica says the HyProCure implant is stronger than bone and requires one small incision for insertion without the need for casting after the procedure. Paul Clint Jones, DPM, has su



Feature »

Recommending Athletic Footwear For Runners

By Douglas Richie Jr., DPM | 5563 reads | 0 comments

What is a good running shoe? How often are you asked this question? It seems that whenever a stranger learns that you are a podiatric physician, the first question he or she asks is about a shoe. Rather than asking how we can prevent foot amputations in patients with diabetes, the average American is more interested in what shoe a podiatrist is recommending.
Yet when it comes to footwear recommendations, most podiatric physicians have very little objective information on which to base their opinions. Having 25 years of clinical experience in podiatric sports medicine practice, I wou



Forum »

Why ACFAS Members Should Stay In The APMA

By John H. McCord, DPM | 1487 reads | 0 comments

I have been a member of the American Podiatric Medical Association (APMA) for 33 years. I joined the American College of Foot and Ankle Surgeons (ACFAS) 14 years ago. I plan to continue my membership in both organizations. I voted against the proposed bylaw amendment for ACFAS to allow renewal of membership without membership in the APMA.

The ACFAS has done much to advance the scope and quality of podiatric foot and ankle surgery. However, I disagree with the college’s single pathway to fellowship. Diplomate status in the American Board of Podiatric Surgery is the only way to



News and Trends »

ACFAS Members Vote Against Dual APMA Membership

Brian McCurdy, Senior Editor | 3101 reads | 0 comments

The membership of the American College of Foot and Ankle Surgeons (ACFAS) has agreed with the college’s board of directors that renewing members do not have to maintain membership in the American Podiatric Medical Association (APMA).

In the recent vote, 53 percent supported the board’s original decision from last fall. Podiatric surgeons must still be members of the APMA when they join the ACFAS but can drop association membership when they renew college membership. Reportedly 66 percent of the ACFAS membership cast their votes on this issue.

John Giuri



Diabetes Watch »

Understanding The Impact Of Diabetic Neuropathy On Gait

By Gordon Zernich, CP, BOCPO, Tomas Dowell, CPO, LPO, and Ronald B. Tolchin, DO, FAAPM&R | 7754 reads | 0 comments

Sensory neuropathy is the most common form of diabetic neuropathy. Nerve damage results from poorly managed and chronically high levels of blood sugar. In patients who have type 1 diabetes, which usually affects those 25 years and younger, there is insulin deficiency. In regard to people with type 2 diabetes, their insulin production inadequately meets the body’s daily need to metabolize sugar and starches found in such foods as bread, potatoes, rice and corn.
In sensory polyneuropathy, nerve damage occurs many years after the onset of type 1 diabetes and poor glycemic m



Dermatology Diagnosis »

When A Patient Presents With Symmetrical Lesions On The Toes

By M. Joel Morse, DPM | 8907 reads | 0 comments

A 32-year-old Caucasian female presents to the office with swollen, sore, irritated, itchy toes of both feet and a symmetrical distribution on the tops of the toes.
She notes that the redness started four weeks ago. It was on the third toe initially but is now on other toes as well, according to the patient. There is no scaling or maceration in the interspaces, and no scaling on the rest of the foot.




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