Volume 21 - Issue 6 - June 2008
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
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 »
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.
Diabetes Watch »
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 »
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.
Orthotics Q&A »
Choosing the most effective type of orthotic device for a given condition can be tricky as one must consider factors that include materials, potential modifications and cost.
Accordingly, the panelists discuss possible indications for OTC orthoses, conditions that are particularly challenging to treat with orthotics and the role of functional foot orthoses in managing bunion deformities.
Q: Are all prefabricated, over-the-counter (OTC) foot support systems essentially the same? Are there unique characteristics of any of the devices which makes them better s
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