Volume 15 - Issue 6 - June 2002
Do enough people know about your practice? Do enough primary care doctors know about your practice? Are you getting enough referrals or are most of them going to the DPM two blocks over? Several DPMs and a podiatric assistant say you have to be skilled in patient empathy, excel at staff relations and be a savvy marketer, among other things, if you want to build and sustain a thriving podiatric practice.
Stress fractures in and around the ankle are most often due to repetitive stress. These injuries are often underdiagnosed and may be misdiagnosed as “shin splints.” In fact, the symptoms may persist for an extended period before the diagnosis of a stress fracture is even made. One reason for this is these types of injuries are often sports-related. Athletes, in general, may have a higher pain threshold and continue to exercise, which can exacerbate symptoms.
At the Palo Alto Medical Foundation, we see a predominantly athletic population in our sports medicine department. Our goal is not
Currently, over 34 million Americans are age 65 and over. This figure is expected to double to over 68 million by the year 2030. As a result, there has been a tremendous growth in nursing homes and the related federal regulations that oversee these facilities. Pressure ulcers are particularly problematic in this patient population. According to the Agency for Health Care Policy and Research (AHCPR) guidelines, the incidence of pressure ulcers (often referred to as bedsores) in long-term care facilities was estimated to be as high as 23 percent in 1989.
Pressure ulcers (also called decubitus
There are a number of keratotic and painful lesions that form on the weightbearing and pressure areas of the foot. You’ll often find that many of these conditions won’t respond to simple debridement and padding, and ultimately prove to be difficult to treat. In general, hyperkeratosis indicates an increased keratinocyte activity resulting from stimulation of the epidermis by intermittent or increased pressure.
Abnormalities in keratinization may represent thickenings, which are commonly referred to as corns, calluses, helomas, hyperkeratoses or tylomas. However, be aware that several unre
Numerous patients use orthotics and have improved foot function as a result of wearing them. Not only do they experience relief from previous pain and symptoms, but wearing orthotics also helps to prevent recurrence of foot, leg and other skeletal pains and conditions. Unfortunately, there are also numbers of patients who are either unable to tolerate their orthotics or are not getting symptomatic relief. We are often asked to evaluate many of these patients and assist them in getting better results from their orthotics.
People may hear about orthotics in different ways, whether it’s throug
Diabetes Watch »
Post-surgical hypertrophic bone formation can be a frustrating problem. It has been identified at fracture, osteotomy and amputation sites. The majority of patients with hypertrophic bone formation are largely asymptomatic and practitioners often identify the condition via radiographs they get for other pathologies. However, those who are symptomatic often have a problematic non-healing wound at the site and can complain of pain, swelling or even decreased range of motion if a joint is involved.
Most of the literature addresses hypertrophic bone formation as a complication associated with ac
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