Volume 15 - Issue 6 - June 2002

Managed Care Insider »

How To Fight Discrimination In Managed Care

By Stephen Monaco, DPM | 3360 reads | 0 comments

Nothing makes us more angry and frustrated than discrimination based on participation and reimbursement levels. One of the classic examples is when we perform a bunionectomy and get reimbursed at a lower rate than an MD or DO for doing the same procedure. Indeed, the cost-cutting measures and restrictive practices of insurers make discrimination an everyday reality in our practices. Often, insurers will take advantage of our ignorance of the law to improve their own profit margins.
Are there any steps we can take to help ensure fair and equal payment for the services we provide to our patien



News and Trends »

Study Shows Healing Promise For Hyaluronan

By Brian McCurdy, Associate Editor | 2059 reads | 0 comments

Can hyaluronan therapy help you achieve better treatment results with indolent diabetic foot ulcers? Indeed, researchers do believe that hyaluronan-containing dressings may provide adjunctive benefits in facilitating quicker healing. According to a recent study presented at the 15th Annual Symposium On Advanced Wound Care, a healing regimen that included the hyaluronan dressings took an average of 8.6 weeks.
All 36 patients in the study underwent surgical debridement for their diabetic foot wounds and were placed on therapy consisting of hyaluronan dressings (Hyalofill, ConvaTec) with dre



Orthotics Q&A »

Taking A Closer Look At Rearfoot Posting

2425 reads | 0 comments

Orthotics Q&A »

Taking A Closer Look At Rearfoot Posting

88732 reads | 2 comments

Using rearfoot posts on custom foot orthoses has become a mainstay of orthotic therapy in podiatry. However, it has been shown that measuring neutral position of the subtalar joint via inversion and eversion of the calcaneus is flawed in terms of its reproducibility. Studies concerning whether neutral position of the subtalar joint is a viable method of assessment have questioned the foundation of podiatric biomechanics. Yet in offices around the world, the 4-degree varus rearfoot post seems to be a standard approach.
With this in mind, our expert panelists offer their take on this issue.



Sports Medicine »

Is Peroneal Spastic Flatfoot Causing Chronic Ankle Pain?

By Mark A. Caselli, DPM | 26513 reads | 0 comments

A 14-year-old male athlete comes into your office with a chief complaint of ankle pain. He says he had the pain right after a soccer match. His parents and coach concluded that he had sprained his ankle. However, despite treatment, which consisted of rest, ice and the use of an Ace wrap, the patient’s pain continued for two months. He has pain in his ankle when standing and walking, and is not able to run or return to play.
Upon further questioning, you find out that neither his foot nor his ankle were ever swollen or ecchymotic, and he cannot recall an exact instance of twisting his ankle



Editor's Perspective »

Are Docs Getting Too Cozy With Drug Companies?

By Jeff Hall, Editor | 1612 reads | 0 comments

Sometimes, it’s the subtle comment that gives you pause. Shortly after giving a lecture at a recent conference, a DPM found out that a particular company had sponsored the series of lectures he had participated in and he expressed regret. “If I had known (the company) was sponsoring the lecture, I would have mentioned their product.”
Then there are the more outrageous examples of drug company influence, like the one captured in an éxpose on ABC’s Primetime earlier this year. On the program, a doctor revealed that he had received approximately $10,000 worth of freebies from var



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