Volume 15 - Issue 6 - June 2002

Forum »

Staying Claim-Free During The Malpractice 'Crisis'

By John McCord, DPM | 2620 reads | 0 comments

I received a letter last week about another crisis approaching podiatry. The letter was from my insurance company and it warned that premiums were going up because of the malpractice crisis. In my mind, malpractice isn’t a crisis until I become a defendant. In 27 years, I have not had that pleasure. Yet.
I review closed claims for my state podiatry licensing board. I have not noticed an increase in the number of claims but the settlements and jury awards are climbing like a homesick angel. Twenty years ago, a $75,000 settlement was shocking. The last case I saw had a $1.3 million jury verd



Managed Care Insider »

How To Fight Discrimination In Managed Care

By Stephen Monaco, DPM | 3415 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 | 2086 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

2470 reads | 0 comments

Orthotics Q&A »

Taking A Closer Look At Rearfoot Posting

89105 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 | 27013 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