Volume 22 - Issue 4 - April 2009

News and Trends »

April 2009

Brian McCurdy, Senior Editor; Lauren A. Grant, Editorial Assistant | 3416 reads | 0 comments

Does Diabetes Thwart The Impact Of ESWT For Plantar Fasciitis?

By Brian McCurdy, Senior Editor

   In a recent retrospective study of extracorporeal shockwave therapy (ESWT), researchers found a greater than 70 percent success rate in treating plantar fasciitis at three months and 12 months after treatment. The study authors also found that the presence of diabetes or psychological issues may have a negative impact upon ESWT results.

   The study, which was recently published in the Journal of Foot and Ankle Surgery (JFAS), offered a retrosp



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Everything You Should Know About Hiring An Associate

Brian McCurdy, Senior Editor | 8723 reads | 0 comments

When hiring another DPM as an associate in your practice, it is important to find a capable practitioner who will enhance patient care and fit in well with you and your staff. This author speaks to practice management experts who offer a guide of what to look for and what to avoid when searching for an associate.

   As your podiatry practice begins to flourish, you may find yourself in need of an associate DPM who can take on some of your patient load and draw more patients to your practice. Although you may have numerous candidates for the job, it is vital to choose a new as



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Keys To Differentiating Eczematous Eruptions In The Pedal Skin

M. Joel Morse, DPM, and Rhonda Cornell, DPM | 26262 reads | 0 comments

Eczema can arise in various permutations ranging from nummular eczema and atopic dermatitis to xerotic eczema and hyperkeratotic plantar eczema. Accordingly, these authors review key clinical signs, possible etiologies and exacerbating factors, and appropriate treatment considerations.

   Eczema, a form of dermatitis or inflammation of the superficial layers of the skin, is the most common skin reaction that podiatrists encounter.1 It is an acute inflammatory cutaneous eruption characterized by itching, redness, papules, vesicles, edema, serous discharge, dryness,



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Are Root Biomechanics Dying?

Kevin A. Kirby, DPM | 32288 reads | 1 comments

Yes. While Dr. Root made a number of substantial contributions to the profession, this author says emerging research has exposed flaws with the subtalar joint neutral theory and the curriculum at podiatry schools has shifted toward alternate theories of foot function.

   Forty-three years ago, Merton L. Root, DPM, established and became director of the first Department of Orthopedics at the California College of Chiropody. This college later became the California College of Podiatric Medicine and is now the California School of Podiatric Medicine at Samuel Merritt University.



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How To Treat Hallux Rigidus In Runners

Doug Richie Jr., DPM | 82855 reads | 0 comments

Given the lack of studies that have specifically addressed hallux rigidus in runners, this author reviews the existing literature on the condition, defuses a couple of biomechanical myths and offers salient pointers on a variety of treatment options ranging from orthotic therapy to arthrodesis.

   Perhaps no other condition treated by the podiatric physician is more controversial and more poorly understood than hallux rigidus. Even less understood are the effects of this pathology on the running athlete or the selection of proper treatment interventions that ensure optimal re



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How To Minimize Legal Risks With Bunionectomy Complications

Allen Jacobs, DPM, FACFAS | 14471 reads | 0 comments

There are proactive measures podiatric surgeons can take to minimize the risk of litigation with bunion procedures. Accordingly, this author emphasizes informed consent, proper patient and procedure selection, and thorough documentation before, during and after surgery.

   In his classic 1965 textbook, Hallux Valgus, Allied Deformities Of The Forefoot And Metatarsalgia, Kelikian listed the most common complications associated with surgery for the repair of bunion deformity (see “A Guide To Common Complications With Bunion Surgery” on page 40).1 Over 43 years