Volume 16 - Issue 6 - June 2003

News and Trends »

Could Old Ankle Sprains Hamper Fitness Efforts?

By Brian McCurdy, Associate Editor | 7527 reads | 0 comments

Have you been seeing an increase in lateral ankle pain among baby boomers who have recently resumed regular exercising or sports activities? Sports medicine experts say the pain may be the result of old ankle sprains that haven’t healed properly and recommend checking the ankles of these patients for chronic instability.
An estimated 25 percent of sports injuries involve the foot or ankle, according to the American College of Foot and Ankle Surgeons (ACFAS), and a majority of these result from incomplete rehabilitation of earlier injuries.
Robert Duggan, DPM, says rigorous physical activi



Practice Builders »

How Will The New Coding Changes Affect Your Practice?

By Billie C. Bradford, MBA | 17850 reads | 0 comments

It happens every year. All healthcare professionals have learned to anticipate annual changes in Medicare regulations, coding and reimbursement. However, this year’s delays and payment uncertainties definitely qualify 2003 as one of the worst years yet for physicians trying to do some financial planning for their practices.
For starters, the Centers for Medicare and Medicaid Services (CMS) released its 2003 Medicare Physician Fee Schedule and Final Rule on Dec. 31, 2002, two months behind schedule. As a result of that delay, the payment rates for 2003 were amended to take effect on March 1,



Sports Medicine »

Treating Foot And Ankle Injuries In Ballet Dancers

By Mark A. Caselli, DPM | 61473 reads | 0 comments

The dancer’s feet are comparable to a concert pianist’s hands. Extensive training, often beginning before the age of 10, is common, especially among girls. Through the years, changing styles and great leaps have placed increased strain on the foot, resulting in the variety of dance injuries we must diagnose and treat today.
In a follow-up to the last column (see “How To Identify And Treat Common Ballet Injuries,” pg. 70, April issue), let’s take a closer look at other common foot and ankle injuries that affect ballet dancers.
The most common acute injury in theatrical dance is the



Technology In Practice »

New Wound Dressing Offers Promise Of Improved Healing

By Brian McCurdy, Associate Editor | 3924 reads | 0 comments

It can be challenging to maintain an optimum environment for wound healing in certain patients. It can also be challenging to sift through the vast array of wound care dressings on the market and find the right one that will help your patient. However, you may welcome the arrival of a new dressing that is reportedly cost-effective, easy to use and has a wide range of potential indications.
You can use the phytacare Alginate Hydrogel wound dressing to treat a wide variety of lower extremity wounds, ranging from diabetic ulcers and pressure ulcers to abrasions and second-degree burns, accordin



Feature »

How To Triumph Over Shin Pain

By Nicholas M. Romansky, DPM, and David C. Erfle, DPM | 35142 reads | 0 comments

Shin splints are common among runners and individuals who participate in soccer, football, field hockey, lacrosse, etc. This overuse injury usually develops gradually over a period of weeks to months but may occur after a single, excessive bout of exercise. Individuals typically complain of pain in one of two locations: the lower inside half of the tibia and, less commonly, the upper outside portion of the tibia.
Shin splints, also known as medial tibial stress syndrome, are an inflammation of the soft tissue surrounding the bone lining of the tibia at the origin of several leg muscles. Exce



Continuing Education »

How To Diagnose And Treat Foreign Body Injuries

By Tamara D. Fishman, DPM | 65914 reads | 0 comments

Puncture wounds caused by foreign bodies can be deceptive in appearance. This is because many show little or no signs of external damage, yet they may have caused a serious internal injury. Some of the more common objects that cause these injuries include nails, pins or tacks, wood, glass and thorns. There is usually little bleeding from puncture wounds and these wounds seem to close almost immediately.

However, this does not mean treatment is not necessary. Puncture wounds do have a risk of becoming infected. The object that caused the wound may carry spores of tetanus or other bacteria



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