Volume 16 - Issue 9 - September 2003
In order to help bring orthotic therapy into sharper focus, some of the top thinkers on biomechanics share their insights on various orthotic materials. They discuss the importance of addressing the patient’s specific activity and pathology in arriving at an appropriate orthotic prescription, and offer their views and experiences on the efficacy of various orthotic materials. Without further delay, here’s what they had to say to questions posed by Robert Phillips, DPM.
Q: What type of feet do you feel almost always need rigid orthotics? What type of feet should never be put into a
I ran into a young family physician in the hospital last week. He is one of the sharpest new doctors in our community and refers to podiatrists often. He looked terrible and seemed almost in shock. He let me know his job had just been terminated at the clinic where he was employed. He had one day to discharge his patients from the hospital or turn them over to other physicians. He was being replaced by a physician’s assistant.
The bad stuff that our profession dealt with in the 1990s because of health care reform is still happening to our MD friends. We often complained during the ‘70s an
News and Trends »
Students pursuing a career in podiatry will have a new option when Midwestern University unveils a new podiatric medicine program in October 2004. The university, located in Glendale, Ariz., will become the seventh member of the American Association of Colleges of Podiatric Medicine (AACPM) in 2005 and its new four-year program will have slots for 30 students. Jeffrey C. Page, DPM, the Director of the Arizona Podiatric Medical Program at Midwestern University, says the program will address a strong future demand for DPMs as well as the needs of the surrounding community.
Citing 1999 projectio
Diabetes Watch »
As the complexity and price of wound care materials seems to be reaching mind-numbing proportions, choosing the right product for your patients seems to be getting harder instead of easier. However, taking into account cost, effectiveness and availability, one would be hard pressed to find a product better than zinc oxide.
Although it is most commonly associated with diaper rash ointments and Unna boot wraps, zinc oxide has remained relatively underused in podiatry offices and in wound care centers. Considering that more than 300 enzymes are dependent on zinc for activity such as matrix metal
Surgical Pearls »
Keck first described tarsal tunnel syndrome in the literature back in 1962 and it remains a controversial topic today.1 While tarsal tunnel syndrome is a prevalent and common condition, lower extremity peripheral nerve entrapments and other nerve pathology can be clinically difficult to appreciate and understand. Needless to say, making a decision to proceed with surgical intervention for this condition can also be difficult.
Experienced practitioners with a high degree of neurological understanding and appreciation for peripheral nerve pathology are more likely to focus on these p
Diagnostic Dilemmas »
A very difficult patient for me to treat is a young patient who has rheumatoid arthritis with severe deformity of the foot and ankle. This is typically a patient whose age may range from the late 20s to late 50s and is active except for his or her foot pain. With this in mind, let’s consider the following case study.
A 27-year-old female presented with a 12-year history of rheumatoid arthritis and extreme pain and deformity of the forefoot. While both feet are painful, she says the left foot is more severe than the right. The patient says the pain is in the region of the lateral fourth and