Volume 16 - Issue 11 - November 2003

Feature »

How To Manage Lateral Ankle Sprains

By John Hester, DPM, PT | 10342 reads | 0 comments

Ankle sprains occur at a rate of roughly 25,000 per day nationwide, account for 10 percent of all emergency department visits and represent 25 percent of all sports injuries (and 25 percent of all time lost from sports).1-3 Ankle sprains are particularly prevalent in sports such as basketball and soccer with ankle sprains representing approximately 50 percent of all basketball injuries and 30 percent of all soccer injuries.4
Yet an estimated 55 percent of people who experience an ankle sprain will not seek professional treatment.5 This is unfortunate since mos



Continuing Education »

A Guide To Conservative Treatment For Heel Pain

By John Mozena, DPM | 13061 reads | 0 comments

Plantar fasciitis is certainly one of the most common conditions we see in podiatric practice and more than 90 percent of patients are cured with conservative treatment.1 It sounds relatively simple. Well, in order to consistently facilitate successful outcomes, not only must one have a strong anatomical understanding of the plantar fascia, there must also be a strong command of the various causes of the condition, key diagnostic indicators and when to apply various treatment solutions in the armamentarium.



Editor's Perspective »

In Search Of An Offloading Standard

By Jeff Hall, Editor-in-Chief | 1997 reads | 0 comments

When it comes to multicenter clinical trials for various wound care modalities, it stands to reason all the elements of the study should be constant with the key variable being the modality or modalities one is comparing in order to determine the efficacy. However, what if one of those study elements (say offloading) is handled differently by the researchers involved in the study? Wouldn’t that detract from the validity of the results?
It’s a significant question raised in a recent Diabetes Care editorial, “Trials In Neuropathic Diabetic Foot Ulceration,” penned by David Arm



Forum »

When A Rude Patient Disrespects Your Staff

By John H. McCord, DPM | 8499 reads | 3 comments

I have a rule for my staff. If any of them treats a patient with disrespect, that employee is immediately terminated. I have the same rule for my patients regarding their treatment of my staff. Recently, a young, new receptionist came to me upset about something. She told me one of our patients called about his appointment and when she asked him to hold so she could check the time, he called her a “dumb b----” and hung up.
I looked at the man’s chart and noted he had been disrespectful to the female staff on other occasions. I called Mr. Jones.
“Hank, this is Dr. McCord. Could I spea



Letters »

A Closer Look At Federal Funding For Residencies

5179 reads | 0 comments

I am writing to you regarding some misinformation that is contained within the editorial section of the August 2003 issue (see “Editor’s Perspective,” page 18, August issue). I am a residency director and consider myself fairly conversant with current residency reimbursement issues, that is to say how residency programs in general and podiatric residencies in particular are reimbursed from the federal government.
For too long, the popular myth has been that residencies, in general, “make” hospitals money. It may be true that the presence of a residency may well encourage the medical



News and Trends »

Does Compliance Hamper The Efficacy Of Removable Cast Walkers?

By Brian McCurdy, Associate Editor | 5357 reads | 0 comments

Compliance may be an issue for diabetic patients wearing removable cast walkers, according to the results of a recent study on activity patterns. A recent study in Diabetes Care assesses the activity patterns of those with diabetic foot ulcerations and finds those involved in the study did not have adequate plantar pressure relief for nearly 75 percent of the steps they were taking.
The study tracked 20 patients with neuropathic diabetic foot wounds, which were all classified as University of Texas grade 1 stage A. The patients each received a standard removable cast walker (Royce Me



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