Volume 16 - Issue 11 - November 2003

Diagnostic Dilemmas »

Diagnosing Different Types Of Heel Ulcers

Guest Clinical Editor: Tamara D. Fishman, DPM | 31948 reads | 0 comments

When a patient presents with an ulcer on the heel, one must perform an in-depth examination because distinctions among different types of ulcers can be subtle. Prompt, appropriate treatment is essential and it is also critical to assess predisposing risk factors and what can be done to help minimize these risks. With this in mind, let’s take a look at the following case study.
A 58-year-old Caucasian male had recently been hospitalized because he fell and broke his right hip. While he was in the hospital, the patient developed the condition on his right heel (as seen in the photo below). T



Surgical Pearls »

A Pertinent Guide To Basic Ankle Arthroscopy

By Jesse B. Burks, DPM | 20218 reads | 0 comments

Surgery in general seems to gravitate toward smaller and less invasive procedures. Obviously, the less tissue disruption that occurs during surgery, the less risk one has of postoperative complications such as scarring, infections, delayed healing, etc. Although this may not be true with every surgical advance, arthroscopy has revolutionized the treatment of joint disorders and allowed many of these common complications to be almost entirely eliminated.
Increasing indications for this technique include the treatment of subtalar, calcaneal cuboid and first metatarsal disorders. However, for t



Feature »

A Closer Look At Tarsal Tunnel Syndrome

By James Thomas, DPM | 27346 reads | 0 comments

Symptoms associated with compression of the posterior tibial nerve and its branches first appeared in the literature in the early ‘60s.1-3 Since these early reports over 40 years ago, tarsal tunnel syndrome has become one of the most written about and discussed foot and ankle pathologies. Yet, even with the vast amount of literature on the subject, tarsal tunnel syndrome often remains somewhat elusive in regard to diagnosis and treatment.
When inspecting the anatomy of the posterior tibial nerve, it is easy to appreciate why compression neuropathy may occur. Entrapment may occur



Point-Counterpoint »

Extracorporeal Shockwave Therapy: Hope Or Hype?

By Lowell Scott Weil, Jr., DPM, MBA; By Patrick A. DeHeer, DPM, with Stephen M. Offutt, DPM, Gary A. Trent, DPM, and Michael J. Baker, DPM | 53606 reads | 0 comments

Hope. Lowell Scott Weil Jr., DPM, says ESWT is a non-invasive alternative with minimal risk for patients who have failed conservative treatment for plantar fasciitis.

Medical devices and technology are constantly changing and evolving with the “newest and best” treatments being constantly promoted. Whenever new treatments emerge, they must be looked at carefully and critically to assess their efficacy and safety. They must also be compared to the currently accepted treatments and their benefits over those modalities.
Extracorporeal shockwave therapy (ESWT) for the treatment of musculos



Feature »

How To Market Your Practice Via The Office Brochure

By Michael Z. Metzger, DPM, MBA | 8790 reads | 0 comments

The office brochure is an effective and comparatively inexpensive method for both internal and external marketing of your practice. With the advent of desktop publishing, almost anyone with a computer and a few hours can design, write and edit the brochure. Once it is printed, you can use the brochure to promote your practice effectively to present and future patients, referring physicians and insurance companies.
However, to be successful, you must understand certain concepts such as color, paper weight, font and layout. At one time, an office brochure was considered a tool for only the most



Feature »

How To Manage Lateral Ankle Sprains

By John Hester, DPM, PT | 10347 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