Volume 17 - Issue 4 - April 2004

Orthotics Q&A »

A Guide To Prescribing Orthotics For Alpine Skiing

Guest Clinical Editor: Nicholas Sol, DPM, CPed | 9560 reads | 0 comments

Patients who tackle the slopes have specific requirements for orthotics. In addition to reviewing the pedal mechanics and biomechanics of skiing, our expert panelists take a closer look at the design of ski boots and what impact the skier’s skill level will have on prescribing an appropriate orthotic. Without further delay, here is what they had to say.

Q: What pedal mechanics are unique to skiing?
A:
During alpine skiing, the patient’s lower extremities never go through a complete gait cycle, notes Nicholas Sol, DPM, CPed. He says skiers should ideally have knee flexion during



Sports Medicine »

Managing Hallux Rigidus In The Athlete

By Mark A. Caselli, DPM | 58362 reads | 0 comments

Hallux rigidus is a painful and insidious condition that can lead to significant limitations in an athlete’s ability to perform. The condition is characterized by a limitation of motion in the first metatarsophalangeal joint (MTPJ), chiefly in the direction of dorsiflexion. This limitation of motion is caused by a reactive proliferation of bone along the dorsal aspect of the joint and is associated with painful, degenerative arthrosis of the first MTPJ.
There are an extensive number of conditions that can result in hallux rigidus (see “A Review Of Potential Hallux Rigidus Etiologies” b



Practice Builders »

How To Avoid Financial Gridlock In A Group Practice

By Christopher R. Jarvis, MBA and David B. Mandell, JD, MBA | 3416 reads | 0 comments

Over the past few years, we have written many articles on potential strategies that podiatrists can use to reduce income taxes, increase benefits or build retirement savings. Unfortunately, these consultations often turn out to be less than fruitful because of office politics.

While the younger members of a podiatry group are often very motivated to reduce their income taxes, the older, more established doctors are often uninterested. Either they are already so close to retirement that they don’t need extra retirement planning or they are simply set in their ways and don’t want to chang



Feature »

A Guide To Preventing And Managing Golf Injuries

By Kirk Herring, DPM, and Kelli Pearson, DC | 12793 reads | 0 comments

Over 25 million Americans play golf on a regular basis.1 Unlike many athletes, golfers also remain active well into their later years.2 With the aging of the adult population, increasing numbers of seniors will turn or return to golf for exercise and pleasure. Given the increasing numbers of people playing golf, you may start to see more patients presenting with golf-related injuries.
Golf-related injuries are commonly attributed to the repetitive nature of the golf swing and a long day of walking and standing.3,4 One may also see an increased incidence of ove



Feature »

Key Insights To Treating Talipes Equinovarus

By Edwin Harris, DPM | 15849 reads | 0 comments

Since the first recognition of talipes equinovarus (TEV), the only treatment options have been closed reduction through manipulation with immobilizing techniques and surgical correction. The goal of treatment is ensuring a painless, plantigrade, supple foot with good range of motion and normal function. However, there has been a significant evolution in the treatment of TEV over the years. In fact, there are over 2,600 literature references on the subject.
TEV is an anatomically and etiologically complex condition. Understanding the morbid anatomy is crucial for successful conservative and su



Feature »

How To Detect Peripheral Arterial Disease

By Peter A. Blume, DPM, Jonathan J. Key, DPM, Bauer E. Sumpio, MD, PhD | 16359 reads | 0 comments

Peripheral arterial disease (PAD) affects 12 million people in the United States.1 More than half of the patients with PAD are asymptomatic or have atypical symptoms.2 PAD is a narrowing of blood vessels characterized by atherosclerotic occlusive disease of the lower extremities, restricting blood flow. There are many causes of PAD. In addition to a major risk factor like smoking, diseases such as diabetes, Buerger’s disease, hypertension and Raynaud’s disease predispose patients to developing PAD.
Inadequate perfusion to the lower extremity will always result in a n



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