Volume 26 - Issue 4 - April 2013

Feature »

What You Should Know About Accountable Care Organizations

Beth A. Kase, JD | 7430 reads | 0 comments

Accountable care organizations (ACOs) may permit podiatric physicians to participate in shared savings via a Medicare program. This author details how podiatric practices can take advantage of ACO participation and provides insights on the specifics of the programs.

News and Trends »

April 2013

2627 reads | 0 comments

Extracorporeal shockwave therapy (ESWT) has been a time-tested and effective treatment for Achilles tendinopathy. However, combining ESWT with platelet rich plasma (PRP) may be a particularly effective treatment, according to a new poster abstract that was recently presented at the American College of Foot and Ankle Surgeons (ACFAS) Annual Scientific Conference.

Diabetes Watch »

Emerging Insights On Ex-Fix Offloading For Diabetic Foot Ulcers

William P. Grant, DPM, FACFAS, Lisa M. Grant, and Bryan R. Barbato, BS | 6572 reads | 0 comments

It is well understood that unremitting pressure is a major etiologic factor in both the creation and persistence of diabetic foot ulcers. Sensory neuropathy in combination with autonomic and motor neuropathy readily produces foot deformities with bony prominences and skin lacking normal protective sensibility. Further complicating the problem, alteration in tendon morphology and its function produces increased plantar pressures as well as temporal alteration in the phasic gait cycle that can destroy the protective barrier of the skin beneath the foot.

Dermatology Diagnosis »

When A Patient Has A Post-Op Bullous Reaction

William Fishco, DPM, FACFAS | 9269 reads | 5 comments

A 39-year-old female presented to my office with a chief complaint of pain surrounding both great toe joints. She had symptoms for five to six years. Prior treatment measures included wearing wider shoes and bunion pads. Her main area of pain was on the medial bony prominence at the great toe joint.

Orthotics Q&A »

Can Orthoses Have An Impact For Bunions, Hammertoes And Morton’s Neuromas?

Guest Clinical Editor: James Clough, DPM, FACFAS | 10840 reads | 0 comments

These expert panelists examine the role of orthoses in the management of common clinical presentations such as bunions, hammertoes and Morton’s neuromas.

Sports Medicine »

Treating Lower Extremity Conditions Of Special Olympics Athletes

David W. Jenkins, DPM, FAAPSM | 8253 reads | 0 comments

One of the most rewarding aspects of my 34-year career in podiatric medicine has been my involvement in Special Olympics. Besides the joy of working and interacting with these amazing athletes, we are able to provide a valuable service via foot screening exams (Fit Feet) that have been instrumental in the prevention of lower extremity problems, and helpful in improving comfort and performance.