Volume 17 - Issue 5 - May 2004

New Products »

Suspending Patients' Pain

4178 reads | 0 comments

Looking for something to support the orthotic you’re already using?
Look no further than the Arch Suspender, which has lifting straps that provide adjustable support for the talonavicular joint and/or calcaneal cuboid joint. The product supports the custom Richie Brace® orthotic.

While applying ankle tape to the medial arch and leg has provided temporary relief for posterior tibial tendon dysfunction (PTTD), the Arch Suspender’s adjustable strapping provides “maximum support and comfort,” according to patent holder Douglas Richie, DPM.
He says you can apply the Arch

News and Trends »

Study Sheds New Light On Therapeutic Footwear For Patients With Diabetes

By Brian McCurdy, Associate Editor | 9386 reads | 0 comments

While there has been a plethora of studies in recent years that have tackled therapeutic footwear for people with diabetes, a new study reveals a dramatically lower rate of foot ulcers among those who wear therapeutic footwear and insoles. The study, which was published recently in Diabetes Care, found that 33 percent of patients who wore their own shoes had new foot lesions while approximately four percent of those who wore therapeutic footwear and insoles experienced new ulcers.
The study, which was conducted in India, tracked 241 patients with diabetes who either had previous foot u

Surgical Pearls »

Learning From Failed Talonavicular Fusions

By Jesse B. Burks, DPM | 10250 reads | 0 comments

Isolated fusions of the rearfoot have long been a choice of many podiatric foot and ankle surgeons for conditions such as coalitions, arthrosis and symptomatic flatfoot deformities. Persuasive arguments can be made for fusion of the calcaneocuboid, subtalar or talonavicular joints, especially when it comes to deformities such as the symptomatic flatfoot. While each of these procedures provide certain benefits for surgeons, they can present their own unique intraoperative and postoperative challenges as well.
With this in mind, I would like to share my thoughts as to why my talonavicular (TN)

Wound Care Q&A »

Managing Venous Ulcers In The Lower Extremity

Clinical Editor: Lawrence Karlock, DPM | 6143 reads | 0 comments

Given the potentially serious nature of venous ulcers in the lower extremity, our expert panelists take a closer look at key risk factors and share their treatment approaches to this condition. Drawing from their experience, they also discuss topical treatments, the use of bioengineered skin substitutes and surgical procedures.

Q: What risk factors predispose patients to the development of lower extremity venous ulcers?
Mark Hirko, MD, and Lawrence Karlock, DPM, agree that risks include prior deep venous thromboses (DVT), morbid obesity, lower extremity trauma and chronic venous

Feature »

Key Strategies For Protecting A/R Accounts

By David Edward Marcinko, MBA, CFP©, CMP© | 6556 reads | 0 comments

Whether they are due from patients, insurance companies, HMOs, Medicare, Medicaid or other third-party payers, accounts receivable (A/R) are the lifeblood of any medical practice. Unfortunately, it is not unusual for a podiatry practice to wait six, nine, 12 months or longer for payment. In fact, older A/R are often written off or charged back as bad debt expenses and never collected at all.

Also keep in mind that A/R are often the biggest practice asset to protect against creditors or adverse legal judgements. A judgement creditor pursuing you for a claim may pursue the assets of your prac

Feature »

Conquering Conservative Care For Heel Pain

By James M. Losito, DPM | 18570 reads | 0 comments

Heel pain is certainly one of the most ubiquitous complaints among our patients. Plantar heel pain is by far the most common location with proximal plantar fasciitis (heel spur syndrome) accounting for the majority of cases. Proximal plantar fasciitis, otherwise referred to as heel spur syndrome, is common in any podiatric practice and is certainly the most frequently encountered etiology of heel pain. Plantar fasciitis has been reported to comprise up to 10 percent of all foot and ankle injuries.
The clinical presentation consists of insidious onset plantar or plantar/medial heel pain. In m