Volume 17 - Issue 6 - June 2004
Complex regional pain syndrome (CRPS) has emerged as one of the more controversial topics in podiatry in recent years. Not only are there no clear-cut answers in regard to the etiology of the condition, standard terminology for describing the condition has been equally elusive in the past. With this in mind, expert panelists discuss various issues in diagnosing and treating this condition.
Q: We have all heard different terms used for this condition, including reflex sympathetic dystrophy (RSD), complex regional pain syndrome (CRPS), causalgia and Sudek’s Atrophy. What is the current
Congratulations to John McCord, DPM. The reaction from several sources to his recent Forum column on “gimmicks” (“Thinking Twice About Revenue Enhancement Opportunities,” page 82 in the April issue) has generated enough emotion to compel my response. In general, Dr McCord’s view of the podiatry profession is discouraging to podiatrists who desire to enhance their knowledge and skills. Furthermore, his portrayal of diagnostic ultrasound is inaccurate and misleading.
Actually, I am disappointed that a Podiatry Today Editorial Advisory Board member believes that a podiatrist is
Diabetes Watch »
Serious foot infections result from a combination of factors including disease, injury, neuropathy, vascular impairment and insufficient wound healing. Diabetic patients, in particular, are at high risk of developing serious complications in lower extremities that can lead to amputation. Of the estimated 17 million people who have Type 1 and Type 2 diabetes, almost 15 percent will undergo lower extremity amputation during their lifetime.1,2 Approximately 80 percent of diabetes-related amputations are preceded by chronic foot ulcers.3-5
Many chronic foot ulcers in diabet
Orthotics Q&A »
There is no shortage of issues to consider when you are prescribing custom orthotics for different types of patients, whether it’s knowing what to look for during the biomechanical exam or understanding the keys to proper casting. With these things in mind, our expert panelists explore various issues from prescribing orthotics for athletes to altering orthotics in case of improper fit.
Q: What keys do you look for in your biomechanical exam?
A: Patrick Nunan, DPM, starts his biomechanical exam by having the patient sit on an exam table while he evaluates the joints’ range of mot
Practice Builders »
When you decide to hire a new podiatrist for your practice, one of the most important decisions you will face is deciding how much to pay your new hire. Ideally, you want to pay a base salary and offer an incentive that encourages the new podiatrist to work hard, pay for him- or herself quickly and then participate in the collections above his or her costs to the practice.
Potential employees are looking for compensation that will allow for a reasonable lifestyle along with loan payments. The challenge is how to take both of these concepts and create an agreement that is acceptable to each pa
Technology In Practice »
While some patients may only see dehydrated feet as a minor nuisance, it can lead to further problems such as fungal infections and ulcerations. However, one emerging product can not only combat anhidrosis but may be helpful in treating a variety of skin problems, including psoriasis and icthyosis.
Podiatrists are turning to AmeriGel Care Lotion to solve an array of skin problems, citing its particular effectiveness with patients who have diabetes. The lotion, which contains Oakin™ or oak extract, is “the first and only antimicrobial, antifungal, antiinflammatory and antipruritic lotion
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