Volume 17 - Issue 6 - June 2004

New Products »

Cooling Your Heels

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A new cushion may help keep your patients’ heels cool and comfortable while speeding up the healing process.

For patients suffering from plantar fasciitis, the Sol Step provides cushioning and absorbs shock of the heel’s plantar aspect, according to the device’s manufacturer, Brown Medical. The company says the product’s neoprene stocking-like support offers a comfortable fit and the compression to the heel and arch accelerates healing.
Sol Step’s Sealed Ice pad cushions each foot. The company says the product can also provide up to 20 minutes of col

Point-Counterpoint »

Cryosurgery Or Sclerosing Injections: Which Is Better For Neuromas?

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Cryogenic neuroablation is a safe, minimally invasive option that is less painful than alcohol injections and may facilitate a reduced risk of stump neuromas, according to this author.

By Lawrence Fallat, DPM

Morton’s neuroma (perineural fibroma) is a common painful forefoot disorder that can present treatment challenges to all podiatric physicians. The common digital nerves, usually in the second and third intermetatarsal spaces, become enlarged in the area of the deep transverse metatarsal ligament and subsequently cause pain in the ball of the foot with cramping, pain and num

Feature »

A Guide To Bracing For Charcot

By Jason Pollard, DPM, and Richard Stess, DPM | 36837 reads | 0 comments

Charcot neuroarthropathy is a progressive deterioration of a joint characterized by a loss of sensation. When left untreated, this condition can lead to pathological fractures, joint dislocation/subluxation and deformity. This condition reportedly affects an estimated 0.8 percent to 7.5 percent of people with diabetes. The prevalence of this condition increases dramatically among patients with diabetes and peripheral neuropathy, ranging from 29 to 35 percent in this specific population.1,2
However, this disorder is not limited to patients with diabetes as it can also afflict patien

Feature »

What You Should Know About Billing For Orthotics

By Robert Smith, Contributing Editor | 14624 reads | 0 comments

Doc Baker had it easy. As the only physician in Walnut Grove, he had the market cornered. Anyone who lived in or visited the fictional center of the Little House On The Prairie television series (whether it was Laura Ingalls, Nellie Olsen or some unfortunate guest star like Ernest Borgnine) had to go to Doc Baker for their ills. Everything was curable and everyone paid at the end of the visit.
If Walnut Grove existed today, it would likely have a variety of specialists (including a couple of podiatrists) and there would be an insurance agency (or a dozen) processing claims and graduall

Continuing Education »

How To Evaluate For Leg Length Discrepancy

By David Levine, DPM, CPed | 52116 reads | 0 comments

Small, seemingly inconsequential leg length differences (LLD) can lead to symptomatic biomechanical asymmetry. Without careful examination, subtle LLDs can go undetected as can the etiology of the pathology they create. Differences in leg lengths vary from the subtle to the obvious. Once one identifies LLD, practitioners also need to know how to treat it. Understanding the patient’s lifestyle and activity level will help you determine when to address his or her LLD.
Whether it is a difference in appearance of the two feet or a difference in function, asymmetry is often obvious if we know

Editor's Perspective »

Achieving A Common Ground Between DPMs And Orthopedists

By Jeff Hall, Editor-in-Chief | 2165 reads | 0 comments

There was a great moment during the first International Foot and Ankle Congress (IFAC) meeting in New Orleans, where podiatrists and orthopedic surgeons convened to share their knowledge and experience. During his lecture on performing an FHL tendon transfer, Pascal Rippstein, MD, discussed the difficulty of trying to pass a tendon through a drill hole. Using motion photography, Dr. Rippstein, an orthopedic surgeon from Zurich, Switzerland, went back and forth with the images to convey the frustration of this experience.
There was a roar of laughter from the audience and applause. It was in

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