Volume 17 - Issue 10 - October 2004

Feature »

What You Should Know About Managing Hyperhidrosis

By Mary E. Crawford, DPM, FACFAS | 22691 reads | 0 comments

Hyperhidrosis is a pathological condition of overperspiration due to excessive secretion by the eccrine sweat glands in amounts greater than required for physiological needs. The disorder often leads to personal embarrassment and professional difficulties in the workplace. It is estimated that Americans alone spend in excess of $500 million annually on products designed to decrease sweating.
Patients will often seek medical attention but the enormity of the problem is often disregarded by the medical professional, resulting in despair and isolation for those who suffer from hyperhidrosis. It



Feature »

Point-Counterpoint: Should The Lapidus Replace The Closing Base Wedge Osteotomy?

By Babak Baravarian, DPM, Donald R. Green, DPM, and Peter Kim, DPM, MS | 13357 reads | 0 comments

Yes, this author says the Lapidus facilitates better first ray stability, allows more intraoperative flexibility and is an easier procedure to perform and fixate.

By Babak Baravarian, DPM

As the field of foot and ankle surgery has evolved, there has been a dramatic shift in hallux abducto valgus surgery. Currently, the primary treatment goals are ensuring proper alignment of the first metatarsal in both the sagittal, frontal and transverse planes, and facilitating the best long-term outcome. When it comes to realignment of the first ray in all three planes and minimizing the chanc



Sports Medicine »

How To Treat Cuboid Syndrome In The Athlete

By Mark A. Caselli, DPM, and Nikiforos Pantelaras, DPM | 366012 reads | 0 comments

Consider the following presentations of athletes. A 35-year-old male ballet dancer presents to your office with an antalgic gait. He experienced sudden lateral foot pain in the left foot after making a slightly off-balance landing from a jump. He also complains of left foot weakness and fears that he may not be able to continue to dance ballet.
A 14-year-old male basketball player comes in with acute lateral foot pain in his right foot. Currently on crutches, the player says the pain occurred two days ago after he landed on another player’s foot and twisted his ankle.
A 22-year-old femal



Feature »

Key Coding Insights For Skin Conditions And Wounds

By Anthony Poggio, DPM | 49338 reads | 0 comments

Given the vast array of dermatological conditions and wounds that we see in our practices, having a strong understanding of commonly used codes for these conditions is essential but not always simple. With this in mind, let’s take a closer look at coding for both common skin conditions such as verrucae and benign skin lesions, as well as coding tips for I&D procedures and wound closure.
Standard billing protocols apply for selecting the appropriate E/M level for services for dermatological conditions. Similarly, protocols for billing E/M services with procedures performed on the same day as



Continuing Education »

Treating Venous Stasis Ulcers In The Lower Extremity

By Mark Beylin, DPM | 33726 reads | 0 comments

Chronic venous insufficiency is a significant disease that affects as much as 25 percent of the population in the United States. It is also a condition commonly treated by podiatric physicians. The condition results in blood pooling in the venous system of the lower extremities (see “A Guide To Normal Venous Anatomy And Physiology below). Venous stasis ulcers are the end stage of chronic venous insufficiency.
In order to treat venous stasis ulceration, one must have a clear understanding of the pathophysiology of venous disease. Most of the vein problems that occur are due to increased pr



Editor's Perspective »

Emphasizing Accountability For Seniors On Election Day

By Jeff Hall, Editor-in-Chief | 1462 reads | 0 comments

Access to health care coverage will certainly play a role in the upcoming presidential election on November 2. At the end of last year, President Bush signed the Medicare reform bill into law (see “Medicare Reform: Just More Smoke And Mirrors?,” page 14, February issue). Aside from the significantly underestimated cost of the Medicare reforms, people on Medicare are not exactly thrilled with the new law, according to a recently released survey by the non-partisan Kaiser Family Foundation.
Nearly half of seniors and non-elderly people with disabilities on Medicare have an unfavorable vie



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