Volume 17 - Issue 10 - October 2004

Orthotics Q&A »

Inside Insights On Orthotic Modifications For Sports

Clinical Editor: Timothy Dutra, DPM | 17228 reads | 0 comments

When prescribing orthotics for athletes in widely varying types of sports, one must take into consideration both the needs of the athletes and the advantages and disadvantages different types of shoes may offer. With that said, these panelists offer their expertise on orthotic modifications they use to keep their patients on the athletic field.

Q: What influence does athletic shoegear have on sport specific orthotics and orthotic modifications?
A:
For Stephen M. Pribut, DPM, the patient’s specific shoe category and sport have a “major impact” on the orthotics he prescribes. H



Practice Builders »

How To Master Inventory Management Of DME

By David Edward Marcinko, MBA, CFP, CMP | 9133 reads | 0 comments

Supply chain inventory management (SCIM) is essential for doctors who perform a number of similar procedures, those who dispense a fair number of products and surgeons because a medical practice’s profitability will suffer if it has too much or too little inventory of durable medical equipment (DME) on hand. How can a physician determine the proper DME inventory level? One uncommonly used approach is based on the economic order quantity costing (EOQC) method.
EOQC is a century-old accounting formula that determines the point at which the combination of order costs and inventory carrying cos



Feature »

What You Should Know About Managing Hyperhidrosis

By Mary E. Crawford, DPM, FACFAS | 23566 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 | 13781 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 | 383477 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 | 50910 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