Volume 17 - Issue 11 - November 2004
Heel pain is arguably the most common complaint that foot and ankle specialists hear. The majority of these complaints are linked to plantar fasciitis and we all have developed our own unique treatment algorithms for this condition. What happens when we are months into our treatment algorithm and the patient has not had much improvement or a fasciotomy has been performed and the heel pain returns? Is it still plantar fasciitis?
No. In both of these scenarios, we must revert back to our differential diagnoses. While heel pain is commonly caused by plantar
Type “DPM” or “podiatrist” into an Internet search engine and name after name of established practitioners will come up, leading to Web sites which may have established in order to market their practices. Many podiatrists have been building Web sites to supplement the traditional methods of reaching patients and facilitate the ability of potential patients to reach them.
Continuing Education »
Last year, I wrote “Extracorporeal shockwave therapy (ESWT) has a long way to go to prove it has overwhelming medical benefits that are claimed by the manufacturers, but it is still in the early stages of its evolution. With time, it will be necessary to prove these claims through prospective studies.” (See “Extracorporeal Shockwave Therapy: Hope Or Hype?,” page 46, November 2003 issue.)
While this article is not intended to prove beyond a statistical doubt that ESWT works, emerging research via prospective placebo-controlled, double-blind studie
Editor's Perspective »
There were a lot of reports circulating last month about the rise of injuries in the National Football League (NFL). An Indianapolis Star article noted that after four weeks of play, 34 players had been placed on injured reserve, the highest number in six years. As this issue went to press, 346 players are listed on injury reports in the NFL with the injuries ranging from mild to season-ending injuries. (That is an approximate average of 11 injured players per team.) Sixty-three of these injuries (18 percent) are lower-extremity injuries.
Plantar fasciitis/heel pain syndrome is the most common condition treated by podiatric foot and ankle specialists in the United States.1 However, the true etiology of plantar fasciitis is still unknown and has been attributed to many different etiological factors. Even the term “plantar fasciitis” is a misnomer as the plantar fascia is really a tendonous aponeurosis and not a fascial layer.2
It is entirely possible that our whole paradigm for treating plantar fasciitis is based on a false foundation, especially in light of the h
Documenting chart notes has become a pain in the butt. In the good old days, I would handwrite one or two lines after rendering routine foot care. Now I have to dictate a chapter of War and Peace after trimming a few toenails. It is even worse if the patient comes in with a complex foot problem. I have to insert all the bullets to justify the billing code or go to jail for 10 years if the dreaded audit occurs.
I never wanted to buck the system so I hired a transcriptionist (one who can listen, type and keep track of office gossip all at the same ti
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