Volume 15 - Issue 1 - January 2002
Whether you are a new practitioner opening your first office or a veteran DPM setting up shop in a new location, having an effective business plan is a necessity.
The business plan is a promotional selling document. Indeed, it is a major tool for selling your business to a banker. It is to the banker what the history and physical are for physicians.Since a major audience for your business plan consists of higher-ups at the bank, the black and white of your plan is far more important than a winning personality. Gone are the days when you could stroll into the bank, say you are going to do the
Diabetes Watch »
When managing patients in the acute phase of Charcot neuroarthropathy, the hallmark of treatment is immobilization and non-weightbearing of the affected foot until the destructive nature of this stage disappears and the coalescence stage begins. In the past decade, researchers have hypothesized that using bisphosphonates in acute Charcot patients can decrease pathological fractures and permanent deformity, which commonly occur in these patients.If this is true, then using bisphosphonates may also lead to less deformity, shorter treatment time, a decreased need for revisional surgery, decreased
Diagnostic Dilemmas »
Treating forefoot metatarsalgia can be very challenging. In these cases, you’ll often find several differing types of pain and it may be difficult to differentiate the pain according to the patient’s complaints. Be aware the region most often misdiagnosed is forefoot pain surrounding the second metatarsal region. With this in mind, let’s address differing complaints surrounding the second metatarsal region by considering the following case study.
Like many growing up during the Cold War in the ‘50s and ‘60s, I was tired of always preparing for a disaster. During air raid drills at school, a bell rang and we would “duck and cover.”
That meant crawling under your flimsy wooden desk and covering your head in case a hydrogen bomb hit the school. The school janitor ran around with a whistle and wearing a civil defense helmet.We had to stay under the desks until the janitor, who was totally into “disaster preparedness,” blew the all-clear whistle. To make matters worse, the janitor was my father.
My best friend was the son of
News and Trends »
Should you use compression bandages to help treat patients with venous leg ulcers? A recent study reveals a downside to using these bandages. Some patients who were treated for venous leg ulcers with compression bandaging developed toe ulcerations and interdigital clefts, according to the study reported in a recent edition of the British Medical Journal.
Out of 194 patients being treated for venous leg ulcers with either three- or four-layer compression bandages, the study revealed twelve of the patients developed ulcerations in their toes after being treated for several months with four-lay
Surgical Pearls »
In my experience, the Modified Kidner procedure is one of the most reliable operations for reducing arch pain associated with an accessory navicular bone (a.k.a. os tibial externum). You can also use this procedure to treat a prominence at the inner aspect of the arch, which has been caused by an enlarged navicular bone. The most common patients to visit our office with these problems are between the ages of 8 and 15 and are involved in activities like ice skating, ballet and soccer.
What precipitates the pain? It will usually be caused by rubbing of the skate or other footwear against the p
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