Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
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    Brian McCurdy
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    Bonnie Shannon
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  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
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  • April 2005 | Volume 18 - Issue 4
    By Bruce Werber, DPM
    7,656 reads | 0 comments | 09/03/08
       The prospect of converting medical records from paper to an electronic system can be quite a daunting challenge. Not only does it require learning new technology, it will likely require changes in existing processes and a collective mindset that is open and willing to embrace changes that can lead to improved efficiency for you and your staff. The difficulty is finding the correct system for your practice.    Electronic medical record (EMR) systems store and produce significant quantities of information. EMR technology has grown into a tremendous platform fo... continue reading
    Here one can see an early evolving melanoma in-situ (see the short arrow) arising in association with a benign superficial congenital nevus (see the long arrow).
    By Bradley W. Bakotic, DPM, DO
    11,233 reads | 0 comments | 09/03/08
       During the course of a tightly scheduled office day, a 30-year-old female presents with a painful paronychia involving the lateral border of her right hallux. The painful nail border is acutely inflamed. The doctor temporarily defers a definitive chemical matrixectomy and opts to perform a “slant-back” procedure to remove the offending nail border.    The doctor adducts the patient’s foot ever so slightly to access the problematic portion of the affected nail unit more easily. While doing so, the clinician notices a tan/brown, slightly elevated papule... continue reading
    When one employs the modified book value approach to determine the value of a practice, the goodwill valuation plays a key role but is influenced by several factors.
    By Kevin McDonald, DPM
    9,870 reads | 0 comments | 09/03/08
       Most podiatrists focus intently on providing excellent care for their patients. However, when the time comes to purchase or sell a podiatric medical practice, podiatrists generally lack the knowledge and experience to competently assess the value of podiatry practice, and the terms of a proposed sales agreement.    If you spend sufficient time looking at real estate, you will find that homes “for sale by owner” are frequently overpriced. The owners are in love with their own house, overly optimistic and a tad bit greedy. One frequently sees this scenario... continue reading
    If the ankle is allowed to plantarflex during casting, the hinge may be placed too far superior.
    By Lawrence Z. Huppin, DPM
    15,451 reads | 0 comments | 09/03/08
       In 1996, Douglas Richie Jr., DPM, introduced the first ankle foot orthosis (AFO) to incorporate a functionally balanced foot orthosis. Podiatrists have long utilized AFOs to control ankle joint motion. However, the AFO designed by Dr. Richie was the first AFO to also provide the benefits of functional correction of the foot. These additional benefits included greater control of the subtalar joint, midtarsal joint stability and enhancement of the windlass function.    The result was a rapidly accepted new modality that became a primary treatment in the podiat... continue reading
    The one-piece calf design and footplate of the Dynamic Control Orthosis allows for maximum leverage, according to the manufacturer Langer, Inc.
    By Robi Garthwait, Contributing Editor
    6,002 reads | 0 comments | 09/03/08
       For some patients, the traditional foot orthosis is simply not enough to reduce the pain and symptoms associated with a variety of podiatric disorders. However, the Dynamic Control Orthosis (DCO) may provide the additional stability that podiatrists are seeking for their patients.    The DCO features a custom-molded polypropylene, metatarsal length foot orthosis with a 35-mm heel cup and free motion ankle joint attached to a polypropylene calf section, according to the device’s manufacturer, Langer, Inc. The one-piece calf design and footplate allows for m... continue reading
    Here is a preoperative photo showing an adducted/dorsal second MTPJ dislocation without PIPJ involvement. A hallux abductus with bunion deformity is also present.
    By Joshua Gerbert, DPM
    63,078 reads | 0 comments | 09/03/08
       Second MTPJ stress syndrome has become a catch-all term for patients who complain of chronic pain involving the second MTPJ. While it is important to differentiate this entity from a neuroma, intermetatarsal bursitis or a stress fracture of a metatarsal, it is even more important for the practitioner to determine an accurate etiology or etiologies for the second MTPJ stress syndrome. Only by understanding the cause of the problem can one develop an effective treatment plan.    When a patient has second MTPJ stress syndrome, he or she may have the following ... continue reading
    Impetigo contagiosa, a common pruritic skin infection, occurs frequently among groups of individuals, such as athletes, who have an increased risk of bruising injuries and who are in close contact with each other.
    By Mark Caselli, DPM
    19,295 reads | 0 comments | 09/03/08
       Pruritis, a common complaint in athletes, has many causes. In addition to the eczematous dermatoses previously discussed (see “A Closer Look At Eczematous Dermatitis In Athletes,” pg. 112, February issue), one should be aware of other equally important conditions that may cause itching in athletes. These conditions include infections, parasite infestations, insect stings or bites, allergic reactions and systemic conditions.    When a patient presents with a pruritic skin rash, there is often a great temptation to jump to a diagnostic conclusion of one o... continue reading
    Note the fibular deviation of the hallux at the first MTPJ.
    By Peter A. Blume, DPM, Kenneth L. Cornell, DPM, and Robert Schoen, MD
    5,388 reads | 0 comments | 09/03/08
       Rheumatoid arthritis (RA) is a systemic inflammatory polyarthritis that involves small and large joints, and affects approximately 1 percent of the population in the United States.1 The natural progression of the disease leads to irreversible deformity in the hands and feet with destruction of bone and articular cartilage. This may ultimately lead to the loss of function of the extremity. There are numerous extraarticular manifestations of RA (i.e., including vasculitis). They can affect any organ system and result in premature death.    Over the ... continue reading
    Alona Kashanian, DPM, says children with internal femoral torsion may be clumsy with sports and running, and have a history of frequent falls. She emphasizes a thorough diagnostic exam to rule out metatarsus adductus.
    Guest Clinical Editor: Eric Feit, DPM
    21,568 reads | 0 comments | 09/03/08
       While one must take special considerations into account while prescribing orthotics for children, different pediatric conditions also warrant special care. Following up on the previous discussion of pediatric orthotics (see “Expert Insights On Prescribing Pediatric Orthotics,” page 24, February issue), our expert panelists discuss key orthotic pearls in treating metatarsus adductus, abnormal femoral torsion and flatfoot in the pediatric population.    Q: Are orthotics helpful for a rigid metatarsus adductus foot type?    A: Rich... continue reading
    This clinical photograph, taken eight weeks postoperatively, depicts the incision placement of the talonavicular arthrodesis.
    By William Fishco, DPM
    43,750 reads | 0 comments | 09/03/08
       The talonavicular joint arthrodesis has been utilized for a variety of pathologies of the foot. Instability and subluxation of the rearfoot in adult acquired pes valgus is the most common reason for rearfoot fusion. Congenital deformities, neuromuscular diseases and arthritic conditions, whether they are from an inflammatory arthritis, osteoarthritis or posttraumatic causes, are less common pathologies that would require fusion of the talonavicular joint.1    In a rigid rearfoot deformity, such as a multiplanar deformity with heel valgus, forefoot... continue reading