Volume 18 - Issue 4 - April 2005

Feature »

Troubleshooting AFOs

By Lawrence Z. Huppin, DPM | 14156 reads | 0 comments

   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



Feature »

How To Handle Second MTPJ Stress Syndrome

By Joshua Gerbert, DPM | 55308 reads | 0 comments

   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



Feature »

What You Should Know About New Antirheumatic Medications

By Peter A. Blume, DPM, Kenneth L. Cornell, DPM, and Robert Schoen, MD | 4707 reads | 0 comments

   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



Feature »

How To Master Talonavicular Fusions

By William Fishco, DPM | 37358 reads | 0 comments

   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



Feature »

How To Evaluate EMR Systems For Your Practice

By Bruce Werber, DPM | 7111 reads | 0 comments

   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



Practice Builders »

Understanding The Factors That Influence The Value Of A Practice

By Kevin McDonald, DPM | 8876 reads | 0 comments

   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