Volume 18 - Issue 4 - April 2005

Sports Medicine »

How To Identify And Treat Pruritic Conditions In Athletes

By Mark Caselli, DPM | 18867 reads | 0 comments

   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



Orthotics Q&A »

A Closer Look At Orthotics For Pediatric Conditions

Guest Clinical Editor: Eric Feit, DPM | 21016 reads | 0 comments

   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



Forum »

Breaking Bread And Forgetting Podiatry

By John McCord, DPM | 2296 reads | 0 comments

   I don’t think about podiatry much on the weekends. My mind goes to another place, namely my kitchen. My wife and I built a new home 13 years ago and the kitchen is the center of our existence. We made it large enough to accommodate our friends and family, and everybody participates in the preparation of dinners.

   The Viking range is a commercial style Read the full story »

News and Trends »

Two Federal Bills Seek To Define Physicians As DPMs Under Medicaid

By Brian McCurdy, Associate Editor | 7139 reads | 0 comments

   Since Medicaid does not recognize podiatrists as physicians, beneficiaries of the federal program may not receive podiatric care for their foot and ankle conditions. However, recent bills in the Senate and House aim to define podiatrists as physicians under Medicaid. The bills’ proponents, including the American Podiatric Medical Association (APMA), say the change will enhance preventive patient care and possibly prevent states from making cuts in podiatric services during budget crises.

   Foot and ankle care provided by a MD or DO is covered as a “phy



Editor's Perspective »

Ethics And The FDA: Is It Time For A 'Priority' Review?

By Jeff Hall, Executive Editor | 1787 reads | 0 comments

   Is objectivity much of a priority in studies of new medications? Granted, pharmaceutical companies have the wherewithal to support funding of these studies. Without that funding, some of the leading advances in new medications may not be possible. However, the companies also have a vested interest in the results of these studies and you have to wonder if that vested interest casts an imposing shadow at times on those doing the research.

   One DPM says he has “rarely felt any pressure” in the research studies he has participated in over the years. He say



Continuing Education »

Expert Insights On Diagnosing Pigmented Skin Lesions

By Bradley W. Bakotic, DPM, DO | 11011 reads | 0 comments

   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