Volume 18 - Issue 4 - April 2005
News and Trends »
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 »
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 »
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
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
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
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.