Volume 18 - Issue 6 - June 2005

Orthotics Q&A »

Can Orthotics Address The Faulty Biomechanics Of Metatarsalgia?

Guest Clinical Editor: Bruce Williams, DPM | 29975 reads | 1 comments

   Metatarsalgia is one of the more commonly seen complaints in any podiatry practice. Common treatments for the disorder include ice, removable metatarsal pads, antiinflammatories, injected steroids and physical therapy. While such treatments often completely resolve an acute bout of metatarsalgia, they often do nothing to remedy the true underlying biomechanical causes of the problem.

   To correct the faulty foot biomechanics, DPMs rely on custom foot orthotics. Unfortunately, the devices are often no different than what one prescribes for any other foot di



Practice Builders »

How To Improve Efficiency And Cut Costs With Digital Technology

By Bruce Werber, DPM | 8248 reads | 0 comments

   In these times of diminishing reimbursement, we must look at ways of decreasing the costs of our practices. Obviously, we cannot cut much from patient care costs and we have a limited ability to increase fees and income from our practices. In any business, there are ways to improve the net profit. One could implement extended hours to see more patients, minimize payroll costs by reducing staff or try to lower the cost of materials.

   However, I recommend taking a closer look at technology and changing the standard workflow to improve efficiency and decreas



Sports Medicine »

Secrets To Treating Martial Arts Injuries

By Mark A. Caselli, DPM, and Edward C. Rzonca, DPM | 26864 reads | 0 comments

   Martial arts, such as karate and tae kwon do, have become very popular in recent years for both adults and children. Karate and tae kwon do have been promoted as excellent activities for maintaining good health and fitness. People frequently perform these activities after school or work.

   Given that the foot and ankle account for at least 10 percent of the total injuries sustained in the martial arts — and may even be higher due to the lack of reporting of many digital injuries such as contusions, toenail trauma and uncomplicated fractures — most podia



Technology In Practice »

Accu-Cut System Facilitates Enhanced Precision

By Robi Garthwait, Contributing Editor | 5184 reads | 0 comments

   When performing bunion surgery, DPMs may be seeking a device that can correct several angles and enhance the cuts of traditional bunionectomies. Now a tried-and-true osteotomy device comes complete with new equipment to make surgery simpler. The new instrumentation is designed to help practitioners correct intermetatarsal angles in addition to proximal articular set angle (PASA).

   Over a year ago, Biopro expanded its Accu-Cut Osteotomy Guide System with the introduction of the 2-Stage Guide for correction of PASA. The new system has a kit con



Feature »

Roundtable Insights On Adult-Acquired Flatfoot

Moderator: Robert Mendicino, DPM Panelists: Alan Catanzariti, DPM, Jordan Grossman, DPM, Michael S. Lee, DPM, Shannon Rush, DPM and Gerard V. Yu, DPM | 20709 reads | 0 comments

   Adult-acquired flatfoot (AAF) is one of the more common conditions that podiatrists see in practice. With this in mind, some of the leading experts on this subject shared their views and experience on this subject. They discuss the role of diagnostic imaging, their use of conservative treatments and their perspectives on appropriate surgical procedures. Without further delay, here is what they had to say.

   Q: What ancillary studies are required for proper diagnosis and treatment selection for the adult-acquired flatfoot?

   A: Mi



Feature »

Point-Counterpoint: Nerve Decompression In Diabetic Patients: Should It Be Done?

By Stephen L. Barrett, DPM, Patrick DeHeer, DPM, and Stephen Offutt, DPM | 10869 reads | 0 comments

   Yes. This author discusses the etiology of diabetic peripheral neuropathy, cites reports of efficacy for peripheral nerve decompression in the literature and shares insights from his experience in performing the procedure.

By Stephen L. Barrett, DPM

   Mainstream medical education is still teaching that the symptoms of diabetic peripheral neuropathy are progressive and irreversible. There is adequate and overwhelming basic and clinical medical science that contradicts this dogma.1-5 Indeed, one wonders how many additional outcome studies