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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    Alana Balboni
  • 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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  • Email: jhall@hmpcommunications.com
  • September 2005 | Volume 18 - Issue 9
    In regard to the proposed CoPs revision, the author says this should resolve a potential non-payment issue for a hospital if a DPM has performed the admission H&P. For frequent, independent podiatric admitters, this will remove an enormous financial o
    By Martin C. Yorath, DPM
    10,162 reads | 0 comments | 11/24/08
         In recent years, there has been more of an emphasis upon podiatrists performing their own history and physical examinations (H&Ps) for the purposes of hospital admission. This was spurred on to a large degree by the pivotal ruling by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in 2000 and the new residency models required by the Council on Podiatric Medical Education (CPME), which now require a minimum number of history and physical examinations during the residency training period.1,2 Most training programs will certainly exceed thi... continue reading
    By Gary L. Dockery, DPM, FACFAS
    18,150 reads | 0 comments | 11/24/08
         Atopic dermatitis (AD) has a multiplicity of clinical presentations and many authorities consider it to be a syndrome. It is a chronic inflammatory pruritic skin disease that is often associated with elevated serum IgE levels and a personal or family history of type 1 allergies, allergic rhinitis and asthma. This condition is made up of a group of specific signs and symptoms that characterize the dermatological expression of the atopic diathesis.      Atopic dermatitis predominantly affects infants, children and young adults. Approximately 60 percent of th... continue reading
    By Lowell Weil Jr., DPM, MBA, and Richard A. Schilling, DPM
    75,695 reads | 0 comments | 11/24/08
               Offering insights and pearls from their experience, these authors discuss essential preoperative and intraoperative steps for reducing the risk of complications from hammertoe surgery. They also offer salient advice for rectifying complications when they occur.      There are several reasons why patients undergo hammertoe surgery. While pain is the most common indication for hammertoe surgery, one cannot separate pain and cosmesis in many of these cases. Certainly, there are severe deformities associated with hammertoes and in many in... continue reading
    This photo shows the patient after the surgeon has performed debridement and distraction.
    By Peter M. Wilusz, DPM, and Guy R. Pupp, DPM
    15,819 reads | 0 comments | 09/03/08
       Multiple etiologies exist for painful conditions that involve the first metatarsophalangeal joint (MPJ). Hallux abducto valgus and hallux limitus are the most common pathologies of the first MPJ podiatrists see in most foot and ankle clinics. Other causes may include rheumatoid arthritis, trauma, connective tissue disorders, infection, iatrogenic and metabolic disorders. Historically, treatment has been geared to realigning structural abnormalities of bone as they affect the joint.1    Unfortunately, very little literature discusses specific treat... continue reading
    DPMs say the PedAlign™ system easily scans feet to produce accurate orthotics.
    By Robi Garthwait, Contributing Editor
    5,786 reads | 0 comments | 09/03/08
       Considering the prevalence of orthotic therapy in podiatric care today, it only seemed like a matter of time before a technologically advanced option arrived on the scene. With the introduction of the PedAlign™ system, podiatrists may have an alternative to the traditional time-consuming and often messy method of plaster casting.    The PedAlign technology employs an infrared optical scanning device that quickly captures and digitizes a foot’s image. This image, along with a doctor’s prescription, is electronically transmitted to a laborator... continue reading
    This 23-year-old female sustained a traumatic crush injury and developed gangrene of her second toe. As one can see, her proximal phalanx is now exposed.
    Clinical Editor: Lawrence Karlock, DPM
    10,908 reads | 0 comments | 09/03/08
       Traumatic injuries in the lower extremity can be particularly difficult to manage and treat. Not only is it difficult to assess the degree of the damage caused by these injuries, prompt evaluation and treatment is essential given the risks of infection and amputation. With that said, our expert panelists review their treatment protocols.    Q: What are the basic guidelines/philosophies in treating lower extremity traumatic wounds?    A: Jordan Grossman, DPM, emphasizes precise evaluation of the clinical and radiographic presentation.... continue reading
    By Justin Franson, DPM, and Babak Baravarian, DPM
    48,752 reads | 0 comments | 09/03/08
       An athletic, 35 year-old male presents to the office four months after suffering an ankle sprain while playing soccer. In spite of a period of immobilization and a course of physical therapy, he has had continued pain and stiffness localized to the ankle joint. He has been wearing a lace-up ankle brace, icing the ankle and taking OTC NSAIDs.    A physical examination reveals mild tenderness upon palpation to the ankle joint line but there is no significant pain along the medial or lateral collateral ligaments. He has a negative anterior drawer. Routine X-ra... continue reading
    When it comes to billing for multiple X-rays, one should use the modifiers RT and LT for clarification. Otherwise, they may be deemed as duplicates. Make sure to use appropriate diagnosis codes for an X-ray service in order to attest to the medical necess
    By Anthony Poggio, DPM
    56,985 reads | 0 comments | 09/03/08
       Getting a denial for claims is, at best, upsetting for both the doctor and staff. Often, the doctor sees this in a negative light. If the dollar amount in question is small, he or she may totally disregard it, believing it is “not worth it” to appeal. When repeated problems involving specific CPT or ICD-9 codes occur, DPMs sometimes select alternative coding choices, which may not be the best option either.    Instead of looking at a claim denial as a defeat, try to look at it as an educational opportunity. Unless one understands the reason for the deni... continue reading
    Here one can see a photo of an Achilles tendon wound.
    By Stephanie C. Wu, DPM, MS, Hong Yoon, MS, and David G. Armstrong, DPM, MSc, PhD
    33,974 reads | 0 comments | 09/03/08
       Skin ulceration of the lower extremity affects millions of people in the United States alone and may be secondary to a myriad of etiologies including pressure, metabolic, trauma, venous, arterial and diabetic neuropathy.1 The medical, psychosocial and financial impacts imposed by lower extremity ulcerations are tremendous. The attributable cost for the treatment of chronic lower extremity ulcerations has been estimated to be as high as $3.6 billion dollars per year.2 Medicare expenditures for lower extremity ulcer patients were, on average, three times h... continue reading
    Customized ankle foot orthoses (AFOs) are very helpful in special situations in which pressure relief is required but cannot be achieved through simple means.
    By Nick Martin, DPM, Tim Oldani, DPM, and Matthew J. Claxton, DPM
    28,747 reads | 0 comments | 09/03/08
       Increased plantar foot pressure is a leading cause of ulceration in the diabetic population.1 Healing these ulcers requires adequate blood supply, control of infection, excellent wound care and offloading or pressure redistribution of the ulcerative area.2-16 Out of all these factors, offloading presents a particularly unique challenge in treating chronic wounds. As diabetic foot care has evolved over the years, podiatrists have used numerous approaches including complete bed rest, cutout felt pads and total contact casting to offload these wounds.3... continue reading