Volume 18 - Issue 11 - November 2005
Continuing Education »
Calcaneal fractures continue to be one of the most complicated injuries of the lower extremity. Satisfactory outcomes are difficult to achieve and require extensive experience and understanding in treating the injury. Calcaneal fractures are much like pilon fractures of the distal tibia in that they are severe soft tissue injuries complicated by fracture of the heel bone. The importance of the soft tissue envelope cannot be overstated.
There continues to be a wide range of treatment strategies despite the significant ongoing research on this injury. Cast
Editor's Perspective »
There is no doubt that podiatrists see quite a bit of heel pain. Plantar fasciitis accounts for 11 to 15 percent of all foot symptoms in adults, according to an article published in the New England Journal of Medicine last year. As Stephen Barrett, DPM, points out in his cover story, “A Guide To Neurogenic Etiologies” (see page 36), projected estimates indicate that greater than two million patients per year are diagnosed with heel pain in the United States.
However, despite the prevalence of this condition, there are complex anatomical consid
Heel pain is the most common musculoskeletal complaint of patients presenting to the podiatric physician. While heel pain is estimated to comprise 10 percent of athletic injuries, the incidence of heel pain in the active and sedentary population appears to be significantly underreported in the medical literature. Most experienced practitioners report that heel pain complaints have risen to epidemic proportion over the past 20 years for reasons we still do not fully understand.
Certainly, changing demographics figures into the equation. The average patient
Given the common incidence of heel pain, patients may present to the office with symptoms that have been present anywhere between two or three weeks to perhaps two or three years. Often, these patients have already consulted with another clinician who had an incorrect approach to treatment. When the pain does not resolve, the patient may feel that he or she has to undergo an unnecessary surgical procedure.
This is unfortunate as the problem may be due to improper care. If the treating clinician does not implement the proper treatment plan, including foll
From scheduling appointments to answering patient questions to billing, DPMs would be lost without competent and productive staff members. Indeed, having a good support staff is essential to a successful practice. However, with the hustle and bustle of everyday practice, it can be easy for staff to get bogged down in tasks. How can DPMs maximize the productivity of their staff?
Part of increasing productivity involves motivation and Lynn Homisak, PRT, says this requires a keen understanding of each individual, being interested in his or her needs and kno
Diabetes Watch »
When Jean-Marie Charcot described the entity that bears his name in 1868, little did he know the controversies he would create. Charcot joint disease (or Charcot neuroarthropathy) has been one of the most misdiagnosed conditions in patients with diabetes mellitus. Patients with this entity have been misdiagnosed and consequently mistreated for osteomyelitis, cellulitis, tendonitis and gout.
Over the years, various controversial questions have been posed about the treatment of Charcot neuroarthropathy. These questions range from what type of diagnostic tes
- « Previous
- | Page 1 of 3 |
- Next »