Volume 18 - Issue 11 - November 2005

Feature »

A Stepwise Approach To Treating Chronic Heel Pain

By Lisa M. Schoene, DPM, ATC | 44395 reads | 0 comments

   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



Feature »

How To Maximize Staff Productivity

By Brian McCurdy, Associate Editor | 5322 reads | 0 comments

   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 »

A Closer Look At Fixation Options For The Charcot Foot

By John Giurini, DPM | 21766 reads | 0 comments

   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



Forum »

Repaying Student Loans: Is There An End In Sight?

By Lara M. Allman, DPM | 6132 reads | 0 comments

   The year was 1996. I had finally graduated podiatry school. It felt great except for the large sum of loans that had accumulated. Four years and $100,000-plus in debt, it seemed like a black hole with no end in sight. A few months before graduation, the student loan department gave each of us a crash course on our loans, teaching us terms such as deferment, consolidation and prime rate. Deferment sounded good, especially if the residency salary left much to be desired.



News and Trends »

Nerve Decompression Study Offers Provocative Findings

By Brian McCurdy, Associate Editor | 13625 reads | 0 comments

   While previous studies have touted the benefits of peripheral nerve decompression for patients with neuropathy, a new study in the Journal of the American Podiatric Medical Association (JAPMA) reveals positive effects on sensation, neuropathic pain and patient balance. Authors of the study found that 87 percent of patients with numbness reported improved sensation and 92 percent who had preoperative balance problems had improved balance a year after undergoing the procedure.

   According to the study, which involved 60 patients with diabetic neuropat



Surgical Pearls »

Cartilage Preservation: Can It Maintain Post-Op Dorsiflexion?

By John Mozena, DPM, PC, and Tyler Marshall, DPM | 14935 reads | 0 comments

   One of the most documented postoperative complications of distal metatarsal osteotomies is adhesive capsulodesis that limits dorsiflexion of the first metatarsophalangeal joint (MPJ). When faced with such a post-op complication, one may be able to use a proven cartilage preservation procedure that maintains, if not improves, the first MPJ range of motion.

   Austin and Leventon first described the Austin bunionectomy in 1962 and the original procedure has undergone many modifications over the years.1 Each modification has different indications and