Volume 18 - Issue 11 - November 2005

Feature »

How To Maximize Staff Productivity

By Brian McCurdy, Associate Editor | 5128 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 | 20363 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 | 5931 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 | 13062 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 | 14585 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



Technology In Practice »

A Closer Look At A Versatile Cryotherapy Solution For Pain

By Robi Garthwait, Contributing Editor | 6736 reads | 0 comments

   Doctors are turning to Biofreeze to manage the pain associated with a variety of ailments affecting the lower extremities. Available in a gel, roll-on or no-touch natural Cryospray™, the product provides a pain relief period that generally lasts 30 percent longer than conventional gels, according to its manufacturer, Performance Health, Inc.

   Biofreeze works through cryotherapy. In essence, it decreases blood flow and confuses nerve endings. This in turn numbs the affected area and results in a decrease in inflammation. The formula contains Ilex, an he