Volume 19 - Issue 4 - April 2006

Orthotics Q&A »

Comparing Lessons On Biomechanics And The Realities Of Clinical Experience

Guest Clinical Editor: Bruce Williams, DPM | 7356 reads | 0 comments

Although what one learned in podiatric medical school is invaluable in a podiatry career, sometimes podiatrists may encounter a different reality in clinical practice. These expert panelists weigh what they learned in school with their experience and the current research. They also detail which directions future orthotic research should take.

Q: What is the current research telling us about how the foot really functions as opposed to what many podiatrists were taught in school?
A:
Much of the current research focuses on the importance of the midtarsal joint(s) and how they have a



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Maximizing Orthotic Success With Basketball Players

By Patrick A. DeHeer, DPM | 17016 reads | 0 comments

When a foot and ankle specialist is involved as part of the medical staff for a college or professional basketball team, the demands on injury prevention and rehabilitation are significant. This high level of specialized care in the professional and collegiate setting involves several people, including the players, coaches, trainer, other medical staff and management in professional teams.

Since treatment can involve the careers of those associated with the team, there is a certain amount of pressure on the treating physician. With so much at stake, two critical factors play an integral ro



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How To Treat Ankle Fractures In Patients With Diabetes

By Alan R. Catanzariti, DPM, Robert W. Mendicino, DPM, and Travis L. Sautter, DPM | 15274 reads | 0 comments

Ankle fractures in patients with diabetes and documented neuropathy present a significant challenge to the clinician. The majority of literature has indicated that ankle fractures in this particular patient population are often difficult to manage and complication rates are reportedly quite high. These poor outcomes are similar for both conservative and surgical treatment.
There are several factors implicated in the high complication rates one sees in the management of ankle fractures in patients with diabetic neuropathy. Many of these patients have significant osteopenia. The combination of



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Lower Extremity RA: Can Orthoses Have An Impact?

By Paul R. Scherer, DPM | 12602 reads | 0 comments

There is no other disease that so profoundly deforms the human foot as rheumatoid arthritis (RA). The pain symptoms from RA foot deformities limit mobility significantly in patients from adolescents to seniors. Although diabetes affects a greater number of people in the United States, the morbidity from RA is more severe.
A podiatrist’s expertise in the mechanical treatment of the rheumatoid foot is not only a professional obligation but also a guarantee of continued referrals from the rh



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How To Evaluate Figure Skating Injuries

By Rachel A. Janowicz, DPM | 32188 reads | 0 comments

The United States Figure Skating Association (USFSA) regulates the testing and competition of 170,000 members, a number that represents a 63 percent increase over just one decade.
This surge in popularity can be partially attributed to figure skating becoming more financially accessible in lieu of the newer focus on only the freestyle aspect of the sport. The success of American figure skaters like Michelle Kwan and Brian Boitano have also increased the popularity of the sport.

This greater participation has subsequently brought about a higher level of competition. Both the athletic and a



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Inside Secrets To Reducing Practice Costs

By Brian McCurdy, Associate Editor | 5643 reads | 0 comments

While ensuring effective patient care is the primary goal of any podiatric practice, the practice is still a business so cutting costs is an important point of emphasis in keeping the practice operating at peak efficiency.
There are a number of avenues that DPMs can seek out in order to cut costs. Podiatrists can take a look at staffing procedures to work more effectively and cut costs. Podiatric practices can also be diligent in their interaction with suppliers to provide more affordable patient care. As far as office space and billing, a number of options are available to reduce overhead co



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