Volume 19 - Issue 6 - June 2006

Practice Builders »

Essential Secrets To Marketing Your Practice Successfully

By Kevin McDonald, DPM | 15821 reads | 0 comments

When I was in podiatry school 20-something years ago, there was a podiatrist on the faculty who was very impressive to me. He wore stylish clothes, drove a Mercedes convertible and took vacations to Australia. One day, I asked him: “What does it take to have a successful career as a podiatrist?”
The doctor looked me square in the eye and said “Son, it only takes two things to be a successful podiatrist. One, you have to have a touch of gray hair so that you look experienced. Two, you need to have a couple of hemorrhoids so you look … concerned.”
I did not want to wait for the gray

Orthotics Q&A »

Exploring Orthotic Indications For Various Conditions

Guest Clinical Editor: James Losito, DPM | 17451 reads | 0 comments

In this edition of “Orthotics Q&A,” the panelists discuss various issues ranging from indications for the Richie Brace, Arizona AFO and prefabricated orthoses to whether orthotic casting should reduce supinatus. Without further delay, here is what the panelists had to say.

Q: What are the indications for using a Richie brace versus using an Arizona brace?
For Doug Richie Jr., DPM, each custom ankle foot orthotic (AFO) has a different clinical indication and choosing one to treat a pathology is the same as choosing a surgical procedure. He notes the rigid Arizona AFO has a mol

Feature »

A Guide To Orthobiologics In Podiatric Surgery

Moderator: Mark Dollard, DPM; Panelists: Luis Leal, DPM, Kieran Mahan, DPM, D. Scot Malay, DPM, MSCE, Glenn Weinraub, DPM, and Thomas Zgonis, DPM | 14471 reads | 0 comments

In our ongoing quest to find viable graft alternatives in bone fracture and primary osseous repair, the technology of orthobiologic bone substitutes continues to evolve. Traditionally, we have looked for replacement bone from sources within the patient’s own body. Indeed, autograft is widely considered the gold standard for grafting. While autograft bone is superior in its ability to provide osteogenic mesenchymal stem cells, it does have a couple of inherent problems, namely, a limited supply and morbidity associated with harvesting from donor sites.
Accordingly, we have brought together a

Feature »

How To Address Pronation-Related Pathology

By David Levine, DPM, CPed | 16330 reads | 0 comments

Everyone pronates and everyone supinates. It is a matter of how much and when each occurs that determines whether lower extremity problems will occur. Shoe companies have marketed their products based on the words “pronation” and “supination.” They have done such a good job at this that people come into our offices thinking they are either pronators or supinators.
As we know, high arched feet can pronate too much just as low arched feet may not pronate enough. Now more than ever before, there is more awareness of orthotic devices as a result of foot-related products becoming availabl

Feature »

Point-Counterpoint: Is Plantar Plate Repair More Effective Than Flexor Tendon Transfer?

By Leon Reber, DPM, and Babak Baravarian, DPM | 31866 reads | 0 comments

Yes. After discussing the importance of the plantar plate in facilitating MTPJ stability, this author points out key shortcomings of the flexor tendon transfer and emphasizes the more direct focus of plantar plate repair.

By Leon Reber, DPM

When it comes to pain below the metatarsal head, clinicians have described this with various names such as predislocation syndrome, monoarticular nontraumatic synovitis, capsulitis or simply metatarsalgia. Although the terminology varies, the one thing they have in common is pressure. Excessive pressure below the metatarsal head is the reason

Feature »

Essential Insights For Managing Nonunions

By Jesse B. Burks, DPM, FACFAS | 5575 reads | 0 comments

Nonunions can be a troubling condition for both the patient and the podiatric physician. Failed unions can result from a host of factors arising from the patient, surgeon or both.
In many surgical cases, one primary cause is difficult to identify and the end result may actually result from a combination of various etiologies. As with any surgical complication, it is important to emphasize preventive efforts. However, even with diligent efforts, a nonunion may still occur.
In my opinion, there are three different perspectives that dictate how one should treat. There is the academic perspecti