Volume 19 - Issue 6 - June 2006

Feature »

How To Address Pronation-Related Pathology

By David Levine, DPM, CPed | 15632 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 | 31060 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 | 5340 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



Feature »

Seven Secrets To Successful Hiring

By Robert J. Smith, Contributing Editor | 6183 reads | 0 comments

What is more nerve wracking than hiring people to staff your practice? Tightrope walking might qualify but more often than not, there is a net below to catch you if you take a wrong step. Jumping out of an airplane also comes to mind but you would usually have a parachute that should keep you from really hurting yourself.

Indeed, hiring can be more intimidating or worrisome than either of those things partly because there are no safety measures that keep you from danger after you have brought a person on board. A new employee is live, in person, on your phones, in front of your patients,



Continuing Education »

How To Diagnose And Treat Insect Bites And Stings

By Gary Dockery, DPM, and Stephen Schroeder, DPM | 153452 reads | 0 comments

There are abundant crawling and flying insects that infest, bite and sting humans, particularly on the foot and ankle regions. At this time of the year, people may be particularly susceptible to bites from ants, fleas, ticks and spiders. Other possible problems may include infestations with scabies and stinging insects.
There are various types of ants that can inflict different levels of bites and stings. The three main stinging and biting ants are fire, harvester and pharaoh ants.
The fire ant is common in the southeastern United States and Caribbean islands. Its sting causes immediat



Sports Medicine »

How To Recreate The Benefits Of Low Dye Strapping With Orthotics

By Scott A. Spencer, DPM | 11693 reads | 0 comments

How many of us have put on a low Dye strapping that successfully alleviated the patient’s symptoms only to prescribe foot orthotic devices that did not have the same outcome? I would think anyone who has been in practice long enough has done this. What happened between the low Dye strapping and the foot orthotic device that changed the outcome we anticipated?
One can use the low Dye as a treatment modality in and of itself or as a means of assessing whether or not a patient would benefit from a pair of foot orthotic devices. There are many variations of this strapping and many of us have s