Volume 15 - Issue 2 - February 2002
Diabetes Watch »
Unfortunately, all too often, we shy away from valuable history and background information regarding the overall health of the patient. Many of us ask about diseases such as diabetes and some will routinely inquire about alcohol and smoking history. However, few of us spend the necessary time to truly evaluate and integrate historical data such as lipid profiles, etc.
For example, peripheral vascular disease (PVD) is one finding in which we must consider all the historical information that is available in order to conduct a proper evaluation of the patient. Intermittent claudication is one se
Editor's Perspective »
A rather interesting lawsuit is taking place in Canada right now. A podiatry association is suing two of its members, charging them with incompetence and pursuing revocation of their licenses to practice. Those in the know say the doctors allegedly prescribed functional orthoses for 25 patients that either should have been given accommodative orthotics or did not need orthotics at all. Additionally, there is an allegation that the doctors in question were not doing a full biomechanical exam when prescribing orthotics.
This lawsuit raises a number of questions, but perhaps the most intriguing
I stepped out the back door of my home on a cold December morning and noticed a new pile of firewood sitting at the edge of my driveway. I knew it must have been delivered by a guy named Eddy. Eddy is an unemployed carpenter who visited my office a month ago with a fractured third metatarsal. He ran out of unemployment benefits and was getting along by gathering and selling firewood. He injured his foot with a splitting mallet.
Eddy told me he would pay cash but said he had less than $100 left and asked if I could do just the bare minimum to heal his foot. I assured him I wouldn’t go over t
This communication is in response to the Forum column by John McCord, DPM (see “Dispensing Orthotics: Is It Worth The Hassle?,” November 2001, pg. 75). I had a very similar frustrating experience with my bunion surgery and solved the problem almost the same way Dr. McCord did.
Here’s what used to happen. I would see a patient with severe bunions. I would do a thorough work-up and X-rays. I would present my patient with, granted, the more expensive option of surgery. Classically, I like to do Silver Bunionectomies on all my patients regardless of their type or severity of their deformity
News and Trends »
How prevalent are foot ulcers among patients with diabetes? About 2.4 million diabetes patients, representing 15 percent of the estimated 16 million Americans afflicted with the disease, will develop serious foot ulcers during their lifetimes. In fact, ulcers and other foot complications cause 20 percent of the nearly 3 million hospitalizations related to diabetes every year.
John Giurini, DPM, an Associate Professor of Surgery at Harvard University Medical School, reported on these alarming statistics at the recent ACFAS Diabetic Foot Symposium.
“Unfortunately, many of these patients eve
Orthotics Q&A »
When it comes to understanding the effect of functional hallux limitus (Fhl) on foot function, Howard Dananberg, DPM, has published over 30 articles on the subject. “Early on, it was quite challenging to convince other DPMs of the relationship of the metatarsophalangeal joint’s mobility during walking to late midstance pronation,” notes Dr. Dananberg. “Since that time, many have gravitated to the significance Fhl has on the foot and postural alignment.”
With this in mind, our expert panelists offer their opinions on the significance of Fhl and how it has impacted their biomechanical
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