Volume 15 - Issue 2 - February 2002
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
Sports Medicine »
Foot injuries are one of the most common injuries for athletes. Specifically, among all the joints and bones of the foot, the first metatarsophalangeal joint with its sesamoid complex is the most commonly affected. It is usually clear when an athletic injury involves the first metatarsophalangeal joint complex. However, identifying the specific injured structures and arriving at a precise diagnosis can be difficult.
Acute or chronic injures to the sesamoid bones or their associated tendon and joint capsule apparatus may cause pain, limping and difficulty wearing shoes, all aggravated by even
On the surface, it seems fairly simple. Incorrect codes will result in delayed payment or outright rejection of claims by carriers. Using codes appropriately helps ensure proper payment from third-party carriers and patients.
Appropriate coding also enhances your practice’s relationship with patients. When your office codes claims accurately, patients who file their own claims will have fewer problems obtaining payment from their insurance companies. Yet many major carriers identify the first five areas listed below as the most common coding errors causing delays or inaccurate payments for
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
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