Volume 19 - Issue 10 - October 2006

Orthotics Q&A »

How To Maximize The Efficacy Of Orthotic Prescriptions

Guest Clinical Editor: Scott Spencer, DPM | 10371 reads | 0 comments

     In this month’s discussion, our expert panelists discuss the importance of an arthrometric exam, whether one should lean more toward accommodation or control with orthotic prescriptions, and share a few key pearls they have learned over the years in optimizing the effectiveness of prescription orthoses.

     Q: Do you feel that the arthrometric examination plays a relevant role in your orthosis prescribing?

     A: For Kevin Kirby, DPM, the arthrometric examination along with the physical exam and gait exam enable podiatrists to



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In-House Billing: Assessing The Pros And Cons

By Steven Peltz, CHBC | 6586 reads | 0 comments

Should you go with in-house billing for your podiatric services or use a billing company? A leading practice management consultant presents the pros and cons of each option, and offers inside secrets for evaluating the effectiveness of either option.



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Chronic Ankle Instability: Can Orthotics Help?

By Douglas Richie, Jr., DPM | 35193 reads | 0 comments

     Podiatric physicians use foot orthotics daily to treat a myriad of lower extremity conditions. Yet while the foot orthotics industry has been growing each year, researchers in the field of biomechanics have begun to challenge previous clinical studies showing that foot orthotics really work. At the same time, third party insurance payors have started questioning the value of foot orthotic therapy on the grounds that this treatment intervention is “experimental” and still without verification of the overall benefit.

     Podiatric physicians may have a



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Tissue Volumizing: Can We Create An Internal Orthotic?

By Stephanie C.S. Wu, DPM, MS, Nicholas J. Bevilacqua, DPM, Lee C. Rogers, DPM, and David G. Armstrong, DPM, PhD | 12195 reads | 0 comments

     The rapid rise in the incidence of diabetes, a serious lifelong condition, is of alarming concern to healthcare professionals. Recent data from the Centers of Disease Control and Prevention (CDC) estimate that approximately 20.8 million people, roughly 7 percent of the United States population, have diabetes.1 In 2005 alone, 1.5 million new cases of diabetes were diagnosed in people aged 20 years or older.1 Diabetes mellitus is a multifaceted disease and foot ulceration, which often results in lower extremity amputations, is one of the most common comp



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Achilles Tendinopathy: What Are The Best Treatment Options?

By Edward G. Blahous Jr., DPM | 51293 reads | 0 comments

     When you perform a literature review on Achilles tendinopathy, be prepared to be inundated with a litany of citations. Literally hundreds of articles annually are dedicated to the investigation of this relatively enigmatic tendon. Some will focus on histological findings and others will feature anecdotal clinical investigations. A multitude of studies featuring newer, so-called “alternative” therapies are introduced and all the while, review-type articles of variable depth will litter your search.

     Suffice it to say, filtering through this amount



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An Alternative Approach To Plantar Plate Derangement

By Kerry Zang, DPM | 31707 reads | 0 comments

     Plantar plate derangement with synovitis of the metatarsophalangeal joint complex is a progressively degenerative condition with an inflammatory component.1 Recent clinical experience suggests that one can treat these pathologies successfully using plasma-mediated, radiofrequency-based microdebridement.

     While the plantar plate of the metatarsophalangeal joint shows signs of degeneration, the metatarsophalangeal joint complex itself is inflamed (i.e. synovitis). Clinicians often find this condition in conjunction with the triad of hallux ab