Volume 19 - Issue 11 - November 2006

Feature »

How To Perform An In-Step Plantar Fasciotomy

By Lawrence Karlock, DPM, FACFAS,and Dan Kirk, DPM | 42266 reads | 0 comments

    Heel pain is obviously one of the most common complaints we see in podiatric office. The causes of heel pain are varied and include tarsal tunnel syndrome, Baxter’s neuritis, calcaneal stress fracture and spondyloarthropathies, just to name a few. For the majority of these patients, the diagnosis is plantar fasciitis.

    Many of these patients will get better with conservative care, which includes stretching, orthotic devices and steroid injections. Those who still have pain may find relief with extracorporeal shockwave therapy. Patients who still d



Feature »

How To Detect Chronic Heel Pain With Musculoskeletal Ultrasound

By John Tassone Jr., DPM | 12245 reads | 0 comments

    Throughout the previous three decades, technological advances paved the way for the use of sonography in diagnosing and assessing musculoskeletal pathology. Continued innovations in this arena have led to affordable portable units that enable private office practitioners to utilize ultrasonography. Use of these units has grown over the last five years, especially in rheumatology. In fact, one leading ultrasound company has turned all of its advertising attention from the podiatry profession to rheumatology. However, podiatry still remains a formidable market for the portable



Continuing Education »

How To Address Mechanically-Induced Subcalcaneal Pain

By Paul R. Scherer, DPM, and Lori L. Waters, BSc, BEd | 13932 reads | 0 comments

    Given the abundance of articles written about heel pain and plantar fasciitis, practitioners may wonder whether there is anything new to learn. The prevalence of this condition accounts for the amount of press that it gets, both in the medical community and in the news, but are all the articles and studies discussing the same thing? The numerous opinions and conflicting data may indicate that heel pain is more complicated than people realize. Perhaps some variable has been omitted in the research that contributes to the conflicting outcomes.

    Many ter



Feature »

How To Solve The Mystery Of Declining Accounts Receivable

By David Edward Marcinko, MBA, CFP, CMP, and Hope Rachel Hetico, RN, MHA, CMP | 6471 reads | 0 comments

     Accounts receivable (A/R) represent free cash flow that is the lifeblood of any medical practice. Staying on top of A/R enables a practice to pay the bills, take care of office payroll and satisfy operational obligations. In the reimbursement climate that exists today, it is not unusual for A/R to represent 75 percent of a hospital’s investments in current assets. For podiatrists, it is not unusual for 30 percent or more of all office A/R to be more than 120 days old.

     A feature of A/Rs that makes them unique is the settlement for less than billed



News and Trends »

Studies Assess Impact Of Valdecoxib For Post-Bunionectomy Pain

By Brian McCurdy, Senior Editor | 8732 reads | 0 comments

     When patients have pain after a bunionectomy procedure, what are the best options for providing pain relief? Two randomized, double-blind, placebo-controlled studies, recently published in the Journal of the American Podiatric Medical Association, note that patients who took valdecoxib (Bextra, Pfizer)



Diabetes Watch »

Can Endovascular Atherectomy Be Beneficial In Diabetic Limb Salvage?

By Peter Wilusz, DPM, and Guy Pupp, DPM | 13995 reads | 0 comments

     The non-traumatic lower extremity amputation rate among people with diabetes mellitus has increased 38 percent from 1992 to 2002.1 The number of amputations has increased from 99,552 in 2000 to 110,000 in 2002.2 To appreciate this statistic, this is more than double the number of amputations on U.S. soldiers from the Civil War through Vietnam.3

     Peripheral arterial disease (PAD) is largely undiagnosed. Of the estimated 12 million Americans with PAD, 2.5 million are diagnosed and only 4 percent are treated interventio



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