Volume 20 - Issue 2 - February 2007
I noticed a small piece of paper under the windshield wiper of my car as I started to leave the doctors’ parking lot of the hospital. I stopped and retrieved what turned out to be a prescription. There was no name on it and it was not signed. There was a scrawled inscription: “Be sure to remove foil wrapper before inserting. Ha Ha!”
One of my colleagues was making fun of the fact that my new car resembles a suppository. I took a mental inventory of possible suspects who had reason to get back at me for past pranks. The list quickly grew quite
News and Trends »
As lower-extremity amputation rates continue to be a serious concern, DPMs continue to work to find effective prevention strategies. A recent study in the Journal of Foot and Ankle Surgery examines the efficacy of using a high to low amputation ratio to identify patients who may be at a greater risk for amputation.
The study proposed and evaluated a high to low (Hi-Lo) amputation ratio as another quality measure to provide insight into high-risk foot surveillance that goes beyond foot screening. Researchers performed a secondary analysis on
I read with interest the discussion of heel pain authored by Stephen Barrett, DPM (see “Should You Change Your Approach To Plantar Fasciosis?,” page 48, November 2006 issue). As a pain management physician who has treated podiatry failures for the last 15 years, I cannot agree more with his assessment of the misdiagnosis of “plantar fasciitis.”
I also find it interesting that he confirms the etiology (and, by extension, the appropriate treatment) of a heel tendonosis. Regenerative injection therapy, known in the past as prolotherapy, makes
Diabetes Watch »
Since the discovery of diabetes, researchers have worked diligently to extend the life expectancy of those affected by diabetes. From the advent of insulin in 1921 until the present day, advances in medical management have had a very significant impact on life expectancy and glycemic control in this population.1 Helpful treatments ranging from diet and exercise to oral drug therapy and exogenous insulin have steady advances in the treatment of this patient population.
Medications that are currently available for the management of blood gl
Practice Builders »
As I was channel surfing the other night, something caught my eye. It was the Discovery channel and I was looking at a huge herd of some hoofed animal. They looked pleasant enough and at peace with the world. Then a lioness came out of nowhere and whacked one of the older animals. Indeed, this particular life and death struggle on the Serengeti reminds me of why a group practice makes so much sense today.
That lioness could just as easily have been an insurance company executive and the herd could have been the group practice. In this case, the herd
Orthotics Q&A »
Given the increased emphasis on evidence-based medicine, our expert panelists review the impact of literature findings upon their prescription of custom foot orthoses for different pathologies.
Q: Is there evidence in the literature to support the use of functional orthotic devices?
A: The only supporting evidence relative to orthotic treatment of posterior tibial tendon dysfunction (PTTD) are studies of ankle foot orthoses (AFOs), according to Doug Richie Jr., DPM. Regarding PTTD, he says the evidence is “quite imp
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