Volume 20 - Issue 2 - February 2007

News and Trends »

Can A High-Low Ratio Help Prevent Amputation?

By Brian McCurdy, Senior Editor | 4630 reads | 0 comments

      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



Letters »

Clearing Up Misconceptions On Cryoneuroablation

5920 reads | 0 comments

      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 »

Can Incretin Mimetics Improve Beta Cell Dysfunction

By Mackenzi Nelson, DPM, and John S. Steinberg, DPM | 6792 reads | 0 comments

      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 »

Understanding The Allure Of A Multispecialty Group Practice

By Glenn Weinraub, DPM | 6321 reads | 0 comments

      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 »

Inside Insights On Evidence-Based Orthotic Therapy

Guest Clinical Editor: Lawrence Huppin, DPM | 12281 reads | 0 comments

      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



Feature »

How To Provide Physical Therapy As An Ancillary Service

By Jonathan Moore, DPM | 37966 reads | 1 comments

      It should not be news that adding ancillary services to your practice not only improves patient outcomes (if done right) but moreover, ancillary services have the ability to improve your bottom line dramatically. Some estimates state upward of a 60 percent boost or higher to the bottom line. While podiatry has long been familiar with ancillary services like X-ray, vascular testing, nerve conduction testing and ultrasound, physical therapy (PT) has for many years been left off the table.



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