Volume 20 - Issue 9 - September 2007
For years, it seems like the $5,000 bunion and pressures from HMOs diverted DPMs’ attention from biomechanics. The emphasis of our education and practices strayed from Root toward Ilizarov and coding. “Gold standard” orthotics cast from foam or “posted to cast” do not generate the pride and acceptance that a Root device once did for podiatry and our orthotic fees are less justified when compared to high-tech, over-the-counter footbeds and custom devices casted by other providers or over the Internet.
The solution is neoteric biomechanics, a school of func
When it comes to being recognized as a true sports medicine physician, Lisa Schoene, DPM, ATC, says in order to “talk the talk, you better walk the walk.” Dr. Schoene says the best sports medicine practitioners are the ones who cover the events and are out there covering races even when it is cold and rainy or starting very early in the morning.
“Hands-on experience is imperative in my mind,” emphasizes Dr. Schoene, who has covered many marathons, triathlons and other races. “I question the physician who says he or she is a ‘sports medicine spe
Continuing Education »
Continuing Education Course #156
I am pleased to introduce the latest article, “How To Address Puncture Wounds,” in our CE series. This series, brought to you by the North American Center for Continuing Medical Education (NACCME), consists of complimentary CE activities that qualify for one continuing education contact hour (.1 CEU). Readers will not be required to p
Diabetes Watch »
In reading many of the recent articles in podiatry publications, we will need to expand our vocabularies to include various new phrases. These phrases will include pay for performance, evidence-based medicine or evidence based treatment plans, and evidence-based treatment guidelines. Electronic medical records (EMR) and electronic health records (EHR) will be linked to evidence-based guidelines at the point of care. These changes are also reverberating within the primary care settings and in other selected specialties.
What can this mean for any practitioner let alone the solo practitioner w
News and Trends »
Podiatric surgery can carry inherent risks including the possibility of perioperative infection. A recent article in the Journal of Bone and Joint Surgery (JBJS) offers several pertinent recommendations that aim to prevent some of the reported 780,000 surgical site infections that occur every year in the United States, according to the study authors.
Although they acknowledge that preoperative antibiotics are associated with lower rates of surgical site infections, the authors of the JBJS article say surgeons should continue antibiotics for no more than 24 hours afte
Surgical Pearls »
Vacuum Assisted Closure (VAC) is one of our greatest tools in managing large as well as deep wounds. It crosses multiple surgical disciplines and is applicable to virtually all anatomical sites. This technology has revolutionized limb salvage surgery and has prevented untold numbers of amputations. There is an exciting growth curve with the use of this technology. Surgeons can modify the technology to aid in the closure of a multitude of wound scenarios.
In the course of utilizing VAC therapy (KCI), one must be cognizant of adjacent tissue and protect it from the deleterious effects of negat
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