Volume 15 - Issue 4 - April 2002

Sports Medicine »

Foot Blister Prevention: What You Can Recommend To Athletes

By Mark A. Caselli, DPM, and Jean Chen-Vitulli, DPM | 69498 reads | 0 comments

Foot blisters are among the most common injuries for athletes. According to research from the Scholl, over 5.2 million people suffer blisters every year. In a study of lower extremity injuries that occurred at the New York City Marathon, the most common foot problems reported were acute shear and stress injuries resulting in blister formation.
Aside from being painful, blisters can alter an athlete’s running form and lead to even more serious injuries of the leg and hip due to irregular gait biomechanics.



New Products »

No More Pain

Gina DiGironimo, Production Editor | 2755 reads | 0 comments

The sight of a needle can strike fear into your bravest patient. Now a new product promises to minimize the pain.
Milestone Scientific’s CompuMed system consists of the CompuMed computer and the Wand handpiece. The CompuMed computerized anesthetic system allows you to control the flow rate to your patients.
Modes range from slow mode (one drop every two seconds) to the aspiration mode. This controlled distribution enables you to deliver the anesthetic below the patient’s threshold of pain.
According to Milestone, the microprocessor automatically provides safe delivery for different ti



News and Trends »

New Study Emphasizes Cryosurgery For Painful Foot Neuromas

By Brian McCurdy, Associate Editor | 15227 reads | 0 comments

Practitioners traditionally use cortisone or alcohol sclerosing injections, orthotics, surgery or other modalities to treat foot neuromas. Now you can also use precisely targeted ice injections as a minimally invasive surgical procedure for relieving painful neuromas in the foot. New research on this modality was recently reported at the Annual Meeting of the American College of Foot and Ankle Surgeons (ACFAS).
Freezing these neuromas is proving very effective as an alternative to surgery for treating neuromas that fail conservative methods, according to study authors Lawrence Fallat, DPM, FA



Editor's Perspective »

Ready Or Not, Here Comes HIPAA

By Jeff Hall, Editor-in-Chief | 3339 reads | 0 comments

Is your practice HIPAA compliant? Indeed, the looming deadlines for compliance with the Health Insurance Portability and Accountability Act (HIPAA) will require careful consideration of the patient privacy protections you have in place at your practice. Will this process be time-consuming, expensive and stretch your staff even further than they’re stretched already? Absolutely.
By April 14, 2003, your practice must be compliant with HIPAA’s Privacy Rule. If someone knowingly violates HIPAA and obtains individually identifiable health information or discloses it to another, he or she may b



Feature »

The Ins And Outs Of Forming A Multispecialty Practice

By Leon R. Brill, DPM, FACFAS, CWS | 6094 reads | 0 comments

The winds of change have blown through the medical community with a vengeance in the last 25 years. Managed care has turned medicine upside down. Dramatically lower fees and higher overhead expenses have made us work doubly hard just to maintain some level of consistency in our practice. Just as we have seen in the hospital community, economic necessity has made some strange bedfellows.



Feature »

The Top Eleven Pearls For Hammertoe Surgery

By Michael D. Dujela, DPM, James L. Chianese, DPM, James R. Holfinger, DPM, and Richard J. Zirm, DPM | 26906 reads | 0 comments

Digital contractures are among the most common deformities we see in podiatric practice. McGlamry described three etiologies for hammertoes: flexor stabilization, flexor substitution and extensor substitution.1 While each entity may exist independently, it is more likely you will see co-existing etiologies, particularly when you’re dealing with more complex deformities.
Most hammertoes in early stages primarily involve sagittal contractures. However, as the deformity progresses, transverse plane components may be unmasked. You may recognize transverse plane deformities early on as a subtle



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