Volume 20 - Issue 12 - December 2007

News and Trends »

Do Runners Get What They Pay For With Expensive Shoes?

By Brian McCurdy, Senior Editor | 8622 reads | 0 comments

When choosing a pair of running shoes, consumers have a wide range of choices with a number of models available in different price ranges. Does buying a more expensive running shoe necessarily translate into getting a better quality shoe? A recent study suggests there may not be that much difference in cushioning between inexpensive and more expensive shoes.

The study, which was recently published in the British Journal of Sports Medicine, compared a total of nine pairs of men’s running shoes from three different manufacturers. Researchers compared low-priced shoes (&poun



Diabetes Watch »

A Guide To Hyperbaric Oxygen Therapy For Diabetic Foot Wounds

By Kazu Suzuki, DPM, CWS; Clinical Editor: John S. Steinberg, DPM | 21803 reads | 0 comments

   Hyperbaric oxygen (HBO) chambers are currently located in over 750 facilities in the United States. New wound care centers are opening monthly across the country and most incorporate HBO chambers. Which foot and ankle conditions benefit from HBO treatment? Does clinical evidence support HBO treatments?

   Patients undergoing HBO therapy enter a chamber filled with 100 percent oxygen atmosphere pressurized to 2.0 to 2.5 ATA (atmospheric pressure absolute), which is equivalent to the pressure 33 to 48 feet below sea level. Hyperbaric oxygen therapy treatment



Dermatology Diagnosis »

When A Patient Presents With An Unusual Lesion On The Sole

By G. “Dock” Dockery, DPM, FACFAS | 14512 reads | 1 comments

A 60-year-old Caucasian female patient presents for consultation to the foot and ankle clinic regarding a one-year history of an erythematous, scaly and irregular lesion on the sole of her right foot. She notes the lesion is entirely asymptomatic. She originally saw a primary care physician about the lesion. The physician told her that she had a case of “athlete’s feet” and recommended an over-the-counter (OTC) antifungal cream. After four weeks of treatment with the antifungal cream, the patient showed no improvement.

The primary care physician then re-diag



Orthotics Q&A »

Current Insights On Custom And Prefabricated Foot Orthoses

Guest Clinical Editor: Scott Spencer, DPM | 6738 reads | 0 comments

Q: How do you evaluate a patient for foot orthotic devices?
A:
All three panelists will perform a gait analysis. Russell Volpe, DPM, begins by assessing what he wants the orthosis to accomplish once he decides a CFO is indicated. If control of motion is needed, he will tailor material selection and many of the plaster modifications and prescription items to help accomplish that goal. If Dr. Volpe’s desired goal is accommodation, soft-tissue supplementation or assistance with motion, he will gear material selection and prescription features toward those goals. He also c



Practice Builders »

Key Secrets To Successful Delegation

By Lynn Homisak, PRT | 4443 reads | 0 comments

Many people are faced with the stress of “so much to do and so little time.” They blame poor time management as the culprit when, in fact, the underlying issue in many cases is their inability to properly delegate tasks. They have a need to do it all themselves when there are others who can and are willing to lend a hand.

Are you one of those people? Face it: there is only so much you can do to add value to your practice without enlisting the help of others. If you find you are among the many who would “rather do it yourself,” you will also find that sooner or later



Technology In Practice »

Can A Comprehensive AFO Offer Superior Compliance?

By Aaron Becker, Special Projects Editor | 3546 reads | 0 comments

Emerging as a custom gauntlet-type ankle-foot orthosis (AFO) with wide-reaching indications, the ProLab Orthotics Custom Gauntlet AFO reportedly offers non-surgical stabilization of the rearfoot and ankle in all three planes. Jonathan Kreger, DPM, attests he uses the Gauntlet AFO for conditions beyond the manufacturer’s recommended indications with very positive results.

“Compliance with the Stabilizer AFO is excellent and much better than with standard polypropylene ankle and foot orthoses or other braces,” maintains Dr. Kreger.

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