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 | 58602 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 | 2624 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

Diabetes Watch »

Taking A Closer Look At Insulin Resistance Syndrome

By Chih Yen | 6329 reads | 0 comments

Over 16 million people in the United States have diabetes and this number is growing by the hour. Diabetes is now the fifth leading cause of death in this country.1 By understanding the pathophysiology of diabetes and the environmental factors which contribute to this disease, we can have a better focus on the scope and nature of the threat to our patient population with diabetes.
With this in mind, it’s important to have a thorough knowledge of the potential impact of insulin resistance syndrome, a condition in which the tissues of the body become desensitized to insulin. It is a chronic s

Forum »

Don't Get Caught In Referral Traps

By John McCord, DPM | 3266 reads | 0 comments

The lifeblood of a quality podiatry practice is a steady and diverse physician referral base. No podiatrist would argue that point. However, there is a flipside to the axiom that all referrals are a good thing. I’m thinking about the “referral traps” I have experienced over the past 27 years as a small town podiatrist.

Managed Care Insider »

What You Should Ask Before Signing A Managed Care Contract

By Anthony Poggio, DPM | 2564 reads | 0 comments

Which managed care contracts should you sign? Which are truly beneficial for our individual practices? Many of us sign up for every managed care contract out of a sense of fear. There is this notion that if you don’t sign up, someone else will and you will lose access to a group of patients. Then when we submit claims or request authorizations, we find out that working with certain plans is cumbersome and frustrating. By that time, it is too late.
There have been many articles written about reviewing contracts from a legal perspective, but what about the practical aspects? There are sever

Orthotics Q&A »

Understanding The Impact of Muscle Weakness

19925 reads | 0 comments

Muscle strength testing is not always part of a standard podiatric biomechanical evaluation. Unfortunately, muscular weakness can often influence function and, if undetected, can lead to chronic pain in the joints which the weakened muscles support. There are several reasons for muscular weakness, but the most common cause is chronic inhibition signaling from the CNS. Since motor signals to muscles normally cycle between facilitation (excitation) and inhibition, an alteration in this signaling can often cause chronic inhibition and subsequent pain.
With this in mind, our expert panelists offe