Volume 15 - Issue 4 - April 2002
News and Trends »
New Study Emphasizes Cryosurgery For Painful Foot Neuromas
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
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
Diabetes Watch »
Taking A Closer Look At Insulin Resistance Syndrome
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
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
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
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
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