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Principles In Pain Management For Wound Care Patients

Kazu Suzuki, DPM, Ryan Lockhart, BS, and Zoe Birnbaum, BS | 3,107 reads | 0 comments | 07/26/2016

A significant number of wound care patients may present to your office with chronic pain present for more than three months. These authors provide a guide to treating patients with mild, moderate and severe pain, and review key principles in prescribing and monitoring opioid use.

Pertinent Pearls On Conservative Management Of Lisfranc Injuries

Joseph C. D’Amico, DPM, DABPO | 3,238 reads | 0 comments | 08/30/2016

This author presents an orthotic solution for a 67-year-old, who presented with pain following a fifth metatarsal base fracture.

On March 18, 2016, I had the opportunity to examine a formerly active, otherwise essentially healthy 67-year-old female psychologist who presented to me with a chief concern of persistent left midfoot and lateral ankle pain following immobilization for a left fifth metatarsal base fracture sustained on September 1, 2015.

Dispelling 10 Practice Management Misconceptions

Lynn Homisak PRT | 1,437 reads | 0 comments | 10/07/2015

1. You will lose your patients if you do not treat all their concerns in one visit, even though the scheduled time does not allow for it.

Key Insights On Conservative And Surgical Management Of Ectrodactyly

Saleena Niehaus DPM | 4,265 reads | 0 comments | 11/24/2015

Having never seen ectrodactyly outside of textbooks and journals, I was intrigued when a patient presented to clinic with split-hand/split-foot malformation. She was the third generation in her family with the deformity, having inherited it from her mother.

Can Acupuncture Have An Impact In Postoperative Pain Management?

Kristine Hoffman DPM | 2,690 reads | 0 comments | 01/20/2016

Acupuncture is one of the oldest forms of natural medicine. Practitioners have used acupuncture in the treatment and management of numerous disorders including acute pain, chronic pain and musculoskeletal disorders.1

Reading The Signs Of When Staff Is Happy Or Unhappy

Lynn Homisak PRT | 880 reads | 0 comments | 07/14/2015

My fellow Baby Boomers will remember this song from growing up in the ‘70s: “Sign, sign … everywhere a sign” by the Five Man Electrical Band. When I heard the song replayed today, it reminded me of a website I had seen recently: www.theyellowdogproject.com. This site advocates the benefit of being able to identify dogs who need more space (i.e., those that have health issues, are in training, are being rehabilitated or are just scared or reactive to other dogs) by having them wear a yellow ribbon or placing something yellow on their leash.

Emphasizing The Impact Of Staff Morale And Engagement On Practice Growth

Lynn Homisak PRT | 856 reads | 1 comments | 09/03/2015

I spend a lot of my work hours educating doctors on the importance of good management. While good management is admittedly not their number one priority, it is important for doctors to understand that a lack of management and (often worse) poor management directly correlate to a less trusting, less committed staff. This, in turn, affects the amount of conviction staff have in their employer and their level of engagement (read: productivity and job satisfaction) in the practice.

Pertinent Pearls On Surgical Management Of A Displaced Sustentaculum Tali Fracture

Nicholas Bevilacqua, DPM, FACFAS | 2,550 reads | 0 comments | 05/31/2016

This author describes open reduction and internal fixation of an isolated sustentaculum tali fracture in a 24-year-old female.

Keys To Orthotic Management When There Is An Ulcer Under The Hallux

Larry Huppin DPM | 722 reads | 0 comments | 12/22/2015

A colleague recently called me regarding a patient with an ulcer under the hallux. The patient is active. He works in an OR and spends most of the day on his feet. My colleague was looking for a way to use orthotic therapy to decrease force under the hallux.

There are a number of ways to decrease force under the hallux. Our primary goals are to decrease any functional hallux limitus that is occurring in order to decrease pressure under the hallux and then transfer pressure directly off the ulcerated area.

Keys To Pain Management In A Sports Medicine Practice

Richard L. Blake, DPM | 6,340 reads | 0 comments | 03/23/2015

Dealing with pain in a sports medicine practice can be a very difficult, challenging and frustrating process. The patients want to get better as soon as possible. Some have high pain thresholds and some have low pain thresholds. Let us take a closer look at approaching common types of pain in these patients, dealing with good pain versus bad pain, and getting the athlete moving forward toward a complete recovery.