Volume 21 - Issue 5 - May 2008
It is said that the best science is repeatable science. If you pour x into y in certain measures and under specific conditions, z will occur every time. In podiatry, such certainty is not always that certain. The treatment regimen one utilizes for the lower extremity wound of one patient with diabetes may work in healing the diabetic ulcerations of three other patients but not a fourth. Her wound might require a different therapy or a combination of therapies. Her z requires a different x and y.
However, the regimen you prescribed for your first patient should work. It has bee
Orthotics are an integral part of podiatric practice. They provide viable treatment options for many conditions that we treat. However, there are also associated hard costs with orthotics that can be a financial detriment to the practice if the office cannot collect fees in a timely fashion.
Obviously, your staff should be very aware of coverage criteria for the principal insurance companies that your office commonly deals with when it comes to payment for any service rendered in the office. This will save a lot of time in determining whether orthotics may be a covered benefit f
Continuing Education »
Please click here for the full Continuing Medical Education article:
Given the challenges inherent in diagnosing and treating tarsal coalitions, this author reviews key clinical findings, offers keys to diagnostic imaging, explores the merits of conservative therapy and discusses indications for resection and arthrodesis.
Diabetes Watch »
Peripheral arterial disease (PAD) is a significant risk factor for diabetic foot amputation. It is also an important marker for atherosclerosis in other organ systems and is associated with a fourfold increase in cardiovascular death.1
Current estimates suggest a 3 to 10 percent incidence of PAD in the general population but reportedly only 25 to 33 percent of these people are symptomatic. Of the patients with asymptomatic PAD, 70 to 80 percent will remain stable at five years whereas 10 to 20 percent will experience significant deterioration of their health due to t
Implants have been documented in the literature and surgeons have utilized implants over the past 50 years for the treatment of a variety of conditions including hallux rigidus, hallux valgus, osteoarthritis and rheumatoid arthritis.1,2 Total joints were originally designed to function as joint spacers to decrease pain while maintaining motion and joint alignment.1,3 Currently, a variety of products attempt to provide these characteristics. These products include silastic, polyethylene-on-metal and metal hemiarthroplasty implants. Surgeons have implanted over 2
I am in the last nine months of my 33-year career as a podiatrist. Every day of patient care is a cause for reflection. I know what I will miss and what I will not miss.
I will not miss my most creative patients, those who are pursuing settlement of personal injury claims. Some have been legitimate but many have been pure fiction.
My most memorable creative patient was a young man who lost his second toe in an industrial accident. He got his foot caught in a chain and sprocket, and lost the toe. I cleaned up the mess and he healed without problems. I received a request for his r
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