When it comes to treating hallux valgus, the Lapidus arthrodesis can be an effective procedure. These authors discuss the evolution of the technique, offer a guide to key indications and contraindications, and provide essential step-by-step pearls for performing the procedure.

     Hallux valgus is one of the most common deformities we see as foot and ankle surgeons. There are over 100 different types of surgical procedures for this deformity.^1,2 With the considerable variety of procedures, it is fairly evident that no one procedure has been able to provide

While undergoing a Medicare audit can be a stressful situation, this author emphasizes cooperation and documentation, and outlines key factors that commonly trigger an audit of one’s practice.

     You have been notified that you are about to be audited by Medicare. Do not panic. Audits are simply the cost of doing business. Many entities may audit you during the lifetime of your practice. Your practice may be subject to audits from insurance companies, health maintenance organizations (HMOs) and even the Internal Revenue Service (IRS).

     When y

Should You Treat Asymptomatic Pediatric Flatfoot?

By Brian McCurdy, Senior Editor

   When encountering a child with asymptomatic flatfoot, it is important to decide whether you should treat the condition or see if the flatfoot will improve on its own. A recent article in the Journal of the American Podiatric Medical Association (JAPMA) examines the effects of orthoses for this condition and provides a framework for treatment.

   After reviewing studies on the use of orthoses to treat pediatric flatfoot, the authors of the JAPMA article pres

   Intraepidermal nerve fiber density testing is gaining enthusiastic acceptance for the diagnosis as well as the staging of diabetic neuropathy. Studies have demonstrated reduced intraepidermal nerve fiber density in patients with diabetes type 1 and type 2.¹ One major advantage of intraepidermal nerve fiber density testing is the ability to detect the presence of evolving peripheral neuropathy in the presence of normal neurophysiologic studies. ²

   Electrodiagnostic studies are reflective of large fiber disease, which is frequently pre

   Over the decades, the concept of podiatric sports medicine has evolved. In years past, educators at podiatry schools directly and indirectly implied that it was primarily making orthoses for runners. Certainly, this was the case in the early 1970s running boom as George Sheehan, MD, a cardiologist, urged runners to seek the biomechanical benefit of foot orthoses.

   However, as more patients from other sports gravitated to podiatrists for biomechanical help, the knowledge base of the practitioner had to expand. One of my mentors, John Durkin Jr., DPM, advis