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Managing Patients Who Object To The Standard Of Care

Wed, 11/15/2017 - 13:32
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Camille Ryans, DPM

Perhaps it is an active runner who is resistant to having surgery due to a potentially long post-op recovery and scaled back training. Another case may involve an older patient who is very anxious about a medication you have recommended due to polypharmacy concerns and being able to keep track of his or her current medications. In another situation, you may find yourself as the referee between a coach and a young athlete’s parents debating what the best treatment option is for getting the athlete back on the field more quickly.

Section: Forum

Work-Life Balance In Residency Programs: What To Expect

Wed, 11/08/2017 - 11:36
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Clinical Editor: David Bernstein, DPM, FACFAS; Panelists: Carmina Quiroga, DPM, FACFAS, H. John Visser, DPM, FACFAS and Steven Vyce, DPM, FACFAS

Residency directors discuss how to handle time off and medical leave requests from residents as well as on-the-job expectations that may exceed what is stated in their contracts.

Q:

How many vacations and sick/personal days are your residents allowed per year? Who keeps track of their schedule?

Section: Residency Corner

Identifying And Preventing Drug Interactions With Energy Drinks

Tue, 10/31/2017 - 12:17
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Robert Smith, DPM, MSc, RPh, CPed

Noting the increased popularity of energy drinks, this author looks at the potential dangers that may arise when these drinks interact with a patient’s prescription drugs.

The consumption of energy drinks has continued to gain popularity since the 1997 debut of Red Bull, the current leader in the energy drink market.1 Energy drink marketing is targeted to the 18- to 35-year-old consumer. More than 500 new energy drinks launched worldwide in 2006 and beverage companies are realizing the financial rewards of the $5.7 billion energy drink industry.

Section: Online Exclusive

Revisiting Complications And Learning From Failures Of Syme’s Amputations

Tue, 10/31/2017 - 10:21
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Michael B. Canales, DPM, FACFAS, Kartick Patel, DPM, MHSA, Grace C. Craig, DPM, and Preston Panicco, DPM

Taking a look at four patients, these authors review the complications of the Syme’s amputation, focusing on additional pre-op criteria for success, intraoperative modifications to the technique, and post-op prosthetic considerations.

Section: Online Exclusive

Keys To Managing Heel Pain In Basketball Players

Wed, 10/25/2017 - 15:09
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Patrick A. DeHeer, DPM, FASPS, FACFAS, and Nicholas Thompson, DPM

Treating plantar fasciitis in elite basketball players is a balancing act between relieving heel pain symptoms and getting players back on the court as quickly as possible. Accordingly, these authors review the literature on current modalities with a focus on the relationship between plantar fasciitis and equinus.

New York Knicks center Joakim Noah’s struggle with plantar fasciitis led the player to state, “Plantar fasciitis s----. It feels like you have needles underneath your feet while you’re playing.”1

Section: Feature

New Products November 2017

Wed, 10/25/2017 - 10:37
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): 

An Advanced Allograft

A recently introduced live-cell bone allograft may be a cost-effective alternative to autografts.

BioFuse provides a porous interconnected matrix for bone ingrowth, unlocking higher levels of osteoinductive biologic factors in comparison to traditional live-cell bone grafts, notes the manufacturer Extremity Medical.

Section: New Products

Inventive Brace May Improve Stability While Reducing Pain

Wed, 10/25/2017 - 09:38
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Robi Garthwait, Contributing Editor

Section: Technology In Practice

A Guide To Conservative Care For Plantar Fasciitis

Tue, 10/24/2017 - 16:21
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Joseph C. D’Amico, DPM

Conservative care is a mainstay for the large population of patients with proximal plantar fasciitis. Accordingly, this author takes a critical look at the research on conservative treatments such as stretching, injections and orthoses with an emphasis on addressing underlying biomechanical factors.

Section: Feature

Keys To Addressing Posterior Heel Ulceration

Tue, 10/24/2017 - 15:54
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Monica Schweinberger, DPM, FACFAS

How do you achieve optimal offloading? How do you address deeper ulcers with exposed bone and tendon? What are the best preventive strategies? Answering these questions and more, this author shares pearls from her clinical experience and emerging insights from the literature on managing posterior heel ulcerations.

Section: Feature

A Closer Look At Alternative Therapies For Plantar Fasciopathy

Tue, 10/24/2017 - 15:43
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Bob Baravarian, DPM, and Evelyn G. Heigh, DPM

Although most patients can attain relief from heel pain through conservative means, some will require alternative treatments. These authors share their experience with plantar fasciopathy treatments such as radiofrequency microdebridement, platelet-rich plasma and cryopreserved human amniotic membrane.

Section: Feature

Current Insights On Selection Criteria For Wound Dressings

Fri, 10/20/2017 - 12:10
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): Clinical Editor: Kazu Suzuki, DPM, CWS

These expert panelists discuss which dressings to use for diabetic foot ulcers (DFUs), venous leg ulcers and pressure ulcers with varying degrees of drainage.

Q:

What are the most effective dressings to use with DFUs with no or mild drainage? What about DFUs with heavy drainage?

Section: Wound Care Q&A

Techniques And Tips I Have Learned Over The Years

Fri, 10/20/2017 - 10:09
Issue Number: Volume 30 - Issue 11 - November 2017Author(s): William Fishco, DPM, FACFAS

You know how the saying goes … “the only way you can get good at something is by doing it over and over again.” As we go through our careers as podiatric surgeons, we learn from our own mistakes, our residents’ mistakes and sometimes by trial and error.

I would like to share a few techniques and tips that I teach my residents. Often, we cannot remember how we picked up these tips. Certainly, I need to pay homage to my teachers from my residency in Tucker, Georgia.

Keys To Effective, Conservative Suturing

Section: Surgical Pearls

Recalling The Toughest And Most Rewarding Cases of Residency

Mon, 10/02/2017 - 10:14
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Clinical Editor: David Bernstein, DPM, FACFAS Panelists: Christopher Forsbach, DPM, Jacob Jensen, DPM, Raymond S. Murano, DPM, and Paxton Riding, DPM

Third-year residents discuss challenging surgeries, difficult complications, and rewarding cases from their residency programs thus far, and what they have learned from these experiences.

Q:

What was the most challenging case you have worked on in your residency so far? How did you prepare for it? What, if anything, surprised you during the case? What feedback did you receive afterward from the attending or residency director after the case?

Section: Residency Corner

Residency Corner: Recalling The Toughest And Most Rewarding Cases of Residency

Mon, 10/02/2017 - 10:14
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Clinical Editor: David Bernstein, DPM, FACFAS Panelists: Christopher Forsbach, DPM, Jacob Jensen, DPM, Raymond S. Murano, DPM, and Paxton Riding, DPM

Third-year residents discuss challenging surgeries, difficult complications, and rewarding cases from their residency programs thus far, and what they have learned from these experiences.

Q:

What was the most challenging case you have worked on in your residency so far? How did you prepare for it? What, if anything, surprised you during the case? What feedback did you receive afterward from the attending or residency director after the case?

Section: Online Exclusive

The Impact Of New Topical Antifungals On Onychomycosis Management

Mon, 10/02/2017 - 09:33
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Richard A. Pollak, DPM, Boni E. Elewski, MD, Antonella Tosti, MD, and Tracey C. Vlahovic, DPM, FFPM, RCPS (Glasg)

These authors share their experience with the efficacy of new topical agents for onychomycosis, when to combine topical and oral therapy, and what the future may bring.

Section: Online Exclusive

The Impact Of New Topical Antifungals On Onychomycosis Management

Mon, 10/02/2017 - 09:33
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Richard A. Pollak, DPM, Boni E. Elewski, MD, Antonella Tosti, MD, and Tracey C. Vlahovic, DPM, FFPM, RCPS (Glasg)

These authors share their experience with the efficacy of new topical agents for onychomycosis, when to combine topical and oral therapy, and what the future may bring.

Section: Online Exclusive

Exploring The Potential Of A New Modality For Harvesting Bone Autograft

Fri, 09/29/2017 - 14:42
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Philip Wrotslavsky, DPM, FACFAS

In an intriguing case study involving the referral of a 73-year-old male who had one failed revision surgery for a post-op non-union after a Lapidus procedure, this author discusses the use of a new bone harvesting modality to help achieve osseous fusion. 

Section: Online Exclusive

Exploring The Potential Of A New Modality For Harvesting Bone Autograft

Fri, 09/29/2017 - 14:42
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Philip Wrotslavsky, DPM, FACFAS

In an intriguing case study involving the referral of a 73-year-old male who had one failed revision surgery for a post-op non-union after a Lapidus procedure, this author discusses the use of a new bone harvesting modality to help achieve osseous fusion. 

Section: Online Exclusive

How To Diagnose And Treat Subluxing Peroneal Tendons In The Athlete

Wed, 09/27/2017 - 15:16
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Yashraj A. Chauhan, DPM, and Jason R. Miller, DPM, FACFAS, FAPWCA

Commonly misdiagnosed as lateral ankle sprains, peroneal tendon subluxation can be a challenging dilemma for skiers, basketball players and football players among other athletes. With this in mind, these authors review a grading system for these injuries, discuss common diagnostic findings and offer keys to effective treatment.

Section: Feature

How To Diagnose And Treat Subluxing Peroneal Tendons In The Athlete

Wed, 09/27/2017 - 15:16
Issue Number: Volume 30 - Issue 10 - October 2017Author(s): Yashraj A. Chauhan, DPM, and Jason R. Miller, DPM, FACFAS, FAPWCA

Commonly misdiagnosed as lateral ankle sprains, peroneal tendon subluxation can be a challenging dilemma for skiers, basketball players and football players among other athletes. With this in mind, these authors review a grading system for these injuries, discuss common diagnostic findings and offer keys to effective treatment.

Section: Feature

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