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As 2014 draws to a close, ACFAOM would like to wish its members and industry partners a safe and happy holiday season. As we reflect on the past year for the podiatric medicine, we would like to provide to the readers of the ACFAOM Foot & Ankle Weekly a look at the most accessed articles from the year. Our regular publication will resume next Tuesday, Jan. 6, 2015.


How will Obamacare affect podiatry?
Podiatry Today
From Jan. 7, 2014: Podiatrists and patients alike may experience some confusion with the deluge of information regarding the Affordable Care Act (ACA). This author discusses the insurance exchanges and what constitutes a "qualifying health plan" with the ACA, raises questions about potential obstacles with ACA and suggests proactive strategies to help ensure adequate reimbursement in the future.
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The rise and fall of minimalist footwear
Lower Extremity Review
From July 29, 2014: Once thought by some to be the next big thing in running, minimalist footwear has been scrutinized in recent years by researchers and class-action plaintiffs who claim the shoes do not provide the same benefits as barefoot running and may in fact increase the risk of injury in some runners.
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When a high arched patient has dorsal foot pain with orthoses
Podiatry Today
From Feb. 11, 2014: A fairly common complication for patients with cavus foot type who begin wearing orthosis is to develop pain on the dorsum of the foot secondary to shoe pressure. Without orthotic devices, the foot is allowed to collapse somewhat and this will decrease pressure on the dorsum of the foot. This collapse does, of course, often lead to the symptoms that brought the patient into your practice in the first place and clinicians often treat these symptoms with foot orthoses. However, by placing an orthosis under the arch of the foot, particularly one that conforms well to the arch, it can have the effect of increasing pressure on the dorsum of the foot.
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Why aren't more people choosing a career in podiatric medicine?
Podiatry Today
From Nov. 11, 2014: In 2007, the American Podiatric Medical Association (APMA) commissioned a study to investigate concerns of a pending shortage of podiatric physicians. According to the report entitled the "Podiatric Medicine Workforce Study" (prepared by the State University of New York, Albany), the number of graduating podiatrists needed to triple by 2014 in order to meet the health demands of an increasingly older, heavier and diabetic population.
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The controversial coding and billing areas of foot care
Insurancenewsnet.com
From Sept. 16, 2014: Foot care coding and billing has always been tricky and controversial because of medical necessity requirements from Medicare and other commercial insurance carriers. Most number of insurance carriers only reimburse for the treatment of conditions of the foot, and not for the preventive care. For instance, routine foot care in patients without any symptom is not covered by the carriers. This reimbursement restriction has lead to confusion and complexities in diagnosis and CPT coding of foot conditions, and it is now necessary to prove that the treatment provided is medically necessary for the patient.
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Evidence-based use of metatarsal pads
Lower Extremity Review
From June 24, 2014: Plantar pressure analysis studies are demonstrating the effectiveness of met pads for forefoot offloading and helping clinicians determine which patients are most likely to benefit from different pad designs and placement strategies.
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Are we done with K-wires for hammertoe fixation?
Podiatry Today
From June 10, 2014: Are K-wires still the standard of care for hammertoe proximal interphalangeal joint fusion? Coughlin and coworkers found an 81 percent successful rate of PIPJ fusion in 118 toes using K-wire fixation. Lamm and colleagues similarly showed a 20 percent nonunion rate with PIPJ fusion and K-wire fixation. It seems that we should not be satisfied with any operation yielding a 20 percent failure rate.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    The best products to avoid bunion surgery (The Huffington Post)
Women, blacks at greater risk for bunions (MedPage Today)
When your new physician is underperforming (Physician's Practice)
The effectiveness of footwear and other removable off-loading devices in the treatment of diabetic foot ulcers: A systematic review (Diabetes/Metabolism Research and Reviews via PubMed)
Researchers examining new paths to treat pain and inflammation (By Dorothy L. Tengler)

Don't be left behind. Click here to see what else you missed.


Stretching: Is it beneficial for plantar fasciitis?
Podiatry Today
From April 15, 2014: Lisa M. Schoene, DPM, ATC, FACFAS writes, "Plantar fasciitis is probably the most common condition that the podiatric physician treats. We all have a myriad of treatment regimens and protocols that ultimately get our patients back on their feet. Usually, we suggest stretching of the gastrocnemius and soleus muscles very matter of factly. We know that these two muscles distally form the Achilles tendon and that tendon expands around the posterior aspect of the calcaneus to join into the plantar fascia. The plantar fascia or plantar aponeurosis is a thick, fibrous band made of collagen tissues that have a tensile strength of 7,000 pounds per square inch within the central portion."
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Skin patch may offer a better means of treating diabetic foot ulcers
Gizmag
From Nov. 4, 2014: When someone has diabetes, foot injuries such as ulcers can take a long time to heal. Not only does this cause diabetics prolonged discomfort, but it can even lead to amputation. Help may be on the way, however, in the form of a drug that's delivered through a skin patch. Foot ulcers in diabetics are slow to heal for two reasons. First, blockages in the blood vessels restrict the amount of oxygen-rich blood that can reach the wound.
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Careless physician criticism of a colleague can cause legal trouble
Orthopedics Today
From Sept. 2, 2014: Physicians are high-achieving individuals, and are recognized and respected by society as professionals. Surgeons, in particular, have the reputation of being competitive and driven towards perfection. In fact, the practice of surgery demands such attributes, and patients may seek these in their surgeons. In many communities, competition between surgeons for increased practice size and attendant revenues is a fact of life. Like other professionals, surgeons may advertise their services, keep abreast of the latest developments in their field, and promote certain skills and procedures on their websites and other forums to gain more business.
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Foot & Ankle Weekly

Colby Horton, Vice President of Publishing, 469.420.2601
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Julie Bernhard, Executive Editor, 469.420.2647  
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.

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