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Balance deficits persist after sprain despite clearance to return to sports
Lower Extremity Review
Athletes with a history of severe ankle sprain still demonstrate postural control deficits and report functional impairment even after being medically cleared for full sports participation, according to two studies from A.T. Still University in Mesa, Ariz.
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Doctors get higher scores from patients more involved in care
American Medical News
Patients who were more knowledgeable and engaged in their healthcare reported more positive experiences with their doctors than those who were less involved, says a study in the July issue of Health Affairs. Based on the findings, doctors should consider assessing patients' engagement and approach less-confident patients differently from those who are proactive about their care, health care consultants said. That's because more physicians are being compensated and promoted based on patient experience scores, which measure patient satisfaction with the care they receive, consultants said.
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Genes may predict peripheral neuropathy risk in diabetes
Researchers have found that people with diabetes who carry specific variants of the APOE gene are more at risk of developing peripheral neuropathy. Around 50 percent of people with diabetes develop peripheral neuropathy, where impaired circulation leads to nerve damage in the feet. This raises the risk of diabetic foot ulcers and other complications.
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A vision for the future of healthcare
By Dr. Jonathan Kaplan
Everyone has his own opinion of the future of healthcare. Whether it's politically or financially motivated, some believe we're headed for a bureaucratic morass, while others believe healthcare in America can be fixed with the Affordable Care Act. I have my own opinion and solution to one of the biggest challenges of healthcare — cost. The following is but one vision for the future of healthcare.
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Physicians' Medicare pay data may be next to be made public
CMS is asking for public input on whether or not physicians have a privacy interest with their Medicare payments. If they do, CMS says it wants to create a review system that balances a physician's privacy with the public interest.
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Wounds heal better when debrided often
MedPage Today
Faster and more complete wound healing was achieved with more frequent debridement regardless of wound type, size, or duration, researchers found. Weekly or even more frequent debridement - the removal of necrotic tissue and foreign bodies from a wound that isn't healing on its own - resulted in shorter healing times for all wound types compared with less frequent debridement (P<0.001), according to Dr. Scott Covington of Healogics in Jacksonville, Fla., and colleagues.
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Missed last week's issue? See which articles your colleagues read most.

    How to get tax breaks for your medical practice (American Medical News)
Negotiating successful payment arrangements: 4 easy steps to succeed every time (By Jan Keller)
Are minimalist running shoes really to blame when it comes to running injuries? (Podiatry Today)
How effective is orthotic treatment in patients with recurrent diabetic foot ulcers? (Journal of American Podiatric Medical Association via PubMed)
Glycemic control and postoperative healing (Lower Extremity Review)

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

Osteomyelitis and heel ulcers: What you should know
Podiatry Today
Mindful of the limb-threatening consequences that can arise if one does not properly diagnose and treat calcaneal osteomyelitis, this author examines the most effective modalities for diagnosing the bone infection, as well as non-invasive and surgical treatments.
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Achilles surgery may not help function in diabetes
A surgical procedure sometimes offered to people with diabetes to reduce their risk of foot ulcers may have drawbacks. Because of nerve damage resulting from diabetes, people can lose sensation in their feet and this can lead to recurrent ulcers on the soles. Lengthening the Achilles tendon can improve the situation by increasing ankle mobility, thus allowing pressure on the foot to be spread more evenly, and by reducing point-pressures while walking.
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Foot & Ankle Weekly

Colby Horton, Vice President of Publishing, 469.420.2601
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Julie Bernhard, Sr. Content 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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