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How do we explain 'incidental' MRI findings to patients?
Podiatry Today
Doug Richie Jr., DPM, FACFAS writes, "When I first entered clinical practice over 30 years ago, diagnostic imaging studies were limited to plain radiographs, arthrography and nuclear medicine bone scans. With the emergence and improvement of magnetic resonance imaging (MRI), we have better ability and accuracy to investigate and confirm the presence of pathologies in the foot and ankle. Unfortunately, this often opens up a can of worms as almost every MRI study reveals the presence of findings that are not related to the symptoms of the patient, i.e. so-called 'incidental' findings."
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Meet Warren Joseph, DPM - today at 9 p.m. ET
Dr. Warren Joseph will be the guest on today's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. For the first time in years, there are new topical treatments for onychomycosis that are FDA approved. Dr. Joseph will discuss the thinking process when ordering treatments for injections. To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession's past and future click here.
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Pediatric overuse injuries increase due to year round, one sport training
Orthopedics Today
Specialization in youth sports has led to an increased number of overuse injuries in young athletes, often amounting to acute injuries or withdrawal from play, according to prominent sports medicine physicians who spoke with Orthopedics Today.
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Technology to improve treatment of diabetic complications
Physicians News Digest
Neuropathy, or nerve disease, is one of the most common complications of diabetes affecting about half of the diabetic population. Its implications can be severe: foot ulcers leading to amputations and disabling chronic pain. The annual cost of treating diabetic neuropathies has been estimated at $14 billion in the United States. Traditional medical practice to detect neuropathy includes an annual foot examination with a test for sensory perception such as a 5.07|10-g monofilament or a tuning fork.
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Busy, mid-career physicians moonlight most
Roughly one-third of physicians moonlight outside of their practices, according to Medical Economics' 2013 annual survey. Their motivations aren't necessarily just extra cash, noted an article in the magazine, but also to add variety into their work life, diversify their skills or contribute a public service.
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Missed last week's issue? See which articles your colleagues read most.

    How to make online reviews work for you (FiercePracticeManagement)
Loss of sensation in the feet of diabetes patients linked to cardiovascular disease, say researchers (Medical Xpress)
System offers surgery alternative for diabetic foot ulcers (Medscape)
Talar body prosthesis provides satisfactory ankle, foot function (Orthopedics Today)

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Many who consider their feet normal have abnormalities, loss of sensation
Lower Extremity Review
Self-reported information about foot health from patients with type 2 diabetes, particularly those with peripheral neuropathy, is not reliable, according to research from the University of Western Australia in Perth. In a community-based cohort of 358 patients with type 2 diabetes, nearly 60 percent of those surveyed for the Fremantle Diabetes Study Phase II said they considered their feet to be normal. And yet, 86.9 percent of those patients had deformity, dry skin, callus, and/or fissures that could manifest into more serious foot pathology. In addition, 67.9 percent had peripheral neuropathy as assessed using the Michigan Neuropathy Screening Instrument clinical portion.
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GoLaser Podiatry Laser System
Sheaumann Laser has received FDA clearance and has released its first medical laser system: the GoLaser™ for podiatric indications. This is a significant achievement in the company’s quest to supply the medical world with high quality laser systems that are reliable and compact. Learn More
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To find out how to feature your company in The Foot & Ankle Weekly and other advertising opportunities, Contact Geoffrey Forneret at 469-420-2629.

An aging America: The future of healthcare depends on telehealth
By Karen R. Thomas
As a country, we are living longer and in greater numbers. The number of people over the age of 65 in America is predicted to rise to nearly 80 million by 2040, according to the Administration on Aging. When that happens, there will be more people living in our country who are over the age of 65 than at any point before in history, a fact that has many wondering if the U.S. healthcare system will have the resources, systems and integration to care for such a substantial older adult population.
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A low-fat vegan diet may lessen diabetic neuropathy pain
Clinical Endocrinology News
A low-fat vegan diet reduced symptoms of peripheral neuropathy among patients with type 2 diabetes in the randomized, controlled Dietary Intervention for Chronic Diabetic Neuropathy Pain (DINE) study. After 20 weeks, 17 patients who were assigned to the vegan diet group were more likely than were 18 control patients to have lost weight, to have reductions in pain scores, and to have neurologic improvements in their foot neuropathy.
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Specialization in sports among youth athletes may cause more harm than good
While some degree of specialization is necessary to develop elite skills in performance-based sports like figure skating, research shows for most sports, intense training in a single sport should be delayed until adolescence. "If you are becoming too specialized too soon you are actually doing more damage. You have a 32 percent to 46 percent increased risk for injury and the likelihood of going into an elite status as an athlete is smaller," said sports medicine physician Dr. Chris Liebig with Akron Children's Hospital Mahoning Valley, Ohio.
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5 common interviewing mistakes made at medical practices
Physician's Practice
Hiring mistakes can be costly, resulting in high turnover, reduced productivity, and lackluster moral. Here are some easy ways to refine your interviewing skills. No medical practice can afford to make hiring mistakes, which can lead to errors, inefficiencies, and costly staff turnover. They also create ripples of negativity that affect teamwork, productivity, and patient satisfaction. Getting the right people onboard however, is no easy task. Here are five common mistakes made when interviewing and how to avoid them.
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Role of MRI in detection of Morton's neuroma
Foot & Ankle International
Distinguishing between patients with a true Morton's neuroma and other forefoot pathology can be difficult. The aim of this study was to evaluate the diagnostic accuracy of routine magnetic resonance imaging (MRI) when compared to clinical examination for Morton's neuroma.
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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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