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Podiatry Today
The goal of any podiatric surgeon practicing limb salvage is to heal any type of wound in a timely fashion with the highest possible functional outcome. In our specialty, we recognize the diabetic population has a particularly high risk for lower extremity ulcerations often secondary to neuropathy (sensory, motor and autonomic deficits), ischemia or both. Singh and colleagues noted that patients with diabetes have as high as a 25 percent lifetime risk of developing a foot ulceration.
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Orthopedics Today
Patients with involuntary flexion of their toes may be diagnosed with any number of conditions. Shown in this video is right-ankle range of motion testing in a 15-year-old adolescent patient that demonstrates the involuntary flexion of his first three digits with dorsiflexion.
Flexion contracture of the interphalangeal joints of the first, second and third digits with the right ankle in a plantigrade position worsened when ankle dorsiflexion was extended to five degrees, and it returned to neutral with plantar flexion.
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PeerJ
Normative foot kinematic and kinetic data with different walking speeds will benefit rehabilitation programs and improving gait performance. The purpose of this study was to analyze foot kinematics and kinetics differences between slow walking, normal walking and fast walking of healthy subjects. A total of 10 healthy male subjects participated in this study; they were asked to carry out walks at a self-selected speed.
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Physical Medicine and Rehabilitation - International
The purpose of this study was to quantify the effects of an articulated ankle foot orthosis on genu recurvatum gait in adolescents with traumatic brain injury.
Gait analysis was conducted in 2 individuals with TBI during over ground ambulation with (braced condition) and without (barefoot condition) the AAFO. For each participant, stride-by-stride gait data were compared to assess differences between barefoot and braced walking conditions.
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Podiatry Today
Bruce Williams DPM writes:
I want to diverge this month and talk about neuromas and metatarsalgia. Yes, metatarsalgia is a “garbage can term” for any forefoot pain but in this instance, it will refer to pain under a metatarsal head, which could result from hammertoes, plantar plate tears, etc. I think we can all agree on what a neuroma definition is without going into that.
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By Lynn Hetzler
 Physician burnout is a serious problem, for both providers and for patients. In fact, 83 percent of respondents to an April 2018 survey said that burnout was a moderate or serious problem for many clinicians and clinical leaders in their organization. Burnout among physicians has already reached epidemic proportions, and the percentage of physicians experiencing symptoms of burnout is growing, according to a new paper written by University of California, Riverside School of Medicine doctors.
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| | PRACTICE MANAGEMENT PEARLS FROM THE INSTITUTE FOR PODIATRIC EXCELLENCE AND DEVELOPMENT (IPED) |
Physicians Practice
Years ago, a "good referral" was described using the Three A's of medicine: Availability, Affability, and Ability. A physician striving to build a successful practice was advised to deliver all three.
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| | CURRENT RESEARCH ARTICLE OF INTEREST |
Neurorehabilitation and Neural Repair
Changes in the control of the lower extremities poststroke lead to persistent biomechanical asymmetries during walking. These asymmetries are associated with an increase in energetic cost, leading to the possibility that reducing asymmetry can improve walking economy.
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ACFAOM
An ACFAOM Certified Clinical Podiatric Medical Assistant (CCPMA) can perform routine nail care, pre-treatment foot exams, collect client health information correctly, set up a sterile field and much more. Click here for additional information about the CCPMA qualification and its potential value for your practice.
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Foot & Ankle Weekly
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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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