The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily

April 15, 2009 #3,520 Publisher-Barry Block, DPM, JD

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OR Podiatrist Provides Advice on Buying Shoes for Toddlers

There are three key areas of the foot that you should focus on when buying toddler shoes: the front of the shoe, the back, and the width. All three will play a part in whether or not the shoe fits properly. "First, you want the appropriate length in the front of the shoe," says Steven G. Tillett, DPM, a foot and ankle specialist in Portland, OR. "The general rule of thumb is you want about a centimeter to a half inch of space in the front of the shoe. Too big [and] they could be unstable; too small and it constrains the foot."
 

Dr. Steven G. Tillett

Width is also very important, Tillett says."The key to making sure a shoe is the right width is to use the tongue of the shoe as a guide," Tillett says. The tongue of the shoe and the edges where the laces or Velcro are usually located should be parallel; if there is too much space between them, the shoe may be too tight, and if they overlap too much, the shoe is too loose, Tillett says.

Finally, the back of the shoe should offer some wiggle room as well. "You want to make sure the heel of the shoe is not too loose so they slip out of it, and not too constricting that it puts strain on the Achilles tendon," Tillett says. "The rule of thumb here is that you should be able to slip your pinky finger in the heel, but only up to the first knuckle. Anything more than that and the shoe is too big, and anything less and it's too tight."

Source: WebMD

OCPM to Open State-of-the Art Lecture Hall This Fall

The Ohio College of Podiatric Medicine is adding a lecture hall and another entrance to its location in Independence, OH. The new lecture hall, the “Steven J. Berlin Auditorium is being build adjacent to an existing classroom. The 4,000-square-foot, 150-seat lecture hall will feature interactive white boards, video screens, video data projectors, as well as electronic controls for lighting, window shades and the projector. The lecture hall will open in the fall.

Construction of the new OCPM Classroom

Thomas V. Melillo, DPM, OCPM President said, “Our goal as an institution is to provide the best podiatric medical education possible and building this lecture hall  symbolizes OCPM’s efforts in reaching a whole new level.” David R. Nicolanti, PhD, OCPM Executive Vice President said, “During this difficult economic time that our country is experiencing, OCPM is very blessed and fortunate to be able to expand and grow our facility resources to accommodate the growing demand of podiatric medical education.”

Source: Shannon Mortland, Crain’s Cleveland, [4/10/09]

Proper Preparation Avoids Spring Injuries: MD Podiatrist

Spring beckons us outside for fun and exercise and that tends to lead to more calls to doctors about foot injuries, according to the American Podiatric Medical Association (APMA). "With warm weather approaching, many athletes are busy gearing up for another competitive season in their sport. Unfortunately, training in improper footwear and neglecting to stretch properly before and after activity greatly increases serious occurrences of foot and ankle injury," Ross Taubman,  APMA immediate past president, said.

Dr. Ross Taubman

The most common way to deal with minor muscle strains or sprains is the RICE method of rest, ice, compression and elevation; however, if the injury fails to improve over a few days, one should visit a doctor, according to the association.

Source: Forbes - NY, USA [4/12/09]
 

Query: Recalcitrant Shear Tyloma

This 58 y.o. healthy and not overweight female has had this lesion for many years, which requires regular debridement.

Recalcitrant Shear Tyloma

She does have functional orthoses with accommodation, but the lesion still requires debridement about every 5 weeks. Any ideas?

Pat Evoy, DPM, Bend, OR
 

Query: Unruly Children
 
I'm just wondering as to what others are doing when they have loud, unruly children in their reception area. The children are already running and jumping around and bouncing off the walls as soon as they walk into the reception area. The parents are clearly unable or not willing to control their children, and they are just creating an atmosphere of chaos for other patients. I wonder if anyone has had any success with asking the parents to control their children, or the use of signs in the reception area, or any other means.
 
Anas Khoury, DPM, Passaic, NJ
 

RE: Aldara for Plantar Verruca (Gary Kantrowitz, DPM)
From: Michael Turlik, DPM

Using the search terms and Boolean operators: aldara OR imiquimod AND verruca and limiting the search to randomized controlled trials and meta-analysis, I was able to find multiple reports regarding genital verruca. I do not think that you should generalize the results from these studies to the treatment the pedal verruca. I could not find any level-1 information regarding the use of the medication for pedal verruca. Are there any level-1 studies which will demonstrate the effectiveness of this medication for treating pedal verruca?

Michael Turlik, DPM, Cleveland, OH, mmturlik@aol.com

Editor's note: Starting with the June/July issue, Podiatry Management will be publishing a series of articles by Dr. Turlik which explain the fundamentals of evidence-based medicine.

RE: Re-injury of Ruptured Tendons (Daniel Tucker, DPM)
From: S. Jeffrey Siegel, DPM

I agree with Dr. Tucker's post. The only thing I would add is a comprehensive evaluation of the frontal plane alignment of this patient since many cavus feet occur w/higher incidence of tibial or genu vs. ankle varus deformities. This may be especially true considering the increased BMI of the patient. Long leg weight-bearing x-rays will be of help. A corrective osteotomy can be made by the orthopedist when he does the total knee replacement.

S. Jeffrey Siegel, DPM, Philadelphia, PA, Heeldoc1@aol.com
 

RE: Podiatry in Canada (Darryl J Martins, DPM)
From: Brent D. Haverstock, DPM

Editor’s note: This extended-length letter can be read at: http://www.podiatrym.com/letters2.cfm?id=25771&start=1
 

ASSOCIATE WANTED - FLORIDA

Associate needed for a dynamic multi-doctor practice in the Tampa Bay area. Partnership opportunity for the right candidate. Preference given to a PSR 24+ resident completing their education this spring/summer, and must have a Florida license. Well-established practice, high tech with EMR and digital x-rays, with specialties in sports medicine, surgery and wound care. No nursing homes or HMO's. Excellent hospital privileges available. Choose an area of practice concentration that you are passionate about and enjoy a lifestyle for yourself and your family that is second to none. E-mail: kimvelez@tampabay.rr.com

PART-TIME NON-SURGICAL PRACTICE FOR SALE - NORTH JERSEY    
 
23 yo practice recently relocated to a spectacular newly-constructed and equipped storefront next to a busy supermarket with ample parking and senior citizens in vibrant downtown. Accepting Medicare and Blues only with great potential. Perfect for expanding to full-time, a second office or new practitioner with means and office experience.  Priced to sell. Financing possible. E-mail interest with contact to Mikedup1215@yahoo.com 

ASSOCIATE POSITION AVAILABLE-MIDTOWN MANHATTAN

Looking for Full-time associate to work in well established practices in midtown Manhattan and Forest Hills. Immediate opening for PSR 24-36 surgically trained Podiatrist. Great opportunity with competitive salary along with malpractice benefits. Please send CV to slurie@papapc.net

CASE CONSULTING

Dennis Shavelson, DPM is now accepting referrals of difficult cases involving biomechanics, surgical complications, non-healing wounds diagnostic and treatment dilemma’s and subtalar stenting from DPM’S. Full reporting with second opinion only, rapid return after care and assumption of care options. Medicare and Out-of-Network Only. (212) 288-3668 or drsha@lifestylepodiatry.com 

NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website

SEEKING ASSOCIATE POSITION - NEW JERSEY

I am a hard-working, compassionate, highly-trained and motivated podiatrist interested in a full-time or part-time position. Graduated from a PM&S-36 residency program. Extensive training focused on wound care, limb salvage, reconstruction, trauma and elective procedures.  Currently hold an active NJ license. Email: ft.n.ankle.dr@gmail.com

TWO YEAR FELLOWSHIP IN RECONSTRUCTIVE FOOT SURGERY AND RESEARCH

2-year fellowship at Beth Israel Deaconess Medical Center, a primary teaching hospital for Harvard Medical School. Fellows have clinic, perform complex reconstructive procedures (external fixation, flaps, Charcot reconstruction), and conduct clinical research (20%). Fellows train residents and receive appointment at Harvard Medical School faculty. Excellent salary/benefits. Program begins SEPTEMBER, 2009. Must have completed PSR-36 or similar. Submit applications to: Adam Landsman, DPM, PhD alandsma@bidmc.harvard.edu Include CV, letter describing goals and any research interests. Deadline: May 1, 2009.  Beth Israel Deaconess Medical Center and Harvard Medical School are Equal Opportunity Employers. Women and minorities are particularly encouraged to apply.

PODIATRIST NEEDED FOR MIAMI-DADE COUNTY

Multi office practice needs doctor of podiatry for full time and/or part time for private office, clinics, and nursing homes. Great opportunity to grow with and unlimited income potential. Offices in Miami, Hialeah, Westchester, and Cutler Ridge. Email to feetdoctor@aol.com

ASSOCIATE POSITION - CENTRAL VIRGINIA

Join a solo surgeon in a two office private practice, modern facilities with EMR and digital x-ray, reconstructive and trauma surgery.  Excellent starting salary and benefits. Position leads to partnership. Submit letter of introduction and CV to jdisabato@vfasa.com

ASSOCIATE POSITION - ILLINOIS
 
Podiatrist needed to provide care for elderly population in Long-Term Care and Assisted Living Facilities. Must be ethical, hard-working, interested in geriatric care and willing to travel. e-mail resume to poddoc2328@hotmail.com

LOOKING FOR FINANCIAL SECURITY?

Our practice continues to grow and we are in search of a motivated, well-trained DPM who is great with patients. Our multi-office practice is located in the scenic Hudson Valley region of New York State. This is a great career opportunity for the right person(s), with an excellent compensation package available. Please reply to Hudson Valley Foot Associates, PO Box 3300, Kingston, NY 12402-3300; or email CV and cover letter to: jobs@hvfa.com

ASSOCIATE POSITION - CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to f-massuda@footexperts.com

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