The Voice of Podiatrists

Serving Over 12,000 Podiatrists Daily

June 03, 2010 #3,874 Publisher-Barry Block, DPM, JD

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IA Podiatrist Treats Athletes from his Own Experience as a Triathlete 

Dr. Kirk Neustrom's experience as a triathlete helps him treat foot and ankle problems at his podiatry practice in West Des Moines, and satellite offices in Winterset, Carlisle and Adel. He is the medical director for this weekend's Dam to Dam race and also serves on the medical team for the Des Moines Marathon. He has worked on the medical teams for races across the country, including the Ironman, and marathons in Boston, Chicago, New York City, and Los Angeles.

Dr. Kirk Neustrom (Photo: Rodney White)

"With the weather finally breaking and people getting more active, I see a lot of heel pain, plantar fasciitis, Achilles tendonitis, stress fractures, shin splints, knee pain. Most are overuse injuries because people come out to train and don't have the right equipment. Injuries come from the theory of "toos": too much activity, too soon, and too frequently."

Source: Estela Villanueva-Whiteman, Des Moines Register [6/2/10]

First Endowed Scholarship Established at WesternU Podiatry College

Western University of Health Sciences’ College of Podiatric Medicine received its first endowed scholarship commitment for the next generation of podiatrists. OsteoMed L.P. has made the first of five installments that will total $20,000 to create the OsteoMed Endowed Scholarship.

Dr. Lawrence Harkless

“We are grateful for the donation by OsteoMed to support podiatric medical education,” said Founding Dean Lawrence Harkless, DPM, College of Podiatric Medicine. “The scholarship will allow us to attract the best and brightest students who will be the next generation of academic leaders in our profession.”

TX Podiatrist Receives Distinguished Alumnus Award from Rowan University

Dr. Marque Allen of San Antonio received the 2010 Distinguished Alumnus Award from Rowan University on May 14. Allen, who earned his bachelor’s degree in biological sciences from the Glassboro, NJ-based institution in 1991, accepted the award during Rowan’s annual undergraduate Commencement ceremony.

Dr. Marque Allen (center) addressing the graduates along with (from left) Rowan University President Donald Farish and Rob Lewandowski, president of the Rowan University Alumni Association.

Allen is a partner in Sports Medicine Associates of San Antonio and is board certified in foot surgery and ankle and reconstructive surgery by the American Board of Podiatric Surgery. He serves as the foot and ankle consultant for the NBA’s San Antonio Spurs, the WNBA’s San Antonio Silver Stars, the AHL’s San Antonio Rampage, the University of Texas-San Antonio, Trinity University and multiple high schools throughout southern Texas. Last  fall, Allen and his wife, Yvette, presented Rowan with the first donation to fund a scholarship at Cooper Medical School of Rowan University.

Query: Maceration, Pitting Keratolysis, and Hyperkeratosis

I have a 60 year old female patient with 14 year history of B/L sweating feet with maceration, pitting keratolysis, and hyperkeratosis. The onset was from sitting in a hot tub. She has tried Botox injections, electrophoresis, topical astringents (Drysol, Betadine) oral antibiotics, T-stat, and gentian violet. The oral antibiotics have decreased some pitting, but after three months of this, it is still evident. Any advice?

Jacqueline Chen, DPM, Leonard Wood, MO

Query: Inexpensive Source for Corticosporin Solution

I am looking for an inexpensive source to order corticosporin solution for post-op nail procedures. I would appreciate any input.

Pete Smith, DPM, Lancaster, PA

RE: CRPS (Alan Mauser DPM)
From: Multiple Respondents

Given the history of this patient, a 60% chance of success from a spinal cord stimulator is a great possible outcome. If it does not work, one of the last options would be to undergo a regional sympathectomy and weight its benefits vs. complications.

Narmo L. Ortiz, Jr., DPM, Cape Coral, FL, nlortizdpm@embarqmail.com

I had a patient who developed CRPS after surgery. Pain management tried absolutely everything with no success. They were about to do the spinal cord stim when I came across the option of trying hyperbaric treatments, which are currently being studied for this problem. After one week of treatment, her pain went from a 15 (on a scale of 10) to a 4. The other day, she called me to say that she had gone roller skating and was living as normally as she did before the CRPS. It’s certainly worth a try before the cord stim.
 
David Krausse, DPM, Flemington, NJ, footdr68@verizon.net

If autonomic ganglion ablation has been ruled out, I manufacture an alternative topical treatment I'd be glad to furnish a sample of to your patient. She applies the formulation over the ipsilateral lumbosacral area, as well as over the superficial courses of the nerves travelling distally. The formulation is all-natural and was designed to treat pain that did not respond to other modalities. Applied in this fashion three times daily in the beginning, I have used this to significantly reduce narcotic intake in these types of cases. 
 
John F. Swaim, DPM, Red Bluff, CA, podtexdoc@aol.com

RE: Dry Gangrene (Jefferson J. Mennuti, DPM)
From: John S. Hoina, DPM, Art Hatfield, DPM

I would elect for an aggressive TMA with TAL. This patient probably has advanced contributing co-morbid factors. The remaining digits would only be a source of breakdown in the future and probably have compromised small vessel disease-- the calcifications affect the distal forefoot and are not limited to just the hallux. A good TMA with a maintained parabola of the remaining metatarsals afford a better weight-bearing surface, and fitting a forefoot prosthesis is very manageable.

With that amount of soft tissue destruction and bone exposure, I would take the surgery back as far as the Lis Franc joint, go back to an area of better blood supply, and maintain and fashion a viable plantar flap. Keep the patient in the hospital until bone cultures and biopsies are back, and discharge with the appropriate IV antibiotics, strict off-weight-bearing, and daily dressing changes.
 
Of course, the disclaimer must be that this is a limb salvage, and it is an attempt at saving the patient's leg. If this fails, a BKA is the only other option. 
 
John S. Hoina, DPM, Bethpage, NY, Jhoinadpm@aol.com

My advice is to do nothing except refer the patient to a colleague who is an experienced wound specialist ASAP. You might save yourself a big headache.

Art Hatfield, DPM, Long Beach, CA, afootjob@juno.com

RE: Chaetomium Onychomycosis (John Strisower)
From:  Richard A. Simmons, DPM

Mr. Strisower has presented an interesting request: "we will need to know the subspecies of chaetomium (there are dozens of subspecies) isolated from the patient."  The lab that I use rarely provides the name of the subspecies, except for the dermatophytes. Perhaps, there is a specific wording that we should use to get this information? The requisition form (from the lab) that I use has a mycology area in which I can choose PAS with histologic exam and/or fungal culture & ID and/or fluorescent KOH. Is it possible that clinical laboratories are not reimbursed from insurance companies for such specific identifications?  If I am understanding this post correctly, unless we can identify the organism to the highest level of specificity, we cannot be certain of the effectiveness of laser therapy in the treatment of onychomycosis.

Richard A. Simmons, DPM, Rockledge, FL, RASDPM32822@aol.com

RE: Medical Marijuana and Liability Issues (Michael M. Rosenblatt, DPM)
From: Richard W. Boone, Sr., Frederic Schwartz, DPM

While I very seldom disagree with the esteemed Dr. Rosenblatt, I must take issue with his conclusion that "It is probably legal for podiatrists to prescribe medical marijuana to treat foot and ankle disorders." The last time I looked, the prescribing and/or dispensation of Tetrahyrocannabinol (THC) in any form was still a violation of Federal law. State laws which purport to permit medical use of marijuana, or other substances containing THC, do not, repeat do not, supercede the federal law.
 
I take no position on whether "podiatric pot" is a good idea medically.That's for the physicians to decide. But the one thing podiatric pot definitely is not, is legal. Just because you won't be prosecuted for doing something doesn't mean it's lawful to do it. So, as the esteemed Dr. Rosenblatt correctly concludes, if the use of podiatric pot is medically and/or legally questionable, why do it at all?  
 
Richard W. Boone, Sr., Fairfax, VA, RWBoone@aol.com

Reading Dr. Rosenblatt's discussion of medical marijuana jogged my memory back to an out-of- the-office conversation I had long ago forgotten.

During the debate over California's first decriminalization of marijuana for medical use during the Clinton administration, I told an older gentleman that I was glad I would never be faced with such a prescription dilemma. He then confided to me that he himself had faced the problem of gangrene-caused auto-avulsing digits. He assured me that no drug, narcotic, or otherwise, touched his agony, but marijuana did. I find that astonishing, and now I wonder how well it might work for the problem of painful neuropathy, which is so common. Food for thought.

Frederic Schwartz, DPM, New Bedford, MA, footfixed@comcast.net

ASSOCIATE POSITION – QUEENS & NYC

Part-time podiatrist needed for multi-office practice in Queens and NYC. PSR- 24+ a must. Experience preferred. Willing to train the right new graduate. Must be punctual, very personable, ambitious, and ethical. Job will involve usual podiatric medicine and surgery. Will also include significant networking and marketing to help build the practice. You must be well-trained and have people skills for this position. Possible full-time position leading to partnership for the right person. Please e-mail cover letter and resume to hansfeet@aol.com

PODIATRIC ASSOCIATE POSITION - CHICAGO, IL

Excellent Associate Opportunity for full or part-time position. Group practice with diversified mixture - Surgery Qualifications: 3 years Trained Resident Salary: Commensurate with training, benefits included Fax CV/Resume to 773-374-5860 transcribe1706@aol.com

LOCUM TENENS WANTED - MANHATTAN

Due To Family Emergency looking for locum tenens for the month of July and August 1-2 days per week. Office located in Manhattan Upper West Side Fax CV to 212 362-9896. For more information you can call 212 724-4457. frottenberg@juno.com

ASSOCIATE POSITION – VICTORIA, BRITISH COLUMBIA

Beautiful Victoria, British Columbia, on the ocean, fast growing area. Associate for multi-office, full-scope practice. Reply to dr.cole@shaw.ca or phone 250-516-7440

LIMB PRESERVATION RESEARCH AND SURGICAL FELLOWSHIP

Boston University Medical Center offers a unique fellowship position
Be part of this unique opportunity at a major internationally-known teaching medical center. During this time, he/she will become a knowledge expert who will contribute significantly to research, surgical procedures, teaching, and innovations in limb preservation and tissue repair. Requirements: Completion of a two or three year surgical residency; Annual Salary: Year 1 $61,000, Year 2 $66,000 plus excellent benefits. Submit a CV and letter of interest to: Erin Springhetti @ erin.springhetti@bmc.org and Dr Vickie Driver @ vickie.driver@bmc.org

CANADIAN PODIATRISTS COME BACK HOME!

An Edmonton, Alberta group of DPM’s requires an additional Podiatrist. Interest in biomechanics essential. Given Canadian visa restrictions, this position is open only to Canadian Citizens or permanent residents. Very attractive compensation package. Fax C.V. or letter of interest to: (780) 483-5796.

PODIATRISTS WANTED BALTIMORE/CHICAGO/NORTHWEST INDIANA

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 Jake Shimansky, Director of Physician Recruitment. Phone 773-342-5221 FAX 773-486-3548 E-Mail jshimansky@homephysicians.com www.homephysicians.com

ASSOCIATE WANTED DELRAY BEACH FLORIDA

Rapidly growing well established practice seeking part-time leading to full-time. PSR 12-36. Great opportunity for highly motivated, personable individual. Please reply by emailing a CV to nursebsf@aol or fax (561)498-9068.

ASSOCIATE POSITION IN NORTH BROOKLYN, NY 
 
Well-established practice in a multispecialty medical center seeking a full time associate. Spanish speaking ability a plus. Compensation possibly in six figures with buy-out opportunity. Contact/Send resume to: bklypodiatry@aol.com

PRACTICE FOR SALE – MAINE

25 year full scope in medical building, podiatrist friendly hospitals, appreciative and cooperative patients, excellent expansion potential, physician referrals. Wonderful place to raise a family. Retiring seller will stay for transition. mainefootdoc@yahoo.com

ASSOCIATE POSITION – NEW YORK
Great Opportunity - NY podiatric practice – multiple locations –seeks well trained, ethical DPM Per Diem and full-time positions available. Competitive salary. Send resume and CV to: info@advancedfootcare.org

ASSOCIATE POSITIONS – TEXAS

Full-time podiatrist(s) needed in Austin or San Antonio. Current Texas license required. Unique mobile podiatry practice. Better pay, fine working conditions with excellent support staff. Check out our website www.footmobile.com. Reply to footcenter1@sbcglobal.net

ASSOCIATE POSITION - SW FLORIDA, BEAUTIFUL GULF COAST AREA

Well-established podiatry practice with excellent mix office/surgery seeking full-time associate PSR 12-36. Excellent salary & benefits for the right hardworking, personable candidate. Email resume to pudos@aol.com or fax to 239-573-9201.

PRACTICE FOR SALE - MINNESOTA

Practice Grossing over $500K yearly. Good mix of surgery, orthotics, DME, diabetic care, general podiatry. Commute < 5 miles to work. Friendly Midwest lakes area with arts, good schools, affordable living, restaurants, shopping. Option to purchase building. Will consider associate to buy-in/ buy-out. Midwestpractice@gmail.com

PART-TIME POSITION - NEW JERSEY

Available for a Board certified/qualified podiatrist. Located in Toms River and Manchester. We have a high-volume practice that treats routine care, trauma, sports-related injuries, hospital consults, and ER Consults. Possibly leading to full-time position for the right person. Please fax CV to (732) 349-0228 or email CV to njfeet@aol.com

ASSOCIATE POSITION- MONROE, MICHIGAN

Excellent opportunity to join a modern, growing 3 doctor/2 office practice located in SE Michigan between Detroit and Toledo. Responsibilities will include a mix of surgery, office, hospital and nursing home/housecalls. Salary, bonus and benefits. Learn more about us at monpod.com. If you are a personable, reliable team player with solid skills and a patient first attitude please contact dr.hughes@comcast.net for more information.

ASSOCIATE POSITION – TEXAS

Dynamic, growing practice in Dallas/Fort Worth area, seeking PSR 36 surgically trained, and/or Board Certified/Board Qualified Podiatrist. Excellent salary and benefits compensation package, for the right candidate, with partnership/buyout opportunity. Must have Texas license. Contact/Send resume to: jmh6122@yahoo.com

TN PRACTICE FOR SALE (SOUTH OF NASHVILLE)

Active, established practice with new equipment (digital x-ray, ultrasound, computer network, etc.). Great referral network with an excellent scope of practice. Turn-key operation with seamless transition. Grossed over $350K last year. Call 931-446-5724 or email mchad500@gmail.com for more information.

ASSOCIATE POSITION - WEST CENTRAL FLORIDA

General podiatry. High-level surgical skills are not required. Good diagnostician, compassionate and hard working individual is needed for busy high-tech practice. E-Mail: flpodiatrist@tampabay.rr.com

PRACTICE & BUILDING FOR SALE - MIDDLE TENNESSEE

Two locations each with 3 exam rooms, x-ray room, large waiting room, and ample parking. Excellent locations and growth potential. All equipment and furniture included. Website and marketing material included. Seller happy to assist with transition. Grossed 350K last year, priced to sell with financing available 200k. Call 931-446-5724.

1 YEAR PODIATRIC SPORTS MEDICINE FELLOWSHIP - MONROVIA, CALIFORNIA

Applicants must have completed a podiatric residency program and must have or be eligible for a California license. Annual stipend: $48,000 and $60,000. If interested, please e-mail your resume with cover letter to the Program's management company at victoriamanagers@gmail.com

PRACTICE FOR SALE - TENNESSEE

Established 30-year full-scope podiatry practice. Excellent hospital and surgery center privileges with investment opportunities. Fully equipped 2200 sq.ft. office across from hospital. High volume of new patients, DME, and local referral base. Great community for a family and the outdoorsman. Reply to tnfootdr@gmail.com

ASSOCIATE POSITION NORTH CAROLINA - ASHEVILLE/MOUNTAINS

Well established, multi-doctor, multi-office diverse practice has immediate need for associate doctor leading to partnership. Associate doctor will be very busy from day one. Attractive compensation and benefits. Buy-in potential after one year. Contact at smfc2@charterinternet.com or 828-734-1535

ASSOCIATE POSITIONS – MULTIPLE LOCATIONS

Looking for podiatrists to join group to work in nursing facilities in: Texas (Ft. Worth, Dallas, Houston) Washington, DC, Philadelphia, Northwest Pennsylvania, Delaware, Upstate New York, Massachusetts (Brockton). Please respond to: doconcall02@aol.com

PM News Classified Ads Reach over 12,000 DPM's and Students

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