The Voice of Podiatrists

Serving Over 9,800 Podiatrists Daily

September 27, 2007 #3,051 Editor-Barry Block, DPM, JD

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Walking in Inappropriate Shoes is Damaging to Feet: NJ Podiatrist

"Those who walk 5,000 to 8,000 steps (a day) in inappropriate shoes are doing more damage than good," says Dr. Ritchard Rosen, a podiatrist in Englewood, New Jersey, and chief of podiatric surgery, Holyname Hospital, Teaneck, New Jersey. "When ambulating, a patient will have a certain degree of pronation (inward rolling of the foot) and stretch of the plantar fascia," a band of ligament-like tissue that connects the heel to the ball of the foot.

Dr. Ritchard Rosen

"If, however, the patient has a high arched or flat foot, sandals will not afford any longitudinal arch support, and a potential stress to the fascia, known as plantar fasciitis, will occur." A classic sign of this is heel pain upon awakening in the morning, or from extended walking.

"High-heeled shoes will cause potentially many problems if worn for any prolonged walking," says Dr. Rosen. "High-heeled shoes will cause shortening of the Achilles tendon and increase the stress to the ball of the foot. Abnormal forces to the ball may cause bursitis, synovitis (inflammation of joint fluid) and possible nerve irritation." Even lower-heeled dress shoes, including men’s professional footwear, can lead to arch strain, tendonitis and plantar fasciitis, says Dr. Rosen.

Source: Lorra Garrick, Ediets.com [9/25/07]

NM Podiatrist Picked as E.D. of Texas Longhorn Breeders Association

Less than a year after changing leaders, the Fort Worth-based Texas Longhorn Breeders Association of America is looking for another top hand. Larry Barker, a longtime employee, took over as executive director in November after his predecessor up and resigned amid a financial controversy. He expected to stay on a few weeks or months to help with the transition that happens when a leader is hired or promoted. But some board members wanted him to turn over the office keys pronto, prompting a walkout by six board members, including Chairman Ben Gravett of Virginia.

Dr. Fritz Moeller

Replacements were picked on the spot to maintain a quorum. And Fritz Moeller of Socorro, NM, a breeder and retired podiatrist, suddenly found himself the new chairman."Larry was with us 18 years, and that's not the way to treat anybody," Gravett said, explaining his spontaneous departure. "He didn't deserve it, flat and simple." Moeller said board members felt it was an "astute" business practice to have Barker leave immediately. From their career experience, they believe that "if you leave that employee in place [he] can cause a lot of damage," Moeller said.

Source: Barry Shlachter, Jim Fuquay, Maria M. Perotin, Star-Telegram [9/24/07]

Great Participation at First DMU Residency Fair

Des Moines University College of Podiatric Medicine and Surgery (CPMS) recently hosted a very successful residency fair.

Students at First DMU Residency Fair

The first of its kind, the fair drew nearly 30 vendors from around the country and was well-attended by first-, second- and third-year students. Approximately 150 CPMS students talked to representatives from various hospital programs and enjoyed presentations by several of the programs.

Query: Recurrent Glomus Tumor

We have a patient who underwent excision of a painful lesion which proved to be a glomus tumor. It recurred rather quickly and she had a second surgery, after which the tumor recurred again. She has been receiving steroid injections about 1-2 times per year. These have been helpful at controlling the pain, but are there any other treatment options besides amputation as recommended in the literature? I have searched for alternatives, but mostly I see surgical resection as 'curative.'

Mike Orosz, DPM, Cedar Rapids, IA

RE: Treatment For Verrucae (Kevin Lam, DPM)
From: Godfrey Viegas, DPM, Elliot Udell, DPM

I have used a product called "Wart-Peel." It's a compounded formulation of salicylic acid and 5-flourouracil. It is made by NuCara Pharmacy in Naperville, IL. I have had pretty good success with this product.

Godfrey Viegas, DPM, Crystal Lake IL, gviegas1234@sbcglobal.net

In evaluating the case and photo presented, there are a couple of questions that need to be asked. How long after the patient's pedicure did the problem begin? In any infection whether it be viral, bacterial or fungal there is a time period between exposure to the virus or micro-organisms and the development of the disease. It’s important to ask this because patients are human beings and they may try to invent connections and create blame. They do this to all kinds of health care professionals, including podiatrists. The pedicure might not have had anything do with the development of the problem. Another big question that should be asked is what do the pathology slides reveal? Are you basing the diagnosis on the written report?

People reading path slides are also human beings and sometimes make errors and are sometimes quick to see a requisition slip that says "foot specimen submitted by podiatrist and quickly read into it "verrucca." I am not saying that this definitely happened in this case, however the photo depicted does not appear to be typical of widely spreading verruccae. Then again it might not be a clear photo or the electronic transfer process might have obfuscated important details. It would be very helpful if you could upload a clear picture of the biopsy slides and then let the pathology experts who read PM News weigh in on whether we are dealing with verrucae or not. A good lab might already have these slides on their computer ready to e-mail to you. This could be a good educational experience for all of us.

Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

"Backwards Heel" Shoe Creates a Buzz in the Fashion World

Marc Jacobs "Backwards Heel" Shoe

Submitted by Mike Nirenberg, DPM

ASSOCIATE POSITION – CENTRAL FLORIDA, ORLANDO AREA

Exceptional opportunity for qualified candidates. Associate position available in a rapid growing, well established multi-office practice. Applicant must be bilingual in English and Spanish, well trained (PSR-24 or more). Compensation includes excellent salary plus incentives and benefits. Please e-Mail CV, letters of reference to CF_resume@hotmail.com

PODIATRIST WANTED – RIVERHEAD, NY

Podiatrist needed in Riverhead, NY for an Article 28 Diagnostic and Treatment Facility with unlimited growth potential. Multidisciplinary site with much cross referral. Great opportunity. Call 631-981-1333. lakechiropllc@optonline.net

PODIATRISTS NEEDED - CHICAGO --NORTHWEST INDIANA

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists. We are located in Chicago and Northwest Indiana. 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 -- www.homephysicians.com

ASSOCIATE POSITIONS – MARYLAND

Are you motivated, personable and enjoy working with the elderly? We are offering full or part-time positions in Maryland. Our group, Podiatry Management Services, provides care to the elderly in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your c.v. to drhprosen@comcast.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255

ASSOCIATE POSITION – MANHATTAN / QUEENS

Associate wanted for busy and growing Manhattan/Queens office. Full-time, PSR-24 minimum, straight 30% income with possibility of partnership in 1-3 offices. Call 917 880-6639 or e-mail hansfeet@aol.com

ASSOCIATE POSITION – CINCINNATI, OH

This is your once in a lifetime opportunity to join one of the largest, most successful practices in the United States. Start immediately with a six-figure income. If you are motivated, and knowledgeable in practice management, your income is unlimited. Please fax resume to: 513-577-7261

P/T ASSOCIATE POSITION - QUEENS, NY

10 yr old practice seeks motivated, surgically-trained individual . Fax CV with hours available to (718) 458-0053.

ASSOCIATE WANTED – NEW YORK IMMEDIATE OPENING

Busy multi-dimensional practice; 70 miles north of New York City. Currently five (5)-doctor practice. looking to expand – all phases of podiatric medicine. contact: (845) 454-8308 EXT: 106

PAIN RELIEVING DEVICE FOR SALE

Matrix pain device, upgraded with latest Sanexas software. Great working order, operating manual, and programs to treat nerve and muscle pain, edema, circulation, inflammation, and other health problems. $28,000 new, will sell for $12,000. Covered by Medicare, most all insurances, coding and billing information provided. Photo can be seen at http://www.outcomemedical.com/matrix E-mail don@outcomemedical.com

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