The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

November 21, 2011 #4,311 Publisher-Barry Block, DPM, JD

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DC Podiatrist Discusses Shin Splints

The most common site for shin splints is the medial area (the inside of the shin), according to Sheldon Laps, DPM, a podiatrist in the Washington, DC, area. Anterior shin splints (toward the outside of the leg) usually result from an imbalance between the calf muscles and the muscles in the front of your leg, and often afflict beginners who either have not yet adjusted to the stresses of running or are not stretching enough.

Dr. Sheldon Laps

"Shin splints will be most painful if you forcibly try to lift your foot up at the ankle," says Laps, "If you flex your foot and it hurts, it's probably shin splints." If you are prone to developing shin splints, stretch your calves and Achilles regularly as a preventive measure.

Source: Marlene Cimons, Runner's World via Yahoo Sport [11/18/11]

BUSPM Students Awarded Dr. Herbert Feinberg Memorial Scholarships

Barry University’s School of Podiatric Medicine has awarded two third-year students with the Dr. Herbert Feinberg Memorial Scholarship. For their academic merit, Noelis Rosario and Hani Badahdah will each receive a $1,000 scholarship credited to their student account to defray the cost of tuition. Both students achieved the highest grade point average in their class of 2013. Rosario hails from San Juan, Puerto Rico. She serves as the Vice President of the Class of 2013. She is active in several podiatric student organizations and community service activities in the greater Miami area. 

(L-R) Noelis Rosario and Hani Badahdah

Badahdah is from Jeddah, Saudi Arabia. He serves as the President of the Class of 2013. As a class leader, he recently organized the annual residency fair at Barry, where 41 residency programs from across the nation came to represent their programs and provide the students with crucial information which helped them to select their residency upon their graduation.

Atlanta Homeless Receive Free Screenings and Donations from Village Podiatry Centers

Foot problems often plague Atlanta’s homeless population due to lack of proper care, exposure to the elements and excessive walking. In an effort to address these foot-related needs, the podiatrists and staff of Village Podiatry Centers recently donated their support to the Atlanta Day Shelter for Women and Children (ADSWC) which serves more than 5,500 clients annually. Village Podiatry’s second annual “Put a Sock in Homelessness” campaign began in October. The campaign is a month-long drive for donations in the practice’s 26 Georgia offices.  The 2011 drive resulted in 205 new pairs of shoes, 461 pairs of socks, and $1,255 in donations given by patients and staff.

Dr. Allen Lazerson Examines Shelter Client

On Saturday, November 5, Village Podiatry organized a free foot screening at the day shelter where podiatrists, Drs. Andrea Cass, Allen Lazerson, and La’Genia Mitchell-Smith, evaluated the feet of 60 women and their children. Shelter clients were screened for current foot problems and educated on proper foot hygiene. More than 25 Village Podiatry staff distributed new socks and assisted the clients with shoe selections.

MI Podiatrist Joins St. Mary Mercy Hospital

St. Mary Mercy Hospital has added a new medical staff member. Dr. Jennifer A. Gerteisen. She received her degree at Des Moines University College of Podiatric Medicine and Surgery in Des Moines, Iowa. 

Dr. Jennifer Gerteisen

Gerteisen completed her residency at St. John Hospital and Medical Center in Detroit, Michigan, and is a member of the American Podiatric Medical Association, Michigan Podiatric Medical Association, and an Associate of the American College of Foot and Ankle Surgeons.

Source: Observer & Eccentric [11/17/11]

8th Annual Desert Foot Wound Care Conference Hosts Over 900 Attendees

Over 900 Attendees and Exhibitors converged on Phoenix, Arizona this week for the 8th Annual 2011 Desert Foot High Risk Diabetic Foot Conference. Founded for the many clinicians from the VA System dedicated to saving the limbs of our nation's veterans, Desert Foot has grown into one of the largest conferences for the wound care industry. Original research was presented in the 60 strong abstract/poster exhibit, and separate sessions were conducted for nursing and orthopedics. 

(L-R) Desert Foot Planning Committee: Chairman Robert Frykberg, DPM, Co-Chairman, Jeff Robbins, DPM, Cynthia Fleck, RN. PRESENT Meetings: Alan Sherman, DPM and Michael Shore, DPM

The highlight was the awarding of the 1st Annual Paul Brand, MD "Gift of Pain" Memorial Lecture Award to Professor Andrew Boulton by conference Chairman Robert Frykberg, DPM, MPH. This emotional presentation honored the magnificent contribution made by Dr. Brand to our understanding and treatment approach to diabetic neuropathy.

Query: Extra Metatarsal

What is this called? What, if anything do you do for it? The patient  has no pain.

Extra Metatarsal

Joseph Borreggine, DPM, Charleston, IL

RE: Sesamoid Pain Right Foot (Bryan Markinson, DPM)
From: Barry Mullen, DPM

For the most part, my opinion is that your assessment is spot on. One must take into account the repetitive trauma endured from marathon running, and more importantly, its training. The cystic changes along the lateral side of the fibular sesamoid, along with what appears to be fusion to the 1st metatarsal head, are indicative of an old healed fracture. The fact that it appears fused would likely eliminate AVN.

A sesamoid axial view would be helpful in evaluating the fibular sesamoid/1st metatarsal articulation to see if it is completely fused, partially fused, or totally open. If open, then AVN becomes a possibility. Micro-motion along the portion of a partially open articulation, combined with fusion along another, would create pain during propulsion when the sesamoid attempts to glide against the underside of the metatarsal.

I see nothing in this lone submitted x-ray to suggest an...

Editor's note: Dr. Mullen's extended-length letter can be read here.

RE: Wavelengths for Laser Treatment of Onychomycosis (Elliot Udell, DPM)
From: David Zuckerman, DPM

Wavelength is just one factor when treating fungus toe nails. The fluence is another factor. This is joules per cm² over time. The wavelength that has been used in both long pulse and q-switch is the 1064. Another wavelength is 980, which attracts water and hemogoblin. When talking about diode lasers, the 870/930 wavelength is used with the Neovon laser. So, the wavelength depends on the type of laser, i.e., diode vs Yag.

Dr. Udell points out that there needs to be long-term studies and that you don't want to have unhappy patients who spend 1,100 dollars with the nails looking a year later just as bad as they did before treatment. I agree 100% with Dr. Udell's statement. The problem is that...

Editor's Note: Dr. Zuckerman's extended-length letter can be read here.

RE: Hyaluronic Acid Derivative Injections (Alan Berman, DPM)
From: Jeffrey Kass, DPM

There is an article titled "Sodium Hyaluronate in the Treatment of Hallux Rigidus. A Single Blind Randomized Study" in Foot and Ankle International vol 28, No 1, Jan 2007. I'd be happy to e-mail a .pdf of the article to anyone who is interested. 

Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com

RE: STJ Arthroeresis Coding
From: Phill Ward, DPM

CPT, through its official coding newsletter, CPT Assistant (September 2011 issue, pages 11-12) addressed coding the insertion of a subtalar implant (subtalar arthroereisis procedure). The publication stated, “There currently is no CPT code that specifically and accurately describes a subtalar arthroereisis procedure.” The article further clarified that a subtalar arthroereisis procedure (insertion of a subtalar implant) should NOT be coded as subtalar arthrodesis (neither CPT 28725 nor CPT 28725-52), and it should NOT be coded as a subtalar dislocation (CPT 28585).
 
The article stated that the most appropriate code to report a subtalar arthroereisis procedure is the unlisted foot/toes code, CPT 28899 or, alternatively, the temporary national HCPCS code, S2117 (arthroereisis, subtalar).
 
Phill Ward, DPM, APMA Advisor to CPT, Member, Editorial Board CPT Assistant, PEWard@apma.org

RE: Early Diagnosis of Bunions Can Prevent Foot Surgery (Robert Bijak, DPM)
From: Lloyd Nesbitt, DPM

As a CCPM graduate from 1975, I take exception to Dr. Bijak’s comments. Drs. Sgarlato, Root, Weed, Orien, and others who taught us had an excellent understanding of the biomechanics of the foot. Yes, as Dr. Bijak points out, different clinicians could measure slightly different degrees of forefoot varus, etc. Nonetheless, through their teachings and application of podiatric biomechanics, we have differentiated our profession from others.

When MDs were prescribing rest, ice, elevation, NSAIDs, and physical therapy, and runners were subsequently still encountering overuse syndromes, it was the podiatrists who were curing the runners’ ills. By addressing the causes of these overuse syndromes, through their understanding of biomechanics and the use of orthotics that were properly prescribed and fabricated from a cast of the foot, the podiatry profession made significant advances.

Many people remember Dr. George Sheehan, the famed cardiologist/runner who...

Editor's Note: Dr. Nesbitt's extended-length letter can be read here.

PRACTICE FOR SALE – NANAIMO, BRITISH COLUMBIA, CANADA

Have you ever dreamed of owning a practice where...you can see 0-50 patients daily * average 100 new patients monthly * have zero accounts receivable * gross $480K per year * live in a beautiful community with skiing, hiking, fishing, and boating on your doorstep. This could be yours! If interested contact pistone@telus.net or call 250-754-4192.

Well established, part-time practice is for sale in Northern NJ. Digital X-rays, EMR, located in a medical condo building. Surgery 35%, Routine 30%, Average Gross is $130K on 2 half days per week. Priced for quick sale. Real estate available for purchase. Please call 800-983-4194, or  e-mail contactus@podiatrypracticeconsultants.com

ASSOCIATE POSITION - SOUTHEAST GEORGIA - SAVANNAH

Beautiful weather year round & near the Coast. Opportunity for Early Buy-in. Seeking associate or new residency graduate to join practice. Must be PSR-24/36 trained. Multiple locations. Full range of services with new facilities. E-mail cover letter & CV to melissafoot@pol.net

ASSOCIATE POSITION - BAKERSFIELD, CA

Busy surgically-oriented group in Bakersfield, CA searching for 4th doctor. Wound care center privileges. All 3 current surgeons have 3+ years post-graduate training. Send letter of interest with CV to: aghams2@aol.com

ASSOCIATE POSITION - UPSTATE NEW YORK

Outstanding Opportunity. Our medical surgical group is recruiting a well-trained licensed podiatric physician. Located in Beautiful upstate NY. Full hospital privileges, as well as working with two residency programs. Must be highly motivated and great with patients. Opportunity for growth. Competitive salary and benefit package. Please send CV to associateinfoot@yahoo.com

ASSOCIATE POSITION - SOUTH/CENTRAL PENNSYLVANIA

PSR-24/36 trained individual for busy practice in family-friendly college town. Seeking personable, ethical, motivated individual to join our well established practice providing all aspects of podiatric care. Competitive salary and benefits package. Reply with letter, CV and photo to Jagerone@aol.com.

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION - MARYLAND

Looking for 3rd associate. Must be personable, well trained and highly motivated. Great locations in Southern Maryland, including an Ambulatory Surgical Center. We currently have EHR, digital radiography, dispensing center and PADNet. Looking for immediate hire! Please send CV to:myfeetfeet@aol.com

ASSOCIATE POSITION - EAST TENNESSEE

30 year old practice with 5 offices in greater Knoxville area seeking ethical, personable, hardworking, team player. $160,000 base salary with bonus incentives and benefits. Post-residency experience a plus. Please send resume to ddavidphawk@yahoo.com

ASSOCIATE POSITION - TEXAS

Well established, expanding podiatric medical and surgical practice with multiple locations Northeast of Dallas, Texas. Modern offices with EHR, digital radiography, Padnet vascular studies and laser. We offer a competitive salary and benefits package for a motivated, ethical, personable and well trained PSR/36 or board equivalent. This individual will also assist managing the residency program. Send resume (CV)tonorthtexaspodiatry@yahoo.com along with a letter of intent

ASSOCIATE POSITION - MARYLAND

Multi-office group seeks highly trained surgical associate to join us. Prefer person with frame and trauma experience. Our practice is state-of-the-art and has all modalities: EMR, PadNnet, on-site billing, diagnostic US, PRP, digital x-ray, etc. Excellent salary, bonus structure and benefits with partnership available. Please forward CV and letter of intent to docsbnb@aol.com

ASSOCIATE POSITION - SOUTH CAROLINA

Upstate practice seeking PSR-24/36 trained associate. Full-time position with partnership opportunity. Must be ethical, highly-motivated with strong surgical and medical skills. Please send CV topalpodiatry@att.net

ASSOCIATE POSITION – NORTHERN CALIFORNIA / BAY AREA

We’re looking for someone entrepreneurial who can help grow our practice. Must have great people skills, clinical/surgical skills, and positive demeanor. California license required. Send your CV and cover letter to cvpodiatrist@gmail.com

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 24-36 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977 Diane Coulter, Office Manager

ASSOCIATE POSITION – NEW YORK CITY/ LONG ISLAND

Seeking an ethical, competent, and responsible associate with a minimum of board qualification, who is proficient in all facets of podiatric medicine, surgery, and biomechanics for a multi-doctor and interdisciplinary medical practice in NYC with suburban NJ/NY satellite offices. Must be able to practice independently with excellent management skills. PT/FT with potential forpartnership.ambulatewell@aol.com

ASSOCIATE POSITION - SOUTHWEST FLORIDA

Immediate position for associate to potential partnership available for a surgeon that is BQ/BC by ABPS. Must be a PSR 24 or PM&S 36 graduate. Salary with bonus. Must be ethical, self starter, hard worker and a team player. Willingness to learn and work as part of a great team is a must. Great ancillaries and surgery facility. Email CV to: susmitad86@yahoo.com

PODIATRY OFFICE TO SHARE - SEATTLE, WASHINGTON

Fully equipped podiatry office in North Gate area of Seattle. Office located in medical professional building near I-5. Office has 3 treatment rooms, 3 physical therapy rooms, direct digital x-ray, PAD- net, NCV testing equipment, physical therapy equipment. Please contact us: website Tel. 425-643-8901isbinc2006@gmail.com

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed 516 476-1815 PODO2345@AOL.COM

CPME-CERTIFIED WOUND CARE FELLOWSHIP

Open position available Jan.31, 2012. St. John`s Episcopal Hospital, Far Rockaway New York. State-of-the-art wound care center. All aspects of wound care including hyperbaric oxygen & reconstructive surgery. One year, excellent salary & benefits. Must have completed approved residency and passed boards. Contact Mariann (718) 869-7256

EQUIPMENT FOR SALE - SUPERPULSE 45 WATT PEAK POWER LASER ( LUMIX2)

Superpulse 45 watt peak power Laser ( lumix2) used once or twice. This is a real superpulse 910nw up to 100,000 HZ. Great Laser Used in the super bowl by the Green Bay Packer Why am I selling? I have too many lasers in my office now ( six) This is a great laser for plantar fasciitis. Achilles tendonitis. Lightweight portable. easy to use, fully programmable Sold to first person under $$12,000 You will NEVER get a laser like this at this price. Enjoy. it I just have too many lasers. David Zuckerman DPMfootcare@comcast.net

EQUIPMENT FOR SALE - CLASS FOUR LASER- USED K-LASERS

I have used K-laser for sale. Still in Warranty. Used for plantar fasciitis, Achilles tendonitis, neuroma, arthritic conditions and even fungus toe nails This laser is portable, re-chargeable and can be move from room to room or office to office. This isn't the cold laser that you see. It is a 10 watt laser. We have used this laser on NFL sports players. For those that understand a good laser. E-mail David Zuckerman, DPM for Details and pricing. footcare@comcast.net

PM News Classified Ads Reach over 13,500 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 13,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $109 for a 50-word ad THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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