The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily

November 27, 2008 #3,411 Editor-Barry Block, DPM, JD

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VA Podiatrist Discusses Dangers of Steroids With HS Students

The best way, financially and otherwise, to ward off steroid use among teen athletes is probably through parents and coaches -- and the old-fashioned approach that Arlington County physical education teacher Rocky Belk and Arlington podiatric physician Ben Pearl took last week. They met with about 60 high school students from Sheila Napala's physical therapy and sports medicine classes at the Arlington Career Center to discuss steroids and the 2008 documentary the students had watched, "Bigger Stronger Faster."

Dr. Ben Pearl

"We heard a lot about Barry Bonds and baseball players through [the congressional hearings], but we found that [steroid use] really has to do with wanting to be somebody special," Pearl said of his research. "A lot of us are trying to get somewhere because we're not happy with ourselves. We're not comfortable in our own skin, being what we are."

When Pearl asked how many students had used steroids or would admit to using them, no hands went up. When Pearl asked whether any of the students had taken other performance enhancers, several arms went up.

Source: Preston Williams, Washington Post [11/4/08]

Editor's note: The January 09 issue of PM will feature an article by Dr. Pearl on the dangers of steroids.

IA Podiatrist Serves at Scientific Chair at Heartland Conference

Paul Dayton, DPM, served as the Scientific Committee chair for the Iowa Podiatric Medical Society and was a featured speaker at the 2008 Heartland Podiatry Conference in Des Moines. The conference was attended by 250 podiatrists from Iowa and surrounding states. Dayton was also a featured speaker for the assistants program, a coinciding conference.

Dr. Paul Dayton

Also presenting were Mindi Feilmeier, DPM, from Trimark Foot and Ankle, and Dustin Price, DPM, from Trinity Regional Medical Center. Michelle Sleiter, RN, BSN, office manager for Trimark Foot and Ankle, was the assistants program chair.

Dayton is board certified in both foot surgery and reconstructive rearfoot and ankle surgery by the American Board of Podiatric Surgery. He is past president of the medical staff at Trinity Regional Medical Center. He serves on the board of directors at Trimark Physicians Group in Fort Dodge.

Source: Fort Dodge Messenger (IA) [11/23/08]

Query: Prolotherapy

Has anyone had experience with prolotherapy, and what were the short and long-term results, for plantar fasciitis, tendo-Achilles pathology, etc.?

Arthur Gudeon, DPM, Rego Park, NY

Query: Fairest Compensation

I am a new provider in an area that is primarily run in a managed care environment. I only see people from within “the system”, thus I am perhaps not as busy as I potentially could be. Recently, an established and extremely busy podiatrist asked if I would be interested to “moonlight” as a part-time provider. I currently work on a structured salary/benefits package. My employer is amenable to this opportunity as they are hoping that I would bring business back to their facilities (e.g., surgery, inpatient care, other referrals).

My employer believes that I should rbe eimbursed based on the RVU’s that I generate at the new office; the new office would find it easier to simply pay by the hour. What is fairest method to structure compensation? Does anyone have any ideas on where I would be able to gather advice/references for how to structure such a proposal?

Name Withheld

RE: Botox For Recalcitrant Plantar Fasciitis (Loren Miller, DPM)
From: Allen Jacobs, DPM

Botox A has been reported in several studies for the successful resolution of plantar heel pain associated with plantar fasciitis/heel spur syndrome.

These include: Jeynes and Gauci (Pain Practice 8 (4) 2008), Ney and Joseph (Neuropsychiatric disease and treatment 3 (6) 2007 ), and Babcock, et al. (Am. J. Phys Med and Rehab 84 (9) 2005).

Dosage and schedule of administration vary by author report.

Allen Mark Jacobs DPM, St. Louis, MO, allenthe pod@sbcglobal.net

RE: Orthotics and Bunions (Simon Young, DPM)
From: Dennis Shavelson, DPM

I would like to pose these theoretical questions:

1) If an orthotic could be dispensed that reduced functional hallux limitus and allowed peroneus longus to leverage and power to the point that it produced renewed stabilizing power upon the first ray, locking it more securely in closed chain with every step, would the IM, HAA and Met primus elevatus of that patient's pathological medial column improve?

2) Could manual therapy, motor control, and additional vaulting of the dynamic arches of the foot then leverage and power the flexor hallucis longus and abductor hallucis, further reducing the development or advancement of a bunion deformity?

Although Neoteric Biomechanics has not yet been double-blind studied, the podiatrists working with this new paradigm are doing just that, every day, in practice.

Disclaimer: Dr. Shavelson is the inventor of Neoteric Biomechanics and has a financial interest in the paradigm.

Dennis Shavelson, DPM, Medical Director, The FootHelpers Lab, drsha@lifestylepodiatry.com

RE: Blue Goo Orthotics (Gary N. Friedlander, DPM)
From: Neil Scheffler, DPM

These orthotics are now called PQ Liquid, and are available through Rieken's Labs 1-800-331-8040.

Neil Scheffler, DPM, Baltimore, MD, feetone@aol.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 part-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

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

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

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

EQUIPMENT FOR RENT - EXTREMITY MRI

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ASSOCIATE POSITION –GEORGIA

A well-established practice in South Georgia seeks a full time PSR-24/36 trained podiatrist. Excellent benefit package. Please send CV to agriffin@southernpodiatry.com. For more information, visit our website

ASSOCIATE POSITION – MASSACHUSETTS

Excellent opportunity for a highly-motivated, entrepreneurial individual to join a very successful, rapidly growing multi-office practice, North of Boston. Seeking a PSR-24/36 trained podiatrist to join our group. We offer a competitive salary/benefit package with the opportunity of partnership after one year, for the right individual. Send CV and letter of interest to drfleishman@nefootankle.com

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