The Foot & Ankle Weekly
Aug. 28, 2012

Are you getting the best results possible with your foot orthotic treatment? Find out how at ACFAOM 2012 - Oct. 11-14, Disney World
Are you up to date with the latest knowledge of treating Adult Acquired Flatfoot? Can you answer questions about minimalist footwear? Do you know how to make simple, effective adjustments to foot orthotics in your office? After attending the Biomechanics Track at ACFAOM 2012, you will be able to confidently answer "YES" to all of these questions.

Chaired by Douglas Richie, DPM, FACFAOM, the Biomechanics Track will present the latest on the biomechanics of barefoot running (and minimalist shoes) and orthotic therapy for diabetic foot ulcers, adult acquired flatfoot, bunions, and ankle instability and falls in 3 hours of short clinical lectures on Oct. 12. On Oct. 13, a 3-hour workshop will show you how to make orthotic adjustments and fix failures, treat adult acquired flatfoot, and select the appropriate orthotic therapy for first ray pathologies. Joining Dr. Richie as faculty will be Drs. Christopher MacLean and Robert Daryl Phillips. This lecture session plus associated hands-on workshop will help you improve your day-to-day podiatric practice with new and important clinical biomechanics and sport medicine knowledge and skills.

The conference will be held Oct. 11-14, at the Hilton Orlando Lake Buena Vista located directly across from Downtown Disney. The focus of the ACFAOM conference will be Wound Management, Medicine, Dermatology/Pathology, and Biomechanics using both didactic and hands-on workshop learning, with additional sessions on Billing & Coding, and the latest technologies for Podiatric Imaging. New features this year include an exciting survey of Lasers in Podiatric Practice: Pros and Cons, plus a surgery track presented by ASPS. Click here to register nowMore

Meet Ira Meyers, DPM - today at 9 p.m.
Dr. Ira Meyers will be the guest on today's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. Dr. Meyers specializes in running injures and has worked with thousands of runners over the years, including several Olympians. He currently practices at Montgomery Podiatry Associates in Huntingdon Valley, Pa., and is on staff at several area hospitals. To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession's past and future click here. More

Gait alterations associated with diabetic neuropathy
Lower Extremity Review
Inconsistent findings from laboratory stud­­ies have made it difficult to deter­mine which gait alterations are specific to diabetic peripheral neuropathy and which also affect diabetic patients with­out neuropathy. Body-worn sensor tech­nol­ogy may help clarify the distinctions.More

Faster return to play seen after lateral ankle vs syndesmosis sprains in NFL players
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Syndesmosis may prove more disabling than lateral ankle sprains for National Football League players, according to recently presented results that analyzed the diagnosis and treatment of these injuries. "There is typically a direct impact with an external rotation moment and pronation force in syndesmosis as opposed to torsional forces in lateral ankle sprains." Daryl C. Osbahr, M.D., said. "In terms of return to play, it usually occurred in less than a week in the lateral ankle sprain group. However, it required about two weeks in those athletes with a syndesmosis sprain."More

How to appeal denied claims
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Even if the monetary totals at stake are small, denied insurance claims can add up and negatively impact your practice. This author provides pearls for ensuring your denied claims receive payment, offering insights on dealing with insurance companies and the importance of thorough documentation. More

How fragile are physician reputations?
Becker's ASC Review
How fragile are physician reputations? Very. In a recent review of 12 case studies related to online reputation management for physicians, a serious issue was raised. For the majority of physicians, one negative comment online could severely impact new patient volumes, especially out-of-network.More

Data changes the doctors' game
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Dr. Data, you are being paged. Please respond. For physicians, data sharing with the government is becoming essential and will impact how they get paid, receive bonuses or are penalized. While the data collection process is crucial, Niall Berman, director of the CMS Office of Information Products and Analysis, concedes it's fraught with uncertainty among providers. More

Idiopathic toe walking: Insights on intervention
Lower Extremity Review
As researchers explore the possibility that idiopathic toe walking has an underlying neurologic cause, clinicians continue to refine treatment strategies to keep ITW patients off their toes. Orthotic devices play a key role, with lower-profile devices growing in popularity.More

Patients with plantar fasciitis experience less pain and improved QOL after standard radiation therapy
Patients with plantar fasciitis (painful bone heel spur) experience significantly less pain and improved quality of life following a standard dose of external beam radiation therapy, a common cancer treatment similar to receiving an X-ray, according to a randomized, cooperative group study that was published online July 25, 2012, in the International Journal of Radiation, Oncology, Biology, Physics (Red Journal), the official scientific journal of the American Society for Radiation Oncology (ASTRO).More

Study: Obesity biggest risk factor for diabetes among poor
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Obesity is the most important risk factor for type 2 diabetes among poor people, according to a new study that also says lifestyle changes are the key to reducing diabetes in this population.More

Foot, ankle 3-D imager faces hurdles
MedPage Today
A serial entrepreneur launching a weight-bearing CT scanning device to better diagnose foot and ankle problems that received 510(k) clearance from the U.S. FDA earlier this year is finding that it can be tough to balance innovation with the challenge of reimbursement.More

The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome
Clinical Biomechanics
Excessive rearfoot eversion is thought to be a risk factor for patellofemoral pain syndrome development, based on theoretical rationale linking it to greater tibial internal rotation and hip adduction. This study aimed to establish the relationship of rearfoot eversion with tibial internal rotation and hip adduction during walking in individuals with and without patellofemoral pain syndrome.More