The Foot & Ankle Weekly
Aug. 7, 2012

Recognize the key issues in dermatology and pathology at ACFAOM 2012 - Oct. 11-14, Disney World
ACFAOM
Dermatologic conditions make up a large percentage of what the busy clinician sees and it is important to not only be reminded of important conditions but also to be educated about others. This session will leave you thinking twice about the lesion you saw yesterday and how to treat the one you will see tomorrow in a very different way. Four areas of importance in dermatology will be covered in depth: the "what ifs" of cases that went badly and ended up in malpractice court; the mystery of the pigmented nail bed; the many malignancies that can affect the lower extremities; and the enigmatic porokeratosis that we only think we recognize. Faculty for this important 3-hour session will be Drs. Bradley Bakotic & Bryan Markinson.

The ACFAOM annual clinical conference will be held Oct. 11-14, at the Hilton Orlando Lake Buena Vista located directly across from Downtown Disney. In addition to Dermatology & Pathology, other tracks will cover Wound Management, Medicine, Biomechanics, and Lasers using both didactic and hands-on workshop learning, with additional sessions on billing & coding, and the latest technologies available for Imaging. And new features this year include a 6-hr surgery track presented by the American Society of Podiatric Surgeons (ASPS). Click here to register now. More

The top 10 innovations in podiatry
Podiatry Today
Emerging advances in podiatry include a new system to facilitate plantar plate repair, new diagnostic tools, a topical wound care gel and the development of amniotic membrane for use in podiatric surgery. Accordingly, this author talks to various experts to get their insights on these new innovations.More

RT spells relief for plantar fasciitis pain
Health Imaging & IT
Patients with plantar fasciitis experienced significantly less pain and improved quality of life following a standard dose of external beam radiation therapy (RT), according to a study published online July 25 in the International Journal of Radiation Oncology*Biology*Physics.More

Most Americans ignore truth about obesity, researchers say
Fox News
Many Americans think that people's individual decisions - not societal factors - are to blame for the obesity epidemic, but this is an oversimplified view that could hinder progress toward obesity prevention, researchers argue in a new editorial. Although what we eat and how much we exercise certainly play roles in causing obesity, much evidence suggests that changes over the past three decades in our work schedules, schools and food and beverage availability are the driving factors of the epidemic, according to a recent report from the Institute of Medicine.More

Pediatric obesity weighs on growing bones, joints
Lower Extremity Review
Exercise is the standard prescription for obesity. But alterations to joint biome­chan­ics, gait, and anatomical structure in overweight children and teens mean that physical activity comes with its own risks, which practitioners must factor into any clinical recommendations.More

After standard radiation therapy, patients experience less pain from bone heel spurs
Orthopedics Today
Short bursts of standard radiation therapy help relieve pain in patients with bone heel spurs, according to a study recently published in the International Journal of Radiation, Oncology, Biology, Physics. In 66 patients with severe plantar fascilitis, investigators applied either a high dose of 6.0 Gy or a low dose of 0.6 Gy twice weekly on non-consecutive days to relieve pain. Patients were evaluated every 6 weeks until a 12-month follow-up. Approximately 80 percent of the standard dose patients were pain-free from the treatment, and 64 percent remained pain-free for the duration of follow-up.More

Physicians seeing patient visits rebound in 2012
American Medical News
David Hess, M.D., knew things were getting better when he started to hear his patients telling him in the office about their vacation plans instead of the reasons why they hadn't been to see him. For many months since the economic recession took hold, Dr. Hess saw some of his patients only by chance at the grocery store or the softball field. In the small town of Glen Dale, W.Va., where he and his wife own a pediatric and family medicine practice, those types of meetings hardly could be avoided.More

Infection alert as expert puts boot into toenail treatments
The Standard
Those gel pedicures may be trendy, but they could be bad for your toes. So says a dermatologist, who warns that frequent pedicures during the summer may lead to fungal infection, the most common toe disease in Hong Kong.More

Development of the arch: Functional implications
Lower Extremity Review
Contrary to the conclusions of early research, recent studies suggest that arch height does indeed affect lower extremity function. The biomechanics associated with different arch heights may provide a basis for treatment and prevention of related injuries.More

High-tech silver dressings ward off infection in wounds
PhysOrg
Pioneered by a multidisciplinary team of researchers from the University of Wisconsin-Madison, University of Colorado-Denver, and University of California, Davis, such antibacterial wound dressings someday could benefit millions of people worldwide who suffer from serious burns or chronic wounds.More

The women who spend thousands to have surgery on their toes
The Sun
Finally, the sun has arrived and it's time to get your feet out. But are you worried about showing off your crumbly, yellow toenails? Or is it corns and calluses you'd rather keep hidden? If so you're not alone – 9 in 10 Britons will suffer a foot problem at some point in their lives according to the Society of Chiropodists and Podiatrists. More

Patient-sharing networks reveal doctor similarities
Modern Medicine
If you share patients with your colleagues, chances are you have practice and personal styles in common, too. So say researchers who conducted a study to learn more about doctor networks. "It has long been known that physician behavior varies across geographic areas, yet our understanding of the factors that contribute to these geographic differences is incomplete," say Bruce E. Landon, M.D., MBA, and colleagues at Harvard University who conducted the study. Their findings indicate that healthcare varies by location because of informal information-sharing networks.More

The pattern of tibial nerve excursion with active ankle dorsiflexion is different in older people with diabetes mellitus
Clinical Biomechanics
The peripheral nervous system has an inherent capability to tolerate the gliding (excursion), stretching (increased strain), and compression associated with limb motions necessary for functional activities. The biomechanical properties during joint movements are well studied but the influence of other factors such as limb pre-positioning, age and the effects of diabetes mellitus are not well established for the lower extremity. The purposes of this pilot study were to compare the impact of two different hip positions on lower extremity nerve biomechanics during an active ankle dorsiflexion motion in healthy individuals and to determine whether nerve biomechanics are altered in older individuals with diabetes mellitus.More