The Foot & Ankle Weekly
Nov. 25, 2014

AMA pushes lame duck Congress for SGR repeal
HealthLeaders Media
Efforts to repeal the formula by which Medicare reimburses physicians are being bolstered by a report from the Congressional Budget Office indicating lowered costs associated with rescinding the reimbursement cuts. The American Medical Association wants the lame duck 113th Congress to permanently repeal the reviled Sustainable Growth Rate funding formula for Medicare before the session adjourns next month.More

3 ways to avoid losing patients to follow up
From a legal and ethical standpoint, physicians must keep patients from missing recommended follow-up care. But while it's not realistic for practices to track down every no-show or noncompliant patient, there are strategies that can reduce the likelihood of a patient's dangerous health condition remaining unaddressed, according to a post from the New York Times.More

Orthoses add no benefit to eccentric calf training for Achilles tendinopathy
Lower Extremity Review
Customized foot orthoses are no more effective than sham orthoses for improving pain and function in patients with Achilles tendinopathy when used in combination with eccentric calf exercises, according to research from La Trobe University in Melbourne, Australia. More

Have faith, early adopters: Telehealth's time is finally here
By Karen R. Thomas
In the tech world, the early-adoption phase of new software and devices is always filled with the anticipation and excitement of users wondering what the new technology will be like, how it will make life easier and how it might change the industry. People stand in lines for days waiting for the release of updated technology products. But, as with most new things, the early stages of new technology can be tricky for a number of reasons — especially when the technology is tied to operating an old business model like healthcare in a new way.More

Addressing heel pain in runners
Podiatry Today
Getting runners back on the run after heel pain can be challenging at times. Accordingly, this author offers key diagnostic insights, reviews a variety of possible etiologies ranging from biomechanical causes to nerve-related heel pain, and shares his clinical experience on viable treatment options. More

With immunotherapy physicians avoid diabetes complications
Medical Xpress
What is the difference between the treatment of diabetes under an immune scheme compared to the traditional therapy? The patient gets a diagnosis and receives attention, but is also checked for a systemic immune problem and thereby prevents possible consequences such as diabetic foot, glaucoma, nephropathy and retinopathy.More

Doctor shortage looming? Maybe not
he United States is facing a critical shortage of doctors that could seriously jeopardize the ability of a patient to get medical care in the coming years. Or, at least, that's the message the medical community has been pushing for several years now. And the media (including this reporter) have swallowed the line without much question.More

Can wearing heels into your 70s save you from deadly accidents?
Daily Mail
When should a woman stop wearing high heels? It may sound frivolous, but, in fact, high heels — and their effect on balance — could have serious implications for women’s health and even their lifespan. Falls are the biggest cause of accidental death in the over-75s. More

Treatment considerations for avascular necrosis of the second metatarsal
Podiatry Today
Bob Baravarian, DPM, and Brayton Campbell, DPM, write, "We recently had a patient present to our institute for continued pain to his right foot six months after plantar plate repair in the right second metatarsophalangeal joint (MPJ). A review of the operative report and computed tomography (CT) scan found that the patient had a second metatarsal plantar condylectomy with Kirschner wire fixation. Unfortunately, he developed avascular necrosis of the second metatarsal head with significant bone resorption. He presented to our institute to discuss his surgical revision options. This condition is difficult to treat and often frustrating."More

6 ways to avoid a RAC audit
Physician's Practice
If you believe your practice is too small to warrant the attention of Recovery Audit Contractors, think again. Here are ways to prepare for scrutiny. In recent months, little has been written about Recovery Audit Contractors (RACs), the CMS contractors charged with identifying improper payments to healthcare providers. Still, they remain a potent threat to practices' bottom lines, given the strong incentives under which they operate. RACs are paid on commission and get between 9.0 percent and 12.5 percent of any improper payments they identify. Small- and medium-sized practices are not below the RAC radar and should heed the following succinct steps to avoid and/or minimize exposure. More

Nonoperative dynamic treatment of acute achilles tendon rupture: the influence of early weight-bearing on clinical outcome: A blinded, randomized controlled trial
The Journal of Bone and Joint Surgery via PubMed
Dynamic rehabilitation has been suggested to be an important part of nonoperative treatment of acute Achilles tendon rupture that results in functional outcome and rerupture rates comparable with those of operative treatment. However, the optimal role of weight-bearing during early rehabilitation remains unclear. The purpose of this study was to compare immediate weight-bearing with non-weight-bearing in a nonoperative dynamic treatment protocol for Achilles tendon rupture.More