The Foot & Ankle Weekly
Dec. 23, 2014

On high heels and short muscles: A multiscale model for sarcomere loss in the gastrocnemius muscle
Journal of Theoretical Biology via ScienceDirect
High heels are a major source of chronic lower limb pain. Yet, more than one third of all women compromise health for looks and wear high heels on a daily basis. Changing from flat footwear to high heels induces chronic muscle shortening associated with discomfort, fatigue, reduced shock absorption, and increased injury risk. However, the long-term effects of high-heeled footwear on the musculoskeletal kinematics of the lower extremities remain poorly understood. More

Arthritis and the bunion: Current concepts
Podiatry Today
Osteoarthritis of the first metatarsophalangeal joint may lead to patients having symptoms of both hallux valgus and hallux rigidus, not to mention pain with prolonged activity and difficulty for women in wearing high heels. Accordingly, this author discusses conservative care and shares her insights on surgical treatment options. More

Shorter antibiotic therapy still effective for diabetic foot osteomyelitis
For patients with diabetic foot osteomyelitis, 6 weeks of antibiotic therapy seems as effective as 12 weeks of treatment, according to a study published in Diabetes Care. Alina Tone, M.D., from Gustave Dron Hospital in Tourcoing, France, and colleagues compared the effectiveness of 6 vs. 12 weeks of antibiotic therapy in 40 patients with nonsurgically-treated diabetic foot osteomyelitis enrolled in a prospective randomized trial. More

More patients opt to replace ankle joints instead of fusion
The Wall Street Journal
Replacing hips and knees has become a common affair. Now, people are increasingly swapping out weakened or injured ankles to get back on their feet. Ankle replacement is an alternative to the more common fix, ankle fusion restoring more range of motion and flexibility. Newer artificial joints can include parts such as mobile bearings that make moving up and down on an incline easier. That helps patients climb stairs, hike, or ski, without putting undue stress on adjacent joints.More

Health bosses wary as diabetic amputations too high
Health bosses have admitted the number of amputations related to diabetes in Cornwall, Dorset, Somerset and Devon is too high. Over 1,500 amputations were conducted in the four counties from 2010-2013, with 528 classed as major procedures – above the ankle.More

Eccentric interventions for Achilles tendinopathy
Lower Extremity Review
Multiple descriptive studies have demonstrated the clinical benefits of eccentric exercise interventions in patients with Achilles tendinopathy, but researchers have not yet identified the cause-and-effect mechanisms leading to decreased pain or increased function.More

How to improve patient care while increasing revenue
Podiatry Today
As we prepare for the start of 2015 and the uncertainty of what is around the corner with accountable care organizations, ICD-10, decreasing reimbursements, hospital consolidations, hospitals purchasing referral sources and more, it is easy to get discouraged and give up. Many people will throw in the towel and just continue to see and treat their patients without trying to do anything to improve the practice or the practice revenue.More

Practices are up against it with HIPAA compliance and audits
By Scott E. Rupp
NueMD, a provider of cloud-based management software for small medical practices, finds that there are a lot of healthcare organizations up against it when it comes to complying with the beefed up regulations of the Health Insurance Portability and Accountability Act, or HIPAA. In an effort to determine how small practices and billing organizations are coping, NueMD partnered with Porter Research and the Daniel Brown Law Group to produce a report, and the results are eye-opening and somewhat shocking.More

Delayed diagnosis in metastatic lesions of the foot
Annals of The Royal College of Surgeons of England
Pedal acrometastases are a rare complication of disseminated malignancy. To date, there is little in the literature documenting their clinical course. In this study, a large orthopaedic oncology database was used to review the clinical course of symptomatic pedal acrometastases.More