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November 9, 2011, Issue #442
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DISCUSSION
| | Send your comments, questions, responses, articles or case studies to Pedorthic Newswire at editor@pedorthicnewswire.com
Your emails will be reviewed by pedorthists and the editors of Pedorthic Newswire, and selected submissions will be posted in an upcoming issue for feedback from other readers. We reserve the right to edit submissions and responses. Please note:the deadline for all submissions and responses is 12 noon Eastern Standard Time on Tuesday for that week's issue.
NEW QUESTIONS
Question: I would be interested in knowing what kind of instrument you use to label the bottoms of the orthotics for your customers? A marker/pen usually wears off. Thank you!
- Jesse Fischer
Question: I generally recommend my runners to replace their running shoes every 300-400 miles. But there are so many factors involved, and i was wondering if I should be more specific?
- PNW Reader
PREVIOUS QUESTIONS AND COMMENTS WITH RESPONSES
Question: Stretching exercises are often recommended for plantar fasciitis. What has proven to be effective stretching regimens and how often should one do them?
- Robert S. Schwartz, C. Ped.
Response: We outlined some plantar fasciitis strengthening and stretching exercises (with permission provided by The Running Injury Clinic) on our blog earlier this year including plantar fascia towel crunches and first ray stretches (complete with images).
http://www.yoursole.com/content/blog/2011/jul/19/what-plantar-fasciitis-and-how-can-i-get-relief-it/
- Jonathan Koops
Response: 1. Seat yourself in an upright position with the leg to be stretched at full extension in front of you.
(I usually suggest doing this with leg and back supported by a bed or sit in a chair with a second chair supporting the leg to avoid knee pain.)
2. Using a towel, sheet, or Pilates band grasped in both hands, wrap/cradle around the ball of the foot.
3. Internally rotate the forefoot so that your third toe appears to line up with the shin.
(Unbeknownst to the patient, this is to simulate a subtalar neutral position and prevent overpronation during the stretch.)
4. Keeping head up, chest out, back and leg straight pull on the strap until the stretch is achieved.
(The feeling of the stretch will be different for each patient. Some are tighter in the Achilles/gastroc, some in the plantar fascia, some in the hamstring.)
5. Hold this for 30 seconds then slowly release, switch to the other leg. Repeat this for five repetitions.
(Even though the PF may be unilateral, the other leg is typically tight too. Overcompensation from pain will put more stress on the other limb and may create bilateral fasciitis.)
6. Do this twice a day. The best time to do so is as close to waking as possible and again before bed.
(Things begin to tighten during rest and one of the most common complaints for plantar fasciitis is extreme pain first thing in the morning)
Some of our local doctors still prescribe the UFOs if patient compliance is in question. Fortunately it usually isn't too much of an issue. By the time they are coming to us they are near their pain limit and just want it to stop. For most of the patients that actually do it, this stretch has worked quite well. I also suggest they freeze a water bottle and roll their foot on it for cold massage. Many will come in with pre-made orthotics that are visco-elastic in nature thinking they need to cushion the foot. I explain the need for support and fascial relief. We like to make a custom total contact orthosis using a Puff, EFM, Multicork tri-laminate that really gets into the arch and supports the foot well. An extra pad or localized depression can be used if spurring is involved. On rare occasions if there is an extremely tight Achilles, I may use a ¼" cork heel raise to gain quicker relief. This is thinned down over time as the patient gains more range. This modality seems to take care of most of our plantar fascial cases. I find it important to remind the patient that while an orthotic will make things feel better, the root problem (assuming a patient with tight ROM) is the tightness which must be addressed. I suggest the stretching be done religiously for about two weeks then changed to maintenance of once or twice a week.
I also remind that things will tighten up again if not attended to at least occasionally. Even though the pain may go away it is good to be checked yearly for orthotic integrity and to see how ROM is progressing. A lot of plantar fascial cases that come to me are years after their orthotic "cure" from another company and don't understand why it came back. Evaluation, information, treatment and diligence win out most every time.
- Mark C. Scheibelhut, C. Ped., O.S.T.
Response: I feel that the choice of stretches should be preceded by a good foot evaluation. All plantar fasciitis patients don't need all of the exercises. For example, if a patient does not have pf band tightness I will skip the standing with toes extended against the base of the wall. This would also be true if the patient has any limitation of toe extension. I modify the standard runner's calf stretch. I feel that you can get a better stretch by first positioning the rear foot in the sagittgal plane and, if the patient is able, actively correcting the subtalar joint to neutral. This is especially important to those with significant pronation problems. The stretch is then applied in the normal fashion by leaning forward, keeping the knee straight on the leg being stretched. The time for holding a stretch is always being debated. Some fairly recent research indicates that holding a stretch beyond 30 seconds doesn't give any additional benefit. The number of repetitions can be debated. I usually have my patients follow a 10x10 model - 10 repetitions for 10 secs each, for ease of remembrance and just to make sure that they are doing enough - no scientific basis. Instructing the patient in correct technique is critical to success.
- Skip Chandler, PT, CPed
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SPONSOR NEWS
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HEALTH AND INDUSTRY
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The Office and Professional Employees International Union (OPEIU), AFL-CIO applauds Representatives Lee Terry of Nebraska and Diana DeGette of Colorado for introducing critical bipartisan legislation that would increase access to podiatric care and save billions of dollars in the process. The Equity and Access for Podiatric Physicians Under Medicaid Act (HR 3364) would identify podiatrists as physicians under Title XIX (the Medicaid Provision) of the Social Security Act, making it easier for low-income individuals to get the foot care they need. Full Text
Source: The Sacramento Bee
By: Kerrie- Ann Schoenit
Debbi Vanderydt is in the business of alleviating pain.
As a certified pedorthist, she is educated, trained and tested in the assessment, design, manufacture, fit and modification of custom-made foot orthotics and footwear. She specializes in providing non-surgical treatments for biomechanical faults to help relieve discomfort. Vanderydt can treat conditions such as heel pain, ball of foot pain, general foot and leg pain, arthritis pain, knee pain, back pain, high risk diabetic feet, congenital defects, injury and amputations. Full Text
Source: BC Local News
By: Connie Jo Discoe
Every year, 200,000 dogs in the United States blow out their ACL's.
Before or after, or instead of surgery, a brace will help alleviate pain and stabilize the knee as the dog's anterior cruciate ligament injury heals.
To address the need for custom-fit orthotics for injured dogs, a Benkelman, Nebraska, business owner and prosthetist has expanded the company that he developed to fit and fabricate custom prostheses and orthotics for humans to now offer braces for dogs. Full Text
Source: McCook Daily Gazette
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AETREX iSTEP WEBINARS
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DIABETES
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By: Tom Ulrich
Most of us think about cancer as a disease of genes gone awry - of mutations, deletions, duplications, etc. causing unchecked cell growth. But could you also view cancer as a metabolic disorder, like type 2 diabetes? George Daley and his lab in the Stem Cell Transplantation Program at Children's have found some intriguing molecular links that make this a plausible idea.
While it's not yet clear what this means for patients with either disease, the findings help untangle some very perplexing data about human genetics and diabetes risk, and could change doctors' thinking about the treatment of both conditions down the road. Full Text
Source: Mass Device
By: Rita Rubin
Mary Hyde, 64, recalls her mother's response after hearing Hyde had been diagnosed with Type 2 diabetes.
"I told you not to eat all those sweet rolls when you were a teenager." For years after her mother's reproach, Hyde kept her condition and treatment pretty much to herself. "I didn't speak about it. I never tested my blood sugar in public," says Hyde, who lives in San Diego. Full Text
Source: MSNBC.com
By Shari Roan
Two of the most worrisome trends in healthcare - the soaring rates of Type 2 diabetes and dementia - share several key biological processes. And scientists are beginning to think that is more than just a coincidence.Many researchers now believe that proper control of blood sugar could pay dividends in the future by reducing the number of people stricken by Alzheimer's disease, other forms of dementia and even the normal cognitive decline that comes with age. Full Text
Source: LA Times
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SPORTS AND FITNESS
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By: Crystal Phend
Warm-ups before practice cut down on knee, ankle, and other lower extremity injuries in female high school athletes, a randomized trial showed.
Acute, noncontact lower-extremity injuries dropped 67% among girls playing high school soccer and basketball when coaches started practice with a prescribed set of warm-up exercises for 20 minutes, Cynthia R. LaBella, MD, of Children's Memorial Hospital in Chicago, and colleagues found.
California Health & Longevity Institute located at Four Seasons Hotel, Westlake Village, California has launched The Healthy Executive Program--an executive physical that transforms a routine medical checkup into a personalized health experience.
Designed for busy executives and professionals, the team of world-class physicians and lifestyle experts offer a convenient one-day, in-depth analysis, diagnostic testing, screening and a physical exam, that provides insight into a person's current medical, physical and emotional health. This is complemented by a personalized, actionable plan to facilitate healthy lifestyle changes and improved performance in all aspects of a person's life.
Source: PR Newswire
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BECOMING CERTIFIED IN PEDORTHICS
| Pedorthics is a professional field covering the design, manufacture, modification and/or fit of footwear. Pedorthics encompasses shoes, orthoses and foot devices that prevent or alleviate foot problems caused by disease, overuse, injury or congenital defect. Certified Pedorthists work with patients and their footwear to conform to a doctor's footwear prescription as part of the patient's treatment
To earn certification in Pedorthics, you must take a pre-determined number of course hours in pedorthics and pass a certifying examination overseen by either The American Board for Certification in Orthotics, Prosthetics & Pedorthics® or Board for Certification/Accreditation, Int'l. Both the ABC and BOC are independent certification bodies that set standards for the profession and offer certifications that are recognized by the National Commission for Certifying Agencies.
More information, including FAQ's
The American Board for Certification in Orthotics, Prosthetics & Pedorthics information on the step-by-step process of becoming a certified pedorthist
Board of Certification/Accreditation International information on becoming a BOC Pedorthist.
For information on the Canadian certifying organization visit The Pedorthic Association of Canada.
ONGOING COURSES AND EDUCATIONAL OPPORTUNITIES FOR BECOMING CERTIFIED IN PEDORTHICS
The Robert M. Palmer M.D., Institute of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Click here to view a detailed calendar including dates and locations, information and pricing.
CFS Allied Health Education: Pedorthic Certification: Exam Review. This review is focused on supplying the student with the skills and knowledge needed to pass the ABC Certified Pedorthic exam by presenting exam-like questions, exploring possible answers, and discussing rationales for correct and incorrect answers. Contact CFS Allied Health Education at (918) 266-3678 or visit http://www.learnpedorthics.com/ for more information.
*ABC and The American Board for Certification in Orthotics and Prosthetics are registered trademarks of the The American Board for Certification in Orthotics and Prosthetics, Inc., which is not affiliated with CFS Allied Health Education and does not endorse this review.
ENESLOW PEDORTHIC INSTITUTE 1-on-1 or Group Tutoring Available; Eneslow Training & Tutoring Program, Individual and Small Group Program
WHO SHOULD COME:
Those who wish to prepare for the Certified Fitter of Therapeutic Shoes or the
Pedorthic Pre-Certification Course and Exam, also those who wish to improve their pedorthic, sales, retailing, biomechanics and business skills or those who need a refresher course;
SUBJECTS: PEDORTHICS - SALES -RETAIL MANAGEMENT
Pedorthic Assessment - Pedorthic Shoe Fitting - Pedorthic Solutions Footwear - Foot Orthotics
Foot Products - Ready-made - Custom Shoe Constructions and Designs
Shoe Modifications - Casting and Evaluation Techniques for Custom Shoes & Orthotics - Business and Practice Management Finance & Administration
Forecasting & Budgeting - Buying & Inventory Control Marketing & Advertising Professional Responsibility - Safety - Human Resources Biomechanics Pediatrics
Pathology of Diseases and Malalignments
HANDS-ON 1-ON-1 INSTRUCTION
$150/ hour for individual training
GROUP TRAINING
$125/hour per person for two or more participants in the same program at the same time
$100/hour per person for five or more participants in the same program at the same time
Fee: Two hour minimum
HANDS-ON 1-ON-1 TRAINING WITH ROBERT S. SCHWARTZ, CPED, OR DR. JUSTIN WERNICK, DPM, CPED
$250/hour for individual training &
$200/hour per person for group training
Added Value: An insider's look into the retail, pedorthic, sales, store operations, and business management of Eneslow.
ABC and BOC points may be applied for.
ENESLOW PEDORTHIC INSTITUTE, 470 Park Avenue South at 32nd Street, New York, NY 10016. Call for more info (212) 477-2300 (Ask for Sarah Goldberg, CPED) (212) 353-2876 Fax
email: epi@eneslow.com or visit http://eneslow.com/epi
Pro-Learn, LLC announces its new CAPE approved Pedorthic Pre-certification program
Pro-Learn's program is accredited by the Commission on Accreditation of Pedorthic Education (CAPE) to provide Levels 1, 2 and 3 of pedorthic pre-certification coursework required by ABC and BOC to become eligible to apply and sit for board examination. ProLearn utilizes the latest technology in Distance Learning and Virtual Classrooms. This is the same Distance Learning Program technology model used by advanced O & P schools used to deliver their curriculum. This allows maximum flexibility in our programs that gives the student choices that fit their busy lifestyle, level of experience and learning style. Programs vary from three-week, live classes to completing the coursework completely online (Experienced, advanced degree holding healthcare professionals only). Our staff and faculty is composed of degree holding healthcare professionals who are Pedorthists, Nurses, O & P, Professional Pedorthic Educators and Physicians.
Please visit www.pro-learn.com or email cmartin@pro-learn.com for more information to assist you or your staff in making a decision on the right option for you, your business, your family, and your lifestyle.
International School of Pedorthics is offering two classes per month every month until December 31st 2012.
January 1 2013 ISP will close it's doors to pre certification and focus on International pedorthic training and post education advanced training.
ISP offers accreditation manual service with Accreditation Champ
And our newline of pre fabricated foot products,we offer our on site lab training, and consulting.
ISP has had training in Saudi Arabia, Jamaica, Puerto Rico ,Canada, Mexico and other countries.
Call 702-449-0978 or the office at 702-449-0974
2011 COURSES
NOVEMBER, 2011
GEORGIA - November 11, 2011 Foot Solutions 1-Day Cram Session.
Foot Solutions is an accredited facility that holds classes three times per year. The company's course will offer the certificate needed in all three levels to sit for the C. Ped. Exam. The facility is located at 2359 Windy Hill Road, Suite 400, Marietta, GA 30067. For Application And Fee Information Contact:
Tracy Strickland - 1-866-338-2597 Ext: 206 Tstrickland@Footsolutions.Com
Betty Hubauer - 1-866-338-2597 Ext: 201 Betty@Footsolutions.Com
Dr. William Faddock - 1-866-338-2597 Ext: 209 Bfaddock@Footsolutions.Com
DECEMBER, 2011
The Robert M. Palmer M.D., Institute of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic pre-certification education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: December 10 - 19, 2011 (Brea, California) - To Be Confirmed Soon
Condensed course hours available upon successful completion of pre-entrance exam. Scholarships Available - Please visit our website at www.rmpi.org or contact pam@rmpi.org - Phone: 765-557-7216.
Tuition includes Dormitory Housing and Transportation to and from the Indianapolis International Airport and the RMPI school (Elwood Course Location Only). Note: limited availability and by confirmed reservation only. Private Apartment Housing is also available by request and comparably priced within walking distance from the RMPI.
BECOME AN ABC THERAPEUTIC SHOE FITTER
For information on Aetrex Worldwide Therapeutic Shoe Fitter Courses, please contact the Aetrex Marketing Department at: marketing@aetrex.com.
Aetrex Worldwide Therapeutic Shoe Fitter Courses
Information on 2012 Aetrex Worldwide Therapeutic Shoe Fitter Courses will be coming soon.
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MONTHLY AND ONGOING
Riecken's Orthotic Labs - 800-331-8040; SAFIO Class, Second Friday of every month, at 5115 Oak Grove Rd., Evansville, IN. Four casting stands provided, limited to 8 students. Contact Darlene at the above number for more information.
Traveling Courses To Your Area sponsored by The Robert M. Palmer, M.D., Institute of Biomechanics, Inc. a not-for-profit pedorthic school. Please contact us to discuss your needs at phone: 765-557-7216. Email: pam@pedorthicbiomechanics.org or visit our Web site at: http://www.pedorthicbiomechanics.org/.
The Robert M. Palmer, M.D., Institute Of Biomechanics, Inc. a not-for-profit pedorthic school: Advanced Manufacturing - 50 Hour Course - Approved For 49.5 CME's for Pedorthists by the ABC. This course is designed to teach BAPFOL standards in manufacturing functional feet orthoses and provide an introduction to advanced biomechanical posting. Class size is limited to two students. For more information or to customize a course to meet your manufacturing educational needs, please email pam@rmpi.org or phone 765-557-7216. Tuition cost: $2K - includes housing and transportation to and from the airport and school.
The National Shoe Retailers Association is pleased to bring training and CEs directly to you, without the additional cost of travel, food, lodging, registration fees or lost work time. Our affordable WISER Sales Training DVD makes in-house training easy and there's now an online exam for Continuing Education credits from ABC and BOC.
WISER Sales Training provides quality training for new sales associates and re-motivates experienced sales staff. The DVD format makes it easy for employees to train at times convenient for them, and for employers to offer quality training without hiring outside trainers or taking the most experienced staff off the sales floor. ABC's Category 1 CEUs for WISER Sales Training total 21.75 credits (2.5 scientific, 19.25 business), good through year 2010. BOC's credit total is 20.34 (6.42 CPE Category 1, 13.92 Category 2).
Pricing for the program is as follows:
DVD, workbook and guide for trainers Members: $295 (Non-Members $395)
Additional Handbooks: $10 each
Online Test Members: $100 (Non-Members: $200)
For more information or to order, click http://www.nsra.org/wiser_intro.php?ad=pn
or call or email Veanne Lupia at 1-800-673-8446, ext. 7006, veannel@nsra.org.
Aetrex Worldwide Solutions for Foot Pathologies Seminars
Attendees will learn the importance of visual and digital analysis: pressure points, foot type, foot size and gait. Understanding activities and pathologies such as age, medical conditions and injuries (sports, diabetes, arthritis) will be discussed. Common foot pathologies will be reviewed, including methods of treatment utilizing state of the art technology. A hands-on workshop is also included. ABC - 7.75 Scientific Credits; BOC - 8.25
For information on Aetrex Worldwide Solutions for Foot Pathologies Seminars, please contact the Aetrex Marketing Department at: marketing@aetrex.com.
Information on 2012 Aetrex Worldwide Solutions for Foot Pathologies Seminars will be coming soon.
RMPI Advanced Manufacturing Courses: 49.5 CME's. For info contact: online@rmpi.org
Elwood Courses Includes Dormitory Housing & Transportation From Airport To Dormitories & School
Under Development for January, February, March - Connecticut and Texas
· December 7 - 11, 2011 (Brea, California) To Be Confirmed Soon
NOVEMBER, 2011
Phoenix, AZ, Nov 19: Arizona AFO, Inc. presents 'The Custom AFO Workshop' in a convenient one day format! Whether or not you are new to custom AFOs, you will not want to miss this great opportunity. Industry experts with many years of experience will share their ideas to help you be the best you can be. $150.00 Fee Includes; Lectures, hands on casting workshop, handouts, casting materials, breaks, lunch and more!
WHAT YOU WILL LEARN; · The latest in appropriate L coding · Which AFO to use for treatment of various indications · How to obtain the best cast possible · How to provide quality AFO products · Tips for selecting appropriate footwear and footwear modifications · Ideas for marketing to referral sources, and much more.......
Total CEUs; This program has been approved for 6.5 credits through ABC, and 7 credits through BOC. To Enroll; CALL (877) 780-8382 and ask for the "Workshop Registration", Email your contact info to education@arizonaafo.com, or go to www.ArizonaAFO.com and use Keyword: Workshop.
2012 COURSES
NATIONAL PEDORTHIC SERVICES - EDUCATIONAL COURSE
April 27-29, 2012 & September 21-23, 2012
National Pedorthic Services, Milwaukee WI.
Hands-on Custom Foot Orthosis Fabrication Course -18.25 ABC - CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
May 18-20, 2012 & August 24-26, 2012
National Pedorthic Services, Milwaukee WI.
A Hands-On Approach to Footwear Modifications - 19.25 ABC - CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
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CLASSIFIEDS
| Seeking to Hire: Established DME company with strong base business in need of a C.Ped in GEORGIA. Does not have to be located in Atlanta. Base salary, insurance, expenses, etc. This position requires daily travel with some very limited overnights. For consideration fax resume to 770 795 1199 or Email Dunham8828@bellsouth.net. 8/17
Seeking to Hire: Pedorthic Sales Person: Modern, full service facility in St. Louis ready to hire dedicated and skilled practitioner. Base plus commission and benefits.
Call Comfort Shoe Specialists and talk with Edith at 314.822.3300 www.ComfortShoe.com 8/17
Seeking to Hire: Wellness Life Systems, a leading national diabetic shoe provider, is seeking highly motivated Certified Pedorthists with excellent communication skills to join our team. We have positions available in many regions across the country. ACHC accredited, inserts created in our own orthotic lab. This unique opportunity allows the right individuals to: Get back to patient care! Perform in-home diabetic foot evaluations, shoe fittings, and deliveries in your local area; Manage your own territory and set your own schedule. Call Frank, 816-268-6857, with questions, or send resumes to jobs@wellnesslifesystems.com Ongoing
Seeking to Hire: Midwest Medical Services, a national provider of DME products, is seeking to hire Certified Pedorthists. We currently have multiple opportunities in all regions across the United States. Position would entail performing in-home evaluation and fittings, sale of diabetic supplies and pain management DME, managing your territory, and providing excellent patient care. Must be ambitious, well organized, and dependable. At Midwest Medical Services, we strive to provide the best patient care possible and support those who provide great care in our name. Call Kim, (816) 718-6946, with questions and/or email resumes to hr@midwestmedservices.com. We look forward to hearing from you. Ongoing
Seeking to Hire: Since our company's founding in 1923, Yale Surgical Company has been dedicated to meeting the Orthotic, Prosthetic and Pedorthic needs of Connecticut. We are beginning a new family generation of practitioners and are eager to meet the continuing need in our area. We currently have multiple opportunities for C. Ped., CO, CP, CPO and Orthotic/Prosthetic Techs in our New Haven office. We would love to speak with you to discuss your goals and future plans. Please feel free to look at our website, http://www.yalesurgical.com/ and email your resume to info@yalesurgical.com at your earliest convenience. Comp. salary, 401k etc. - Edward N. Kaufman Ongoing
Classifieds will run for 90 days unless we are informed that the position has been filled. Thank you! To place a classified ad, please email editor@pedorthicnewswire.com |
STAFF
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Editorial/Design/Layout: Aetrex Marketing Department |
ADVISORY BOARD
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Robert Schwartz, C. Ped. | |
John Mishasek, BOC Pedorthist, C. Ped. | | Erick Janisse,C.O., C.Ped. | | Jerome S. Klein, C.O., C. Ped. | | Edith James | | Rick E. Sevier BS Ed., C. Ped., BOC Ped. |
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ADDITIONAL COMMENTS
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Our goal at Pedorthic Newswire is to generate an active online exchange of ideas among those interested in pedorthics. Please send articles, questions, responses and courses listings to editor@pedorthicnewswire.com.
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General Disclaimer. Acceptance and publication by this newsletter of questions, comments, news stories, or case studies does not imply endorsement or approval by Aetrex Worldwide, Inc. or Foot.com of the company, product, content, or ideas expressed in this newsletter, which are the sole responsibility of the respective authors. Neither Aetrex Worldwide, Inc. nor Foot.com, nor any of its subsidiaries or affiliate entities, agents, employees, or subcontractors shall be liable for any direct, indirect, special, incidental, consequential, punitive, or exemplary damages, including lost profits (even if we are advised of the possibility) arising in any way from the information contained in this newsletter.
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