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December 7, 2011, Issue #446
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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 QUESTION
Question: I have been in healthcare for over thirty years as a respiratory therapist and opened a HME company 10 years ago but I am new as a C.Ped. My question is, if a patient comes in and molds are made for custom orthotics yet does not take possession, does Medicare provide a way to cover your expense? Thanks
- Vincent Gamble, RRT, C-Ped.
PREVIOUS QUESTIONS WITH RESPONSES
Question: For the past decade, rocker bottom shoes have been in and out of vogue. What products are still being used by pedorthists now that they are no longer popular and why have you chosen the styles you are still using?
- PNW Reader
Response: Rocker bottom shoes can be highly beneficial for a wide variety of foot and ankle pathologies, and the key to selling these shoes is educating your customers and patients about their potential therapeutic benefit of these shoes. It's not about fitness and toning - it's about protecting the body against concrete and other hard, artificial surfaces that we walk on every day.
The rocker bottom shoe companies under the greatest scrutiny share three common traits:
1. They boldly advertised that the mere act of lacing up their shoes would help customers reduce cellulite, burn more calories and give them a more youthful, chiseled physique. "Skip the Gym" and "Fire Your Trainer" were common advertising themes. This drew the ire of the fitness community and medical experts. The American Council for Exercise (ACE), a trade organization for fitness clubs and personal trainers, launched a successful attack campaign against these companies, including the funding of a study challenging the fitness claims and suggesting potential health risks to wearing these shoes. Lawsuits have since been filed, and public perception of the entire category turned from favorable to unfavorable.
2. Most of the brands under scrutiny are "unstable rockers". By "unstable" I mean that they have EVA or PU SACH heels that provided no medial/lateral or frontal plane stability. Many people suffered injuries because they were unaware that wearing unstable shoes requires that you pay attention to your form, and to be mindful of the terrain you are walking on.
3. Many of these "unstable" rocker bottom shoes were mass marketed through department stores and via the internet, with little or no consultation by shoe fitters. Some brands provided an instructional DVD emphasizing the exercise and toning benefits of their shoes, but minimized or omitted any potential health risks or precautions.
The rocker bottom shoes that still sell successfully are "stable" rocker sole shoes. These are heel-to-toe rockers that have good to exceptional medial/lateral stability. Heel and ball-of-foot pressure is offloaded, they are orthotic-friendly and they can be highly beneficial for hallux rigidus/limitus, mid-foot and ankle arthritis, plantar fasciitis and other pathologies. The wearer also feels a better sense of control when they wear "stable" rocker bottom shoes. Some of the best "stable" rockers, in alphabetical order, are Aetrex BodyWorks, Finn Comfort "Finnamic", Ryn and Sano by Mephisto. Prices at retail range from $120 - $340.
The key to selling rocker bottom shoes is to educate your patients/customers about the potential benefits of a rocker bottom shoe for their pain issue. If Ryn offloads ball-of-foot and heel pressure, it could be extremely beneficial for Hallux rigidus, sesamoiditis and metatarsalgia. BodyWorks, Sano and Finnamic can also produce the desired result for a wide variety of issues at various price points.
Customers are wary, and will not ask for these shoes - it is your responsibility to consult with them and let them know why you think a particular rocker bottom shoe may be beneficial. If you know why you have these shoes, and which pathologies they can be helpful with, then you should have no problems selling them. Your customers and patients don't know why they hurt or what to do about their pain. They are looking for you to help them find an answer. Rocker bottom shoes are not the panacea for foot, leg and back pain, but they can be a very useful tool in your toolbox.
- Campbell White
Response: If the customer is healthy without stability issues, the MBT is still good. For everyone else, we like the rockers that are stable, such as those by Aetrex, PW Minor and Ryn. Although it doesn't look like a rocker, ZCoil is a rocker in how it functions. Although anyone can wear them, they are especially good for those with more serious pain issues.
- Carole Romig, C.Ped.
PREVIOUS QUESTION WITHOUT RESPONSE
Question: At this time of year, we usually give a token of thanks to our prescriber's for the holiday season. Some years we give a gift food basket. In the past we gave shoe trees and other practical gifts. We are looking for new ideas that have proven to be moderately priced and memorable.
- Robert S. Schwartz, C. Ped.
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SPONSOR NEWS
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HEALTH AND INDUSTRY
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There's a good chance the shoes you're wearing right now were made in China. Now an American shoemaker wants to put the shoe on the other foot, by persuading the Chinese to wear shoes made in the USA.The Allen Edmonds Shoe Corp., whose high-end shoes have been worn by U.S. presidents for generations, is preparing to open stores in China while keeping the manufacturing work at home. The plan marks a reversal of sorts in a footwear industry that has flowed almost entirely from East to West. Full Text
Source: Washington Post
Flexible Footwear Preferable For Toddlers' First Steps
By: Kafi Drexel
The old line of thinking used to be "the sturdier the shoe the better" when it came to shoes for children learning how to walk, but now the best shoes are more flexible in more ways than one. NY1's Health reporter Kafi Drexel filed the following report. A baby's first steps is an unforgettable event, but finding that first pair of shoes to make sure kids develop all the right moves can be a different kind of experience altogether. "I think the first thing to find is a shoe that will actually stay on. A lot of her shoes will just fall off and she would trip and fall. That wasn't good," says parent Andy Bolt. Full Text
Source: NY1.com
How to Choose the Right Athletic Shoes
By: Elinor Smith
You're just steps away from a better workout. Here's how to pick a pair of shoes geared toward your routine and body. Running Shoes vs. Cross-Trainers? Go with running shoes if you mostly jog or walk, since they're engineered for heel-to-toe motion. Why not walking shoes? "Running sneakers cater to a wider range of foot types and are built to last longer," says Megan Leahy, a doctor of podiatric medicine at the Illinois Bone & Joint Institute, in Chicago. Full Text
Source: Fox News
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DIABETES
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Americans consume more packaged, processed foods per person than their counterparts in any other country. But while processed foods are undeniably affordable and convenient, many also contain lots of fat, salt, and sugar - and, if you have diabetes, they probably shouldn't be on your shopping list. The problem is that you might have them around out of habit, and then rely on them when you get hungry. "The best thing you can do is plan ahead," says pediatric endocrinologist Tamara Hannon, MD, associate professor of pediatrics at the Indiana University School of Medicine in Indianapolis. Start by avoiding the following leading offenders. Full Text
Source: Everydayhealth.com
Researchers at Queen Mary, University of London, have claimed that the lack of use of available prediction tools for identifying people at risk of diabetes is increasing the number of people developing the metabolic condition.
The study, which was published in the British Medical Journal, found there are many tools for and techniques that can predict diabetes risk in people with a reasonable chance of success, but that these are hardly ever being used. Full Text
Source: Diabetes.co.uk
People with diabetes mellitus often tell me that one of the greatest challenges is managing diabetes during the holidays. For those facing this struggle, I'd like to share some tips prepared by the Centers for Disease Control and Prevention. Diabetes mellitus is a condition resulting in high blood sugars that can lead to both short-term and long-term health complications. It is not uncommon for adults with diabetes to also suffer from conditions such as high cholesterol, high blood pressure and chronic heart or kidney conditions. Collectively, managing these conditions can be challenging during the holiday season. Full Text
Source: The Durango Herald
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SPORTS AND FITNESS
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By: Vicky Derosa
Unleash the Beast", "Party Like a Rock Star", "Red Bull Gives You Wings". These are the slogans designed to catch the eye of 20 year olds looking for extra energy. But are they safe? The label contains enormous amounts of vitamins so it almost looks like a health drink. Children view these as a form of sports drinks which are meant to replenish lost electrolytes due to exercise. However, these are not sports drinks and should not be used as such. Full Text
By: Steven Reinberg
Eating fish rich in omega-3 fatty acids, such as cod and salmon, may significantly lower a young woman's risk of developing heart disease, Danish researchers report. The researchers found that women of childbearing age who never ate fish had 50 percent more cardiovascular problems than women who ate fish often, and a 90 percent higher risk than women who ate fish weekly. "We found that even women who ate fish only a couple of times a month benefited," said lead researcher Marin Strom, a postdoctoral fellow at the Center for Fetal Programming at the Statens Serum Institute in Copenhagen. Full Text
By: Roy Wallack
The "retro-grouch" - that hard-core traditionalist cyclist who was riding before it was cool and grew to hate the carbon fiber frames, heart rate monitors and other technological advances that swept the bike world in the last two decades - is a dying breed. The final high-tech nail in his coffin may be the items in this column. How good is this stuff? It makes pedaling a bike so irresistibly better, easier and faster that it might make no sense to be retro - or grouchy - anymore. Full Text
Source: LA Times
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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
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.
2012 COURSES
GEORGIA - Foot Solutions Pedorthic Pre-Certification Course: Class Dates: February 13 - 24, 2012 May 14 - 25, 2012 August 6 - 17, 2012 November 5-16, 2012 Additional Classes to be Announced Foot Solutions is an accredited facility that holds classes four times per year. The training course will offer the pre-certification in Pedorthics certificate needed in all three levels to sit for the Certified Pedorthist Exam. Upon completing our course and successfully passing the competency tests and fulfilling the 1,000 hour "Clinical practice Requirement" students are eligible to sit for the ABC or BOC exam to earn their Pedorthic Certification (CPED Pedorthist). GEORGIA - Foot Solutions 1-Day C.Ped Pre- Exam Review Session. February 10, 2012 May 11, 2012 August 3, 2012 November 9, 2012 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 bhubauer@footsolutions.com Dr. William Faddock - 1-866-338-2597 Ext: 209 bfaddock@footsolutions.com The Foot Solutions Pedorthic Training Center facility is located at: 2359 Windy Hill Road, Suite 400, Marietta, GA 30067. |
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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.
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: 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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