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January 11, 2012, Issue #451
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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 AND COMMENTS
Question: I fitted a patient recently with therapeutic footwear and DF inserts which I believe are a proper fit. The patient came back for a follow up and stated that shoes are too big and cause heel slippage on the right foot (which is also her 1/2 size shorter foot). I gave the patient a heel slippage explanation, and also explained about correct diabetic shoe fit. This explanation hit deaf ears, and the patient insisted that the shoes are just too big. The patient also claimed redness and irritation at the heel. Evaluation did not show either. I added a tongue pad to the right shoe and also instructed patient to properly close the shoe (strap was worn very loose) and patient stated that it made it fit better.
Patient then had a follow up with a Podiatrist and the patient complained to the Podiatrist. Podiatrist held the sole of the shoe to patient's foot (did not actually fit check with the shoe on!) and stated that the shoe is almost 12 cm too long and that this is the poorest fit he had ever seen. The Podiatrist also dictated this in his notes and he asked for a shorter shoe. A reevaluation showed, again, proper shoe fit. I explained to the patient that I would not dispense a shorter shoe and that she would have to see one of our other CPed's. The patient complained to the physicians and I was told to dispense a shorter shoe. I declined and was told this may have consequences. Has any ever dealt with a situation like this?
- PNW Reader and Fellow C.Ped.
Comment: It has become noticeable that sometimes the readership and participation for the Pedorthic Newswire tends to be low during certain weeks . We are wondering why? Please tell us the value you receive and what subjects you would like to have included in future Pedorthic Newswire issues.
-PNW Reader
Question: With Sanford Noblot indelible pencils having been discontinued, has anyone found a good alternative? I have found that the pencils that Tattoo artists use are a close second, but are not quite dark enough for my needs. I still have a couple dozen of the Noblots left, but would like to find an equal alternative ASAP.
- Rick E. Sevier, BOCO C. Ped. Question: I would like to repost this question, in hopes someone could share some insight. We've been using Riecken's PQ for years, but with the changes to the original formula that have been made, our lab techs are finding it to be increasingly more difficult to use and predict the firmess/cushion of the finished product. I've tried QuikSil and Viscolas in the past, but don't like them because you can't glue to them. I also tried Acton, but it too is difficult to keep in place. Does anyone have any other suggestions for alternative viscoelastic polymers to be used in foot orthoses? Thanks. - Erick J. Janisse, C.O., C.Ped. PREVIOUS QUESTION WITH RESPONSE Question: I am a 30 year old runner who started running in my early 20's. Either due to genetics or improper footwear for the past 10 years, I have noticed that my left bunion gets worse every year. As the bunion is getting more pronounced, I have noticed that I will have dull pain at the end of the day or at the end of a run in my second toe. Is there something I should be doing to help relieve the bunion/second toe pain? Thank you.
-PNW Reader
Response: As the bunion becomes more pronounced, it is possible that the great toe is also turning back toward the second toe, which creates the effect of shortening the length of the great toe and producing a Morton's toe situation. For a runner, this situation means that the toe-off is transferred more toward the second toe, putting an extraordinary load on that toe. If this is the case, there are orthotics that employ Morton's toe corrective devices, as well as a flat metal plate that can be used underneath the footbed to correct the toe-off motion and push it more towards the great toe where it should be. While these measures will help with running, they do not fully address the issue of the bunion.
- Rick Mende
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HEALTH AND INDUSTRY
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Shoe Carnival Cuts Q4 EPS on Weak Boot Sales Shoe Carnival said poor boot sales, largely due to warm weather so far this winter season, led to a fourth-quarter EPS shortfall. The family shoe chain expects EPS in the fourth quarter to be in the range of 20 cents to 23 cents a share, down from an earlier projection of 33 cents to 36 cents. Comparable store sales are expected to decline in the range of 3.0 to 3.5 percent.In releasing third-quarter results on Nov. 17, Shoe Carnival expected comps to grow 4.6 percent. Total sales are now expected to be in the range of $181 to $182 million versus a previous target of sales in the range of $186 to $190 million. Full TextSource: Sports One Source Walking Co.'s Revenues Climb 7 Percent in 2011The Walking Company Holdings, Inc., the parent company of The Walking Company and Big Dog Sportswear, announced that its net sales for the year ended Dec. 31, were approximately $201.5 million, a 7 percent increase as compared to 2010. The company also said it had a net profit for the year. The company emerged from bankruptcy proceedings in May 2010. Full TextSource: Sports One Source Getting Started: Choosing proper footwearBy: Randy Clement Q : I'm just starting to walk and run. What kind of shoes should I buy? A : There are many variables to take into account. The most important tip: Make sure your shoes are not only the correct size, but also the right fit. A lot of people will look to buy running shoes that are a size they've always worn. More often than not, that size will be too small. You want to make sure that you have plenty of room up front for your toes. But you don't want to only focus on size (length). The fit is truly important. Your feet can swell a bit after pounding the pavement, you want to be comfortable. Full TextSource: Vancouver Sun
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DIABETES
| Few With Diabetes Risk See Need for Lifestyle Counseling
Many patients who are at risk for developing type 2 diabetes do not perceive the need for lifestyle counseling, and even among those who see the need for counseling, less than half actually attend lifestyle interventions, according to a study published online Dec. 21 in Diabetes Care. Sanna M. Salmela, of the University of Jyväskylä in Finland, and colleagues analyzed baseline and intervention data from 10,149 participants in the Finnish National Diabetes Prevention Project. Full Text
Source: Health Day News
Three cups of black tea each day could help reduce risk of diabetes
A new study has claimed that people who drink at least three cups of black tea each day could be lowering their risk of developing conditions such as diabetes and heart attacks.It already believed that regularly drinking tea helps to prevent the blood from clotting and manages blood pressure. However, this research, based on analysis of 40 research papers and published in the UK Nutrition Bulletin, found that three cups of tea per day could reduce the risk of heart attack by up to 60 per cent and substantially lower the chances of people getting type 2 diabetes. Full Text
Source: Diabetes.co.uk
Many diabetics could be misdiagnosed, says report
A new study from the Royal College of General Practitioners and NHS Diabetes has claimed that many people who have been told they have type 2 diabetes could actually be healthy.The research, based on information from 45,000 patients at five doctor's practices in Surrey, showed that two per cent of the patients diagnosed with type 2 diabetes did not suffer from the metabolic condition at all. If these findings were extrapolated across the whole of the UK, it could account for about 50,000 cases of misdiagnosed diabetes. Full Text
Source: Diabetes.co.uk
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SPORTS AND FITNESS
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Save Big by Losing PoundsBy: Kelli B. Grant Pledging to finally shed those pesky 10 pounds or more could end up saving consumers thousands over the long haul. Experts say even a slight drop in weight can shave $50 or more from insurance premiums, while joining a gym may trigger rebates of up to $500 from an employer or insurer. Over time, the savings from getting and staying healthier multiply. "People often overlook their most important asset, which is their ability to earn a living," says Tom Harte, a vice president for the National Association of Health Underwriters. "The longer you can work the better your economic advantage." Full Text Source: SmartMoney.comING New York City Marathon Returns to Live National TV in 2012By: Robert Seidman The ING New York City Marathon will be shown on live national television in 2012 for the first time in almost 20 years as the cornerstone of a new comprehensive year-round national and local five-year television package jointly announced today by WABC-TV/ESPN and NYRR officials. The Marathon will be televised live nationally on ESPN2 and available through WatchESPN from 9:00 a.m. to 12:30 p.m. ET/6:00 to 9:30 a.m. PT, and in New York on WABC-TV and 7online.com from 9:00 a.m. to 2:00 p.m. That same afternoon, ABC will broadcast nationally a two-hour Marathon highlight show. The agreement begins with this year's event on Sunday, November 4. Full TextSource: TV By the Numbers
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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
Eneslow Pedorthic Pre-Certification Training Course August 6, 2012 - August 19, 2012
In cooperation with ABC requirements, Eneslow Pedorthic Institute (EPI) is offering the three-level competency training course for aspiring CPEDS. To provide maximum benefit in a minimum of time, a portion of the level one curriculum will be administered through a distance learning program that includes required readings, interactive CD's and testing of all mandatory topics. Upon passing the level one test, students will attend the remainder of the pedorthic pre-certification course at Eneslow Pedorthic Institute for 2 weeks from August 6th to August 19th, 2012. This class completes required education prerequisite to sit for national certification exam. It does not satisfy the requirement of 1000 documented hours of field experience. Please contact Sarah Goldberg at epi@eneslow.com or 212-477-2300 x211 for more information.
To purchase materials for the course, please click here.
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
2012 FOOT SOLUTIONS PEDORTHIC PRE-CERTIFICATION COURSE SCHEDULE & INFORMATION Foot Solutions is an accredited facility that holds classes four times per year. The course will offer the certificate needed in all three levels so that you qualify to sit for the C. Ped. Exam. The facility is located at 2359 Windy Hill Road, Suite 400, Marietta, GA 30067 February 13 - February 24 May 11 - 1 Day Cram Session (free with attendance of pre-cert class) May 14 - May 25 August 3 - 1 Day Cram Session (free with attendance of pre-cert class) August 6 - August 17 October 8 - October 19 November 9 - 1 Day Cram Session (free with attendance of pre-cert class) 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 |
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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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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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