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current PThe Officialedo Publication of the Pedorthic Footcarer Associationthi cs A TALE OF TWO PATHOLOGIES: A NEW CASE STUDY OF CONGENITAL TALIPES EQUINOVARUS (CTEV) PAGE 14 THE SMALLER THE PATIENT, THE SMALLER THE DEVICE FOR TREATMENT PAGE 28 WORKING WITH AN AGING PATIENT POPULATION IN YOUR PRACTICE PAGE 32 MANAGING SESAMOID INJURIES PAGE 36 Vol. 45, Issue 1 | January/February 2013 | www.pedorthics.org ABC is making all certification exams more You’re going readily to love this! available. Beginning January 2013 all Written and Written Simulation exams will be given every other month. This means more opportunities for you to become an ABC Certified Pedorthist. Start gaining recognition for your education and training, today! For more information on exam dates and application deadlines go to abcop.org. American Board for Certification in Orthotics, Setting the standard Prosthetics & Pedorthics, Inc. SCAN THE CODE TO for O&P certification abcop.org learn more about ABC certification for over 64 years. (703) 836-7114 Change the way you do business, with a simple touch of our screen! The “Your Feet” app educates your customer Through the “Email” app, your customer about their feet in a fun, informative way. can immediately receive their foot scan and share it with their friends and family. Introducing iStep® Version 8.4 The only foot scanning software featuring revolutionary Cloud based technology. Interact with your customers, anywhere, anytime! For more information visit www.aetrex.com CP iStep Ad.indd 1 1/7/13 3:31 PM current Pedorthics Executive Committee MEMBERSHIP SERVICES PRESIDENT Brian K. Lagana Joseph “Jay” Zaffater, C. Ped. BOC Pedorthist CONTINUING EDUCATION VICE PRESIDENT Brian K. Lagana Rob Sobel, C. Ped MEETINGS AND CONVENTIONS MANAGER TREASURER Rebecca Fazarri, CMP Dean Mason, C. Ped., OST, BOCO, CO MARKETING AND COMMUNICATIONS MANAGER SECRETARY Margaret Hren Chris Costantini, C. Ped. ADVERTISING SALES AND FULFILLMENT MANAGEMENT DIRECTORS Margaret Hren Matt D. Almeida, C.Ped.; Tamara A. Daulton, C.Ped.; Jeremy A. Long, EXHIBIT AND SPONSORSHIP SALES MANAGER C.Ped.; John Woodstock Benjamin Nebroski, C. Ped.; Casper Ozinga, BA, C. Ped., C.Ped GOVERNMENT RELATIONS DIRECTOR (AU); Althea Powell, C.Ped., OST; Stuart L. Pressman, C.Ped., CO; John Shero, C. Ped., CPA, COF ; William H. Applegate, Bryan Cave, LLC and David Sparks, C. Ped. LEGAL COUNSEL VENDOR/MANUFACTURER LIAISON Allan J. Weiner, Kelley Drye & Warren, LLP Andrew B. Simonds MEDICAL ADVISOR Publications Committee James B. McGuire, DPM, C.Ped., PT CHAIR Rob Sobel, C.Ped. Editorial Staff MEMBERS VOLUNTEER EXECUTIVE EDITOR Tamara A. Daulton, C.Ped.; Dean Mason, C.Ped., OST, BOCO, CO; Ben Nebroski, C. Ped.; Jay Zafatter, C.Ped., BOC Pedorthist Rob Sobel, C. Ped. EDITOR Margaret Hren Current Pedorthics (ISSN 1552-8111) is published bimonthly by the Pedorthic Footcare Association (PFA), 8400 Westpark Dr., 2nd Floor, ART DIRECTOR McLean, VA 22102. Telephone: (703) 610-9035 Fax: (703) 995-4456, Teresa Gutsick Website: www.pedorthics.org, Email: [email protected]. Copyright© DESIGN/PRODUCTION 2012, PFA. All rights reserved. No part of this publication may be reproduced in any manner without written permission. Letters to the Derek Heilmann Editor and other unsolicited material are assumed intended for PRINTER publication and are subject to editing. Balmar Inc. Articles in Current Pedorthics do not necessarily reflect the opinion of PFA, its board of directors or its Advertising & Sales Staff employees. Authors are responsible for the validity of their content and credentials. Current Pedorthics’ use of trademarked names is done in an CURRENT PEDORTHICS editorial fashion intended to benefit the trademark owner, with no inten- Margaret Hren tion of trademark infringement. MEMBERSHIP The annual subscription fee is included in PFA members’ dues. Sub- Brian K. Lagana scriptions are available for $65 per year in the United States ($95 outside U.S.). Back copies, if available, may be purchased for $10 U.S. If you have any questions regarding display advertising or classified ads, please Headquarters Staff contact Margaret Hren at (703) 610-9035 EXECUTIVE DIRECTOR or email [email protected]. Please send all product and Brian K. Lagana industry-related press releases to [email protected]. 2 Pedorthic Footcare Association www.pedorthics.org January/February 2013 current Pedorthics Volume 45, Issue 1 Features 14 | A Tale of Two Pathologies: A New 28 | The Smaller The Patient, The Case Study of Congenital Talipes Smaller the Device for Treatment Equinovarus (CTEV) Part 1 By Dean Mason, C. Ped., OST, BOCO, CO In most of our practices, most often we are treating adult By Dean Mason, C. Ped., OST, BOCO, CO patients facing pathologies and treatments usually developing At one time a diagnosis of Congenital Talipes Equinovarus from the onset of aging, disease or injury. But too often we tend (CTEV) was a nearly impossible situation to manage. This series to overlook or avoid an entire population that has similar, yet will track two different patients 50 years apart showing the different treatment needs. changes in managing the condition. 20 | It’s All About Trust: Working With 32 | Working With an Aging Patient Pediatric Patients Population in Your Practice By Rob Sobel, C. Ped. By Rob Sobel, C. Ped. If one was to run a statistical analysis of their patient Pediatrics is a small percentage of pedorthic practices. This demographics, the majority of our readership would find a population, although small has the potential for the patients we greater percentage of geriatrics among their patients. There is will see for the longest time. These patients can be a challenge patient population has certain aspects that make them unique in and need to be treated somewhat differently. treatment. 24 | Enthesopathy in Pedorthics 36 | Managing Sesamoid Injuries Update By Margaret Hren, Current Pedorthics Staff By Dr. Thomas Michaud, DC The first time people hear of enthesopathy is usually following The word sesamoid is Latin for “sesame seed.” These small an MRI. Most often this term refers to the inflammation bones in the foot inside specific tendons, are to help improve disorder of enthuses – bone attachments. If you are treating mechanical efficiency by pulling the tendon farther from the ankylosing spondylites, plantar fasciitis, Achilles tendinitis or joint’s axis of motion. other inflammatory issues, it’s important to know the physical mechanics in your pedorthics practice. 38 | Symposium 101: What Does It 27 | Why Does The Top Take To Put-On The Greatest of My Foot Hurt? Show Around? Part 1 By Margaret Hren, Current Pedorthics Staff By Dr. Adam Teichman, DPM If you haven’t planned a professional conference, even the size Pain on the top of your foot can be excruciating, making it of PFA’s Annual Symposium and Exhibition, it may come as a difficult or impossible to walk even a few steps. Here are the surprise that there is a true logic and science in planning and most common reasons you might have pain in the top of your executing professional conferences. foot. Departments 4 From the President 41 Industry News 49 Marketplace 6 From the Executive Director 44 Government Affairs 50 Products & Services 8 Featured Contributors 45 Reimbursement and 53 Advertiser Index Coding News 9 PFA News Cover Photo: ©iStockphoto.com/ damircudic Current Pedorthics January/February 2013 3 FROM THE Joseph “Jay” Zaffater, C. Ped., BOC Pedorthist PFA President PRESIDENT [email protected] What Does Love Got ABOUT PFA To Do With It? The Pedorthic Footcare Association (PFA), founded in 1958, is the not-for- profit professional association which ince we were children, parents, teachers and the heroes we’ve looked up to have represents the interests of the certified always told us, to do something well you have to like it. We’ve even been taught and/or licensed pedorthist and a four word mantra repeat to ourselves in silent reflection and consideration supports the pedorthic profession at – “do what you love.” But is it really that simple and enough to tell people this – large. Sto love what you are doing and you will be a success? Let’s face it, doing what you love can be … well … complicated. Through PFA’s efforts, pedorthics – the management and treatment of Steve Jobs once said, “You’ve got to find what you love. Your work is going to fill a large part conditions of the foot, ankle, and lower of your life, and the only way to be truly satisfied is to do what you believe is great work. And extremities requiring fitting, fabricating, the only way to do great work is to love what you do.” and adjusting of pedorthic devices – is Considering the source of this profound quote, I can’t help but ask myself this very a well-established allied health question about life and happiness. If we love and enjoy what we are doing for a living, can profession which makes an invaluable it make a difference? contribution to public health. The difference between a job, career or a life long passion can be as simple as a decision to follow what you enjoy. A great example is a violinist. Is there a difference between one MISSION who is considered a professional musician and one that has been labeled a virtuoso? Both PFA’s mission is to enhance the effectiveness and efficiency of the credentialed (certified and/or licensed) Whatever direction you are currently pedorthist through education; increase pursuing in the health industry, you know the demand for the credentialed pedorthist’s services through it can be very rewarding – and also very marketing; and defend the credentialed difficult. It’s tough to get a career going pedorthist’s right to practice through in the first place. It requires commitment, government affairs activities. determination, and persistence. Pedorthic Footcare Association 8400 Westpark Drive 2nd Floor can draw the listener in with their great technique, passion and ability to read music – McLean, VA 22102 something both performers have equally developed over hours, days and years of practice phone (703) 610-9035 and performance.