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September 3, 2003 - Issue #17

For the latest information on comfort footwear, therapeutic shoes, orthotics, footcare and more. 


Send your comments, questions, responses, articles or case studies to Pedorthic Newswire at 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. 

Previous Questions with Responses  

Question: Patient is a 54-year-old caucasian female, presenting today status post >2 yrs rowe 1c anterior beak fracture (non-union), right foot calcaneous, history of hyperlipidemia with a pack per day, 20+ year smoking history, works as a waitress 12 hour shifts, currently wears SAS type shoe with thermal moldable trilam insole with partial relief.


Objective findings are consistent with pain in the sinus tarsi area, crepitus of the sub-talar joint with range of motion, muscle testing within normal limits, no pain plantarly, all other findings within normal limits.  X-ray findings: anterior beak fracture. Slightly anteriorly rotated, and with non-union. Fragment size approximately 1.5 cm.


Please advise for conservative therapy and treatment.


- Michael Olden, H.T., O.S.T., C. Ped.

- S.T.V.H.C.S.(VA) Kerrville, TX


Response: Your orthotic and anything else you are doing is being compromised by using a SAS type shoe.  If you use a shoe that starts out somewhat flexible and quickly because very flexible you are not going to control the foot very well.  I believe that you need to move to a much stonger shoe.  I would use a P.W. Minor Lady Melbourne or Drew Blazer plus. 

- Chris Bonsall, C. Ped., O.S.T.

New Questions  

Question: Does anyone have any experience using radio advertisements to promote a pedorthic footwear store? If so, what has the experience been?

- Wade Nield, C. Ped., Feet 1st Shoes, Inc.

Question: Recently, I have been noticing a new franchise touting their "pedorthists" on staff.  I even received a business card with the man's name and pedorthist written underneath.  This is not the first time I have seen the term used lightly, but the most blatant.

I know that these people are not certified pedorthists.  Why is it OK for these people who may have taken a course, or have purchased a franchise to call themselves a pedorthist?  Is pedorthist a meaningless term that anyone can call himself?   How does a certified pedorthist differ from these people calling themselves pedorthists to the general public?

- Allison Blaha
- Certified Pedorthist (Whatever that means)

Question: I have a mental institution I deal with on a regular basis, and find that many of these individuals have short, wide feet, as in the size of a child's length, but needing an adult width.  I know I can cut the shoe open and expand it, but would rather just buy a line of shoes that come this wide.  Does anyone know of a manufacturer that makes a shoe like this?  The problem I find is first, I need to start with a child's shoe, which means I really need to expand this shoe when fitting it to an adult foot. 
Also, when cutting a shoe open, what different materials are some of you using to fill this gap?  Keep in mind, normally it's the front or ball of the shoe that needs expanding.
- Dimitri Georgevich, C. Ped.

Readers are invited to submit new questions, responses and comments for discussion to:



Anodyne(R) Therapy, LLC announced today that it received a U.S. Patent (Patent No. 6,607,550) titled "Method of Treating Neuropathy Using a Photo Energy Device." Neuropathy is nerve damage often associated with diabetes, trauma and other chronic diseases. Symptoms include numbness and/or pain in the feet, legs and hands. Neuropathy from some causes like diabetes is very difficult to treat and is a major contributing factor to foot wounds, amputations and falls. The cost of diabetic neuropathy alone to the U.S. healthcare system has been reported to exceed $37 billion per year.

"We are very pleased with the issuance of this additional patent, which recognizes our unique franchise in the clinical use of light-based technology as a method for reducing sensory impairments due to diabetic and other neuropathies," said Craig Turtzo, CEO. "Our Anodyne Therapy System is currently being used by more than 1000 physicians and therapists to assist them in improving functional outcomes for patients suffering from a broad range of health problems. Most significantly, numerous completed and ongoing clinical studies show promising results in improving the quality of life of people afflicted with diabetic and other neuropathies that had previously been unresponsive to other treatments."

Anodyne Therapy treatments are currently available at outpatient facilities, hospitals, nursing homes, physician offices and home health agencies nationwide. Products are also available for home use. The home use product received a Medicare HCPCS Reimbursement Code in 2002. For more information, visit

Source: Anodyne Therapy, LLC


Volleyball is a favorite sport played by over 800 million participants worldwide, according to the International Volleyball Federation.  In the United States alone, there were 172,649 volleyball-related injuries that were treated in hospitals, doctors' offices, clinics, ambulatory surgery centers and hospital emergency rooms in 2002, according to the U.S. Consumer Safety Product Commission.

Volleyball requires speed, power, flexibility, strength and balance along with specific playing skills. It is important that participants train properly to meet the physical requirements necessary to cope with the demands of playing and reduce the risk of injury.  Sprains and strains account for approximately two-thirds or more of volleyball injuries.  The ankle, hand/finger, knee and shoulder are the most common sites of injuries.

"Because volleyball is such an intense sport that requires quick physical responses involving the entire body, volleyball has a high risk of injury," explained James Herndon, MD, orthopaedic surgeon and president of the American Academy of Orthopaedic Surgeons.  "If you play volleyball, you repeat similar movements, twist and turn to change direction abruptly, and jump and land over and over again on a hard gym floor.  This is rough on the joints, particularly the knees and ankles."

The American Academy of Orthopaedic Surgeons says that volleyball players should wear lightweight shoes that provide strong ankle and arch support and  offer good shock absorption.  One recommendation is to add shock absorbers to the inside of the shoes to cushion joints from the impact of jumping and landing.

Internet users can find additional safety tips and injury prevention information on volleyball and more, in the Prevent Injuries America!(R) section of the Academy's web site, or or call the Academy's Public Service line at 800-824-BONES.

Source:  American Academy of Orthopaedic Surgeons 


Costs for managing diabetic peripheral neuropathy, a serious diabetic microvascular complication, are on the rise, particularly in the United Kingdom where 93 percent of the costs are due to long-term patient care. A new study suggests that annual healthcare costs could be reduced by interventions that can successfully treat diabetic peripheral neuropathy, delay and/or prevent its long-term outcomes. Study results were presented during the 18th International Diabetes Federation (IDF) Congress. FULL STORY




Every month, Apex offers 10% off on all orders for the Shoe of the Month.


The  September Shoe of the Month is the New Ambulator BIO2500, which adds modern style to unsurpassed comfort and protection.  The New Moc Toe Ambulators are designed to make your customers feel great and look great, and special features include Hidden-Depth Rocker Soles and state-of-the-art removable Anti-Shox Orthotics.  Recommended for diabetes, arthritis and other foot conditions.


CLICK HERE for more information on the Ambulator BIO2500, or call 800-526-APEX.



The name Jenny Thompson has become synonymous with U.S. Olympic swimming.  At 30 years old, Thompson is a 10-time Olympic medalist, the most medaled U.S. female Olympian, an 11-time World Championship Medalist (most medals ever by a U.S. Woman), the 2000 Women's Sports Foundation Athlete of the Year and a multiple world and American record holder.  She also battles toenail fungus, a problem for many swimmers who spend much of their athletic careers in pools and public showers.


To read about Jenny's career, training and campaign to increase awareness about toenail fungus, CLICK HERE.




Like any marketing program, Internet promotions start with a basic question: who is your target market?  It is important to define the audience you want to reach before determining the steps necessary to promote your business, practice or Web site. 


If you have created a Web site that offers footwear designed for people with diabetes, for example, you might want to promote the site to diabetes patients, seniors and health care workers who deal with diabetes.  On the other hand, if you have a pedorthic practice that caters to athletes, you’ll want to market your site to athletes, coaches and fitness enthusiasts.


Before you make decisions about whether to use email marketing campaigns, paid search engine listings, link exchanges, banner ads, affiliate programs or other online marketing strategies, take a step back.  Determine the demographic of your target market, and focus your Web site content, meta-tags and keywords on that market.  Think about where your particular audience might be found on the Web. Then you can make more effective decisions about your marketing strategy.


Submit course listings to:

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.

Pedorthic Shoe Institute: Henryetta, OK, (918) 650-0623
Custom Pedorthic Shoemaking course, Sept. 8-12, course fee $1300.00, 36.5 CEUs

Pattern making course, Sept. 15, course fee $250.00, 7.0 CEUs

Root orthoses course, Sept. 17-18 and November 19-20, course fee $400.00, 15.5 CEUs

Inverted orthoses course, Sept. 19-20 and Nov. 21-22, course fee $375.00, 11.5 CEUs

MasterFit University, (800) 575-4348 Email:                                                       Two-day course in the biomechanics of skiing, snowboarding, skating and other fixed foot sports. Lots of hands-on opportunities, course fee $360, 15 CEUs. Lake Harmony, PA, Sept.29-30

National Hansen’s Disease Program – (225) 756-3761
The Carville Approach to Management of Neuropathic Foot Problems and Optional Casting Lab
Oct. 1-3, Baton Rouge, LA. Cost: $250 Limit: 30, CEPs: 20.5

MasterFit University, (800) 575-4348 Email:                                                       Two-day course in the biomechanics of skiing, snowboarding, skating and other fixed foot sports. Lots of hands-on opportunities, course fee $360, 15 CEUs. Stratton Mountain, VT, Oct. 2-3; Toronto, ON, Oct. 7-8; Farmington Hills, MI, Oct.  15-16; Breckenridge, CO, Oct. 22-23; S. Lake Tahoe, CA, Oct.  27-28; Vancouver, BC, Oct. 30-31. For more info visit:

Dr. William M. Scholl College of Podiatric Medicine at Finch University - 847-578-8410
Pre-certification courses in Pedorthics offered two times a year.
Basic Pedorthic Course, October 7-11, North Chicago, IL Cost: $750 (36 hrs.)
Advanced Pedorthic Course, October 13-23, North Chicago, IL Cost: $1800 (84 hrs.  For future dates and additional information, contact:

The New York College of Podiatric Medicine in cooperation with the Eneslow
Pedorthic Institute - 800-363-7569, extension 211 or
A two-week pre-certification pedorthics course, offered twice a year, next dates are:
Oct. 13-26, 2003, with one day review on Oct. 27, and March 22-April 4, 2004. Both Basic and Advanced courses offered. For more information, visit:

Pedorthic Footwear Association (PFA) Annual Symposium– (800) 673-8447, ext. 318, call for price information
The Diabetic Foot: New Perspectives on the Enduring Challenge, Oct. 30-Nov. 2, Dallas, TX, CEPs: 16.0

Pedorthic Shoe Institute: Henryetta, OK, (918) 650-0623
Shoe modifications course, Nov. 13-14 and Dec. 4-5, course fee $400.00, 16.0 CEUs

Pedorthic Footwear Association (PFA) – (800) 673-8447, ext. 318 or 311, call for price information
PFA/CAMP Certificate Course, Prefabricated Lower Extremity Orthotic Devices, Nov. 2, Dallas, TX, CEPs: 7.0

Shoe Modifications: Show & Tell, Nov. 2, Dallas, TX, CEPs: 7.5

The Wound Care Role of Pedorthic Specialists, Nov. 2, Dallas, TX, CEPs: 6.0

HIPAA & Medicare Compliance, Nov. 2, Dallas, TX, CEPs: 8.0

Compression Therapy Modalities:  A Certificate Course, Nov. 2, Dallas, TX, CEPs: 6.5

DECEMBER                                                                                                                              Apex Foot Health Industries – (800) 526-2739

Apex University, Dec. 12-13, Hasbrouck Heights, NJ, Cost: $285


Senior Editor: Suzanne Belyea, D.P.M. C. Ped., Medical Director,
Editor: Faye Rapoport, M.S.


Wayne Decker, C. Ped. Erick Janisse, C. Ped. Robert Schwartz, C. Ped.
Nancy Elftman, C.O., C. Ped. Jerome S. Klein, C. O., C. Ped.
Edith James, C. Ped. Carl Riecken, C. Ped.


To submit your comments or articles for publication in Pedorthic Newswire, send to:

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DISCLAIMER -- Acceptance and publication by this newsletter of questions, comments, news stories, or case studies does not imply endorsement or approval by or Apex Foot Health Industries of the company, product, content or ideas expressed in this newsletter, which are the sole responsibility of the respective authors. Any information pertaining to legal matters should not be considered legal advice, which can only be obtained via individual consultation with an attorney. Any information pertaining to medical related matters is not a substitute for or replacement of personalized medical advice, and is not intended to be used as the sole basis for making individualized medical or health-related decisions. and Apex assume no responsibility for any injury and/or damage resulting from reliance on or use of any product, content or ideas expressed or described herein.

Notes should be original and may not be submitted to other publications without our express written permission and are limited to 300 words.

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