current Pedor thics T he Offic i a l P u b l i c a t i o n o f t h e P e d ort hi c Foot care A ssoci at i on 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 You’re going to love this! ABC is making all certification exams more readily 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. SCAN THE CODE TO learn more about ABC certification Setting the standard for O&P certification for over 64 years. American Board for Certification in Orthotics, Prosthetics & Pedorthics, Inc. abcop.org (703) 836-7114 Change the way you do business, with a simple touch of our screen! The “Your Feet” app educates your customer about their feet in a fun, informative way. Through the “Email” app, your customer 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 current Pedorthics Executive Committee PRESIDENT Joseph “Jay” Zaffater, C. Ped. BOC Pedorthist VICE PRESIDENT Rob Sobel, C. Ped TREASURER Dean Mason, C. Ped., OST, BOCO, CO SECRETARY Chris Costantini, C. Ped. DIRECTORS Matt D. Almeida, C.Ped.; Tamara A. Daulton, C.Ped.; Jeremy A. Long, C.Ped.; Benjamin Nebroski, C. Ped.; Casper Ozinga, BA, C. Ped., C.Ped (AU); Althea Powell, C.Ped., OST; Stuart L. Pressman, C.Ped., CO; John Shero, C. Ped., CPA, COF ; and David Sparks, C. Ped. VENDOR/MANUFACTURER LIAISON Andrew B. Simonds MEDICAL ADVISOR James B. McGuire, DPM, C.Ped., PT Editorial Staff VOLUNTEER EXECUTIVE EDITOR Rob Sobel, C. Ped. EDITOR Margaret Hren ART DIRECTOR Teresa Gutsick DESIGN/PRODUCTION Derek Heilmann PRINTER Balmar Inc. Advertising & Sales Staff CURRENT PEDORTHICS Margaret Hren MEMBERSHIP Brian K. Lagana Headquarters Staff EXECUTIVE DIRECTOR Brian K. Lagana 2 Pedorthic Footcare Association www.pedorthics.org MEMBERSHIP SERVICES Brian K. Lagana CONTINUING EDUCATION Brian K. Lagana MEETINGS AND CONVENTIONS MANAGER Rebecca Fazarri, CMP MARKETING AND COMMUNICATIONS MANAGER Margaret Hren ADVERTISING SALES AND FULFILLMENT MANAGEMENT Margaret Hren EXHIBIT AND SPONSORSHIP SALES MANAGER John Woodstock GOVERNMENT RELATIONS DIRECTOR William H. Applegate, Bryan Cave, LLC LEGAL COUNSEL Allan J. Weiner, Kelley Drye & Warren, LLP Publications Committee CHAIR Rob Sobel, C.Ped. MEMBERS Tamara A. Daulton, C.Ped.; Dean Mason, C.Ped., OST, BOCO, CO; Ben Nebroski, C. Ped.; Jay Zafatter, C.Ped., BOC Pedorthist Current Pedorthics (ISSN 1552-8111) is published bimonthly by the Pedorthic Footcare Association (PFA), 8400 Westpark Dr., 2nd Floor, McLean, VA 22102. Telephone: (703) 610-9035 Fax: (703) 995-4456, Website: www.pedorthics.org, Email: info@pedorthics.org. Copyright© 2012, PFA. All rights reserved. No part of this publication may be reproduced in any manner without written permission. Letters to the Editor and other unsolicited material are assumed intended for publication and are subject to editing. Articles in Current Pedorthics do not necessarily reflect the opinion of PFA, its board of directors or its employees. Authors are responsible for the validity of their content and credentials. Current Pedorthics’ use of trademarked names is done in an editorial fashion intended to benefit the trademark owner, with no intention of trademark infringement. The annual subscription fee is included in PFA members’ dues. Subscriptions 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 contact Margaret Hren at (703) 610-9035 or email CPAdvertising@pedorthics.org. Please send all product and industry-related press releases to Editorial@pedorthics.org. current Pedor thics January/February 2013 Volume 45, Issue 1 Features 14 | A Tale of Two Pathologies: A New Case Study of Congenital Talipes Equinovarus (CTEV) Part 1 28 | The Smaller The Patient, The Smaller the Device for Treatment By Dean Mason, C. Ped., OST, BOCO, CO At one time a diagnosis of Congenital Talipes Equinovarus (CTEV) was a nearly impossible situation to manage. This series will track two different patients 50 years apart showing the changes in managing the condition. 20 | It’s All About Trust: Working With Pediatric Patients By Rob Sobel, C. Ped. 32 | Working With an Aging Patient Population in Your Practice Update By Margaret Hren, Current Pedorthics Staff The first time people hear of enthesopathy is usually following an MRI. Most often this term refers to the inflammation disorder of enthuses – bone attachments. If you are treating ankylosing spondylites, plantar fasciitis, Achilles tendinitis or other inflammatory issues, it’s important to know the physical mechanics in your pedorthics practice. 27 | Why Does The Top of My Foot Hurt? 36 | Managing Sesamoid Injuries By Dr. Thomas Michaud, DC The word sesamoid is Latin for “sesame seed.” These small bones in the foot inside specific tendons, are to help improve mechanical efficiency by pulling the tendon farther from the joint’s axis of motion. 38 | Symposium 101: What Does It Take To Put-On The Greatest Show Around? Part 1 By Dr. Adam Teichman, DPM By Rob Sobel, C. Ped. If one was to run a statistical analysis of their patient demographics, the majority of our readership would find a greater percentage of geriatrics among their patients. There is patient population has certain aspects that make them unique in treatment. Pediatrics is a small percentage of pedorthic practices. This population, although small has the potential for the patients we will see for the longest time. These patients can be a challenge and need to be treated somewhat differently. 24 | Enthesopathy in Pedorthics By Dean Mason, C. Ped., OST, BOCO, CO In most of our practices, most often we are treating adult patients facing pathologies and treatments usually developing from the onset of aging, disease or injury. But too often we tend to overlook or avoid an entire population that has similar, yet different treatment needs. Pain on the top of your foot can be excruciating, making it difficult or impossible to walk even a few steps. Here are the most common reasons you might have pain in the top of your foot. By Margaret Hren, Current Pedorthics Staff If you haven’t planned a professional conference, even the size of PFA’s Annual Symposium and Exhibition, it may come as a surprise that there is a true logic and science in planning and executing professional conferences. Departments 4 6 8 9 From the President From the Executive Director Featured Contributors PFA News Cover Photo: ©iStockphoto.com/ damircudic 41 Industry News 44  Government Affairs 45 Reimbursement and Coding News 49  Marketplace 50  Products & Services 53  Advertiser Index Current Pedorthics January/February 2013 3 F R O M T H E PRESIDENT Joseph “Jay” Zaffater, C. Ped., BOC Pedorthist PFA President president@pedorthics.org What Does Love Got To Do With It? S ince we were children, parents, teachers and the heroes we’ve looked up to have always told us, to do something well you have to like it. We’ve even been taught a four word mantra repeat to ourselves in silent reflection and consideration – “do what you love.” But is it really that simple and enough to tell people this – to love what you are doing and you will be a success? Let’s face it, doing what you love can be … well … complicated. Steve Jobs once said, “You’ve got to find what you love. Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do.” Considering the source of this profound quote, I can’t help but ask myself this very question about life and happiness. If we love and enjoy what we are doing for a living, can it make a difference? 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 who is considered a professional musician and one that has been labeled a virtuoso? Both Whatever direction you are currently pursuing in the health industry, you know it can be very rewarding – and also very difficult. It’s tough to get a career going in the first place. It requires commitment, determination, and persistence. can draw the listener in with their great technique, passion and ability to read music – something both performers have equally developed over hours, days and years of practice and performance. The only difference between the two could be as simple as one was a child prodigy, but both share similar goals when it comes to a job, career and their lifelong passion doing something they truly love. Success will breed success, in your life and career if you ultimately love what you do because let’s face it, what you decide to do as a job or career, you are going to be doing it a lot during your life time. ABOUT PFA The Pedorthic Footcare Association (PFA), founded in 1958, is the not-forprofit professional association which represents the interests of the certified and/or licensed pedorthist and supports the pedorthic profession at large. Through PFA’s efforts, pedorthics – the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices – is a well-established allied health profession which makes an invaluable contribution to public health. MISSION PFA’s mission is to enhance the effectiveness and efficiency of the credentialed (certified and/or licensed) pedorthist through education; increase the demand for the credentialed pedorthist’s services through marketing; and defend the credentialed pedorthist’s right to practice through government affairs activities. Pedorthic Footcare Association 8400 Westpark Drive 2nd Floor McLean, VA 22102 phone (703) 610-9035 fax (703) 995-4456 email info@pedorthics.org website www.pedorthics.org facebook Pedorthic Footcare Association twitter @pfapedorthics linkedIn Pedorthic Footcare Association Every endeavor in life or business always has the burden of an ideology we are taught compared to the actual reality. It’s very hard to get up every day and take care of yourself and your family; go to work; pay your bills and focus on the future. In theory, these activities are the small things and are an important part of those decisions that can WEIGH you down, yet in reality it’s these everyday and mundane tasks that can defeat you. Scan the QR code with a smartphone to learn more about PFA. 4 Pedorthic Footcare Association www.pedorthics.org