Foot Health Status Measures

There are a number of tools for measuring outcomes and foot health status. Some of the tools include, the Foot Health Status Questionnaire, the Foot Function Index and now there is the Bristol Foot Score

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Foot Health Status Measures

There are a number of tools for measuring outcomes and foot health status. Some of the tools include, the Foot Health Status Questionnaire, the Foot Function Index and now there is the Bristol Foot Score

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Podiatrist gets death penalty

From LA Times
A federal jury decided that a Chicago podiatrist should get the death penalty for killing a disabled patient to keep her from testifying against him in a Medicare fraud case. Ronald Mikos, 56, was convicted earlier this month of murder, and was also found guilty of defrauding Medicare out of more than $1 million by billing it for thousands of operations that he never performed. Mikos shot Joyce Brannon six times in the neck and head days before she was scheduled to tell a federal grand jury about how he claimed to have performed numerous operations on her that never took place. Her grand jury subpoena was found near her body in her apartment.

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Podiatrist gets death penalty

From LA Times
A federal jury decided that a Chicago podiatrist should get the death penalty for killing a disabled patient to keep her from testifying against him in a Medicare fraud case. Ronald Mikos, 56, was convicted earlier this month of murder, and was also found guilty of defrauding Medicare out of more than $1 million by billing it for thousands of operations that he never performed. Mikos shot Joyce Brannon six times in the neck and head days before she was scheduled to tell a federal grand jury about how he claimed to have performed numerous operations on her that never took place. Her grand jury subpoena was found near her body in her apartment.

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Podiatrist facing death penalty.

This has been an interesting story to follow:

"A Chicago podiatrist murdered a former patient just days before she was to testify against him in a fraud probe because the doctor believed she would be the lone witness against him, a prosecutor said Tuesday..."

"Joyce Brannon had reportedly undergone 72 foot surgeries at the hands of Chicago podiatrist Ronald Mikos, the man she was set to testify against in a 2002 Medicare fraud case..."

"A federal jury quickly convicted a Chicago podiatrist Thursday on all 25 counts against him, including murdering a disabled patient to silence her.... " Link

"A defense attorney today pleaded for the life of a Chicago podiatrist convicted of killing a handicapped woman who planned to testify against him in a Medicare fraud case...." Link

"A woman who had two children with a Chicago podiatrist facing a possible sentence of death testified Wednesday that the children would be devastated if their father was executed...."

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Podiatrist facing death penalty.

This has been an interesting story to follow:

"A Chicago podiatrist murdered a former patient just days before she was to testify against him in a fraud probe because the doctor believed she would be the lone witness against him, a prosecutor said Tuesday..."

"Joyce Brannon had reportedly undergone 72 foot surgeries at the hands of Chicago podiatrist Ronald Mikos, the man she was set to testify against in a 2002 Medicare fraud case..."

"A federal jury quickly convicted a Chicago podiatrist Thursday on all 25 counts against him, including murdering a disabled patient to silence her.... " Link

"A defense attorney today pleaded for the life of a Chicago podiatrist convicted of killing a handicapped woman who planned to testify against him in a Medicare fraud case...." Link

"A woman who had two children with a Chicago podiatrist facing a possible sentence of death testified Wednesday that the children would be devastated if their father was executed...."

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Custom vs prefabricated fot orthoses

This debate has been going on for years and will continue. All research to date has shown no differences in outcomes between the two. The exception is this recent publication on foot pain in those with juvenile chronic athritis:
Efficacy of Custom Foot Orthotics in Improving Pain and Functional Status in Children with Juvenile Idiopathic Arthritis: A Randomized Trial MARY POWELL, MICHAEL SEID, and ILONA S. SZER
Objective. To compare the clinical efficacy of custom foot orthotics, prefabricated "off-the-shelf" shoe inserts, and supportive athletic shoes worn alone, on reducing pain and improving function for children with juvenile idiopathic arthritis (JIA).
Methods. Children with JIA and foot pain (n = 40) were randomized to one of 3 groups receiving: (1) custom-made semirigid foot orthotics with shock absorbing posts (n = 15), (2) off-the-shelf flat neoprene shoe inserts (n = 12), or (3) supportive athletic shoes with a medial longitudinal arch support and shock absorbing soles worn alone (n = 13). Foot pain and functional limitations were measured using the Pediatric Pain Questionnaire–visual analog scale (VAS), Timed Walking, Foot Function Index (FFI), and the Physical Functioning Subscale of the Pediatric Quality of Life Inventory™ (PedsQL™). Measures were administered by personnel blinded to group status at baseline (before wearing the assigned intervention) and at 3 months' followup.
Results. Children in the orthotics group showed significantly greater improvements in overall pain (p = 0.009), speed of ambulation (p = 0.013), activity limitations (p = 0.002), foot pain (p = 0.019), and level of disability (p = 0.024) when compared with the other 2 groups. Both children and parents in the orthotics group reported clinically meaningful improvement in child health-related quality of life, although the group by time interaction did not show statistical significance. Except for a reduction in pain for supportive athletic shoes (paired t test, p = 0.011), neither the off-the-shelf shoe inserts nor the supportive athletic shoes worn alone showed significant effect on any of the evaluation measures.
Conclusion. In children with JIA, custom-made semirigid foot orthotics with shock-absorbing posts significantly improve pain, speed of ambulation, and self-rated activity and functional ability levels compared with prefabricated off-the-shelf shoe inserts or supportive athletic shoes worn alone.
(J Rheumatol 2005;32:943-50)

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Custom vs prefabricated fot orthoses

This debate has been going on for years and will continue. All research to date has shown no differences in outcomes between the two. The exception is this recent publication on foot pain in those with juvenile chronic athritis:
Efficacy of Custom Foot Orthotics in Improving Pain and Functional Status in Children with Juvenile Idiopathic Arthritis: A Randomized Trial MARY POWELL, MICHAEL SEID, and ILONA S. SZER
Objective. To compare the clinical efficacy of custom foot orthotics, prefabricated "off-the-shelf" shoe inserts, and supportive athletic shoes worn alone, on reducing pain and improving function for children with juvenile idiopathic arthritis (JIA).
Methods. Children with JIA and foot pain (n = 40) were randomized to one of 3 groups receiving: (1) custom-made semirigid foot orthotics with shock absorbing posts (n = 15), (2) off-the-shelf flat neoprene shoe inserts (n = 12), or (3) supportive athletic shoes with a medial longitudinal arch support and shock absorbing soles worn alone (n = 13). Foot pain and functional limitations were measured using the Pediatric Pain Questionnaire–visual analog scale (VAS), Timed Walking, Foot Function Index (FFI), and the Physical Functioning Subscale of the Pediatric Quality of Life Inventory™ (PedsQL™). Measures were administered by personnel blinded to group status at baseline (before wearing the assigned intervention) and at 3 months' followup.
Results. Children in the orthotics group showed significantly greater improvements in overall pain (p = 0.009), speed of ambulation (p = 0.013), activity limitations (p = 0.002), foot pain (p = 0.019), and level of disability (p = 0.024) when compared with the other 2 groups. Both children and parents in the orthotics group reported clinically meaningful improvement in child health-related quality of life, although the group by time interaction did not show statistical significance. Except for a reduction in pain for supportive athletic shoes (paired t test, p = 0.011), neither the off-the-shelf shoe inserts nor the supportive athletic shoes worn alone showed significant effect on any of the evaluation measures.
Conclusion. In children with JIA, custom-made semirigid foot orthotics with shock-absorbing posts significantly improve pain, speed of ambulation, and self-rated activity and functional ability levels compared with prefabricated off-the-shelf shoe inserts or supportive athletic shoes worn alone.
(J Rheumatol 2005;32:943-50)

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Nurses providing footcare

Nurses providing foot care is proving to be somewhat controversial:
Nurses Administering FootHealthCare in UK?
Nurses Entrepreneurial Foot Care Association of Canada
The New Foot Care Nurse... COMMENTS!
Add your comments...

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Nurses providing footcare

Nurses providing foot care is proving to be somewhat controversial:
Nurses Administering FootHealthCare in UK?
Nurses Entrepreneurial Foot Care Association of Canada
The New Foot Care Nurse... COMMENTS!
Add your comments...

Back to home page