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09/06/2016 Michael M. Rosenblatt, DPM
The doctor who has a patient with "unrelenting
metatarsalgia" has relief with a wheal raised
just over the posterior tibial nerve. This
relief last about 5 days.
Whenever I had a patient who experienced
unrelenting nerve pain, I recommended looking
for a systemic condition that causes the pain.
There can be many of them, and usually they
require a work-up combined with a referral to a
neurologist to help look for that explanation.
It is sometimes too easy to get caught up in
local podiatry without keeping a necessary
wider perspective.
All specialists have a tendency to do this, not
just "limited licensed" doctors. Systemic
conditions like lupus, MS, nerve poisoning by
exposure to heavy metals, mono-neuropathy,
incipient diabetes, regional pain syndrome,
even early phase ALS may be considered. There
might be an "atypical" presentation of a
systemic disease involved. Although many nerve
conditions present with muscle weakness and
fasciculations as a starting point, not all
do.
There is such a thing as a "maturing
diagnosis." This means that some atypical
phases of generalized disease take a while to
develop symptoms that finally point to the
cause. The "end person" who finally identifies
it is considered a medical hero. In truth, it
is often a matter of just "waiting" until the
real symptoms of the disease develop.
This patient appears to have had at least
"some" general medical work-up. But even MDs
miss things. In addition, biomechanical
features should be considered, which definitely
includes ruling out equinus, which puts
inordinate pressure on the forefoot while
walking. All DPMs should be checking this out
in their patients, anyway. If the patient has
severe equinus, local treatment, even with
orthotics, etc. will not help, except possibly
temporarily.
Michael M. Rosenblatt, DPM, San Jose, CA
Other messages in this thread:
08/04/2025
YOU CAN'T MAKE THESE THINGS UP
RE: Outrageous Shoe of the Day
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Does this shoe help you see where you are going? |
Source: Tokio Kumagaï via Virtual Shoe Museum
08/04/2025
STATE PODIATRY NEWS
GA Podiatrist Appointed to the State Board of Podiatry Examiners
Governor Brian P. Kemp has announced that he has appointed Rupal Patel Gupta, DPM to the Georgia State Board of Podiatry Examiners. Dr. Gupta earned her doctorate in podiatric medicine from the Kent State University College of Podiatric Medicine and completed her residency at Jackson North Medical Center in North Miami Beach, FL.
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Dr. Rupal Gupta |
Dr. Gupta is a board-certified podiatrist with over 20 years of clinical, academic, and administrative experience. She currently practices at Ankle and Foot Centers of America and has held leadership roles in both hospital and professional association settings, including serving as president of the Georgia Podiatric Medical Association and department chief at Emory Johns Creek Hospital.
source: Office of the Governor Brian P. Kemp
08/04/2025
RESPONSES/COMMENTS (PODIATRIC MEDICAL EDUCATION) - PART 1A
RE: Health Professions Scholarship Program (Evan Meltzer, DPM)
From: Joe Agostinelli, DPM
Actually, military podiatrists are NOT members of the Medical Corps in the armed forces. USAF podiatrists are in the Biomedical Services with all the other non-physician healthcare providers except dentists (who have their own Dental Corps). The U.S. Navy and U.S. Army podiatrists are in the Medical Services Corps.
The addition of podiatrists into the Medical Corps has been an ongoing concern since the beginnings of podiatrists in the military. That is why a degree change is the only way for a DPM to be commissioned into the Medical Corps. This issue is extremely important as to the acceptance of DPMs as physicians.
Joe Agostinelli, DPM, Colonel, USAF (Retired). Daytona Beach, FL
08/04/2025
RESPONSES/COMMENTS (MEDICARE ADVANTAGE)
RE: Medicare Advantage (MA) Legislation in Congress: 7 Bills to Know
From: Paul Kesselman, DPM
In a recent Becker's Payer Issues there is a must read article for every doctor in the country. There are 7, that's right, 7 bills before Congress which will directly impact MA plans. One will require MA plans to pay the same as the fee for service Medicare. It actually has bipartisan support. There are a myriad of others which address prior authorization issues, data mining (several would actually outlaw it), and others.
If the proposed regulation requiring them to pay the same as the fee for service contractors is implemented, and the MA plans are taking the risk, how long do you actually think these plans will hang around? If the bill is enacted, how often will these claims be lost or never processed for a myriad of reasons by the MA plans? Perhaps legislation needs to be enacted along with this first proposed law which requires MA plans to pay clean claims (in accordance with Medicare Fee-For-Service) requirements.
Paul Kesselman, DPM, Oceanside, NY
08/04/2025
RESPONSES/COMMENTS (CODING & BILLING Q&As FROM THE DOCTORLINE.COM)
From: Elliot Udell, DPM
It’s true that a good lab probably cannot make custom orthotics for 45 dollars. There is, however, a greater issue behind this problem. Why are so many of our colleagues attracted to labs that are charging 45 dollars for "custom" orthotics?
Several years ago, when I was casting for and dispensing a great deal of orthotics, I ordered a set of custom tennis orthotics for a patient. He agreed to pay me for them. They addressed his problem nicely and all was well until I received a call from his wife and the insurance company. They informed me that I am contractually obligated to accept only what the insurance company is willing to pay.
Bottom line: I had to refund what the patient paid me and agree to accept twenty-six dollars and fifty cents for the orthotics. I lost money, but learned that with most of my insurance carriers, I would no longer be able to cast for and dispense orthotics. I consulted with the APMA insurance expert and was bluntly told that if I opt out of the contract, I could kiss all other podiatric services goodbye. I had to make a hard choice.
Elliot Udell, DPM, Hicksville, NY
08/04/2025
RESPONSES/COMMENTS (AT THE COLLEGES)
From: Robert Hilkemann, DPM
I appreciated learning about the outstanding scholarship that Richard and Kathleen Evans have established at the Scholl College. As a fellow Nebraska podiatrist and Scholl graduate, who has known Rick since 1977 when I opened a practice in nearby Omaha, I can vouch that Rick was a pioneer for the profession. He had to fight "tooth and nail" for privileges and helped to update an antiquated scope of practice law for our state. He practiced with integrity and was always a credit to our profession. Thank you, Rick, for leaving a huge legacy for our profession.
Robert Hilkemann, DPM, The Villages, FL
Editor's note: The correct photo of Dr. Evans appears here.
08/04/2025
PODIATRISTS IN THE COMMUNITY
FACI Welcomes IL Podiatrist
The Foot & Ankle Center of Illinois (FACI) has welcomed Harrison J. Gilley, DPM to their team. Dr. Gilley earned his Doctorate in Podiatric Medicine from Midwestern University in Glendale, Arizona.
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Dr. Harrison Gilley |
He completed a three-year podiatric medicine and surgery residency with added credentials for reconstructive/ankle surgery at SSM DePaul Health Center, St. Louis, Missouri. He also completed a traveling foot and ankle orthopedic fellowship in Hamburg, Germany.
Source: Senior News & Times [Third Quarter 2025]
08/04/2025
PM NEWSS
The Voice of Podiatrists
Serving Over 22,454 Subscribers Daily
August 04, 2025 #8,076  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management® https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2025- No part of PM News can be reproduced without the
written permission of Barry Block
08/04/2025
PM NEWS QUICK POLL RESULTS
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Results of last week's poll |
08/04/2025
OBTUARIES
RE: The Passing of John Timothy “Tim” Stivers, DPM
Dr. John Timothy “Tim” Stivers, beloved podiatrist, humorist, performer, and pilot, has passed. Known for his quick wit and unforgettable storytelling, Tim brought joy to countless people through his unique sense of humor, colorful dialects, and “good ol’ boy” stories. Tim didn’t just tell funny stories, he “told stories funny”. A gifted entertainer, Tim was often featured on local and regional television and radio shows.
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Dr. John Timothy Stivers |
Born and raised in Anchorage, KY, Tim followed in his parents’ footsteps and became a podiatrist. He graduated from the Illinois College of Podiatric Medicine in 1958. He liked his medical practice, but he loved singing, flying, and making people smile. His impeccable timing, laughter, and larger-than-life presence will be deeply missed.
Source: The Courier-Journal [8/1/25]
08/04/2025
MEETINGS & WEBINARS
08/04/2025
MEDICARE ADVANTAGE
UnitedHealthcare to Exit Certain Medicare Advantage Markets
UnitedHealthcare CEO Tim Noel offered investors a deeper look at the medical cost spike that's plaguing the insurance giant's finances. He said during the company's earnings call that pricing assumptions set by the company "were well short of actual medical costs" for 2025. UHC's current outlook, he said, instead reflects an additional $6.5 billion in medical costs, with more than half, or about $3.6 billion, coming from its Medicare plans.
Noel said that in MA specifically, the team is looking to adjust pricing and benefit designs to account for the cost pressures, which they anticipate will stretch into much of 2026. It has also decided to exit certain markets largely with plans that are more loosely designed, such as PPOs, in a move that will impact 600,000 beneficiaries.
Source: Paige Minemyer, Fierce Healthcare [7/29/25]
08/04/2025
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PM NEWS CLASSIFIED ADS REACH OVER 22,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details
EQUIPMENT FOR SALE - ULTRASOUND MACHINE
It is a barely used Konico Minolta HS1 Version 5 ADV Model BOM with L18-4 linear probe. It's on a rolling stand and has foot pedals. Price: $15,000 + shipping if needed. Please email me at DrFinn@FinnFootAndAnkleCenter.com
EQUIPMENT FOR SALE - SWIFT MICROWAVE DEVICE
A safe and effective option for verrucae and IPKs. A high success rate, 80%-95%, with no side-effects and a recurrence rate of less than 1%. No bandaging required. Triggers the release of proteins educating the immune system. Unit is 1&1/2 years old, minimal use. Comes with tips. PRICE: $12,500 ctmthor8@yahoo.com
OFFICE FOR SALE - CHICAGO DOWNTOWN
Desirable location with significant traffic of patients. Turnkey operation with assets that include all office equipment i.e. chairs, x-ray unit, sterilizer, etc. Ready for a new potential entrepreneur or someone looking to have a second office in high volume of patient area. Selling office for one-year gross collections. Reason for selling is due to other obligations and commitments in hospital administration. Best opportunity for future growth. Call at 312-315-3055 or email to T7S8H61@GMAIL.COM
PRACTICE FOR SALE - BROCKTON, MASSACHUSETTS
Busy, modern and successful. 80 new patients/ month and totaling 6500K visits/year. 2150 ft2. Established 1985. Near hospitals, surgery and wound care center. Digital x-ray, certified EHR, laser. DMEs, in¬house billing. Accepting all insurances. Great opportunity and growth potential. Owner is willing to stay as long as necessary. Contact drwaw54@aol.com
PRACTICE FOR SALE – NASSAU COUNTY, NY
New York Podiatrist retiring: 44 year old practice with equipment included with building Long Island, Nassau County next to Queens county line FOR SALE; zoned for commercial use & residential use; Dental practice & apt rental incomes present. Contact: nassaupodiatry@gmail.com
PRACTICE FOR SALE - CALIFORNIA, SIMI VALLEY
RETIRING AFTER 42 YEARS. CALL O: 805 584-3510, C: 805 732-6309 GREAT POTENTIAL.
08/04/2025
CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS
PM NEWS CLASSIFIED ADS REACH OVER 20,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
ASSOCIATE POSITION – NASSAU COUNTY, NEW YORK
Part-time once a week coverage, Nassau County. Practice available for sale. Contact: Bombbustr7@aol.com
FULL-TIME PODIATRIST – NEW JERSEY
Well-established, multi-location New Jersey podiatry practice seeks a motivated, compassionate full-time Doctor to join our growing team. We offer competitive six-figure compensation ($200,000–$250,000+), a sign-on bonus, end-of-year bonus, health insurance (medical, dental, vision), paid time off, paid malpractice coverage, and a 401(k). Excellent opportunity for both experienced podiatrists and recent graduates to thrive in a high-volume, office-based setting. Expand your clinical skills in a supportive, professional environment. Please send your CV to DPMcareer@PodiatryCenterNJ.com
ASSOCIATE POSITION - LAS VEGAS, NV
Full-time position with well-established practice in Las Vegas. Any experience level is welcome. Competitive compensation and benefits. No mandatory call required. Text (847) 830-7378. E-mail CV to citadeljones@gmail.com
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Work where you want to live. Supportive environment, Sunny SWFL, build your surgical boards cases quickly, busy, modern, technologically advanced offices. ABFAS BC/BQ a must, EMR, CT, DME, Base salary + bonus, PTO, 401K, health ins. 1 ACFAS fellowship position also DrLam@NaplesPodiatrist.com
SEEKING A LOCUM PODIATRIST AT OUR WYOMISSING, PA OFFICE
Starting in October/November. As part of the Integrated Foot and Ankle Specialists network, this temporary position offers flexible scheduling, competitive compensation, and the support of a highly experienced clinical team. Active Pennsylvania license required. View full details and apply here: IntegratedFootandAnkle.com/Careers
ASSOCIATE POSITIONS – AL, CO, IA, IL, KS, LA, MO, MS, NE, OK, SC, TN & UT
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. You will have autonomy and focus on clinical care while we take care of all scheduling and billing. Guaranteed daily base rate plus competitive compensation. Electronic charting and all equipment provided. Make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
ASSOCIATE POSITION – LOS ANGELES, CA
Los Angeles podiatry group is looking to hire a part-time podiatrist. Candidate must be board qualified/certified, hold a valid California podiatry license and DEA, and have completed a 3-year surgical residency with expertise in diabetic wound care. Please email your cover letter and CV to: comprehensivemedicalstaff@gmail.com
MOBILE PODIATRIST - SAN DIEGO
Now hiring at www.barefeet-podiatry.com. Offering highly competitive compensation as an independent-contractor, flexible schedule, assistants handling administrative work. Cloud-based EHR, equipment/supplies provided, other benefits. Excellent opportunity for both experienced podiatrists & recent graduates. Email: barefeetpodiatry1@gmail.com
ASSOCIATE POSITION - FLORIDA
Full scope Florida practice with high hospital census, wound care, innovative office ancillaries for comprehensive patient care in a fast paced atmosphere. Details: www.podiatryinparadise.com
ASSOCIATE POSITION OPEN IN DALLAS/FORT WORTH AREA
Join our dynamic multi-specialty group, spanning 6 locations in DFW, equipped with cutting-edge technology, physical therapy and an established patient base. Our practice also includes a surgery center. We offer a competitive starting salary with bonus and benefits. Send your CV to Cnunez1940@gmail.com
ASSOCIATE POSITION – TUCSON, ARIZONA
Multispecialty mobile group is seeking skilled, compassionate podiatrist with Arizona license to join our growing team in Tucson, AZ. Offering a fulfilling career with autonomy, built-in patient base, competitive compensation, and full administrative and billing staff. Please send CV to Dr. Natalie Shaba at natalie@onesourcemobilehc.com
POSITIONS AVAILABLE - PENNSYLVANIA AND MISSOURI
Rapidly expanding podiatrist-run company looking for ethical and responsible podiatrists to service Long Term Care facilities in Pennsylvania and Missouri. Flexible schedules. Generous pay structure. Inquire about other locations as well. Send CV and inquiries to info@thepodiatrycompanyllc.com
ASSOCIATE POSITION – TAMPA, FL
Thriving Tampa practice seeks 1099 physician for outpatient surgery and wound care surgery. Flexible schedule, no call, competitive pay, part-time. Florida license required; Board Certified. Spanish a plus. Start ASAP, negotiable. Send CV and cover letter to PNHATampa@gmail.com
ASSOCIATE WITH PARTNERSHIP POTENTIAL! - SOUTHWEST FLORIDA
Busy six doctor, well established, state-of-the-art equipped, 2-location practice in Southwest Florida. Seeking a motivated, surgically trained, team player to join our Foot And Ankle family. Unrestricted wide scope of podiatric privileges at two local hospitals with corresponding emergency department call. Full variety of clinical options from sports medicine, wound care, trauma, forefoot/rearfoot/ankle surgical pathology, and professional high risk preventative management. Base salary, incentive bonus schedule, 401(k), medical, dental, vision, paid vacation, uniforms, and all marketing as well as professional dues provided. For more information or interview, contact 941-626-2997 by text.
ASSOCIATE POSITION – FLORIDA
PT and FT mobile positions. Jacksonville and other cities. Responsible DPM/NP/PA team players. Home visits, ILF/ALF/Rehab. No call. No ER. Half days or 9-5. Weekends optional. Autonomy. Potential commission up to $230K+/yr based on availability and performance. Serious FL licensed applicants email contact@PodiatristAtHome.com
ASSOCIATE POSITION – MONTEREY, CALIFORNIA
Live where others vacation. Practice where excellence is the standard. Monterey is expensive! But arguably best place in the world to live. · World-class golf courses · Legendary surf · Biking iconic 17-Mile Drive, sea level to 2,000 ft · natural beauty of Big Sur · Best Air Quality. The practice is rapidly growing, state-of-the art, full-scope practice exceptional reputation in both the community, WCCs, hospital systems. We understand the lifestyle demands, cost of living in this area—and we are prepared to offer a highly competitive compensation package to attract the best candidate. Send your cv to footankledrs@gmail.com
ASSOCIATE PODIATRIST OPPORTUNITIES – MULTIPLE STATES
US Foot & Ankle Specialists (USFAS), the nation's largest podiatric group, is hiring! We have immediate and future openings in IL, KY, MD, MO, NC, VA, & WV—ideal for doctors ready now or graduating by 2026. Join a team committed to advanced technology, top-tier care, and long-term growth. Must be licensed or in process. Email cover letter and resume to: recruiting@us-fas.com
ASSOCIATE POSITION – MARYLAND
Thriving podiatry practice with 3 office locations seeking a highly motivated and reliable full-time associate. Candidate must be board eligible, residency with RRA preferred. Great work environment with strong support staff. Competitive compensation and benefits package with bonus opportunities offered. Please email CV to: careers@mynewfeet.com
ASSOCIATE POSITION- GREATER CHICAGO AREA
Mobile multi-physician podiatry group serving Greater Chicago, is looking for full- or part-time associates. All aspects of podiatry. Logistics, billing, instrumentation provided; mileage reimbursement; income projection $250k and up). Please contact by text at 312-375-6430 to set up an interview.
ASSOCIATE POSITION - MANHATTAN
Rare opportunity to practice in thriving Out-of-Network practice in the heart of Manhattan. 200k starting with 35% commission structure. 40 hour week Monday-Friday. Health Benefits, 20 days PTO, no call and great company culture! Board Elig/Cert required with strong surgical skills preferred. Interested and ambitious candidates email your CV to nycfootdoctors@gmail.com
ASSOCIATE POSITION - QUEENS, NY
Looking for an associate podiatrist for a growing practice. Our podiatric clinic is seeking a skilled and compassionate podiatrist to join our dynamic team. Great staff and flexible hours. Recent graduates welcome. Will help participate with most insurance plans. Offices in the heart of both Manhattan and Queens. Email: newyorkfootdoc@gmail.com
08/04/2025
ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in an early 2026 issue of Podiatry Management. It also makes you eligible to win thousands of dollars worth of valuable prizes. Enter by completing this anonymous survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win. To begin survey, click here.
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Dermlite GL dermatoscope sponsored by McClain Laboratories |
***This is also your opportunity to vote for the next DPM and non-DPM inductees into the PM Podiatry Hall of Fame. To begin survey, click here.
08/04/2025
RESPONSES/COMMENTS (PODIATRIC MEDICAL EDUCATION) -PART 1B
From: Robert Boudreau, DPM
A neurosurgeon woke one morning to find around 6” of water flooding his basement. He called the local plumber and told him what was happening, and the plumber said he’d be right over. When he arrived, the neurosurgeon led him to the basement. Donning his waders, the plumber stepped into the water. Leaning over, he felt around for a few minutes, pulled the drain plug, and said, “There you go, it’s fixed”. “How much do I owe you?” The plumber said, “That’ll be $400, cash, check, or credit card”. “Wow, I’m a neurosurgeon and I don’t make that kinda money!” The plumber smiled and said, “Neither did I when I was a neurosurgeon!”
Robert Boudreau, DPM, Tyler, TX
08/04/2025
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