Wednesday, December 2, 2009

Matt Ryan and Turf Toe from Exton, PA

Matt Ryan, the Atlanta Falcons QB, is from Exton, PA. He also went to William Penn Charter in Philadelphia, PA. He recently just suffered a condition known as Turf Toe. Turf Toe got its name from players commonly getting this condition while playing on artificial turf. Turf Toe can be better explained as a sprain of the big toe joint. This can happen as shown in the picture. When the foot is in a flexed position, this can sprain the big toe joint. Sometimes it can be severe enough where it actually can tear some of the ligaments of the big toe joint. This can lead to arthritis in the big toe joint and a bunion deformity.
Symptoms start out as swelling and pain in the big toe joint. Also with difficulty propulsing off the big toe joint. 
A good clinical history along with X-Rays and a possible MRI can help diagnosis the condition. It is usually treated with RICE; Rest, Ice, Compression, Elevation. Usually a taping to the big toe joint along with a stiff sole shoe to help prevent flexion of the joint allows the injury to heal. It can take up to a month and sometimes even longer for the injury to heal. And atheletes are unable to play during this time. Although it is rare, surgery may be an option if Turf Toe goes undiagnosed or if there is a rupture to the ligament.

Monday, November 23, 2009

Happy Thanksgiving

We would like to wish everyone a Happy Thanksgiving!! Please keep in mind if you are doing a lot of cooking or running around this holiday season to be in good supportive shoe gear and to avoid as much as possible going barefoot or just having socks on

Tuesday, November 10, 2009

Medicare Advantage and Medicare Supplemental Insurance

This is the time of year when many senior citizens have important health insurance decisions to make for upcoming year. With a change in health care reform on the horizon, many insurance companies have taken steps to protect themselves. This has included dropping certain plans from their options (in Pennsylvania- Keystone Complete will be eliminated) or raising premiums drastically. This has caused a great deal of concern as has been expressed to me and the other podiatrists at our Podiatry Care Specialists, P.C. offices.

Many insurance companies now offer Medicare Supplemental or Medicare Advantage programs. It is imperative that you do your homework on theses various plans.

Traditional Medicare will pay 80% of their approved amount to physicians that accept assignment. The remaining 20% must be paid by the subscriber or will usually be paid by enrolling in a Medicare Supplemental Plan. Many insurance companies participate in this and Medicare Advantage plans such as Humana, Cigna, United Health Care, Aetna, and the various Blue Shield organizations.

What does Medicare Advantage mean? The following has been taken from Wikipedia:

With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the original Medicare plan (Parts A and B). These programs were known as "Medicare+Choice" or "Part C" plans. Pursuant to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, "Medicare+Choice" plans were made more attractive to Medicare beneficiaries by the addition of prescription drug coverage and became known as "Medicare Advantage" (MA) plans.Traditional or 'fee-for-service' Medicare has a standard benefit package that covers medically necessary care members can receive from nearly any hospital or doctor in the country. For people who choose to enroll in a Medicare Advantage health plan, Medicare pays the private health plan a capitated rate, or a set amount, every month for each member. Members typically also pay a monthly premium in addition to the Medicare Part B premium to cover items not covered by traditional Medicare (Parts A & B), such as prescription drugs, dental care, vision care and gym or health club memberships.[10] In exchange for these extra benefits, enrollees may be limited on the providers they can receive services from without paying extra. Typically, the plans have a 'network' of providers that patients can use. Going outside that network may require permission or extra fees.Medicare Advantage plans are required to offer coverage that meets or exceeds the standards set by the original Medicare program, but they do not have to cover every benefit in the same way. If a plan chooses to pay less than Medicare for some benefits, like skilled nursing facility care, the savings may be passed along to consumers by offering lower copayments for doctor visits. Medicare Advantage plans use a portion of the payments they receive from the government for each enrollee to offer supplemental benefits. Some plans limit their members’ annual out-of-pocket spending on medical care, providing insurance against catastrophic costs over $5,000, for example. Many plans offer dental coverage, vision coverage and other services not covered by Medicare Parts A or B, which makes them a good value for the health care dollar, if you want to use the provider included in the plan's network or 'panel' of providers.

You must make sure you compare apples with apples for all these options. The following should be checked:
1- Your primary care physician is a participator of the plan
2- Your main specialists are also participants
3- Make a list of your medications and see what these plans cover each generic or trade name prescription you take and what the copays are
4- Do they require 90 day prescriptions
5- Is there a deductable for Doctors Visits, Hospitalizations, and Emergencies
6- Is there a maximum out-of-pocket expense for theses services
7- Cost

Hopefully this information will help you explore your options and get the best health care possible for your needs at a reasonable cost.

Yours for better health,
Bradford J. Jacobs, DPM

Monday, November 2, 2009


Dr Chad Friedman recently gave a lecture at St Albans Church in Newtown Square. The lecture was presented to St Anastasia's members. The lecture presented was on general foot health and included bunion, hammertoes, neuromas, heel pain, arthritis, fractures, diabetes, and wound care. For more information please visit out site for educational videos