Adam Fleischer, DPM, MPH, of the Weil Foot & Ankle Institute in Chicago, is an associate professor at the Dr. William M. Scholl College of Podiatric Medicine at the Rosalind Franklin University of Medicine and Science. Dr. Fleischer will serve as the lead instructor for this year’s hands-on ultrasound workshop. The National Today (TNT) recently caught up with him to find out how he uses ultrasound in his own practice and what attendees at the hands-on workshop will learn this afternoon.
Hands-on workshops are limited-attendance, paid sessions. If you are interested in adding a workshop to your schedule, visit Registration to ask about availability.
TNT: You are a new instructor for the ultrasound workshop at The National. What do you plan to bring to this session?
Dr. Fleischer: My session will focus on the practical aspects of incorporating ultrasound into a busy practice. While many conference ultrasound sessions are taught by radiologists, industry "experts," or faculty with a primarily academic interest in the technology, I see patients in one of the busiest practices in the nation, in one of our nation's largest cities, and I want participants to learn just how easy it is to start making this technology work, at the point of care, in an office setting.
TNT: How important is ultrasound as an imaging modality in podiatry? What are its benefits? Limitations?
Dr. Fleischer: Ultrasound is so important. It is frequently referred to as the “stethoscope” of the musculoskeletal [system]. Plain and simple, it allows us to see beneath the skin, to be precise and accurate with both our diagnoses and our in-office procedures. One of its primary benefits is that it allows for accurate stress examinations (ankle, MTP, and TMT joints). Its major limitation is that it cannot see deep joint pathology, and it cannot see into the marrow cavity of bone.
TNT: For what conditions is ultrasound a preferred modality? Are there new or emerging uses?
Dr. Fleischer: Ultrasound is preferred anytime we want to test joint stability. It is also great for quantifying/staging soft tissue pathology, and for guided injections (nerve blocks, plantar fascial injections, and neuroma injections, to name a few).
TNT: How and how often do you use ultrasound in practice?
Dr. Fleischer: I use it every day, on nearly every patient I see with a soft tissue or musculoskeletal complaint—much like an internist would use their stethoscope on a patient presenting with shortness of breath.
TNT: What will the attendees at the workshop learn about and practice? Are there important pearls they will come away with?
Dr. Fleischer: Attendees will become familiar with the sonographic appearance (normal and abnormal) of the foot and ankle's most commonly injured structures. They will gain confidence with real-time imaging and ultrasound exams, and get hands-on experience using ultrasound for guided procedures. Billing, coding, and charting will be covered as well.