When Patients Present With Tarsal Tunnel Syndrome

Jeffrey Bowman DPM MS
10/24/13 | 3062 reads | 0 comments
Tarsal tunnel syndrome is an entrapment of the posterior tibial nerve or one of its branches within the tarsal canal by the flexor retinaculum, the fibro-osseous tunnels, or the deep fascia.1-4 Sixty to 80 percent of cases have a specific cause of compression and there are multiple factors.5 • A tumor within the tarsal canal that puts pressure on the nerve • Fracture of the calcaneus with a fragment compressed against the nerve • Severe pronation that stretches the soft tissue and compresses the nerve • Enlarged blood vessels (i.e. varicose veins) Read More.

Keys To Patient Education And Accurate Diagnosis Of Sinus Tarsi Syndrome

Jeffrey Bowman DPM MS
9/25/13 | 4502 reads | 0 comments
A patient has been having pain on the outside of his ankle for some time and you tell him he might have sinus tarsi syndrome. The patient’s puzzled look does not surprise you and you proceed to explain what might be the cause of his pain. What is the sinus tarsi? Explain to patients that the sinus tarsi is an anatomical depression on the outside aspect of the foot that is filled with soft tissue structures: ligaments, muscle, nerves, blood vessels and fat.1,2 Read More.

Recognizing The Damaging Impact Of PAD

Jeffrey Bowman DPM MS
8/22/13 | 2150 reads | 0 comments
A recent Lancet report noted that in 2010, 202 million people worldwide had peripheral artery disease (PAD).1 Consider the following statistics about PAD and related complications.2 • Those who smoke are two to three times more likely to have lower extremity PAD. • Patients with PAD are four to five times more likely to suffer a transient ischemic attack or stroke. • Those with PAD are two to six times more likely to die from coronary heart disease. Read More.

Explaining PRP To Your Patients

Jeffrey Bowman DPM MS
7/23/13 | 2188 reads | 0 comments
When you suggest adding platelet-rich plasma to the treatment plan of your patients, keep in mind that they might not be familiar with this type of treatment. Expect some questions. What Is Platelet-Rich Plasma (PRP)? Platelets are a cellular component of the blood that play a key role in the formation of a blood clot. Platelets contain and release proteins, cytokines and other bioactive factors (growth factors, clotting factors, etc.) that initiate and regulate wound healing. Platelet-rich plasma contains the following growth factors: Read More.

Can Referrals To Vein Specialists Be Beneficial For Your Patients?

Jeffrey Bowman DPM MS
6/25/13 | 1916 reads | 0 comments
Many podiatric physicians undervalue the relationship between the podiatry practice and the vein specialist. There is a significant overlap of patients between these two disciplines. Many of the vein patients present with lower extremity venous insufficiency that leads to edema and varicosities. A large percentage of podiatry patients complain of either lower extremity edema or venous issues. The relationship between podiatrists and vein specialists can flourish with very little overlap in treatment and services as both practices work in the lower extremity. Read More.

Can Benfotiamine Provide Relief For Patients With Painful Peripheral Neuropathy?

Jeffrey Bowman DPM MS
5/22/13 | 5288 reads | 1 comments
Do you have patients with diabetes, geriatric patients, patients with hypertension, patients who have had a gastric bypass or patients who suffer from alcoholism? These patients probably cover a large percentage of your patient demographic. Read More.

A Guide To The Ins And Outs of Hallux Varus

Jeffrey Bowman DPM MS
4/24/13 | 3701 reads | 0 comments
Most of us in the podiatric field know a lot about bunions. You mastered them as a first-year resident and have never looked back. They are the bread and butter of podiatry. What we often forget is the problematic complication that often follows bunion surgery — hallux varus. Hallux varus can be a complication of bunion surgery but can also be a congenital anomaly. Read More.

A Simple Approach To Tackling Osteochondral Lesions

Jeffrey Bowman DPM MS
3/27/13 | 3023 reads | 0 comments
Our mothers always told us to eat more oats. A simple surgical procedure for osteochondral defects (osteochondritis dissecans) is easier to swallow than the bland carbs thrust at us as children every morning before school. Here is a quick synopsis of the Osteoarticular Transfer System (OATS), otherwise known as the Osteochondral Autograft Transfer System procedure I employ using the Arthrex system. Read More.

Is Botox An Alternative To Corticosteroids For Plantar Fasciitis?

Jeffrey Bowman DPM MS
2/22/13 | 3750 reads | 0 comments
This has not been a good year for steroids. For the last few weeks, the big news in sports has been the controversial use of deer antler spray, a synthesized performance enhancing drug that athletes spray under the tongue. This comes just weeks after Lance Armstrong admitted to blood doping during his seven-year reign as Tour de France champion. What happened to good old-fashioned steroids? Anabolic steroids have taken a back seat to new idiotic ways to juice up. Read More.