A Systematic Approach To Pediatric Flatfoot: What To Do And When To Do It

Michelle L. Butterworth DPM FACFAS
12/22/09 | 7964 reads | 2 comments
Pediatric flatfoot is a common yet challenging deformity. Infants are usually born with a flexible flatfoot and typically do not develop a normal arch until they are 7 to 10 years old. One of the biggest challenges for the physician is differentiating a normal or physiologic flatfoot from the pathological deformity. Read More.

Understanding The Role Of Advanced Imaging Techniques In Diagnosing Infection

Michelle L. Butterworth DPM FACFAS
11/10/09 | 4209 reads | 0 comments
Unfortunately, many physicians rely on various imaging modalities to deliver a diagnosis of infection, particularly osteomyelitis. I have seen a multitude of imaging modalities worthlessly ordered and performed with the physician desperately trying to get a definitive diagnosis to no avail. Read More.

Ankle Sprains In Athletes: Key Tips On Facilitating A Return To Activity

Michelle L. Butterworth DPM FACFAS
9/23/09 | 4199 reads | 0 comments
Managing ankle sprains in athletes and ensuring an appropriate return to activity can be quite challenging. In addition to being a podiatric surgeon and my partner in practice, my husband is a high school football and baseball coach. Needless to say, we deal with ankle sprains on a very frequent and regular basis. I am usually in charge of the overall treatment of the athlete since he is involved on a more personal level and is usually very anxious to get his player back out on the field. Read More.

Taping Versus Bracing: Which Is More Effective In Preventing Ankle Sprains In Athletes?

Michelle L. Butterworth DPM FACFAS
8/6/09 | 5683 reads | 1 comments
Ankle sprains are the number one sports-related injury. Approximately 2 million ankle sprains occur each year. Yet there is controversy over treatment and rehabilitation protocols. Prevention of ankle sprains in athletes is another topic that is often debated. Prophylactic ankle wrapping began 60 years ago with various taping techniques. Many studies have shown that taping the ankle or bracing the ankle improves proprioception. Some of these studies compare strapping/taping versus bracing. Read More.

Pertinent Pearls On Brachymetatarsia Repair With Callus Distraction

Michelle L. Butterworth DPM FACFAS
7/2/09 | 8744 reads | 0 comments
When considering surgical intervention for the repair of brachymetatarsia, there are basically three main techniques to utilize: lengthening/slide osteotomy; osteotomy with insertion of bone graft; and callus distraction. Although I have utilized all of these techniques, callus distraction remains my procedure of choice for the surgical repair of brachymetatarsia. Read More.

An Update On The Scope Of Practice Battle In South Carolina

Michelle L. Butterworth DPM FACFAS
6/5/09 | 4024 reads | 0 comments
Podiatrists from South Carolina are once again trying to change our practice act to include the ankle and lower extremity amputations. As I noted in the previous blog (see “A Closer Look At Scope Of Practice Battles In South Carolina” www.podiatrytoday.com/blogged/a-closer-look-at-scope-of-practice-battles-in-south-carolina), we presented our bill to the 3M subcommittee on April 29th. Read More.

A Closer Look At Scope Of Practice Battles In South Carolina

Michelle L. Butterworth DPM FACFAS
5/6/09 | 4993 reads | 0 comments
While I enjoy living in South Carolina, I do not enjoy its limited scope of practice for podiatry. I did a four-year residency, which involved reconstructive rearfoot and ankle procedures, foot and ankle trauma, and limb salvage. I moved to South Carolina immediately after residency and have been here for 10 years now. I do not want to sound naïve. I knew the limitations of the state’s scope of practice before I moved and I chose to move to South Carolina regardless. I did however have high hopes — even though I knew it would be a tough battle — that our state law would eventually Read More.