A Closer Look At Surgical Solutions For Metatarsalgia

William Fishco DPM FACFAS
7/1/13 | 2656 reads | 0 comments
Metatarsalgia is a common condition that we see on a regular basis. Pain under the second metatarsophalangeal joint (MPJ) is the most common area of pain. When performing a physical examination, it is critical to rule out other less common causes of pain such as neuromas, stress fractures, arthritic conditions of the MPJ, and skin conditions such as warts, calluses and porokeratoses. Read More.

Managing Tarsometatarsal Joint Arthritis In Older Patients

William Fishco DPM FACFAS
6/3/13 | 3415 reads | 0 comments
Arthritis of the second and third tarsometatarsal joints can be a challenging condition to manage. Clinically, patients present with pain, stiffness and swelling located at the dorsal midfoot. Many patients also have a painful lump on the top of the foot, which makes it difficult to wear a closed shoe. Read More.

When You Have To Get Creative With Surgery

William Fishco DPM FACFAS
5/1/13 | 1883 reads | 0 comments
Every once in awhile, we get to be creative in surgery. Most of the time, our surgical procedural selection is straightforward using time-tested surgical techniques. Let’s face it. The Austin bunionectomy works. Read More.

When Charcot Arises After Surgery

William Fishco DPM FACFAS
4/2/13 | 2263 reads | 0 comments
Charcot arthropathy is a devastating condition of the foot and ankle that causes severe instability and resultant deformity. Any patient who has peripheral neuropathy, regardless of the etiology, is susceptible to this condition. Read More.

What To Do With Those Patients Who Weigh On Your Mind

William Fishco DPM FACFAS
1/29/13 | 2145 reads | 0 comments
Those of you who follow my blogs know that I usually write on an educational topic, typically surgery. This time, I think I will lament about some of the stresses and difficulties of our job. Read More.

Current Concepts In Addressing Plantar Heel Pain

William Fishco DPM FACFAS
1/2/13 | 4927 reads | 0 comments
In my blog last month (http://tinyurl.com/bd5ucac ), I reviewed the common disorders of the posterior heel and Achilles tendon. Since we are in the neighborhood, so to speak, l will give you my cheat sheet for addressing pain syndromes of the plantar heel. I am sure we can all agree that plantar heel pain is the most common orthopedic complaint of patients who seek our advice and treatment. It is such a common disorder that most of these patients tell us that they have plantar fasciitis before we even touch them. The odds are that they are correct. Read More.

How To Ensure A More Accurate Diagnosis Of Achilles Tendon Disorders

William Fishco DPM FACFAS
12/5/12 | 5006 reads | 2 comments
Patients commonly complain about pain in the region of their Achilles tendon. Through a careful examination and patient history, one may diagnose more than one condition that can be inter-related. Rather than simply diagnosing the problem as an “Achilles tendinitis” or a “heel spur,” practitioners can provide a more accurate diagnosis and ultimately an appropriate treatment protocol through a more straightforward examination. Read More.

Why The Panmetatarsal Head Resection Can Be A Useful ‘Last-Resort’ Procedure

William Fishco DPM FACFAS
10/25/12 | 3292 reads | 0 comments
The panmetatarsal head resection and triple arthrodesis are the ultimate reconstructive surgeries for the hindfoot and forefoot respectively. Often, we think of the panmetatarsal head resection only for patients with rheumatoid arthritis. I have found the procedure to be very useful in many other scenarios. Read More.