When Should You Biopsy Lesions That Appear To Be Pyogenic Granuloma?

William Fishco DPM FACFAS
10/4/13 | 6851 reads | 0 comments
Pyogenic granuloma is a common condition that we see almost every day in clinical practice. This vascular tumor is a benign growth of skin and mucus membranes that can present as a nodule or polyp that bleeds easily after trauma. More often than not, these vascular growths appear on the nail folds and are associated with a paronychia. Read More.

A Straightforward Guide To The Lapidus Bunionectomy

William Fishco DPM FACFAS
9/6/13 | 5919 reads | 2 comments
The popularity of the Lapidus bunionectomy seems to ebb and flow over the years. When we compare the Lapidus to other bunionectomy procedures, such as an Austin or similar distal metaphyseal osteotomies, there seems to be more reasons not to do a Lapidus. Read More.

The Importance Of Researching The Research

William Fishco DPM FACFAS
7/26/13 | 2416 reads | 0 comments
Patients constantly ask us about success rates for various surgeries and other treatment protocols. We often reiterate what we have been taught somewhere in training but can’t really find the source of it. Patients can easily relate to percentages. For example, we commonly tell our patients that 95 percent of people with plantar fasciitis get better without surgery. Where does that information come from? Read More.

A Closer Look At Surgical Solutions For Metatarsalgia

William Fishco DPM FACFAS
7/1/13 | 3172 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 | 4329 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 | 2041 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 | 2496 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.