Developing A Surgical Strategy For Metatarsalgia In The Cavus Foot

William Fishco DPM FACFAS
12/1/11 | 4559 reads | 0 comments
Metatarsalgia is one of the most common conditions that we treat on a daily basis. I am sure we all treat this the same way. After ruling out a neuroma, one typically treats metatarsalgia with shoe gear modifications such as stiff soled shoes and accommodative padding. Treatment ultimately leads towards an orthotic device with appropriate modifications such as metatarsal pads and cutouts. If there is significant equinus, then a heel cord stretching protocol may be part of the treatment plan. Read More.

A Simple But Effective Technique For First MPJ Fusion

William Fishco DPM FACFAS
10/25/11 | 2525 reads | 1 comments
I want to discuss a simplified technique for a first metatarsophalangeal joint (MPJ) fusion. I think we sometimes get caught up in the hype of plating systems and joint preparation devices. Sure, it is fun to use these and they do work. However, at times, I have found that using these devices can be counterproductive, making things more difficult than they should be. Read More.

What Is The Best Way To Treat A Tailor’s Bunion?

William Fishco DPM FACFAS
10/3/11 | 16125 reads | 0 comments
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Operating When ‘Mild’ Achilles Tendinitis Does Not Respond To Conservative Treatment

William Fishco DPM FACFAS
9/2/11 | 4059 reads | 2 comments
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When A Patient Presents With A Minimally Painful Lump On The Bottom Of His Big Toe

William Fishco DPM FACFAS
7/28/11 | 11668 reads | 4 comments
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What Is The Most Effective Treatment For Mucoid Cysts?

William Fishco DPM FACFAS
6/30/11 | 10459 reads | 0 comments
I am sure you have had your fair share of frustration with mucoid cysts in the past. We have all tried office-based treatments. Unfortunately, excision, cauterization, steroid injections and the like just do not work. It is unsettling for both you and your patient when the patient returns due to recurrence of the cyst. Read More.

Key Insights On Osteochondral Lesions Of The Talus

William Fishco DPM FACFAS
6/3/11 | 6057 reads | 0 comments
Osteochondral lesions of the talus can be a cause of chronic ankle pain, which does not respond to typical treatment regimens of rest, ice, anti-inflammatory medication, immobilization, bracing, physical therapy and/or orthotic use. Osteochondral lesions can occur in any joint. Read More.

Harnessing The Potential Of The Instep Plantar Fasciotomy

William Fishco DPM FACFAS
5/6/11 | 4865 reads | 2 comments
Day in and day out, there is one thing we can count on when we go to the office: we will be treating a patient with plantar fasciitis. Some days it seems like I treat plantar fasciitis all day long. Read More.

How Mini-Rail Fixators Can Be Beneficial For Jones Fractures

William Fishco DPM FACFAS
4/12/11 | 5575 reads | 3 comments
A Jones fracture is a fracture of the metaphyseal-diaphyseal junction of the fifth metatarsal base. Fractures in this area are known to have difficulty healing due to the tenuous blood supply to this area. To that end, one may treat these fractures with strict non-weightbearing for a minimum of six weeks or explore surgical options. Read More.