Why Podiatrists Should Be Attending PAINweek

Stephen Barrett DPM FACFAS
10/11/12 | 2588 reads | 0 comments
A few weeks ago, I went to a huge frat party, the Kappa Mu Delta* to be exact, and it was in Las Vegas. Now I know what happens in Vegas is supposed to stay in Vegas but I’m going to kiss and tell, so to speak. Read More.

Pain Management: Is It Time To Start Looking At The Patient's Genes?

Stephen Barrett DPM FACFAS
9/12/12 | 3951 reads | 0 comments
Genomics. Now that is a word that has some real catchiness to it, a virtual aphrodisiac for even the most adroit etymologist. I just like to say "genomics.” It conjures up the great line ("Plastics?") Dustin Hoffman repeated in The Graduate. “Mrs. Robinson (another reference from The Graduate), we’re into ‘genomics’ now and we need to take a look at your genomes so I can provide you with the best perioperative care for your upcoming reconstructive foot surgery.” “Really?” she replies. “Is there a test for that and will it hurt?” Read More.

Searching For Answers In The Measurement And Treatment Of Pain

Stephen Barrett DPM FACFAS
8/10/12 | 2499 reads | 0 comments
I was so excited the other day when the package finally arrived at my doorstep. I had ordered it months ago and was expecting a really large box filled with the latest in fantastic gadgetry. I love gadgets probably like no other person but when they can give me a leg up on clinical management, this love escalates to a level that would render most folks to sedatives and restraints. Read More.

Slicing A Patient's Complaints Down One Layer At A Time

Stephen Barrett DPM FACFAS
7/10/12 | 2956 reads | 5 comments
The “onion” is more common than rare and every practice is filled with them. Onions are easy to identify most of the time as Ms. Tuber, our fictitious representative of the onion phyla, always presents with a list of multiple complaints. (By definition, a patient can still be an onion with only one chief complaint. We will get to that later.) Read More.

Rethinking The Role Of The 5.07 Semmes-Weinstein Monofilament

Stephen Barrett DPM FACFAS
6/12/12 | 4933 reads | 1 comments
As a deputized epidermal protector, I was overcome by sadness as I read the report from Ferreira and colleagues.1 How could this be? I had always believed in this sacred agent, this bodyguard of all bodyguards. Surely, the report must be mistaken. Could this be a rogue report? Read More.

Why Focusing On Tidbits Of Information Can Lead You Down The Wrong Diagnostic Path

Stephen Barrett DPM FACFAS
5/11/12 | 3459 reads | 0 comments
I had a very interesting patient come in last month. Sadly, she was in an automobile accident about four years ago, which resulted in an intracranial bleed. She ended up with severe vertigo and loss of strength on her left side. The car hit her from the left side, causing trauma to the entire aspect of her left side, including an ulna fracture as well as a tibial plateau fracture of the left knee. Read More.

Should We Run Barefoot?

Stephen Barrett DPM FACFAS
4/13/12 | 4967 reads | 0 comments
A few weeks ago while on a flight to some forgotten city from another forgotten city, the gentleman next to me started up a conversation. As I recall, it was one of those deals where I wanted to sleep as it was an early morning flight. Unfortunately, the conversant was not of high enough social IQ to discern this so he pressed on. “What do you do?” he asked. Still trying to scratch the sand out of my eyes, I replied, “I’m a podiatric surgeon.” Read More.

Ramping Up Our Knowledge Of Pain Management

Stephen Barrett DPM FACFAS
3/13/12 | 3299 reads | 1 comments
No matter what surgical procedure or even rudimentary treatment you offer, the patient outcome is only as good as what the patient “thinks” about the result. You know what I’m talking about. You just did an incredible piece of work, the foot looks great and you’re ready to send off the X-rays for inclusion in the next edition of McGlamry’s Comprehensive Textbook of Foot Surgery. Suddenly, the air gets sucked out of your chest faster than it takes to blink and the patient says: “I don’t think it looks that good, Doctor!” Read More.

When Will We Start Calling Morton’s Neuroma What It Is: Morton’s Entrapment?

Stephen Barrett DPM FACFAS
2/9/12 | 6491 reads | 0 comments
In the December 2011 issue of Foot and Ankle Specialist, there is an interesting article titled “Long-Term Results of Neurectomy in the Treatment of Morton’s Neuroma: More Than 10 Years’ Follow-Up.”1 What is interesting about this article? There are several things really. First, in an inset sidebar on the first page of the article, it says: “… the cause of Morton’s neuroma remains unclear, and its etiology and treatment remain matters of controversy.” Read More.