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

Stephen Barrett DPM FACFAS
5/11/12 | 3591 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 | 5166 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 | 3451 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 | 7383 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.

Can Sesamoiditis And Hallux Valgus Be A Nerve Entrapment?

Stephen Barrett DPM FACFAS
1/11/12 | 5738 reads | 0 comments
Several weeks ago in the pre-op area, I greeted a patient and started going over the planned surgical procedures we had listed on her informed consent. She was here for her second extremity surgery. We had performed peripheral nerve decompressions for her six weeks previously. She did well and wanted to have the other side done. Read More.

Breaking Out Of Our Apathy About Plantar Fasciopathy

Stephen Barrett DPM FACFAS
12/16/11 | 7155 reads | 1 comments
As I wrote in last month’s blog, I want to know more about human plantar fascia (see http://bit.ly/vDJesC ). I know you do as well because of the overwhelming response I had to the upcoming largest paper ever published on the subject of plantar fasciopathy. My goal is to have data on 1,000 plantar fascia, which come to the office cloaked in the simple costume of heel pain. I want to know what these fascia look like with high-resolution diagnostic ultrasound. Read More.

Can Diagnostic Ultrasound Help Us Break Free From Conservative Dogma About Plantar Fasciitis?

Stephen Barrett DPM FACFAS
11/16/11 | 3174 reads | 0 comments
Have you been thinking about the histological composition of plantar fascia lately? It haunts me every clinic day. Why? It’s because we know so much about it. Yet professionally, we have not integrated this knowledge fully, not even fractionally in the clinical arena like I know we can. Read More.

Getting Psychiatric Help For Your Postoperative Surgeon Stress Syndrome

Stephen Barrett DPM FACFAS
10/14/11 | 3263 reads | 1 comments
You are just your leaving clinic after seeing a passel of postoperative follow-ups and you cannot decide what is hurting you worst. Is it the soon to be festering wound from the gluteal mastication you just took from a patient because she still has some swelling seven weeks after a complex reconstruction and she is “really irritated” because she is unable to participate in her yoga class? Read More.

Breaking Out Of Our Comfort ‘Bubbles’

Stephen Barrett DPM FACFAS
9/14/11 | 3359 reads | 0 comments
I hope to burst your bubble with this month’s epistle. Yeah, that’s right. You are living in a bubble, practicing your art within a bubble and, for that matter, you may be living your life in a bubble. If I can break your bubble, this may lead to a new bubble, which may be a little larger and even more comfortable than the one you are in right now. Read More.