What American Podiatrists Can Learn From Their Italian Counterparts

Stephen Barrett DPM FACFAS
8/15/11 | 3390 reads | 0 comments
In last month’s blog, I wrote about an incredible learning experience in Modena, Italy and how a minimally invasive technique could improve patient care in those suffering from Achilles tendinopathy (see http://www.podiatrytoday.com/blogged/perfect-caper-pulling-minimally-inv... ). I have to continue on the Italian theme because there is so much more to share but this month, we will go a bit farther south in Rome. Read More.

The Perfect Caper: Pulling Off The Minimally Invasive Achilles Tendinopathy Surgery

Stephen Barrett DPM FACFAS
7/11/11 | 3459 reads | 1 comments
With the adroit stealth and steeliness of a world-class bank robber, the surgeon slips the “garrote” atraumatically between the anterior surface of the Achilles tendon and the posterior aspect of Kager’s triangle. The implementer’s immense knowledge of the anatomical and histological terrain, perhaps greater than any other, allows him to completely avoid what most of his skilled contemporaries routinely and almost always seek during their mission. Read More.

Are You Injecting Steroids Into The Tarsal Tunnel For Tarsal Tunnel Syndrome?

Stephen Barrett DPM FACFAS
6/20/11 | 8356 reads | 0 comments
I am seeing too many drug injection injuries of the tibial nerve at the level of the tarsal tunnel, especially in very young patients. If you do inject steroids into the tarsal tunnel for tarsal tunnel syndrome, I have to ask a simple question: Why? I know the answers are going to be: “because that’s what I learned in residency,” “that is the way I was taught,” “I want to treat it conservatively,” or something like “it’s a neuritis and I want to treat the inflammation.” Another common reason that I frequently hear is “because that’s the way they do it for carpal tunnel syndrome.” Read More.

Exploring The Potential Of Bone Marrow Aspirate Concentrate

Stephen Barrett DPM FACFAS
5/4/11 | 6075 reads | 0 comments
Over the last couple of decades, I am sure that every time I have had the honor to teach or lecture at a symposium, I have always received much more knowledge, skills, insight or motivation than I have ever imparted. This was the case two weeks ago, when I had the honor of speaking and participating in live cases in Seoul, South Korea at the International Stem Cell Conference. More than 500 surgeons from South Korea attended; most were either plastic or orthopedic surgeons. Read More.

Why The Association Of Extremity Nerve Surgeons Should Be A Clinical Interest Affiliate Group Of The APMA

Stephen Barrett DPM FACFAS
3/10/11 | 2876 reads | 1 comments
I have been reading many of the current website/blog postings from different colleagues. Sadly, I sometimes get the impression that there is this pervasive and growing perception out there that there is more “wrong” than “right” with our profession. Some of this is simply due to the fact that no matter how great a situation is, some folks just have to complain or focus entirely on the negative. They can’t help themselves. Maybe they have a bump in their endorphin release with continued negativism? Who knows? Read More.

Balancing Our Hippocratic Oath With Risk Management Concerns In Problematic Patients

Stephen Barrett DPM FACFAS
2/25/11 | 3329 reads | 0 comments
There is no surgeon who would not readily agree there is nothing more important than a great patient outcome. Call it that “karmic euphoric goodie” of receiving thanks — sometimes unspoken but powerfully demonstrated — from patients by seeing them relieved of the condition for which they sought your expertise. Read More.

When Treatment Goes Awry For A Painful Lesion On The Third Metatarsal Head

Stephen Barrett DPM FACFAS
1/27/11 | 4118 reads | 3 comments
All of us get in clinical ruts and occasionally manage our clinics on autopilot. Do not let your training get in the way of your intellect and clinical observational skills. Remember, your training was only a foundation to get you to the minimum level of competency, a gateway to real surgical learning so to speak. It is your experience (perhaps the most important quality of a great surgeon) and continued desire to improve your surgical technique, preoperative diagnosis and postoperative management that will make you a true master surgeon. Read More.

Appreciating The Mentors Who Molded Our Careers

Stephen Barrett DPM FACFAS
12/28/10 | 4603 reads | 0 comments
If you look up the definition of “mentor,” you will find several definitions. Generally, it means a “wise and trusted teacher or counselor.” Finding the right mentor can not only have a great influence on your surgical skills, it may significantly redefine your approach to patient care. Read More.

What You Missed At The Association of Extremity Nerve Surgeons (AENS) Meeting

Stephen Barrett DPM FACFAS
11/19/10 | 3861 reads | 0 comments
I recently had a great dinner in Fort Worth, Texas with 20 individuals, most of whom hold an extreme passion for lower extremity peripheral nerve surgery. There were also a few whose “seed for nerve passion” was just planted. It is always great to have a mix of weathered peripheral nerve veterans with excited neophytes because they ask fresh questions. Read More.