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Can Sympathetic Nerve Blocks And Spinal Stimulation Help Children With CRPS?

899 reads | 0 comments

Rarely in my profession do I encounter a patient whose story profoundly affects me. It happens more often when I see children. As a parent, I cannot possibly imagine any of my children in chronic pain.

This is why I was so disturbed when I met a young lady and heard her experience over the last six months or so. Her pediatrician sent her to me because she was in so much pain. She could not ambulate properly and would not put her heel down flat on the ground. Her pediatrician wanted me to evaluate her and see if this was a mechanical or sensory issue.



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Navigating Parental Minefields When Treating Kids

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As many of you know, I love working with kids. There is something about treating that population that I feel makes all the hard work in school and residency worth it. However, it does take a special kind of person to know how to deal with the challenges of this population. In the last couple of weeks, I was reminded why some of my colleagues just outright avoid this age group altogether.



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Are Medical Textbooks Obsolete?

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I am a voracious reader. I love books and immersing myself in the new worlds the best fiction writers create. I also love textbooks. Throughout college and podiatry school, I spent most of my money -- anything not reserved for living or education expenses -- on any text I could find. In between studying for exams, I would leaf through these texts to pick up bits of information I hoped would stick in my databank for future use.



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Do Botulinum Injections Help Or Hinder The Effect Of Serial Casting?

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I am a forum junkie. If there is a forum about something I am interested in, then I am there. I participate in forums for my remote-controlled vehicle addiction, for my new cycling addiction, for the eagerly anticipated massively multi-player online role-playing game (MMORPG) “The Old Republic” and, of course, for various topics in podiatry. I am more of a spectator with professional forums. I prefer to read and learn from others rather than participate in these forums.



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Addressing Subsequent Gait Issues In A Child Who Had An Intracranial Ventricular Shunt And Hydrocephalus In Utero

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As I mentioned in an earlier blog (see http://bit.ly/otq05C ), I recently visited family in Canada and, of course, served as a personal podiatric physician to my parents’ and in-laws’ relatives, friends and neighbors. As our family knows, my big interest lies in pediatric foot and ankle deformities. With this in mind, my mother-in-law asked me to meet with a next-door neighbor‘s child, whom she described as “interesting.” For once (wink wink), my mother-in-law was right.
 



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Do We Shortchange Simple Clinical Solutions In Residency Programs?

1307 reads | 3 comments

A topic that has been recurring in residency program circles and in practice rears its head even now. That topic revolves around our advancing techniques and technologies, and how we approach podiatric surgery.



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Fundamentals On Podopediatrics: A Sorely Underserved Need In Podiatric Education

1431 reads | 0 comments

My life has been kind of crazy lately. I left an area where I had been practicing for almost 10 years in order to move to a new area and a new practice that offered me the opportunity of a lifetime.



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Raising Questions On Training And Double Standards For Hospital Privileges

1487 reads | 3 comments

The controversy rages on. Patrick DeHeer, DPM, reminded us of this in his recent blog, “An Open Letter To Foot And Ankle Orthopedic Surgeons,” in which he discusses how we need to take charge of the constant uphill battle we are faced with when dealing with our orthopedic colleagues (see http://bit.ly/eaTMrN ). Even though we have made great strides in our exposure and training, there are still questions as to our expertise.
 



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How To Avoid Pitfalls When Correcting A Contralateral Underlapping Toe

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One of my first blogs, over a year ago, discussed treatment of a pediatric underlapping toe (see http://www.podiatrytoday.com/blogged/when-a-child-presents-with-an-under... ). Since then, I have operated on the patient’s contralateral toe and I thought it would be nice to provide a follow-up of how things went for this young patient.



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When Casting And Manipulation Are Not Options For Metatarsus Adductus

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What is the next step when you see a patient with metatarsus adductus who is clearly not a candidate for casting or manipulation?

Is the patient not a candidate because of age or activity level? Certainly, it is very difficult to cast a 3- or 4-year-old who is running at full tilt all day and there is a high likelihood that he or she will not respond to casting. Is surgery indicated at this point?