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Dealing With An Unusual Case Of Foot Pain Due To Cushing’s Disease

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A diagnosis is often difficult when we cannot identify underlying metabolic condition. This month’s blog highlights such a case.



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A Step-By-Step Guide to Calcaneonavicular Coalition Resection

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When Should You Biopsy Lesions That Appear To Be Pyogenic Granuloma?

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Pyogenic granuloma is a common condition that we see almost every day in clinical practice. This vascular tumor is a benign growth of skin and mucus membranes that can present as a nodule or polyp that bleeds easily after trauma. More often than not, these vascular growths appear on the nail folds and are associated with a paronychia.



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A Straightforward Guide To The Lapidus Bunionectomy

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The popularity of the Lapidus bunionectomy seems to ebb and flow over the years. When we compare the Lapidus to other bunionectomy procedures, such as an Austin or similar distal metaphyseal osteotomies, there seems to be more reasons not to do a Lapidus.



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The Importance Of Researching The Research

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Patients constantly ask us about success rates for various surgeries and other treatment protocols. We often reiterate what we have been taught somewhere in training but can’t really find the source of it. Patients can easily relate to percentages. For example, we commonly tell our patients that 95 percent of people with plantar fasciitis get better without surgery. Where does that information come from?



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A Closer Look At Surgical Solutions For Metatarsalgia

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Metatarsalgia is a common condition that we see on a regular basis. Pain under the second metatarsophalangeal joint (MPJ) is the most common area of pain. When performing a physical examination, it is critical to rule out other less common causes of pain such as neuromas, stress fractures, arthritic conditions of the MPJ, and skin conditions such as warts, calluses and porokeratoses.



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Managing Tarsometatarsal Joint Arthritis In Older Patients

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Arthritis of the second and third tarsometatarsal joints can be a challenging condition to manage. Clinically, patients present with pain, stiffness and swelling located at the dorsal midfoot. Many patients also have a painful lump on the top of the foot, which makes it difficult to wear a closed shoe.



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When Charcot Arises After Surgery

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Charcot arthropathy is a devastating condition of the foot and ankle that causes severe instability and resultant deformity. Any patient who has peripheral neuropathy, regardless of the etiology, is susceptible to this condition.



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How To Assess And Treat The Cavus Foot

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What To Do With Those Patients Who Weigh On Your Mind

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Those of you who follow my blogs know that I usually write on an educational topic, typically surgery. This time, I think I will lament about some of the stresses and difficulties of our job.