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Current Concepts In Addressing Plantar Heel Pain

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In my blog last month (http://tinyurl.com/bd5ucac ), I reviewed the common disorders of the posterior heel and Achilles tendon. Since we are in the neighborhood, so to speak, l will give you my cheat sheet for addressing pain syndromes of the plantar heel.

I am sure we can all agree that plantar heel pain is the most common orthopedic complaint of patients who seek our advice and treatment. It is such a common disorder that most of these patients tell us that they have plantar fasciitis before we even touch them. The odds are that they are correct.



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How To Ensure A More Accurate Diagnosis Of Achilles Tendon Disorders

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Patients commonly complain about pain in the region of their Achilles tendon. Through a careful examination and patient history, one may diagnose more than one condition that can be inter-related. Rather than simply diagnosing the problem as an “Achilles tendinitis” or a “heel spur,” practitioners can provide a more accurate diagnosis and ultimately an appropriate treatment protocol through a more straightforward examination.



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Why The Panmetatarsal Head Resection Can Be A Useful ‘Last-Resort’ Procedure

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The panmetatarsal head resection and triple arthrodesis are the ultimate reconstructive surgeries for the hindfoot and forefoot respectively. Often, we think of the panmetatarsal head resection only for patients with rheumatoid arthritis. I have found the procedure to be very useful in many other scenarios.



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Diagnosing And Treating Gout In An Unlikely Patient

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A 35-year-old woman presented to my office with the chief complaint of a large growth on the dorsolateral left foot. She denied any prior treatment for it. She could not wear a closed-in shoe due to pain and irritation to the mass. Her shoe gear was limited to flip-flops. She denied any injury to the foot. The mass had been growing slowly for five years or more. She denied any fluctuations in the size of the mass over time. She also related that she had a growth on her right pinky finger.



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My Surgical Tips And Pearls For Residents

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In this blog, I want to share with you surgical tips and pearls that I regularly teach my residents.



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Starting Your Practice Off On The Right Foot After Graduation

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Every year on July 1, a new group of graduating residents enter the real world of practicing podiatric medicine and surgery. To that end, I want to share my thoughts and give some advice for those who are embarking on a new chapter in their professional lives. All of my previous students and residents who have spent time with me in my office have heard this before. Since only a select few get to spend time with me, I would like to share this with everyone.



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Can Staple Fixation Be Effective For Lisfranc’s Fracture Dislocations?

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Most foot fractures heal well and have minimal long-term sequelae. Intra-articular calcaneal fractures and Lisfranc’s fracture dislocations, however, typically have poor long-term outcomes even with open reduction internal fixation. I want to share with you my thoughts on the Lisfranc fracture.



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When Excising Diseased Peroneus Longus Tendon May Make More Sense Than Tendon Reconstruction

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Peroneal tendon disorders are fairly common after ankle inversion injuries or in patients who have chronic wear and tear associated with the pes cavus foot type. Peroneus brevis tendon partial tears and tendinosis seem to be more prevalent than peroneus longus tendon disorders. I want to dedicate this blog to a simple yet effective surgery for severe tendinosis and/or complete rupture of the peroneus longus tendon.



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Secrets To Performing Bunion Surgeries That Will Stand The Test Of Time

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I am sitting in the Louisville airport waiting to catch a plane back to Phoenix. I thought this would be a good time to write my next blog. I had a great morning of giving lectures for the Kentucky Podiatric Medical Association where I spoke for a couple hours on various surgical and non-surgical topics. One lecture was on bunion surgery and I thought I would share some of my thoughts regarding the dreaded complication of recurrent or failed bunionectomy.



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What You Should Know About Peroneal Tendon Disorders

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Lateral ankle pain and hindfoot conditions can be difficult to diagnose through a history and physical exam. Often, multiple anatomic areas are painful with palpation or motion. To that end, it is common to order magnetic resonance imaging (MRI) for a “lateral ankle pain.”