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How A Sagittal Z Osteotomy Can Be Beneficial With Revisional Surgery Of The First Metatarsal

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An important part of any busy podiatric surgeon’s practice is revision of failed foot surgery. Since forefoot surgery makes up the majority of procedures performed on the foot, one commonly encounters aberrations of the metatarsals from prior surgery. One of the most common conditions affecting the forefoot includes excessive shortening or sagittal plane malposition of the first metatarsal.



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Exploring Surgical Solutions For Insertional Achilles Tendinitis In The Absence Of A Heel Spur And/Or Haglund’s Deformity

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Achilles tendon disorders are commonplace in a podiatric practice. Achilles tendinopathy encompasses a wide variety of pathologies. When I evaluate patients with Achilles tendon pain, I divide the tendon into three zones.



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Developing A Surgical Strategy For Metatarsalgia In The Cavus Foot

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Metatarsalgia is one of the most common conditions that we treat on a daily basis. I am sure we all treat this the same way. After ruling out a neuroma, one typically treats metatarsalgia with shoe gear modifications such as stiff soled shoes and accommodative padding. Treatment ultimately leads towards an orthotic device with appropriate modifications such as metatarsal pads and cutouts. If there is significant equinus, then a heel cord stretching protocol may be part of the treatment plan.



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A Simple But Effective Technique For First MPJ Fusion

3383 reads | 1 comments

I want to discuss a simplified technique for a first metatarsophalangeal joint (MPJ) fusion. I think we sometimes get caught up in the hype of plating systems and joint preparation devices. Sure, it is fun to use these and they do work. However, at times, I have found that using these devices can be counterproductive, making things more difficult than they should be.



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What Is The Best Way To Treat A Tailor’s Bunion?

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Operating When ‘Mild’ Achilles Tendinitis Does Not Respond To Conservative Treatment

5981 reads | 2 comments

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When A Patient Presents With A Minimally Painful Lump On The Bottom Of His Big Toe

29147 reads | 4 comments

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What Is The Most Effective Treatment For Mucoid Cysts?

28115 reads | 0 comments

I am sure you have had your fair share of frustration with mucoid cysts in the past. We have all tried office-based treatments. Unfortunately, excision, cauterization, steroid injections and the like just do not work. It is unsettling for both you and your patient when the patient returns due to recurrence of the cyst.



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Key Insights On Osteochondral Lesions Of The Talus

8133 reads | 0 comments

Osteochondral lesions of the talus can be a cause of chronic ankle pain, which does not respond to typical treatment regimens of rest, ice, anti-inflammatory medication, immobilization, bracing, physical therapy and/or orthotic use. Osteochondral lesions can occur in any joint.



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Harnessing The Potential Of The Instep Plantar Fasciotomy

6780 reads | 2 comments

Day in and day out, there is one thing we can count on when we go to the office: we will be treating a patient with plantar fasciitis. Some days it seems like I treat plantar fasciitis all day long.