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Why Metatarsalgia May Not Be What It Seems

54949 reads | 2 comments

I want to dedicate this blog to facilitate a better understanding of metatarsalgia. If you think of the top 10 problems that you see on a daily basis, “ball pain” is probably somewhere on that list. So when you walk into the treatment room with a new patient and your medical assistant says the patient is complaining of pain in the ball of the foot, what are you thinking? Maybe it is simply a dermatological problem such as a callus or wart. Maybe it is a Morton’s neuroma or a metatarsophalangeal joint (MPJ) problem such as capsulitis/bursitis.



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Why You Should Not Write Off The Opening Base Wedge Osteotomy

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When it comes to bunion surgery, we all have our “favorite” technique. Not only do we have a comfort level with the technique, we feel we can use this technique or simple modifications thereof to fix most bunion deformities. In this blog, I want to remind you of an old procedure that has become revitalized recently.



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What To Do When A Difficult Patient Walks Through Your Door

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In this blog, I want to share with you strategies to help you better understand and treat the patient that you may deem “difficult.”

So what do I mean by difficult? I am not referring to a difficult diagnosis but rather a difficult emotional status of the patient. One of my mentors, John Ruch, DPM, describes this patient as the “delicate flower.”



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Striving To Stay At The Top Of Your Surgical Game

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I have been practicing for 12 years now and some things have not changed. I still worry about my patients. I often wake up in the middle of the night feeling flushed when the stress of a recent surgery or an upcoming surgery is on my mind.

You run the surgery over and over in your head questioning whether the fixation is strong enough. Will the patient be adherent? Did I get enough correction? Will the correction hold over time? Did I do the best procedure for that given circumstance?



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The Art Of Dealing With The Challenges Of Hammertoe Surgery

14480 reads | 1 comments

Hammertoe surgery is a mainstay in every podiatrist’s office. I have personally found that hammertoe surgery is among the most challenging surgery we perform. Although the surgery is seemingly simple, the results are not as predictable as other surgeries that we do. When we look at each toe individually, there are inherent challenges that each one possesses.



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The Top Ten Ubiquitous Patients Who Present To Podiatry Offices

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On the lighter side, I thought I would dedicate this blog to our patients. Here is a top ten list of the ubiquitous podiatric patients for your review and reflections.

1. “The Poor Historian.” The Poor Historian presents to your office for the first time. While you are reviewing his or her intake paperwork, you notice that the patient is not taking any medications, never had any surgery, and has no allergies. On paper, the Poor Historian looks like the epitome of good health.



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Giving Thanks For Those Who Helped Shape My Career In Podiatry

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Given the holiday season, I thought I would dedicate this blog to giving thanks to those who have helped me in my professional life.



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Pivotal Improvements That Have Led To Increased Efficiency And Quality Care

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I want to share with you some of the greatest improvements I have implemented in my office that have changed the way I practice podiatry.



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Lateral Column Pain: Underscoring The Challenges In Diagnosis And Treatment

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The majority of patient encounters to the podiatrist are secondary to pain in the foot and/or ankle. If we draw an imaginary line bisecting the lower leg and extending distally to the third toe, pain in the medial aspect of the foot and ankle is typically straightforward.



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Keeping Surgery Simple: Why K-Wires Are Underrated

11214 reads | 3 comments

In some of my earlier blogs, I wrote about how I like to keep things simple in daily practice. This concept also applies to surgery.

Let’s face it: we are always looking for better ways of doing things in surgery. That is what separates a surgeon from a technician. Maybe you want to tweak the way you make your bone cut or try different fixation techniques. After all, we are always striving for perfection every time we walk into the operating room.