DPM Blogs

An Open Letter To Foot And Ankle Orthopedic Surgeons

Patrick DeHeer DPM FACFAS
4/8/11 | 6094 reads | 5 comments
Dear Fellow Foot and Ankle Specialist, I am writing this letter to your group to bring to light a worsening problem between our two groups that is being perpetuated by a handful of members from your group. We are never going to agree on which group is best qualified to take care of foot and ankle pathologies. In reality, though, there is more than enough work for all of us to be very busy. We should try to concentrate on what we have in common: the medical and surgical management of the foot and ankle, and our dedication to healing those placed in our care. Read More.

Can Fibrates Help Improve Sensation In Patients With Diabetic Neuropathy?

David G. Armstrong DPM MD PhD
4/6/11 | 3133 reads | 1 comments
At last year's Diabetic Foot Global Conference (DFCon10), Professor Tony Keech of Sydney, Australia, offered us some tantalizing evidence that fenofibrate had a net protective effect on preventing low-level amputations. While the rationale behind this was not entirely clear, further information at DFCon11 and further data seems to suggest the answer may lie in fenofibrate’s potential microvascular benefits. Read More.

When Patients Ask About Trail Running Shoes

Jenny L Sanders DPM
4/4/11 | 3232 reads | 1 comments
Giving patients guidance on trail running shoes can be a challenge as the design of these shoes is different from non-trail running shoes. Essentially, trail running shoes have a more rugged outsole of varying degrees to facilitate better grip of uneven terrain. They are also lower to the ground and softer for better shock absorption. Read More.

The New Attack Of The Multi-Drug Resistant Organisms

Warren S. Joseph DPM FIDSA
3/30/11 | 4204 reads | 0 comments
I recently returned from the Diabetic Foot Global Conference (DFCon) in Los Angeles. This is always my favorite scientific conference of the year. (I have blogged about it previously http://www.leinfections.com/diabetic-foot/the-olmos-award-and-dfcon-2010/). Read More.

Do You Inject The Plantar Fascia On The First Visit For Plantar Heel Pain?

Doug Richie Jr. DPM FACFAS
3/29/11 | 8956 reads | 8 comments
Over the past 12 months, I have treated three patients who presented with an acute rupture of the plantar fascia. Two of these patients were serious long-distance runners who experienced a crippling “pop” on the bottom of the foot during a run. The other patient tore his fascia pushing an automobile down the street. All three patients had experienced chronic heel pain for several months prior to their acute injury and none of them had ever received a corticosteroid injection. Read More.

How To Avoid Pitfalls When Correcting A Contralateral Underlapping Toe

Ron Raducanu DPM FACFAS
3/25/11 | 3347 reads | 0 comments
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. Read More.

Tarsal Coalition And Restoration Of Rearfoot Motion: Miracle Or Myth?

3/23/11 | 3476 reads | 2 comments
It is generally understood that the surgical excision of a tarsal coalition will restore motion to the rearfoot and a painful tarsal coalition is an indication to do surgery. However, what does it really mean to “restore motion”? Once this motion is restored, does this once rigid foot now function as a flexible foot? Read More.

Pertinent Pearls On Treating Insertional Tibialis Posterior Tendinitis

William Fishco DPM FACFAS
3/22/11 | 6679 reads | 2 comments
Insertional tibialis posterior tendinitis is a common cause of medial arch pain in adults. We tend to think about this condition in pediatric patients with a large navicular tuberosity and/or an os tibiale externum associated with a flat foot (Kidner foot type). When you have an adult with navicular tuberosity pain who has a normal X-ray and no os tibiale externum, you probably ask yourself, “Now what I am going to do with that?” Read More.

Working Toward A Better Definition And Treatments For The Charcot Foot

David G. Armstrong DPM MD PhD
3/17/11 | 3414 reads | 0 comments
The American Diabetes Association and the American Podiatric Medical Association recently convened an international task force of experts to make recommendations on the diabetic Charcot foot. The meeting was located in Paris at the famous Pitié-Salpêtrière Hospital, the institution where Jean-Martin Charcot practiced in the 19th century. Read More.