DPM Blogs

Treating Chronic Toenail Injuries In Athletes

Kristine Hoffman DPM
4/8/14 | 1388 reads | 0 comments
Both acute and chronic toenail injuries are common among athletes. While the symptoms of acute injuries such as subungual hematoma and paronychia lead patients to seek prompt treatment, chronic nail injuries can go untreated for years. Several sports including ballet, rock climbing and skiing require tight-fitting footwear, which predisposes athletes to toenail injuries. Read More.

Foot Orthotics For Cowboy Boots

Larry Huppin DPM
4/3/14 | 1273 reads | 0 comments
It is always a challenge to fit orthotic devices in cowboy boots. First of all, let me say that since I practice in Seattle, I am not the most experienced practitioner in fitting orthoses into cowboy boots. I am sure my colleagues in Phoenix, Austin, and other parts of the Southwest have much, much more experience using these types of devices. Given that, I have had several patients for whom I have made orthotics for cowboy boots. While I have ended up frustrated several times, I seem to have found a formula that works well. Read More.

Preventing And Treating Ankle Injuries From Aggressive Spikeball Games

Jenny L Sanders DPM
4/2/14 | 1168 reads | 0 comments
A patient came in last week with an ankle injury from a sport I had never heard of called Spikeball (www.spikeball.com/ ). Popular among college students, Spikeball is a cross between volleyball and four square. Essentially people play the game around a circular trampoline-like net, which sits on the ground. Four players surround the net and “spike” the ball into the net. The pace is fast and furious and can result in unstable, single-leg landings, leading to severe sprains and strains, especially at the ankle. Read More.

Can You Identify This Nail Disorder?

Tracey Vlahovic DPM
3/27/14 | 1957 reads | 5 comments
What is your diagnosis of the condition shown in the photo on the left? The idiopathic T-cell-mediated inflammatory condition generally affects several nails. The nails become thin, rough, ridged longitudinally, fissured and can develop a dorsal wing formation of the proximal nail fold (or pterygium formation) over the nail plate. Permanent scarring will ensue unless the matrix damage is addressed. Read More.

Unraveling The Mystery Of Metatarsalgia Under The Second Metatarsal Head

William Fishco DPM FACFAS
3/26/14 | 8765 reads | 1 comments
Metatarsalgia under the second metatarsal head is a condition we treat on a daily basis. Unfortunately, it can be difficult to treat and manage. Read More.

Facilitating Support And Comfort In Orthoses For Obese Patients

Larry Huppin DPM
3/25/14 | 1378 reads | 0 comments
A colleague recently called about a patient who felt his orthotic device was too hard. He wanted to know if he could possibly make a softer orthotic for this patient, who weighs 310 pounds. Or course, obese patients put significant pressure onto their feet. When they wear an orthosis, there is significant force between the orthosis and the foot, much more so than what would occur with a patient of average weight. This means that these patients have more potential to feel the arch of the orthosis as too high or too hard. Read More.

Back To Basics: Why The Proximal First Metatarsal Osteotomy Is Resurging

Allen Jacobs DPM FACFAS
3/21/14 | 2784 reads | 0 comments
In 1928, McMensor noted that "in medical literature, ideas are frequently presented, forgotten and presented again.”1 In recent years, we have seen a resurgence of interest in proximal first metatarsal osteotomy procedures for the correction of bunion deformities. Numerous orthopedic suppliers now provide specific fixation devices for proximal first metatarsal closing and opening wedge osteotomies. This has been an interesting phenomenon, considering the enthusiasm for the Lapidus type of bunion correction over recent years. Read More.

Surgical Considerations For Hallux Varus

Jeffrey Bowman DPM MS
3/19/14 | 1248 reads | 0 comments
As we all know, in hallux varus, the first metatarsal assumes a medially deviated position and moves closer to the midline of the body. A purely transverse plane deformity, hallux varus is the most common complication of hallux valgus surgery.1 The reported incidence ranges from 2 to 17 percent.2 Congenital hallux varus is typically due to connective tissue disorders (i.e. Marfan syndrome and Ehlers-Danlos syndrome) or is associated with Down syndrome and neuromuscular disorders (i.e. cerebral palsy).2 Read More.

Why Biomechanics Education Is Essential If We Want To Be The Sports Medicine Experts

Doug Richie Jr. DPM FACFAS
3/18/14 | 8269 reads | 0 comments
I just finished reading a tribute to the legendary orthopedic surgeon, Frank Jobe, MD, written by Bill Shaikin, which appeared in the Los Angeles Times on Saturday, March 8.1 Dr. Jobe had passed away two days earlier at age 88. For those who don’t know, Dr. Jobe pioneered the elbow procedure known as “Tommy John surgery,” which has saved the careers of countless major league baseball players. Read More.