Volume 15 - Issue 10 - October 2002
Orthotics Q&A »
When patients have certain occupations, you may have to take a different approach to try to control abnormal forces in the foot. Obviously, performing a biomechanical evaluation is essential as you have to identify individual demands before tackling occupation-specific modifications. With this in mind, our panelists address the more demanding occupations and what considerations come into play with orthotic modifications.
Q: How and why do you modify your orthotic prescriptions for patients whose jobs require standing in place for prolonged periods?
A: Milton J. Stern, DPM, and Ambik
Sports Medicine »
Ever since the first modern triathlon competition was conducted in San Diego in 1974, interest in the sport has grown steadily over the years. Currently, millions of amateur athletes participate in thousands of events annually worldwide. Since triathlon competitors perform three events with little or no rest between them, it can be a challenge for podiatrists to treat injuries that athletes sustain in these events.
Technology In Practice »
Citing enhanced stability, accuracy, efficiency and better outcomes, podiatrists are praising the benefits of using the Accu-Cut Osteotomy Guide System. While osteotomies for correcting first MPJ deformities have been around a long time, Robert E. Graser, DPM, says this system enables you to customize the procedure with ease and still obtain consistent results.
“The tight tolerance engineered into the Accu-Cut Osteotomy Guide System allows surgeons to custom tailor their osteotomies via a simple method that is consistently stable and reproducible case to case,” explains Dr. Graser, who in
Ultrasound imaging has played an integral role in medical diagnostics for many years. Recent advances in image quality and resolution have now made it possible to examine living tissue ultrasonically at a microscopic level. Indeed, the use of ultrasound biomicroscopy is of growing interest and great importance.1 Advances in computer technology have paved the way for currently available ultrasound units that are portable and cost-effective for office practice.
Indications for diagnostic ultrasound of the foot and ankle include the prevention and treatment of wounds, detecting tendo
Are COX-2 inhibitors good alternatives to nonsteroidal antiinflammatory drugs (NSAIDs)? Yes, traditional NSAIDs inhibit both COX enzymes but they have well-documented gastrointestinal side effects. NSAIDs can cause severe electrolyte disturbances and renal complications such as hyponatremia, hyperkalemia, edema, hypertension, acute and chronic tubulointerstitial nephritis, papillary necrosis and glomerular lesions. Patients with prostaglandin-depleted disease states (cirrhosis, congestive heart failure, chronic renal failure, volume depletion, and nephrosis) who use NSAIDs often develop acute
Most orthoses made for children are motion-controlling or motion-altering, often referred to as functional foot orthoses. The presenting pathology in the child’s lower extremity often requires a device to reduce excessive motion in a foot with, for example, high ligamentous laxity and genu valgum or you may need the device to direct motion in a limb with a rotational disorder such as a femoral antetorsion and compensatory hyperpronation.
Accommodative devices are less frequently required in this age group. It is much more common in adults than in children to require accommodation of reduced
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