Volume 21 - Issue 10 - October 2008

Continuing Education »

CE: A Guide to NSAIDs For Pain Management In the Lower Extremity

By Joseph M. Anain Jr., DPM, and Mike Daniels, DPM | 2134 reads | 0 comments

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Given the prevalent use of nonsteroidal anti-inflammatory drugs (NSAIDs) for OA, RA, soft tissue injuries and perioperative pain management, these authors review the literature on the use of NSAIDs and offer a primer on the potential side effects.

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How To Address Spastic Gait In Children

By Russell G. Volpe, DPM | 14390 reads | 0 comments

Cerebral palsy (CP) is a non-progressive brain disorder characterized by insufficient development of postural reflexes (i.e. head control), prolonged retention of primitive patterns of activity, abnormal coordination and muscle patterning.
As a result, those with cerebral palsy have delayed motor development and impaired patterns of movement.”1,2 It is a chronic disabling condition of childhood. It is occurs in 1.5/1,000 to 3/1,000 live births with spasticity as a prevalent disabling clinical symptom.3

When evaluating infants, physicians should be aware there are t

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Key Insights For Treating Navicular Stress Fractures

By Marque Allen, DPM | 27313 reads | 0 comments

Stress fractures of the tarsal navicular are an uncommon injury in the general population. However, people who engage in ballistic sporting events or recreational activities are at an increased risk of such an injury. The recognition of this injury seemed to parallel an increased fitness craze in the population over the last 30 years. Since Towne, et al., originally described tarsal navicular stress fractures in 1970, they have increased in prevalence secondary to our increased awareness of the injury and the emergence of faster and more powerful athletes.1
The formation of a st

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Current Concepts In Orthotic Therapy For Pes Cavus

By Paul R. Scherer, DPM, and Cherri S. Choate, DPM | 48496 reads | 0 comments

Despite the prevalence of pes cavus, questions abound about etiology, classifications and appropriate treatment. Accordingly, these authors sort through the various classification systems, offer insights on the pathomechanics and share their thoughts on the role of orthoses for managing symptoms of pes cavus.

Pes cavus occurs in about 8 to 15 percent of the population but it does not get nearly as much attention in the medical literature as its counterpart pes planus.1 Sixty percent of the population with cavus feet develop foot pain.2

Why does this chronical

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Point-Counterpoint: Is Arthrodiastasis A Viable Option For Ankle Arthrosis

By George Vito, DPM, FACFAS and Lawrence Fallat, DPM, FACFAS | 7499 reads | 0 comments

Yes. By George Vito, DPM FACFAS. With appropriate experience, surgeons can help relieve symptoms of severe osteoarthritis of the ankle with this procedure and delay the need for a joint destructive procedure.

There are basically two major forms of osteoarthritis, both of which can be severely disabling. In primary osteoarthritis, the cause is generally unknown. In secondary osteoarthritis, the cause is generally traumatic in origin. Both forms present with similar clinical symptoms, which include pain, decreased range of motion and swelling.

Radiologically, there is a decrease in