Volume 15 - Issue 11 - November 2002
Some days, it seems to be an epidemic. As you read the patient information sheet prior to entering the examination room to meet a patient for the first time, you start to wonder if everyone will eventually wind up with heel pain at some point in their lives. Sometimes it is easy to see why a person might be suffering with heel pain. Obesity, poor shoe selection and a job that requires extensive standing or walking are obvious contributing factors.
In other situations, the cause(s) might be more perplexing. For instance, when a patient who has already received orthotic devices or even one who
As podiatric physicians and surgeons, we would like to treat chronic plantar fasciitis without the risks and complications that are inherent to common plantar fascia releases. We have studied lower extremity biomechanics and have been taught that with all surgical procedures, we must understand and respect the function of the human foot and how each surgical procedure changes its specific function and stability.
However, studies of extracorporeal shockwave therapy (ESWT) have proven that we can cure chronic, insertional plantar fasciitis without exposing patients to any of the known risks (r
Plug “podiatry” or “foot” into a Web search engine and thousands of entries can surface. In order not to get lost in the ocean of Web sites, there are numerous factors to consider. When potential patients have concerns about their feet or need treatment, the Internet may be the first environment to which they turn for information. Indeed, your site may be the first impression patients have of your practice.
“A Web site should be a working part of your practice and not just a vanity site,” says Kirk Koepsel, DPM. “It’s like a welcome mat for your patients.”
Learning to trust and even like orthopedic surgeons was tough for me. I spent four years in podiatry school being warned that orthopods stay awake at night plotting the demise of podiatry. At the very least, I could expect a clever orthopod would ruin my career the first time I slipped up.
My experience with orthopedic surgeons in my residency training created a greater fear and dislike for the specialty. The gruff and ornery old Dr. Borman was Chief of Orthopedics in the hospital where I trained. He chewed me out in front of a young extern one day because my hair was too long. He told me I c
Editor's Perspective »
The statistics from a recently released government survey are staggering to say the least. Approximately 59 million adults in the United States over the age of 20 are obese. That’s almost a third of the country who are 30 or more pounds above a healthy body weight. According to the American Diabetes Association, the new figures on obesity have doubled from a similar survey done two decades ago.
There’s no doubt about the link between these statistics and the increasing prevalence of Type 2 diabetes. Obviously, obese people are at a greater risk of insulin resistance and glucose intoler
Diagnostic Dilemmas »
A patient comes into the office with pain in the posterior aspect of her ankle. She doesn’t recall injuring the leg, but notes she has had the pain for over six months and that it is present at all times. An active dancer with the local ballet company, the patient adds that she experiences chronic pain when doing any form of dancing. She says the pain is far worse with high heels and ballet shoes en-pointe, but finds it more tolerable when wearing stable flat shoes.
The pain is deeper than the superficial Achilles tendon region and does not radiate to any region.
An examination of the pat
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