Volume 22 - Issue 5 - May 2009
Online Exclusive »
Initial attacks of gout often affect the first metatarsophalangeal joint (MPJ). Accordingly, this author discusses the differential diagnosis of lower extremity gout, keys to managing acute attacks and how to get a handle on the disease’s metabolic causes. He also discusses current and emerging pharmaceutical options for treating the disease.
Gout is a metabolic condition characterized by excessive levels of serum urate. The consensus is that a serum urate level above 6.0 mg/dL, the saturation point of urate in biological fluids, is the cause of gout.
I have been an unemployed podiatrist for four months since my retirement in December 2008. After almost 34 years of loving my work, I turned the practice over to my partner and a new associate.
Retirement was the carrot I chased for so many years. The first weeks were like magic and then I got bored.
I checked the job board at the hospital to see if my skills matched any positions. They did not. There seemed to be no call for used podiatrists.
There was a job that intrigued me. There was a position open for a mu
Technology In Practice »
For surgeons looking to facilitate quick postoperative healing for osseous defects with a reduced risk of disease transmission and without the need for a second surgery, a calcium phosphate bone void filler may prove to be beneficial in osteotomy procedures.
One can use the biocompatible OsteoVation®EX Bone Void Filler to fill bony voids or gaps quickly, and help anchor internal fixation devices, notes the manufacturer OsteoMed.
OsteoMed says surgeons can complete the OsteoVationEX Bone Void Filler process in a few short steps. The
New Products »
Spray Away Foot Pain
A new spray offers natural ingredients to relieve everyday pain and discomfort.
The Biofreeze Pain Relieving Spray offers a unique formulation including natural menthol, Ilex and botanical ingredients including Arnica, Calendula, and juniper berry, according to the manufacturer Performance Health.
The company emphasizes that the new formulation offers longer lasting relief for arthritis-related pain in difficult to reach areas such as the lower extremities and the middle back.
Treatment Dilemmas »
The use of platelet rich plasma (PRP) injections in the treatment of fasciosis and tendinosis about the foot and ankle is a fairly recent and evolving concept. The idea behind such injections is quite simple and has been well studied in the literature.
The concept is that there is a loss of inflammatory response and chronic scar formation with fascia and tendon injuries. The proper terms for such injuries are fasciosis and tendinosis rather than the more commonly used terms of fasciitis and tendonitis. In fasciitis and tendonitis cases, there is good blo
Surgical Pearls »
While total joint replacement has been successful in the shoulder, the hip and the knee, we have not seen similar success with total ankle replacement in the past.
Initial reports on total ankle replacements were promising in 1979.1 However, long-term follow-up studies painted a different picture as many failures and poor survivorship of the implants led many authors to abandon the procedure in favor of arthrodesis as it had more predictable results and fewer complications.2-4
Yet there has been a recent resurg
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