Volume 22 - Issue 11 - November 2009

News and Trends »

November 2009

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Study Examines Effect Of Smoking On Elective Foot Surgery

By Brian McCurdy, Senior Editor

   Although studies have previously shown a link between smoking cigarettes and delayed bone healing, research has until now been scarce on the effects of smoking on elective foot surgery. A recent study in the Journal of Foot and Ankle Surgery finds that bone healing can take as much as 42 percent longer in patients who smoke.

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How To Address Stump Neuromas

Stephen Schroeder, DPM | 59958 reads | 0 comments

Given the challenges of stump neuromas in the foot, this author offers insights on the etiology, conservative management and surgical options such as nerve capping and transplantation.

   The stump neuroma is a natural and expected occurrence after nerve injury. When damaged, the proximal nerve segment attempts to regenerate, leading to a bulb-shaped thickening or stump. Trauma is a common cause for these injuries throughout the body.

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Keys To Diagnosing And Treating Calcaneal Apophysitis

Russell G. Volpe, DPM | 24016 reads | 0 comments

Given that calcaneal apophysitis is a common cause of heel pain in children, this author reviews the literature and offers insights on the etiology of the condition, the diagnostic workup and pertinent treatment pearls.

Point-Counterpoint »

Is Low-Energy ESWT Better Than High-Energy ESWT For Plantar Fasciitis?

Lowell Weil Jr., DPM, MBA, FACFAS and David Zuckerman, DPM | 26802 reads | 0 comments


Yes. Lowell Weil Jr., DPM, MBA, FACFAS cites emerging research on low-energy ESWT and says it can be a cost-effective treatment for plantar fasciitis and other conditions.

   When musculoskeletal extracorporeal shockwave (ESWT) was introduced in the United States with its first FDA approval in 2000, there was a great deal of controversy and posturing among manufacturers of ESWT technologies. Each company was determined to create an exclusive market for itself at the expense of its competition.

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How To Address Inferior Heel Pain

Ryan Y. Lee, DPM, Jennifer A. D’Amico, DPM, and Donald R. Green, DPM | 12171 reads | 0 comments

While plantar fasciitis is a common diagnosis for inferior heel pain, these authors emphasize the importance of a proper workup and differential diagnosis. They also offer pearls on conservative treatments such as corticosteroid injections and provide insights on surgical procedures such as plantar fasciotomy.

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Current Concepts In Retrocalcaneal Heel Spur Surgery

Brent D. Haverstock, DPM, FACFAS | 37212 reads | 0 comments

Retrocalcaneal heel pain, also known as insertional Achilles tendinopathy, can occur in both sedentary and athletic populations. Accordingly, this author offers a primer on posterior heel anatomy and insights on conservative and surgical management in these patient populations.