Volume 23 - Issue 12 - December 2010

Online Exclusive »

Bipolar Radiofrequency Microtenotomy: Can It Be An Effective Alternative For Plantar Fasciosis?

Bora Rhim, DPM | 13920 reads | 0 comments

It has been estimated that more than 1 million visits have been made to office-based physicians and hospital outpatient departments each year for plantar heel pain.1 For foot and ankle surgeons, much of their practice time entails treating plantar heel pain. The literature has described plantar fasciitis as a painful heel with inflammation of the plantar fascia at the proximal insertion of the plantar fascia to the calcaneus.2

In 2003, Lemont and colleagues reported histologic findings of 50 cases of heel spur samples from surgery for chronic plantar fasciitis.3 In all of the samples, there was no histopathologic evidence of inflammation. Instead, the study authors observed degenerative changes to the plantar fascia.



Dermatology Diagnosis »

Treating A Patient With Annular Lesions On The Lower Extremities

Tracey Vlahovic, DPM, FAPWCA | 16296 reads | 0 comments

A 26-year-old male presented with salmon colored annular lesions extending from the dorsum of his feet proximal into his lower extremities bilaterally. He originally thought he had eczema.

The patient had no pertinent past medical history or allergies, and no current medications. The patient had not traveled recently and had no recent history of infection. The lesions were mildly pruritic and he had not changed any of his detergents, soaps or anything else in his environment. He did not relate this rash as appearing after any excessive sun exposure recently. He denied fever, chills and joint pain.



Technology In Practice »

Can Metatarsal Head Resurfacing Have An Impact In Treating Hallux Rigidus?

4408 reads | 0 comments

Emerging research and clinical experience suggest that metatarsal head resurfacing can be a viable option for facilitating pain relief in patients with hallux rigidus.

The HemiCAP® system (Arthrosurface) allows podiatric surgeons to treat localized cartilage lesions and major joint defects that cause toe joint pain, according to the manufacturer. Comprised of three-dimensional mapping technology, a set of instruments to map and prepare the damaged area, and a chrome and titanium implant, the HemiCAP system enables one to precisely align the surface of the implant to the contours of the patient’s articular cartilage surface.



Diabetes Watch »

How Long-Term Primary Podiatric Care Can Reduce Diabetic Pedal Complications

Ronald Sage, DPM | 11402 reads | 0 comments

At the recent annual meeting of the American Podiatric Medical Association (APMA), Gibson and colleagues presented an elegant study confirming what is well known to all podiatric physicians. In patients with diabetes, the study authors noted that “care by podiatrists appears to prevent or delay lower extremity amputation and hospitalization.”1



Forum »

How ‘Confusion’ Over Biomechanics Can Inspire The Profession

Kevin A. Kirby, DPM | 4738 reads | 1 comments

Recently, while on a flight to attend a podiatric conference, I decided to pass the time by skimming through the pages of one of our popular podiatry magazines in the hopes that I may find some inspiration for a subject to discuss in this column. It did not take long to find something within the magazine that inspired me.



Orthotics Q&A »

Pertinent Insights On OTC Orthoses And Orthotic Modifications

10169 reads | 0 comments

Prefabricated orthoses can provide improved support and other key benefits for patients with conditions such as plantar fasciitis. In addition to sharing their insights on OTC devices, these expert panelists provide pearls from their experience on common orthotic modifications that can have an impact.

Q:

Do OTC orthotics play a role in your practice? If so, how much and what do you look for in an OTC device?



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