Volume 24 - Issue 11 - November 2011

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ESWT For Plantar Fasciitis: What Do The Long-Term Results Reveal?

Lowell Weil, Jr., DPM, MBA | 21287 reads | 3 comments

Offering a closer look at the role of extracorporeal shockwave therapy (ESWT) in the armamentarium for chronic plantar fasciitis, this author reviews long-term research from randomized controlled trials, offers a compelling case study and assesses the cost-effectiveness of ESWT in comparison to surgical alternatives.

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A Guide To Conservative Care For Heel Pain

Christopher Corwin, DPM | 16822 reads | 0 comments

More often than not, patients with plantar fasciitis have already attempted to resolve the condition on their own before they come into your office. This author explores a range of effective conservative treatments, investigates the potential of physical therapy and offers pointers on getting patients to stretch in the appropriate manner to help relieve plantar fasciitis.

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A Closer Look At Platelet-Rich Plasma For Achilles Tendon Pathology

David Soomekh, DPM, Sydney K. Yau, DPM, and Bob Baravarian, DPM, FACFAS | 26636 reads | 0 comments

As orthobiologic technology continues to advance, these authors discuss the theory behind platelet-rich plasma (PRP), offer a thorough review of the literature on PRP for Achilles tendon injuries and provide insights from their clinical experience on the role of this emerging modality.

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Point-Counterpoint: Recalcitrant Plantar Fasciitis: Is Fasciotomy Ever Necessary?

Stephen L. Barrett, DPM, MBA, and Kevin A. Kirby, DPM | 13170 reads | 1 comments

Stephen L. Barrett, DPM, MBA, says there is still a very important role for plantar fasciotomy in the treatment of recalcitrant plantar fasciopathy, citing high success rates and minimal complications.

Although fasciotomy can be successful in treating patients with chronic plantar fasciitis who have failed conservative therapy, Kevin A. Kirby, DPM, says podiatric surgeons should exercise caution and consider the possible biomechanical implications of cutting the central component of the plantar aponeurosis.

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How To Address The Neglected Achilles Tendon Rupture

Bradly W. Bussewitz, DPM, and Terrence M. Philbin, DO | 19021 reads | 0 comments

Given the common presentation of neglected Achilles tendon ruptures, these authors discuss signs and symptoms, and keys to diagnosis. They also survey the literature and offer their perspectives on excision with direct repair and performing a flexor hallucis longus transfer.

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Assessing The Role Of Radiofrequency Nerve Ablation For Plantar Fasciitis

Adam Landsman, DPM, FACFAS, PhD | 23939 reads | 0 comments

In recent years, radiofrequency nerve ablation has emerged as a potential modality for plantar fasciitis. Accordingly, this author details his experience in using radiofrequency nerve ablation, provides a closer look at the literature and compares the modality to other treatments for heel pain.

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