Volume 17 - Issue 5 - May 2004
Plantar warts are generally benign and usually self-limiting lesions, but are often painful and can be quite debilitating. The incidence of plantar warts is 1 to 2 percent in the general population. Warts usually resolve spontaneously within a two-year period in 60 percent of cases. While multiple treatments have been proposed over the years, there is no uniformly effective treatment for warts so therapy can often be difficult and unrewarding.
The most common treatment utilized is home therapy with a nonprescription salicylic acid preparation. Unfortunately, certain reports show that only two
Continuing Education »
While some researchers have suggested that bone tumors affect the feet in a disproportionately small number of cases, one must keep in mind that most major studies on the subject have been assembled at major centers for the treatment of cancer.1,2 Therefore, lesions that have clearly benign clinical or radiologic features are largely omitted. Also be aware that most tumors of the bones of the distal extremities may be readily biopsied or excised, histopathologically evaluated and treated in a community hospital setting. These lesions would similarly never find their way into the f
Editor's Perspective »
No one would ever confuse me with being a neat freak. Anyone who has seen my office can attest to that. However, somewhere along the way, I became kind of fanatical about hand washing. As a result, I have really dry skin, but I am also rarely sick outside of the occasional headache. I don’t think that is a coincidence.
I’m not sure where this fixation with hand washing started but it may have been an overzealous response to the bad habits I’ve observed among others who use public restrooms. Unfortunately, some folks use the facilities and walk right out without even venturing near the
Ask experienced DPMs what pathology has seen the most dramatic increase in prevalence over the last 20 years and, aside from plantar heel pain, they will tell you it is posterior tibial tendon dysfunction (PTTD). Currently, most authorities have dropped the description PTTD in favor of “adult-acquired flatfoot.” This is due to increased recognition of the fact that a rupture or attenuation of the posterior tibial tendon cannot itself lead to the deformity and disability that one sees in older adults with progressive flatfoot deformity.
Significant ligamentous rupture occurs as the flatfoo
Diagnostic Dilemmas »
A patient presents to the office with a history of an ankle sprain that occurred eight months ago. The patient was playing tennis and rolled his ankle during the match. He had to immediately stop and felt a snap in the lateral ankle. For the next week, he wore a lace-up ankle brace and iced the ankle.
He was able to walk on the ankle the day after the injury but had continued pain in the ankle that did not resolve for one month. At the one-month point, his doctor suggested the ankle was painful from the sprain and suggested a course of physical therapy.
The patient performed all of the phy
I have been in private practice for five and a half years now. I have acquired three offices and I see patients from multiple nursing homes. Like most new practitioners, I had spent numerous hours the first few years figuring out how to “run” a practice. I was eager to build my practice and apply what I had worked so hard for over the last several years in school and residency.
During my first year out of residency, I spent a lot of time on marketing and trying to figure out the coding and billing. I spent my free time lecturing, visiting offices and going to just about every hospital f
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