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  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
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  • May 2004 | Volume 17 - Issue 5
    By Douglas H. Richie Jr., DPM
    46,878 reads | 0 comments | 05/03/04
    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 ... continue reading
    By James M. Losito, DPM
    19,566 reads | 0 comments | 05/03/04
    Heel pain is certainly one of the most ubiquitous complaints among our patients. Plantar heel pain is by far the most common location with proximal plantar fasciitis (heel spur syndrome) accounting for the majority of cases. Proximal plantar fasciitis, otherwise referred to as heel spur syndrome, is common in any podiatric practice and is certainly the most frequently encountered etiology of heel pain. Plantar fasciitis has been reported to comprise up to 10 percent of all foot and ankle injuries. The clinical presentation consists of insidious onset plantar or plantar/medial heel pain. In m ... continue reading