Volume 26 - Issue 10 - October 2013

Online Exclusive »

A Closer Look At Evolving Treatments For Phantom Limb Pain

Robert G. Smith, DPM, MSc, RPh, C.Ped | 8977 reads | 2 comments

Given the prevalence of phantom limb pain following amputation, this author explores the pathophysiology of such pain as well as pharmacologic and alternative treatments.

Online Case Study »

How Weightbearing CT Can Be A Valuable Diagnostic Tool

Kent Feldman, DPM | 6958 reads | 0 comments

This author discusses the case of a 63-year-old with forefoot pain, noting how a weightbearing computed tomography (CT) scan aided in her diagnosis by providing accurate measurements of the metatarsal heads.

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When Bunion Surgery Fails

By William Fishco, DPM, FACFAS | 18188 reads | 1 comments

There are many procedures for hallux valgus and there are varying definitions of what constitutes a successful procedure. Accordingly, this author examines why bunionectomies fail, expounds on pertinent factors that impact healing and reduce recurrence risk, and explains how to advise patients on potential pitfalls of their surgery.

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Point-Counterpoint: Do AFOs Have A Role In Fall Prevention?

Jeffrey C. Christensen, DPM, FACFAS, and Douglas Richie Jr., DPM, FACFAS | 8928 reads | 2 comments

Yes. Jeffrey C. Christensen, DPM, FACFAS, has found that custom dynamic ankle-foot orthotics (AFOs) can be helpful in addressing underlying proprioceptive deficits in patients at risk for falls and identifies key factors in assessing and treating these patients.

No. Citing a lack of credible evidence on the merits of AFOs for fall prevention, Douglas Richie Jr., DPM, FACFAS, notes that AFOs do not treat the underlying conditions that put patients at risk for falls and that the devices can actually increase fall risk.

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Current Concepts With External Fixation And The Charcot Foot

Crystal L. Ramanujam, DPM, MSc, John J. Stapleton, DPM, FACFAS, and Thomas Zgonis, DPM, FACFAS | 13937 reads | 0 comments

Combining a thorough review of the literature with insights from their surgical experience, these authors assess the role of external fixation and offer recommendations in procedure selection for addressing deformities in patients with Charcot neuroarthropathy.

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A Guide To Lower Extremity Muscle Testing

Eric Fuller, DPM | 12125 reads | 0 comments

Testing the muscles of the lower extremity can provide valuable diagnostic insight for physicians. Accordingly, this author reviews the basic physiology of muscles as well as pertinent biomechanical principles to provide a practical guide to muscle testing in the office.

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