Volume 26 - Issue 11 - November 2013
News and Trends »
Diabetes Watch »
Wound Care Q&A »
Surgical Pearls »
Achilles tendon rupture occurs frequently and if it is neglected, there may be significant long-term disability. Early diagnosis of an acute rupture and prompt initiation of treatment will generally lead to optimal results. Acute Achilles tendon ruptures may be misdiagnosed up to 25 percent of the time.1 In other cases, patients may not seek immediate medical care if they are able to ambulate and the pain is tolerable. It may be weeks or months before the patient receives a referral or decides to pursue treatment. Ultimately, continued functional impairment and alterations in gait cause the patient to seek medical attention.
Treatment Dilemmas »
Plantar fasciitis is no doubt one of the most common presentations that foot and ankle specialists see. Although there are multiple causes for heel pain, biomechanical issues causing strain on the plantar fascia are by far the most common causes. A tight posterior muscle group causing an increase in pronation or even a cavus foot structure will result in inflammation of the fascia and subsequent pain.