Volume 17 - Issue 11 - November 2004
Heel pain is arguably the most common complaint that foot and ankle specialists hear. The majority of these complaints are linked to plantar fasciitis and we all have developed our own unique treatment algorithms for this condition. What happens when we are months into our treatment algorithm and the patient has not had much improvement or a fasciotomy has been performed and the heel pain returns? Is it still plantar fasciitis?
No. In both of these scenarios, we must revert back to our differential diagnoses. While heel pain is commonly caused by plantar
Type “DPM” or “podiatrist” into an Internet search engine and name after name of established practitioners will come up, leading to Web sites which may have established in order to market their practices. Many podiatrists have been building Web sites to supplement the traditional methods of reaching patients and facilitate the ability of potential patients to reach them.
Continuing Education »
Last year, I wrote “Extracorporeal shockwave therapy (ESWT) has a long way to go to prove it has overwhelming medical benefits that are claimed by the manufacturers, but it is still in the early stages of its evolution. With time, it will be necessary to prove these claims through prospective studies.” (See “Extracorporeal Shockwave Therapy: Hope Or Hype?,” page 46, November 2003 issue.)
While this article is not intended to prove beyond a statistical doubt that ESWT works, emerging research via prospective placebo-controlled, double-blind studie
Editor's Perspective »
There were a lot of reports circulating last month about the rise of injuries in the National Football League (NFL). An Indianapolis Star article noted that after four weeks of play, 34 players had been placed on injured reserve, the highest number in six years. As this issue went to press, 346 players are listed on injury reports in the NFL with the injuries ranging from mild to season-ending injuries. (That is an approximate average of 11 injured players per team.) Sixty-three of these injuries (18 percent) are lower-extremity injuries.
News and Trends »
For a few Tuesday nights out of the year, podiatric residents across the country will compete with fellow residents in other programs to test their knowledge. The game is not Jeopardy but the Residency Challenge, also known as the Residency Rumble, an academic tournament wherein residents from 76 programs draw upon their knowledge to answer questions on all aspects of podiatry.
The brainchild of Podiatric Residency Education Services Network (PRESENT), these Tuesday night Web-based programs will occur four times a year, according to PRESENT CEO Alan Sherm
Plantar heel pain is one of the most common maladies we see in podiatric practice. Patients learn on their first visit that the symptoms usually respond to conservative treatment over a six- to 12-week timeframe, although some individuals may take six to 12 months to be totally pain-free. Athletes may have difficulty accepting the fact that they may have lingering pain over six to 12 months. Not only may the athlete be upset, one may also draw the ire of the coach, athletic trainer, agent or parent.
When treating an athlete with plantar heel pain, podiatr
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