Volume 15 - Issue 1 - January 2002
Diagnostic Dilemmas »
Treating forefoot metatarsalgia can be very challenging. In these cases, you’ll often find several differing types of pain and it may be difficult to differentiate the pain according to the patient’s complaints. Be aware the region most often misdiagnosed is forefoot pain surrounding the second metatarsal region. With this in mind, let’s address differing complaints surrounding the second metatarsal region by considering the following case study.
Like many growing up during the Cold War in the ‘50s and ‘60s, I was tired of always preparing for a disaster. During air raid drills at school, a bell rang and we would “duck and cover.”
That meant crawling under your flimsy wooden desk and covering your head in case a hydrogen bomb hit the school. The school janitor ran around with a whistle and wearing a civil defense helmet.We had to stay under the desks until the janitor, who was totally into “disaster preparedness,” blew the all-clear whistle. To make matters worse, the janitor was my father.
My best friend was the son of
News and Trends »
Should you use compression bandages to help treat patients with venous leg ulcers? A recent study reveals a downside to using these bandages. Some patients who were treated for venous leg ulcers with compression bandaging developed toe ulcerations and interdigital clefts, according to the study reported in a recent edition of the British Medical Journal.
Out of 194 patients being treated for venous leg ulcers with either three- or four-layer compression bandages, the study revealed twelve of the patients developed ulcerations in their toes after being treated for several months with four-lay
Surgical Pearls »
In my experience, the Modified Kidner procedure is one of the most reliable operations for reducing arch pain associated with an accessory navicular bone (a.k.a. os tibial externum). You can also use this procedure to treat a prominence at the inner aspect of the arch, which has been caused by an enlarged navicular bone. The most common patients to visit our office with these problems are between the ages of 8 and 15 and are involved in activities like ice skating, ballet and soccer.
What precipitates the pain? It will usually be caused by rubbing of the skate or other footwear against the p
New Products »
Active patients often need specialized products to protect vulnerable knees and ankles. Now you may recommend the PPT Gel Stirrup Ankle Support, which reduces sprains and injury-related pain and edema.
According to the manufacturer Langer, the ankle support contains a two-chambered bladder of air and gel for cold therapy use. Langer says the cushioning brace controls eversion and inversion, and allows for normal plantarflexion and dorsiflexion.
Not only does the contoured shell closely adhere to the ankle in athletic shoes, Langer says you’ll find that the ankle support is adjustable so i
Editor's Perspective »
Foot neuromas are relatively common as they affect all adult age groups. According to the literature on this subject, there are a variety of potential causes (including sensory nerve irritation, injury, tight shoes and biomechanical dysfunction) that may contribute to the common nature of this condition. Some say chemical neurolysis provides a viable treatment alternative, citing the technique’s high success rates and fewer complications. Yet this modality (which has been around for over 50 years) still remains the least commonly applied solution for treating neuromas.Why? Obviously, it’s
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