Volume 18 - Issue 11 - November 2005
The year was 1996. I had finally graduated podiatry school. It felt great except for the large sum of loans that had accumulated. Four years and $100,000-plus in debt, it seemed like a black hole with no end in sight. A few months before graduation, the student loan department gave each of us a crash course on our loans, teaching us terms such as deferment, consolidation and prime rate. Deferment sounded good, especially if the residency salary left much to be desired.
News and Trends »
While previous studies have touted the benefits of peripheral nerve decompression for patients with neuropathy, a new study in the Journal of the American Podiatric Medical Association (JAPMA) reveals positive effects on sensation, neuropathic pain and patient balance. Authors of the study found that 87 percent of patients with numbness reported improved sensation and 92 percent who had preoperative balance problems had improved balance a year after undergoing the procedure.
According to the study, which involved 60 patients with diabetic neuropat
Surgical Pearls »
One of the most documented postoperative complications of distal metatarsal osteotomies is adhesive capsulodesis that limits dorsiflexion of the first metatarsophalangeal joint (MPJ). When faced with such a post-op complication, one may be able to use a proven cartilage preservation procedure that maintains, if not improves, the first MPJ range of motion.
Austin and Leventon first described the Austin bunionectomy in 1962 and the original procedure has undergone many modifications over the years.1 Each modification has different indications and
Technology In Practice »
Doctors are turning to Biofreeze to manage the pain associated with a variety of ailments affecting the lower extremities. Available in a gel, roll-on or no-touch natural Cryospray™, the product provides a pain relief period that generally lasts 30 percent longer than conventional gels, according to its manufacturer, Performance Health, Inc.
Biofreeze works through cryotherapy. In essence, it decreases blood flow and confuses nerve endings. This in turn numbs the affected area and results in a decrease in inflammation. The formula contains Ilex, an he
Treatment Dilemmas »
It is not uncommon to see one patient every day on my practice schedule who has pain and inflammation of the second metatarsophalangeal joint (MPJ). While there are cases that involve a hammertoe associated with metatarsophalangeal joint pain, what are the options for treating patients who have pain in the second metatarsophalangeal joint but do not have a hammertoe deformity?
When it comes to cases of so-called “capsulitis of the second MPJ,” we try all kinds of different therapy with little consideration of a proper diagnosis and diagnostic testing.
Wound Care Q&A »
In a follow-up column to the previous discussion of lower extremity traumatic wounds (see “Essential Insights On Managing Traumatic Wounds,” page 32, September issue), the panelists discuss key principles in treating open fracture wounds in the forefoot and toes. They also share their thoughts on the use of plastic surgery techniques and advanced wound closure modalities. Without further delay, here is what the panelists had to say.
Q: How do you manage simple open fracture wounds in the forefoot/toes?
A: A. Douglas Spital