Volume 15 - Issue 1 - January 2002

Surgical Pearls »

How To Conquer The Accessory Navicular Bone

By Richard T. Braver, DPM | 145321 reads | 1 comments

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 »

Support Team

2409 reads | 0 comments

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 »

Making The Case For Chemical Neurolysis

By Jeff A. Hall | 4574 reads | 0 comments

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



Feature »

Is Injection Therapy The Best Solution For Foot Neuromas?

Gary Dockery, DPM | 1811 reads | 0 comments

Feature »

Is Injection Therapy The Best Solution For Foot Neuromas?

Gary Dockery, DPM | 1798 reads | 0 comments

Feature »

Is Injection Therapy The Best Solution for Foot Neuromas?

Gary Dockery, DPM | 127978 reads | 0 comments

Foot neuromas are very common findings, especially those that are termed intermetatarsal neuromas (or interdigital neuromas). The painful condition is believed to be caused by sensory nerve irritation, injury or abnormal mechanics of the foot. Yes, there are conservative care modalities as well as surgical treatment measures. However, I believe chemical neurolysis (using a dilute solution of ethyl alcohol) gives us a viable alternative for treating the foot neuroma as it has fewer potential complications and up to an 89 percent success rate.1
First things first. When it comes to diagnosing ne