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  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
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  • November 2006 | Volume 19 - Issue 11
    Clinical Editor: Lawrence Karlock, DPM
    26,530 reads | 0 comments | 11/03/06
         Treating puncture wounds in the lower extremity can be challenging, especially given the potential for retained foreign bodies. In the first part of a discussion, our expert panelists discuss appropriate workup and diagnostic studies for such wounds, offer their perspectives on imaging modalities, and impart a few helpful surgical pearls.      Q: What are your general workup/diagnostic studies for a plantar foot puncture wound?      A: Molly Judge, DPM emphasizes obtaining a thorough medical history as well as a very concise accou ... continue reading
    By Stephen L. Barrett, DPM, MBA, CWS
    36,502 reads | 0 comments | 11/03/06
        It is universally accepted that the most common cause of heel pain is plantar fasciitis.1 In this same vein, there is a widespread perception that plantar fasciitis is often easily treated with whatever eclectic “recipe” an individual has developed.     Interestingly, even our present use of the term “fasciitis” is erroneous, not to mention that there is a huge gap between our general understanding and what basic medical science demonstrates in regard to our clinical understanding and treatment of plantar fasciitis. There have been rec ... continue reading
    By Babak Baravarian, DPM
    124,024 reads | 0 comments | 11/03/06
         The past several “Treatment Dilemmas” columns have dealt with the treatment of chronic ankle pain subsequent to an ankle sprain (see page 92, July issue and page 88, September issue). We have dealt with the actual ligament injury and its repair, treatment of peroneal tendon injuries and also conservative care of ankle injuries. We will now discuss the final common problem, which involves the treatment options for osteochondral lesions of the talus.      An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. Ther ... continue reading
    By Lawrence Karlock, DPM, FACFAS,and Dan Kirk, DPM
    49,711 reads | 0 comments | 11/03/06
        Heel pain is obviously one of the most common complaints we see in podiatric office. The causes of heel pain are varied and include tarsal tunnel syndrome, Baxter’s neuritis, calcaneal stress fracture and spondyloarthropathies, just to name a few. For the majority of these patients, the diagnosis is plantar fasciitis.     Many of these patients will get better with conservative care, which includes stretching, orthotic devices and steroid injections. Those who still have pain may find relief with extracorporeal shockwave therapy. Patients who still d ... continue reading