Volume 15 - Issue 3 - March 2002
Diagnostic Dilemmas »
It is often challenging to treat patients who have chronic ankle pain. There is an array of potential causes so it’s essential to be very thorough in arriving at your diagnosis. For example, consider the case of an active 34-year-old male who runs and plays tennis, basketball and beach volleyball. In the past six months, he says he has had acute ankle pain in certain situations and chronic pain in other situations.
More specifically, the patient says the pain is worst when he is engaged in activities involving toe raises or when he is on the ball of his foot for extended periods of time. He
Editor's Perspective »
It seems like every other day, there is a new study pointing to alarming statistics about the increasing prevalance of diabetes. Approximately 16 million Americans have diabetes, but many believe the figure may be even higher. It could get a lot worse. According to estimates from the Centers for Disease Control and Prevention, 47 million people in the U.S. are at risk for type II diabetes.
Raising awareness of the disease and its potential complications continues to be a problem. Just as this issue went to press, results of a joint survey by the American Diabetes Association (ADA) and the Ame
I may have retired from office practice, but I have not retired from the practice or profession of podiatry. Why did I leave office practice? Frankly, I got sick and tired of dealing with insurance companies, HMOs and managed care groups. I got tired of spending 15 minutes with a patient and 15 minutes with a chart. I got tired of time constraints, which denied me the pleasure of practicing the art of our profession.
Looking back, I can tell you in total honesty that 40-plus years of practice seemed to go by about as quickly as a teenager can spend $20. There are so many differences between
News and Trends »
The American Diabetes Association (ADA) recently released its revisions of the 2002 Clinical Practice Recommendations. Will these revisions lead to improved clarity, better outcomes and a heightened awareness of diagnostic indicators among all health care professionals? Those in the know seem to have a favorable impression.
“Two of the association’s most critical position statements have been completely revised and several others have been updated, using the ADA’s system for grading scientific evidence to support clinical practice recommendations,” says Lee Sanders, DPM, the Former P
Surgical Pearls »
Distal posterior heel pain is a deformity we see quite often. It masquerades as chronic Achilles tendinitis, when in fact a calcaneal step (aka retrocalcaneal exostoses) is present at the Achilles insertion. You must also clinically differentiate it from adjacent problems, such as Haglund’s deformity, retrocalcaneal bursitis and intra-Achilles tendon tear. Often, these problems may be concurrent, however, you must treat the calcaneal exostoses for complete cessation of pain. Keep in mind that retrocalcaneal exostoses are most symptomatic in active individuals over 30.
On inspection, you w
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