Volume 20 - Issue -
Orthotics Q&A »
Given that toe walking and other gait disturbances are common among children, these expert panelists take a closer look at these conditions, offer keys to the diagnostic assessment and share their insights on appropriate treatment modalities and physical therapy regimens.
Q: What is your treatment plan for children with diplegia and hemiplegia?
A: Mary Keen, MD, says most children with diplegia and hemiplegia walk so she strives to facilitate independent ambulation. In order to achieve safe, efficient ambulation, Dr. Keen says children need ad
Sports Medicine »
For professional athletes and weekend warriors alike, having the right shoe and the correct fit can mean the difference between participating and sitting on the sidelines. Since most podiatrists now fit shoes in their offices, it is imperative that they develop a true expertise in this critical aspect of foot care, particularly with respect to the special needs of athletes. Providing proper shoe fit and selection for active individuals holds great potential for both injury prevention and for practice expansion.
When podiatrists themselves fit patients with athletic shoes, it fills
New Products »
Two new wound healing products harness the power of the ocean. The all-natural Ocean Aid Spray and Ocean Aid Moisturizing Foam can heal wounds without antiseptics or disinfectants, according to the manufacturer Ocean Aid, Inc. The company says the product line uses lysozyme, a natural antibacterial enzyme, along with coral reef sea salt in a sterile solution.
The company says Ocean Aid Spray uses an isotonic, purified sea salt solution while Ocean Aid Moisturizing Foam offers an antiinflammatory formula for soothing pain after phenol procedures as well as other nail procedures. Bo
My favorite writing project is to produce a “return to work” document for a patient who has recovered from a serious foot or ankle problem. I had that pleasure last week on behalf of a 53-year-old gentleman whom I first met six months ago during a hospital consult.
His primary physician requested a consult regarding a diabetic ulcer with cellulitus involving the fourth and fifth toes of the left foot. The primary doc also let me know that he was beginning his vacation that day so I could manage the patient until he was ready for discharge. It all seemed like a convenien
In the podiatric profession, we are frequently faced with chronic painful musculoskeletal processes that get labeled as arthritis, chronic plantar fasciitis, neuroma, etc. Perhaps it would behoove us to start thinking of an underlying neurological pathology that may be responsible for foot or ankle pain.
In the senior author’s opinion, there is more neurological pathology causing foot and ankle pain than is being diagnosed. This may explain the cases in which patients have chronic musculoskeletal conditions and undergo surgery, but their pain never improves. Accordingly,
Preventing foot ulceration and re-ulceration in high-risk patients with diabetes is a challenge. Clinical outcomes are much better when high-risk patients receive proper foot care, education and protective shoes. There is a growing body of work which demonstrates that programs aimed at treatment and prevention significantly reduce ulcers, amputations and hospital admission.1-4 However, even at “centers of excellence for the diabetic foot,” the rate of ulcer recurrence is still very high.
In a randomized clinical trial, Uccioli reported a 28 percent re-ulceration rate
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