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Pertinent Treatment Insights On Heel Ulcers

Clinical Editor: Kazu Suzuki, DPM, CWS | 3,308 reads | 0 comments | 10/20/2016

In a discussion of treating heel ulcers, these expert panelists expound on factors that influence treatment, offer insights on offloading and appropriate debridement, and review possible surgical options.

Q:

What are the key patient characteristics to weigh when considering the best treatment option for heel ulcers?

Can Preoperative Pain Assessment Scores Help Predict Post-Bunionectomy Pain?

Brian McCurdy, Managing Editor | 2,835 reads | 0 comments | 07/25/2016

A TENS Unit For Heel Pain? Questioning The Ethics Behind Some ‘Practice Management’ Lectures

Allen Jacobs DPM FACFAS | 27,345 reads | 5 comments | 06/01/2010

I have had the opportunity to listen to so-called "practice management" presentations at a number of state and APMA component society meetings. To be quite frank about it, the content presented is nothing less than offensive as it advocates profit motive over patient care. What is even more shocking in my opinion is the seeming growing relationship of the APMA with these programs.

Do You Inject The Plantar Fascia On The First Visit For Plantar Heel Pain?

Doug Richie Jr. DPM FACFAS | 16,478 reads | 8 comments | 03/29/2011

Over the past 12 months, I have treated three patients who presented with an acute rupture of the plantar fascia. Two of these patients were serious long-distance runners who experienced a crippling “pop” on the bottom of the foot during a run. The other patient tore his fascia pushing an automobile down the street. All three patients had experienced chronic heel pain for several months prior to their acute injury and none of them had ever received a corticosteroid injection.

When Patients Have Achilles Tendon Pain

Richard Blake DPM | 1,394 reads | 0 comments | 04/06/2017

If a patient feels the Achilles tendon begin to hurt, it may not necessarily lead to a rupture. This is usually not the case in my experience. In fact, most of my patients who tore their Achilles did not have any symptoms beforehand. They were unlucky and probably had a small defect in the tendon. It is rare for Achilles tears to occur on both sides.

This fear that patients have around the health of the Achilles, typically when it begins to get sore, is not justified. However, we do not know if we are beginning to feel just the tip of the iceberg with a bigger problem brewing. 

When An Orthotic’s Heel Cup Causes Irritation

Larry Huppin DPM | 728 reads | 0 comments | 12/16/2016

A colleague recently approached me about a patient who was having heel cup irritation from his orthoses (see left photo). He wanted to see if I had advice for fixing the problem.

Key Insights On Fat Grafting For Heel Fat Pad Atrophy

Beth Freeling Gusenoff, DPM, and Jeffrey Gusenoff, MD | 3,987 reads | 0 comments | 01/31/2017

Emphasizing the potential benefits of autologous fat pad grafting in restoring the heel and improving function, these authors detail the treatment of a 64-year-old patient who had bilateral heel pain for five years despite conservative treatment.

Can Topical Capsaicin Be A Treatment Alternative For Neuropathic Pain?

Kristine Hoffman DPM | 539 reads | 0 comments | 08/16/2017

Neuropathic pain can result from several etiologies including nerve trauma, radiculopathy, postherpetic neuralgia and diabetic peripheral neuropathy. Despite these different etiologies, neuropathic pain shares common mechanisms including nerve damage and resultant hyperexcitability of peripheral nerves.

Differentiating Between Those With True Pain And Those Seeking Pain Medication

George Wallace, DPM | 1,835 reads | 0 comments | 05/20/2016

A few years ago at our hospital, we were encouraged to attend lectures on the management of pain. Did you have a similar experience? We considered pain to be the fifth vital sign. If you were not properly treating pain and there was a perception that we were all undertreating it, you could be considered non-adherent and, in some instances, the dreaded word “malpractice” surfaced.

When A Patient Has Metatarsal Pain During Yoga

Larry Huppin DPM | 1,592 reads | 0 comments | 10/21/2016

I had a patient present who was having metatarsal pain while doing yoga. The only time it really hurt him was during yoga and only the right foot was painful.