The Opioid Epidemic: Keys To Navigating Pain Management Prescriptions

Kristine Hoffman DPM, FACFAS | 3,632 reads | 0 comments | 12/20/2016

Given the increasing numbers of people who are dependent on and/or addicted to opioids, physicians should have a firm grasp of pain management principles that can avoid adverse side effects. Accordingly, this author explores recent opioid prescription guidelines for managing acute and postoperative pain. 

Can Analgesic Electrotherapy Quell The Pain?

Stephen Barrett DPM FACFAS | 1,389 reads | 1 comments | 01/21/2016

A young scientist buddy of mine that I call “Kenni” showed up on my doorstep late last night and I had to admit I was initially taken aback. We were in the middle of a horrible storm (it was really a slight drizzle but that is a storm in Arizona) and it was late for a weeknight for anyone to be out, let alone my mischievous little erudite buddy. “What in the hell are you doing here?” I impolitely asked while motioning her through the door.

“I came across this great machine and I had to get your opinion of it,” she shot back, clutching a relatively small sized box in her hands.

Emerging Alternatives In Treating Chronic Pain

Stephen Barrett DPM FACFAS | 728 reads | 0 comments | 12/08/2015

What is the last frontier in medicine? For that matter, what is the last frontier in science? Some would proffer that it is either deep space exploration or an exploration of that thing we call the “mind.”

We all know well the constituents of deep space exploration, namely sending cool and expensive satellites out there to look at black holes, dark matter, antimatter, doesn’t matter, stars imploding (not talking Hollywood stars here, folks), Doppler shifts, expansion of galaxies, etc.

Are Patients With Foot Pain At A Higher Risk Of Recurrent Falls?

Brian McCurdy, Managing Editor | 1,540 reads | 0 comments | 06/19/2017

Diagnosing And Treating A Large Nevus With Irregular Borders On The Back Of The Heel

Joseph Vella, DPM | 619 reads | 0 comments | 09/26/2017

A 38-year-old African-American male presented to the clinic with a complaint of a painful callus on his left fifth digit. On examination, however, there was a large nevus with irregular borders on the back of his right heel. Upon questioning, the patient stated he thought it had been there for a long time and wasn’t changing, but he wasn’t sure. He had no personal or family history of skin cancer.

Managing Post-Op Pain In Opioid-Tolerant Patients With Chronic Pain

Kristine Hoffman DPM | 2,787 reads | 0 comments | 12/30/2015

The recent increase in the use of opioids for the treatment of chronic pain conditions has produced a growing population of patients with opioid tolerance and opioid-induced hyperalgesia. This trend of increasing opioid-induced tolerance and hyperalgesia creates a new challenge in perioperative pain management. The management of acute pain in opioid-tolerant individuals can be challenging and markedly different from pain management in opioid-naïve patients. A multimodal approach is the key for safe and adequate management of postoperative pain in opioid-tolerant individuals. 

What You Can Recommend To Athletes For Patellofemoral Pain Syndrome

Richard Blake DPM | 1,237 reads | 0 comments | 05/10/2016

In athletes, patellofemoral pain syndrome can be a common injury, making it vital to have a treatment plan for athletes presenting to your office. Here are some initial treatments you can recommend to these patients.

1. Ice the knee 30 minutes three times daily.

2. Start quadriceps strengthening painlessly on day one.

3. Stretch the quadriceps and hamstrings three times daily. Avoid knee flexion over 45 degrees (this is too much knee flexion for kneecap pain).

4. Use a knee brace like the Bauerfeind GenuTrain Knee Brace for patellar stabilization.

Keys To Prescribing An Orthosis To Address Calcaneocuboid Pain

Larry Huppin DPM | 1,798 reads | 0 comments | 06/03/2016

A client recently called regarding a patient with pain at the calcaneocuboid joint. He apparently has a fairly stable foot with mild eversion of the heel in stance. The pain consists of aches with activity and there is a little pain to palpation dorsolaterally. Radiographs were negative.

Can Orthoses Help Patients With Low Back Pain?

Panelists: Joseph D'Amico, DPM, Kevin Kirby, DPM, and George Trachtenberg, DPM | 5,355 reads | 0 comments | 05/19/2016

These expert panelists delve into the relationship between custom orthoses and low back pain, sharing key pearls on examining these patients and how to determine whether orthoses can be beneficial.


In your clinical experience, have you found a relationship between custom orthotics and the relief of low back pain?

Principles In Pain Management For Wound Care Patients

Kazu Suzuki, DPM, Ryan Lockhart, BS, and Zoe Birnbaum, BS | 2,908 reads | 0 comments | 07/26/2016

A significant number of wound care patients may present to your office with chronic pain present for more than three months. These authors provide a guide to treating patients with mild, moderate and severe pain, and review key principles in prescribing and monitoring opioid use.