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Treating Posterior Medial Ankle Pain In A Juvenile Patient After An Ankle ‘Sprain’

Annie Nguyentat, DPM, and Meagan Jennings, DPM, FACFAS | 6,121 reads | 0 comments | 03/31/2015

These authors detail the diagnosis and treatment of a 10-year-old, who presented with posterior ankle pain that urgent care clinicians originally diagnosed

When Standing Desk Workstations Cause Lower Extremity Pain

Jenny L Sanders DPM | 2,915 reads | 0 comments | 06/02/2014

Standing desks have become increasingly popular in the workplace. Scientific studies have shown an increase in calorie expenditure when using a standing desk, which may be beneficial to weight loss.1-2 However, the musculoskeletal effects are less definitive.3

How Did Heel Spurs Become Public Enemy Number One?

Stephen Barrett DPM FACFAS | 3,373 reads | 0 comments | 03/05/2014

The cool, dark west Texas night sky was nearly silent. It was almost like I had been placed into some type of surreal soundproof chamber. There was a big silence, except for the occasional coyote howl, and of course the regular cracking and popping of the roaring campfire. But that was like white noise. You never heard it unless you really concentrated. There is nothing like being out on a roundup, resting by the flickering fingers of the orange and yellow flames of the fire, being bone aching tired from herding cows all day. Then the silence ended.

The Cocktail For Long Lasting Local Anesthesia: Mitigating Chronic Post-Surgical Pain

Stephen Barrett DPM FACFAS | 3,931 reads | 0 comments | 09/03/2014

Swirling the opaque garnet wine around the edges of the Riedel glass allowed for the complex interaction of its fruit to escape from its mixture. After the wine hit the palate, I knew due to the structure, mouth feel and astringency that this was a superior blend of high grade, very stressed berries of different varieties. I would need more exploration to attempt forensic identification but so be it. Someone has to do some work.

When Living With Foot And Ankle Pain Is Preferable To Surgery

William Fishco DPM FACFAS | 5,515 reads | 0 comments | 09/25/2014

It is always a frustrating situation when a patient presents to your office with foot pain and you know right away there is not an easy solution and the likelihood of getting the patient pain-free is slim.

There are certain conditions of the foot that we all dread to manage. For example, the patient with a high arch and curved forefoot (pes cavus with metatarsus adductus) often presents with chronic dorsal foot pain. Typically, there is an element of degenerative joint disease of the tarsometatarsal joints, exostosis and neuritis. I have a case in point to share with you.

When A Runner/Cyclist Presents With Second Metatarsal Pain

Larry Huppin DPM | 5,305 reads | 0 comments | 11/07/2013

A colleague recently asked me which orthotic type would be best for a runner/cyclist who has chronic sub-2nd MPJ capsulitis, which he felt was due to a relatively short first ray. The goal with any capsulitis is to reduce weightbearing on the painful metatarsal head so one should look at the orthotic prescription rather than a specific type of orthotic.

How Urinalysis Can Filter Out Illegitimate Requests For Pain Meds

Stephen Barrett DPM FACFAS | 6,436 reads | 1 comments | 01/14/2014

It is yellow in color, usually clear, has a specific gravity ranging from 1.001 to 1.035 and a pH of 4.6 to 8.0. It doesn’t look (or smell) like anything special (most of the time), but it has the power to give us great insight. This yellow fluid cannot lie. Granted, its vessel can damn sure play some games, even buying fake fluid on the Internet in an attempt to mask other deceptions. However, this yellow fluid is what it is and it is what they have ingested, smoked, snorted and ultimately metabolized.

When A High Arched Patient Has Dorsal Foot Pain With Orthoses

Larry Huppin DPM | 5,217 reads | 0 comments | 02/07/2014

A fairly common complication for patients with cavus foot type who begin wearing orthosis is to develop pain on the dorsum of the foot secondary to shoe pressure.

Dealing With An Unusual Case Of Foot Pain Due To Cushing’s Disease

William Fishco DPM FACFAS | 17,233 reads | 0 comments | 12/06/2013

A diagnosis is often difficult when we cannot identify underlying metabolic condition. This month’s blog highlights such a case.

Osteomyelitis And Heel Ulcers: What You Should Know

Eric J. Lullove, DPM, CWS | 36,437 reads | 0 comments | 07/25/2013

Mindful of the limb-threatening consequences that can arise if one does not properly diagnose and treat calcaneal osteomyelitis, this author examines the most effective modalities for diagnosing the bone infection, as well as non-invasive and surgical treatments.