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Point-Counterpoint: Is The Dorsal Approach Better Than The Plantar Approach For Plantar Plate Repair?

Lowell Weil, Jr., DPM, MBA, FACFAS, Erin E. Klein, DPM, MS; and Neal Blitz, DPM, FACFAS | 4,469 reads | 0 comments | 09/23/2015
Yes.

These authors say the dorsal approach is superior as it can allow the surgeon to restore normal anatomy in plantar plate repair while avoiding compromise of the metatarsophalangeal joint plantarflexory mechanism, the flexor tendons and plantar fascia.  

By Lowell Weil, Jr., DPM, MBA, FACFAS, and Erin E. Klein, DPM, MS

Point-Counterpoint: Is Non-Surgical Care The Best Course For Plantar Warts?

Tracey C. Vlahovic, DPM, and Ryan Fitzgerald, DPM, FACFAS | 6,281 reads | 0 comments | 01/26/2016
Yes.

This author notes she frequently treats patients with verrucae who have failed surgical treatment and notes that a topical retinoid and non-ablative lasers provide successful alternatives.   

By Tracey C. Vlahovic, DPM

Essential Insights On Dermoscopy Of Plantar Pigmented Lesions

Myron Bodman, DPM | 23,099 reads | 0 comments | 04/20/2015

Could the use of dermoscopy save lives? Given the stark statistics with melanoma and delayed diagnosis, this author says dermoscopy could be a valuable tool in discerning benign from malignant lesions in the lower extremity in a more expeditious fashion.

Expert Insights On Therapies For Plantar Fat Pad Atrophy

Joseph Vella, DPM, and Stephen Schleicher, MD | 76,188 reads | 0 comments | 05/28/2015

Given the potential of plantar fat pad atrophy to cause significant pain and adverse effects on function, particularly in patients with diabetes, these authors discuss keys to making an accurate diagnosis and outline current treatment options.

Does An Abnormal Metatarsal Parabola Predict Plantar Plate Pathology?

Brian McCurdy, Managing Editor | 4,546 reads | 0 comments | 08/19/2015

Should You Inject Candida Albicans Into Plantar Warts?

Tracey Vlahovic DPM | 13,596 reads | 0 comments | 10/16/2015

Many colleagues have asked me over the years about the use of injecting Candida albicans for plantar warts. It is something that I started to do after reading about it in Cutis years ago.1 Recently, the article I co-wrote with my former students was published in the Journal of the American Podiatric Medical Association (JAPMA) so let me give you the highlights.2 

Creating A Groove In An Orthosis To Address Plantar Fascia Irritation

Larry Huppin DPM | 2,513 reads | 1 comments | 07/09/2015

We have had patients present with a prominent plantar fascia that was being irritated by new orthoses. How would you treat these patients? Below is a standard troubleshooting plan for creating a plantar fascia groove in an orthosis fabricated without one.

When A Plantar Pigmented Lesion Increases In Size With Irregular Borders And Drainage

Mark Couture, DPM | 4,857 reads | 0 comments | 05/20/2015

A 61-year-old male with diabetes presents to the clinic reporting a mole on the bottom of his right foot that had increased in size over the past five months. The area is not painful but the patient has a history of peripheral neuropathy. There is no history of trauma. Within the past one to two weeks, the patient noticed some bloody drainage from the area on his sock. The patient denies any difficulty breathing, pruritus, fever, nausea, vomiting, diarrhea or leg pain.

How To Modify Orthoses For Plantar Fibromatosis

Larry Huppin DPM | 10,977 reads | 2 comments | 02/16/2015

Prescribing orthoses for patients with plantar fibromas can be challenging. In general, our treatment goal is to reduce tension on the plantar fascia and then reduce pressure on the plantar fibromas. This can lead to a catch-22 situation as orthoses that conform closely to the arch of the foot can help reduce tension on the plantar fascia but they may also increase pressure on the fibroma. Luckily, there are some fairly straightforward orthotic modifications that can lead to an excellent clinical outcome for these patients.

A Guide To Conservative Care For Recalcitrant Plantar Heel Pain

Jenny L. Sanders, DPM | 16,273 reads | 1 comments | 10/22/2014

Given the common nature of heel pain and the fact that reportedly more than one-third of those with heel pain have had it for two years or more, this author discusses practical pointers and the current evidence on conservative treatment options.