Podiatry Today

Podiatry Today






CLINICAL EVENTS CALENDAR

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Non-Accredited Education

Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited


Understanding Collagen Dressings and their Benefit in Wound Care

Complimentary Archived Webcast
non-accredited

Diagnostic Dilemmas

Pinpointing The Cause Of Posterior Ankle Pain

Here is a chronic tear of an Achilles tendon. Here you can see resection of the torn Achilles region and harvest of flexor hallucis tendon deep to the Achilles tendon on the posterior ankle.
VOLUME: 15 PUBLICATION DATE: Sep 01 2002
Issue Number: 
9
Chronic posterior ankle pain is a very difficult problem for foot and ankle surgeons. Given the multiple potential tendinous and osseous causes of pain, doing a proper diagnostic workup is essential for proper care. With this in mind, let’s consider the following case of a 52-year-old Caucasian male who presents with chronic pain and weakness of the posterior ankle. A computer salesman with an avid love for golf and tennis, the patient plays tennis on the weekends and golf at least once a week for business. Approximately two months ago, while playing tennis, he began to feel pain in the
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When Medial Foot Problems Have Lateral Symptoms

VOLUME: 15 PUBLICATION DATE: May 01 2002
Issue Number: 
5
Lateral foot pain may be associated with problems of the lateral or medial foot. Often, if there is a problem on the medial aspect of the foot, your patient may also note that he or she has had long-term pain on the lateral aspect of the foot and ankle. Here is a common finding I see in my practice that may help you diagnose and treat lateral foot pain. A 58-year-old female has chronic pain in the lateral aspect of her right foot. She has had the pain for six months and says it has been getting worse in the past one to two months. She recently increased her level of activity with more charity
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Identifying A Dancer's Chronic Ankle Pain

Here we see a lateral MRI of the ankle. Note the fluid collection proximal and distal to the region of stenosis involving the flexor hallucis longus tendon. Here we see an axial MRI of the ankle. Note the fluid collection proximal and distal to the region of stenosis involving the flexor hallucis longus tendon.
VOLUME: 15 PUBLICATION DATE: Nov 01 2002
Issue Number: 
11
A patient comes into the office with pain in the posterior aspect of her ankle. She doesn’t recall injuring the leg, but notes she has had the pain for over six months and that it is present at all times. An active dancer with the local ballet company, the patient adds that she experiences chronic pain when doing any form of dancing. She says the pain is far worse with high heels and ballet shoes en-pointe, but finds it more tolerable when wearing stable flat shoes. The pain is deeper than the superficial Achilles tendon region and does not radiate to any region. An examination of the pat
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Diagnosing Repeated Lower Extremity Ulcerations

VOLUME: 16 PUBLICATION DATE: Mar 01 2003
Issue Number: 
3
A patient’s medical history can provide you with critical information that is necessary to differentiate among the various types of lower extremity ulcerations. Not only are there many different etiologies of lower extremity ulcers, it’s also important to be aware of the patient’s underlying medical conditions as well, as you will see in the following case study. A 38-year-old Caucasian female patient recounted her underlying medical conditions when she came in for evaluation and treatment of her left leg ulceration. She injured the side of her leg while walking and had the ulceration f
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Identifying Skin Conditions Of Diabetic Patients

A 64-year-old female with NIDDM presented with right and left leg ulcerations (as shown above). Her past medical history is also significant for peripheral vascular disease, Charcot foot deformity, hypertension, pulmonary sarcoidosis and a thyroid condition.
VOLUME: 15 PUBLICATION DATE: Jul 01 2002
Issue Number: 
7
Many people with diabetes develop skin manifestations as a result of having the disease. In some instances, such skin problems may be the first sign that the patient has diabetes. Proper recognition is the key to successful treatment, but making the proper diagnosis can be difficult. Some conditions may have similar characteristics and presentations. With this in mind, test your diagnostic acumen with the following case. A 64-year-old female with non-insulin-dependent diabetes mellitus came into the office with right and left leg ulcerations. The patient’s past medical history is significan
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When Achilles Tendonitis Is Not Caused By A Tight Achilles

VOLUME: 16 PUBLICATION DATE: Jul 01 2003
Issue Number: 
7
A patient comes into the office with an aching sensation in the posterior aspect of the right leg. He notes the pain has been increasing in the past two to three months and has gotten worse since he began to exercise. Specifically, in the past three weeks, the patient says he has had tightness in the Achilles tendon region. During that specific time period, the patient notes that he began a walking program on a slight hill by his house. He notes the hill provides a slight exertion that has been excellent for his stamina. The patient says he has only had the pain after a long climb and when h
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Diagnosing And Treating A Painful Tumor

This nodule has a reddish, keratotic surface and projects out beyond the free edge of the distal border of the digit. Here one can see removal of the distal phalanx in toto with the tumor distally. Here is a postoperative view of the same digit.
VOLUME: 17 PUBLICATION DATE: Mar 01 2004
Issue Number: 
3
Benign and bony outgrowths can be frequently misdiagnosed. With this mind, let us consider an unusual case involving a painful digital tumor that is gradually growing larger. Prior to presenting to our office, the patient had been evaluated by a couple of other physicians but the diagnosis had remained unclear. The 19-year-old patient was an obese, non-diabetic female who had a chief complaint of a slowly enlarging painful tumor on the second left digit. She noted the lesion started approximately four months ago but recalled no trauma to this area. The nodule, which had a reddish keratoti
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When A Blister Becomes An Ulcer: The Perils Of Insufficient Testing

VOLUME: 16 PUBLICATION DATE: May 01 2003
Issue Number: 
5
There is a great deal of satisfaction when our diabetic foot care team gets referrals for patients who were previously seen by doctors from surrounding regions and other nations. However, there is also a great deal of difficulty with poorly or improperly managed cases. In this diagnostic dilemma, I’d like to focus on one patient who was sent to us after one year of care by several doctors. The patient in question is a 70-year-old male, who was previously seen by two podiatrists and an orthopedist. His initial complaint was a small blister plantar to the first metatarsal head of his left f
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Diagnosing Different Types Of Heel Ulcers

Here is an ulcer on the right heel of a 58-year-old patient who had been hospitalized after breaking his right hip in a fall.
VOLUME: 16 PUBLICATION DATE: Nov 01 2003
Issue Number: 
11
When a patient presents with an ulcer on the heel, one must perform an in-depth examination because distinctions among different types of ulcers can be subtle. Prompt, appropriate treatment is essential and it is also critical to assess predisposing risk factors and what can be done to help minimize these risks. With this in mind, let’s take a look at the following case study. A 58-year-old Caucasian male had recently been hospitalized because he fell and broke his right hip. While he was in the hospital, the patient developed the condition on his right heel (as seen in the photo below). T
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Treating Severe Deformity In Young Patients With Rheumatoid Arthritis

Here you can see a post-op view of the patient’s left foot and a pre-op view of her right foot. A 27-year-old female presented with a 12-year history of rheumatoid arthritis and extreme pain, and deformity of the forefoot (as seen above in this pre-op lateral view).
VOLUME: 16 PUBLICATION DATE: Sep 01 2003
Issue Number: 
9
A very difficult patient for me to treat is a young patient who has rheumatoid arthritis with severe deformity of the foot and ankle. This is typically a patient whose age may range from the late 20s to late 50s and is active except for his or her foot pain. With this in mind, let’s consider the following case study. A 27-year-old female presented with a 12-year history of rheumatoid arthritis and extreme pain and deformity of the forefoot. While both feet are painful, she says the left foot is more severe than the right. The patient says the pain is in the region of the lateral fourth and
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CME Showcase

"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"

A Complimentary On-Demand CE/CME Webcast

This activity is supported by an educational grant from Advanced Biohealing.
This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).

To access this Webcast, visit www.naccme.com/program/n-550/





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