As podiatrists, we see plantar fasciitis in our offices many times each day, especially in athletes. We know what it is and have a good idea of what causes it.
However, with the numerous treatment modalities available, why aren’t all of our patients pain-free? Why do we have patients with lingering pain? Are we treating them wrong? Are they misdiagnosed? Are they non-adherent?... Read More.
Increasing awareness of the benefits of exercise and longer lifespans is leading to more older patients seeking care for musculoskeletal injuries. Older individuals are more prone to overuse injuries and are slower to heal. Despite that, most researchers and clinicians agree that the benefits of exercise far outweigh the risks. The volume of research on aging is increasingly showing that there... Read More.
Many of us who went into the podiatric profession did so because of our passion for sports. I was always interested in a career that combined sports and medicine, and podiatry was the perfect profession in which to do it.
I have always been involved in sports and have had experience being an athlete, athletic trainer, youth sports coach, high school coach and team podiatrist.... Read More.
It is possible that podiatrists just may utilize injection therapy more than any other physicians as we perform injections on numerous patients on a daily basis. Our unique knowledge of foot and ankle anatomy allows us to have complete precision when we do surgery or inject into or around anatomical structures. When athletes do not desire surgical care or it is not an option, injection therapy... Read More.
The art of doing a musculoskeletal exam on an athlete is really about utilizing simple tests in order to provide insights into the highly complex nature of human movement. There are many perspectives and philosophies on how to best examine the lower extremity.
As podiatrists, we often look at things from the ground up and combine static exams like joint range of motion (ROM)... Read More.
One of the most rewarding aspects of my 34-year career in podiatric medicine has been my involvement in Special Olympics. Besides the joy of working and interacting with these amazing athletes, we are able to provide a valuable service via foot screening exams (Fit Feet) that have been instrumental in the prevention of lower extremity problems, and helpful in improving comfort and performance.... Read More.
Musculoskeletal injuries are one of the most common, if not the most common, condition we see in podiatric sports medicine practices. While the injuries can be acute or chronic, there are multiple treatment modalities podiatrists can use to resolve the condition and return the athlete to sport. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common prescribed medications and are a... Read More.
Stress fractures represent 4 to 16 percent of running injuries.1 Fractures occur in 8 percent of the males and 13 percent of the females.1 The cause of stress fractures is repetitive and sub-maximal loading of the bone. The bone eventually fatigues and a stress fracture occurs. Prolonged stress can lead to a complete fracture. A regular fracture differs from a stress fracture in that no acute... Read More.
For every foot, there is an athletic shoe that fits correctly. After specializing in sports medicine for over 20 years, I know this is true.
The barefoot running phenomenon has cycled around three times in the past 30 years: once in the 1960s, again in the 1980s and reappearing in the late 2000s. I have worked many races and have treated thousands of recreational and elite... Read More.
If there was a surgical technique that could abbreviate the time it took to achieve clinical and radiographic healing of first metatarsal base osteotomies by three weeks, podiatric physicians would be obligated to investigate. Further, if this new technique afforded superior outcomes in comparison to the existing surgical standard, word would spread quickly to foot surgeons everywhere. Imagine... Read More.
There are several causes of heel pain in the young athletic population with the most common being calcaneal apophysitis (also referred to as Sever’s disease). Sever first reported calcaneal apophysitis in 1912 as an inflammation of the apophysis, causing discomfort to the heel, mild swelling and difficulty walking in growing children.1
The condition usually manifests between... Read More.
First metatarsophalangeal joint (MPJ) injuries can be both diagnostic and treatment challenges. From an anatomy standpoint, the number of structures that can be injured are numerous. Figuring out what structure(s) (see “A Brief Overview Of First MPJ Structures” at right) are injured can be difficult to assess via physical exam and X-rays, especially in cases in which there is no apparent fracture... Read More.