The Top Ten Innovations In Podiatry
- Volume 26 - Issue 7 - July 2013
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Bob Baravarian, DPM, uses the TX1 ultrasound tissue debridement system for fasciosis, tendinosis and small loose bone pieces, calling it “great for plantar fascia and Achilles pain including insertional pain.”
Dr. Baravarian, the Chief of Podiatric Foot and Ankle Surgery at the Santa Monica UCLA Medical Center and Orthopedic Hospital, notes that the product removes the chronic scar tissue and increases blood to the region for healing in a percutaneous manner. He adds that it is minimally invasive with no downtime for patients, who will wear a boot for two weeks after the procedure.
The company notes that Tenex Health TX is minimally invasive. It maintains that one can perform the technique with a local anesthetic and the treatment is done in 15 minutes or less with a fast recovery.
Manos (Thayer Intellectual Properties). Plantar fasciotomy surgery can be truly minimally invasive thanks to a device that uses small entry and exit points, and results in no scarring.
Alexander Reyzelman, DPM, has used the Manos for three months to perform minimally invasive plantar fasciotomies. He notes the procedure uses one 14 gauge entry hole and a 17 gauge exit hole, and adds that patients can immediately bear weight postoperatively.
The manufacturer, Thayer Intellectual Properties, notes that the Manos procedure takes about 10 minutes. It adds that the procedure does not require general anesthesia, results in no scarring and stitches are not required.
“This product is truly geared for an ultrasound guided procedure in the foot,” says Dr. Reyzelman. “Its design allows the surgeon to minimize injury to the surrounding tissue, decrease surgical time, and allow early weightbearing.”
While the Manos device is currently marketed for carpal tunnel syndrome, Dr. Reyzelman says a study looking at the use of the device for plantar fasciotomy was recently submitted for publication.
Could New Prefab Orthoses Have An Impact?
Redi-Thotics (Redi-Thotics). A new brand of over-the-counter orthoses, tailored to different conditions and shoes, reportedly has many of the features and materials one might see with prescription orthoses.
Nicholas Romansky, DPM, hails Redi-Thotics as “premium, well-made OTC devices.” He praises the kids’ device, the Awesome model, saying it provides motion control, support and comfort. His female patients like the comfort and width of the dress devices.
“My favorites are the Max for athletic golf and turf cleats,” says Dr. Romansky, a Fellow of the American College of Foot and Ankle Surgeons. “For the athletic male or female athlete, these devices provide superior control, shock absorption and are very comfortable.”
Other available orthotic models, according to the manufacturer Redi-Thotics, are the Executive, for high heels and men’s dress shoes; the Slim, which fits moderate arches; the Control for plantar fasciitis and heel spurs; the Ultra, a thin device for rigid, flat feet; Quik-Form, offering customized arch support; Balance, which has heat moldable comfort; and the Flex, for patients with metatarsalgia.