Inventive Brace May Improve Stability While Reducing Pain

Robi Garthwait, Contributing Editor | 522 reads | 0 comments | 10/25/2017

The Opioid Epidemic: Keys To Navigating Pain Management Prescriptions

Kristine Hoffman DPM, FACFAS | 3,770 reads | 0 comments | 12/20/2016

Given the increasing numbers of people who are dependent on and/or addicted to opioids, physicians should have a firm grasp of pain management principles that can avoid adverse side effects. Accordingly, this author explores recent opioid prescription guidelines for managing acute and postoperative pain. 

Are Patients With Foot Pain At A Higher Risk Of Recurrent Falls?

Brian McCurdy, Managing Editor | 2,090 reads | 0 comments | 06/19/2017

Diagnosing And Treating A Large Nevus With Irregular Borders On The Back Of The Heel

Joseph Vella, DPM | 1,472 reads | 0 comments | 09/26/2017

A 38-year-old African-American male presented to the clinic with a complaint of a painful callus on his left fifth digit. On examination, however, there was a large nevus with irregular borders on the back of his right heel. Upon questioning, the patient stated he thought it had been there for a long time and wasn’t changing, but he wasn’t sure. He had no personal or family history of skin cancer.

Managing Post-Op Pain In Opioid-Tolerant Patients With Chronic Pain

Kristine Hoffman DPM | 2,970 reads | 0 comments | 12/30/2015

The recent increase in the use of opioids for the treatment of chronic pain conditions has produced a growing population of patients with opioid tolerance and opioid-induced hyperalgesia. This trend of increasing opioid-induced tolerance and hyperalgesia creates a new challenge in perioperative pain management. The management of acute pain in opioid-tolerant individuals can be challenging and markedly different from pain management in opioid-naïve patients. A multimodal approach is the key for safe and adequate management of postoperative pain in opioid-tolerant individuals. 

Differentiating Between Those With True Pain And Those Seeking Pain Medication

George Wallace, DPM | 1,923 reads | 0 comments | 05/20/2016

A few years ago at our hospital, we were encouraged to attend lectures on the management of pain. Did you have a similar experience? We considered pain to be the fifth vital sign. If you were not properly treating pain and there was a perception that we were all undertreating it, you could be considered non-adherent and, in some instances, the dreaded word “malpractice” surfaced.

When A Patient Has Metatarsal Pain During Yoga

Larry Huppin DPM | 1,894 reads | 0 comments | 10/21/2016

I had a patient present who was having metatarsal pain while doing yoga. The only time it really hurt him was during yoga and only the right foot was painful.

When A Patient Has Recurring Nerve Pain After A Previous Flexor Hallucis Longus Tendon Injury

Richard Blake DPM | 405 reads | 0 comments | 11/09/2017

A patient recently contacted me two and a half years after injuring the flexor hallucis longus tendon where it meets the sesamoid. He developed nerve pain as a result. The tendon eventually healed but the patient still felt different kinds of nerve pain and continuing piriformis muscle pain, ranging from mild to severe.

Can Analgesic Electrotherapy Quell The Pain?

Stephen Barrett DPM FACFAS | 1,486 reads | 1 comments | 01/21/2016

A young scientist buddy of mine that I call “Kenni” showed up on my doorstep late last night and I had to admit I was initially taken aback. We were in the middle of a horrible storm (it was really a slight drizzle but that is a storm in Arizona) and it was late for a weeknight for anyone to be out, let alone my mischievous little erudite buddy. “What in the hell are you doing here?” I impolitely asked while motioning her through the door.

“I came across this great machine and I had to get your opinion of it,” she shot back, clutching a relatively small sized box in her hands.

Emerging Alternatives In Treating Chronic Pain

Stephen Barrett DPM FACFAS | 757 reads | 0 comments | 12/08/2015

What is the last frontier in medicine? For that matter, what is the last frontier in science? Some would proffer that it is either deep space exploration or an exploration of that thing we call the “mind.”

We all know well the constituents of deep space exploration, namely sending cool and expensive satellites out there to look at black holes, dark matter, antimatter, doesn’t matter, stars imploding (not talking Hollywood stars here, folks), Doppler shifts, expansion of galaxies, etc.