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

Tracey C. Vlahovic, DPM, and Ryan Fitzgerald, DPM, FACFAS | 6,634 reads | 0 comments | 01/26/2016

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

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 | 4,610 reads | 0 comments | 09/23/2015

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

Does An Abnormal Metatarsal Parabola Predict Plantar Plate Pathology?

Brian McCurdy, Managing Editor | 4,785 reads | 0 comments | 08/19/2015

Should You Inject Candida Albicans Into Plantar Warts?

Tracey Vlahovic DPM | 15,037 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 

What Makes The Plantar Plate So Challenging To Treat?

Michael Theodoulou, DPM, FACFAS | 5,079 reads | 0 comments | 10/23/2015

Overcoming The Challenges Of Offloading Neuropathic Plantar Foot Ulcers

Alison J. Garten DPM | 2,044 reads | 0 comments | 11/11/2015

We all have had the challenge of trying to determine the best way to offload patients who are either non-adherent or unable to have appropriate offloading. I have been treating a young male who has neuropathy and an undiagnosed neurologic disease.

The left lower extremity with the plantar ulceration is the “good” foot. This extremity allows him to continue to ambulate. The other lower extremity is weak and has limited function.

Current Insights On The Multidisciplinary Treatment 
Of Necrotizing Fasciitis

David M. Davidson, DPM | 8,129 reads | 1 comments | 06/30/2014

This author presents a multidisciplinary approach to diagnosing and treating a 54-year-old patient with diabetes who presented with intense pain and a toe that was turning black.

Creating A Groove In An Orthosis To Address Plantar Fascia Irritation

Larry Huppin DPM | 2,652 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.

Using A Topical Acne Medication Off-Label For Plantar Warts

Tracey Vlahovic DPM | 11,234 reads | 0 comments | 04/01/2015

One of the most common questions people ask me after giving talks around the country is “How do you treat warts?” It is a tough question for me to answer because 1) I love treating warts so much that I could talk about them for much longer than anyone wants to hear and 2) I have access to treatments that are not commonplace.

How To Modify Orthoses For Plantar Fibromatosis

Larry Huppin DPM | 11,635 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.