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Treatment Dilemmas

By Bob Baravarian, DPM, FACFAS

After 20 years in practice, I have found that one of the more complicated issues is the treatment of lesser metatarsophalangeal joint (MPJ) instability. The MPJ is a very complicated joint, which is connected by collateral ligaments and pulled on…

By Bob Baravarian, DPM, FACFAS

Bunion deformities vary greatly with over 50 types of bunion surgery presented in the literature.1 Indeed, the list of procedures seems to be getting longer and more complicated. However, in my experience, I think there are a few key factors one…

By Bob Baravarian, DPM, FACFAS

About 20 years ago, I spent the three years of my residency in Pittsburgh working on treatments and ideas for posterior tibial tendon dysfunction (PTTD). Over the course of three years, we performed numerous procedures ranging from pure tendon…

By Bob Baravarian, DPM, FACFAS

Bunion surgery is one of the most common surgeries in foot and ankle practices. With over 50 choices of surgical technique to choose from for bunion correction, it is somewhat difficult to decide and decipher which procedure is best for a patient…

By Bob Baravarian, DPM

Hallux rigidus or osteoarthritis of the first MPJ is a very common problem we see as foot and ankle surgeons. The issue is caused by repetitive microtrauma or an acute traumatic event, which contributes to an arthritic process in the great toe…

By Bob Baravarian, DPM, FACFAS

Plantar fasciitis is at epidemic levels with suggestions that one in six Americans may have the condition.1 Patients often attempt to treat plantar fasciitis at home prior to seeing a doctor. In my experience, the majority of patients treat their…

By Bob Baravarian, DPM, and Jamey Allen, DPM

Rearfoot injuries like ankle sprains can lead to damage laterally at the anterior talofibular ligament, calcaneofibular ligament or peroneal tendon. Medially, the deltoid ligament or posterior tibialis tendon could be injured depending on the…

Bob Baravarian, DPM, FACFAS

Arthritis of the ankle can be a challenging and often debilitating problem for patients. Although there have been dramatic improvements and more options in the treatment of ankle arthritis, the common treatment options are best suited to older…

Bob Baravarian, DPM

An osteochondral lesion of the talus is often a difficult problem to treat. There is limited understanding of cartilage damage and its repair. Furthermore, it is hard to figure out why some osteochondral lesions, small or large, are painful and…

Bob Baravarian, DPM

Minimally invasive techniques in foot and ankle surgery have gained popularity over the years. Although an open incision system is often optimal, in the case of Achilles tendon tears, the best option truly is a minimally invasive approach.

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