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Treatment Dilemmas

Bob Baravarian, DPM, FACFAS

After 20 years in practice, very little surprises me. I feel like I see almost everything come through my office, but one continually notable trend is the stream of poor quality socks I see on my patients. Every time I think I have seen the worst…

By Bob Baravarian, DPM, FACFAS

Over 20 years in practice, I have spent a great deal of time looking for a modality that could treat the majority of foot and ankle ailments we see in our practices. 

When I was in residency, almost all care was surgically-based. If…

By Bob Baravarian, DPM, FACFAS

The Lapidus bunionectomy has slowly but steadily grown in popularity over the past decade in the United States. In the past three years or so, several orthopedic companies developed new products and techniques that allow foot and ankle surgeons…

By Bob Baravarian, DPM, FACFAS

Commonly referred to as a part of Ehlers-Danlos or Marfan syndrome, ligamentous laxity comes in many forms and many levels of instability. The most minor level is a generalized hypermobility and instability of the joints of the body. The highest…

By Bob Baravarian, DPM, FACFAS

Ankle sprains are by far the most common athletic injury and a common orthopedic problem presenting for urgent treatment across the United States.1-3 A majority of ankle sprains will end in asymptomatic recovery with conservative care.3 This…

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…

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