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Flatfoot Info: I have foot pain when I walk. I can only take small steps. My feet feel better when I am wearing shoes.?
I have foot pain when I walk. I can only take small steps. My feet feel better when I am wearing shoes.? Answer by Lynn KGo see a podiatrist. The shoes you bought probably didn’t have proper arch support, and … Continue reading

Musculoskeletal disorders in podiatrists at work
*Self-reported musculoskeletal disorders in podiatrists at work.* Losa Iglesias ME, Becerro De Bengoa Vallejo R, Salvadores Fuentes P. Med Lav. 2011 Nov-Dec;102(6):502-10. ---Quote--- OBJECTOVE: The objective...

Nail Surgery
Advice on Nail Surgery I require some advice regarding a nail surgery I carried out, having spoken with colleagues and checked Podiatry Arena the problem is either an allergic reaction to phenol or rapid healing. As there has been no leakage from the site of the nail surgery, 4 weeks since...

Dr. Title for Chiropractors in Australia!
Hi all, I have a niece in 4th Chiropractor college in Australia, and she tells me they have been granted the title of "Dr.". Any one to verify this? If so Why are we Podiatrists not entitled to Dr title as we are a main stream Allopathic not alternative med. group as GPs with the same years of...

Foot Posture and Patellar Tendon Pain Among Adult Volleyball Players
*Foot Posture and Patellar Tendon Pain Among Adult Volleyball Players.* de Groot R, Malliaras P, Munteanu S, Payne C, Morrissey D, Maffulli N.

Performing A Tibio-Talo Calcaneal Fusion After Two Post-ORIF Nonunions

This author discusses using a tibio-talo calcaneal fusion with an intramedullary rod in a distal tibia-fibula fracture in a patient who had sustained two nonunions following open reduction internal fixation.

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How Online Patient Feedback Can Be A Tool For Improvement

The online web sites where patients can write comments about doctors and rate them would only seem fair if doctors had a web site where they could rate patients. The HIPAA laws stand in the way of that equitable solution.

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Gait Assessment Device Provides Dynamic Diagnostic Insights

Accurate gait assessment can obviously play a key role in the diagnostic workup. Accordingly, a gait assessment device that reportedly observes more than 20 times the images per second than the human eye could provide considerable diagnostic value.

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Emphasizing Proper Shoes And Orthoses In Runners

For every foot, there is an athletic shoe that fits correctly. After specializing in sports medicine for over 20 years, I know this is true.

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When A Patient Presents With Thick, Yellow Toenails And A Rash On Both Feet

An 80-year-old Caucasian presents to the office complaining of thick, yellow, unsightly and sometimes painful toenails. The patient, a retired RN, has had a history of a rash affecting both feet. The rash is sometimes pruritic and sometimes not. She has tried applying topical antifungals to her toenails without success. However, antifungal creams have sometimes helped her skin condition.

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Assessing The Use Of Ex-Fix For Offloading In Diabetic Limb Salvage

In lieu of the advancements in wound healing and innovations in surgical technique, limb salvage in the patient with diabetes remains a costly and complex endeavor. Some advocate immediate amputation for complex diabetic ulcers or gangrene.1 However, researchers have associated amputations in patients with diabetes with decreased life expectancy and an increased risk of contralateral amputation.2 The challenge with wound healing in patients with diabetes stems from the existence of comorbidities such as vasculopathy, neuropathy and propensity for infection.3

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February 2012

The American Medical Association (AMA) is opposing the Conditions of Participation of the Centers for Medicare and Medicaid (CMS) that would allow podiatrists to hold leadership positions at hospitals.

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Clarifying The Scope Of Practice In Texas

As the President of the Texas Podiatric Medical Association (TPMA), I want to respond to your December 2011 cover story, “Scope of Practice Update: Where Things Stand,” as it relates to Texas. I hope to clarify some misinformation and inaccurate facts that could have a negative effect on Texas if left unchallenged.

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New Foot Health Articles

New Podiatry articles for 2012 include, Common Causes of Foot and Ankle Swelling and Heel Pain in Children and Adolescents.  If you are looking to find more information about specific foot or ankle problems, here are a few articles I recommend:

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Does Patient Age Influence First Ray Procedure Selection?

These authors offer a closer look at hallux abducto valgus and the impact of age on treatment decisions in adolescents and elderly patients.

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Understanding The Biomechanical Effects Of The Evans Calcaneal Osteotomy

Reviewing the evolution of the Evans calcaneal osteotomy, this author discusses the impact on biomechanics, shares insights from the literature on osteotomy placement and bone graft size, and offers pearls on minimizing the risk of common complications.

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Recognizing And Treating Lower Extremity Gout

Given the increased prevalence of gout and how gout affects the lower extremity, the author discusses current concepts in diagnosis and treatment, and provides an
illuminating case study.

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Alternatives In Fixation For Osteoporotic Bone

Given the decreased bone mineral density and poorer bone healing potential in people with osteoporosis, achieving adequate fixation can be challenging for osteotomies or arthrodesis procedures in this patient population. Accordingly, these authors review the literature and assess a range of fixation options including traditional plate fixation, cannulated screws and locking compression plates.

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A Guide To Compression Dressings For Venous Ulcers

Given the relatively common incidence of venous insufficiency and the high likelihood of recurrence with venous leg ulcers, these authors offer a thorough review of the literature and share their insights on compression modalities ranging from inelastic (short stretch) bandages to intermittent pneumatic compression therapy.

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Current And Emerging Insights On Hammertoe Correction

Given the risks and patient concerns associated with K-wire fixation, these authors discuss the use of emerging hammertoe implants, absorbable pins and cannulated screws, and share a couple of illuminating case studies.

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Antiperspirant for Feet?

In the November issue of Reader's Digest, a piece titled, "13 Things Your Podiatrist Won't Tell You" listed tips for dealing with some of the most common foot health and hygiene issues.  One tip suggested using antiperspirant products on your feet to help combat foot odor.  Sweat (and even occasional foot odor) is a normal and healthy response to heat, but for some people sweating occurs excessively and causes problems such as warts, skin infections, blisters and toenail fungus.

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