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Diabetic Peripheral Neuropathy

Patient examination guidelines for practitioners

Part 1 – 1. Background of diabetic peripheral neuropathy. 2.History and physical exam

Objectives

Diabetic neuropathy is the most common complication of both type 1 (T2DM) and type 2 (T2DM) diabetes.  Diabetes causes a number of different neuropat...

Why doesn’t my daughter have an arch?

Procedure choices and outcomes of PTTD surgery

I saw an 18 y/o young woman today in my practice who was 12 weeks out on her surgical procedure to correct posterior tibial tendon dysfunction (PTTD).  Following her surgery, the patient had spent 8 weeks in a hard cast and 4 weeks in a walking cast.  ...

Metatarsalgia – what is it and how is it treated?

Fifth metatarsal metatarsalgia – “Why does the outside of my foot hurt?”

Metatarsalgia fifth metatarsalPain specific to the outside, or lateral, aspect of the foot is a common condition called metatarsalgia.The term metatarsalgia is used to describe vague, aching pain specific to the metatarsal bones. Metatarsalgia can descr...

Chronic Lower Extremity Cellulitis - Treatment Options

Long term oral antibiotic treatment for patients with recurrent lower leg cellulitis

Edema of the lower leg frequently contributes to a superficial infection of the skin called cellulitis.  Cellulitis can often be treated, but if swelling persists, cellulitis will become chronic.   It’s important t...

What is accessory navicular pain and how is it treated?

What products are used to treat accessory navicular pain?

Accessory navicular

The navicular is often called the keystone of the arch.  The navicular articulates with the talus (art of the ankle) and the cuneiform bones.  The posterior tibial tendon inserts in the medial and plantar aspect of the navicular.  The post...