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Is PTTD still PTTD?

What happened to the dysfunctional aspect of posterior tibial tendon dysfunction? Posterior tibial tendon dysfunction

A proposal for modification of the Johnson and Storm classification of PTTD.

I met with a patient this week who came to my office upon the referral of his physical therapist who told him that he had posterior tib...

Total Contact Casting for Charcot Arthropathy

Ambulatory treatment of Charcot arthropathy – total contact casting.x-ray Charcot joint

I work in a rural, hospital-based practice that is a regional referral center.  Much of the care I provide is related to diabetes.  Subsequently, I see and treat a lot of Charcot joints. Charcot arthropathy occurs in patients who...

External Fixation for Charcot Joint Reconstruction

Patient choice – are there weight limits when using ex-fix?Charcot reconstruction

External fixation (ex-fix) is often used as an adjunct to internal fixation when correcting rocker bottom flat foot due to Charcot arthropathy.  The reason that ex-fix is used is that the frame, or ex-fix device, can be used to carry weigh...

Foot Care 101: Metatarsal Stress Fractures

How did I get a fracture?  I didn’t do anything to hurt my foot?

Metatarsal Stress Fracture

“I was late for the plane, so I grabbed my carry-on bag and ran like heck to make the flight.  I was the last passenger on.  But when I got on the plane, I realized that my foot hurt.  It’s been hurting now for about 2 week...

Carbon graphite insoles and gait

Levers, rockers and carbon graphite insoles

Part 3 – Putting it all together

In part 1 of this conversation I presented a common customer question:  can I wear just one carbon fiber insole?  I briefly discussed gait and how a carbon fiber insole may affect gait.  In part 2 of this conversation, I ...