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I quit smoking and use a vape device.  That’s good, right?  Right?
I quit smoking and use a vape device.  That’s good, right?  Right?

What’s good about a vape device?

Nothing really - let me explain.  As a doctor you find out that conversation is the primary key to making a diagnosis.  In the medical worldman vaping we may call it the history, but I call it good conversation with a focus on the primary reason the patient has come to your o...

Lower extremity biomechanics – what is meant by the terms compensated, partially compensated and uncompensated rearfoot varus?

The position of the heel can have a significant influence on the biomechanics of the foot.  Rearfoot varus describes thecalcaneal varus position of the heel bone (calcaneus) when the heels are turning in towards each other.  To use a simple stick figure representation, if the patient has a rectus position (alignme...

Diabetic Peripheral Neuropathy - The Grade Study
Diabetic Peripheral Neuropathy - The Grade Study

Diabetes - The Grade StudyDiabetic peripheral neuropathy (DPN) is a well known complication of diabetes affecting 50% of all diabetic patients.  The symptoms of DPN are sensory but can also affect the motor skills of diabetic patients.  We’ve always referred DPN as a peripheral neuropathy affecting the feet and hands.  But a...

Necrobiosis Lipoidica Diabeticorum
Necrobiosis Lipoidica Diabeticorum

Necrobiosis Lipoidica Diabeticorm

Necrobiosis lipoidica diabeticorum (NLD) is a granulomatous skin disease found in diabetic patients.  The prevalence ofnecrobiosis lipoidica diabeticorum NLD is quite rare being found in less than 0.3% of all diabetics.(1)  Fifty percent of all diabetic patients with NLD are insulin dependent.

Wha...

Rock’n and Roll’n with Carbon Fiber Spring Plates
Rock’n and Roll’n with Carbon Fiber Spring Plates

What is toe spring and how does it help forefoot and Gil walkingmidfoot pain

Walking is often described as a controlled forward fall.  As your body passes over the foot, resistance is supplied by the calf that limits forward progression of your center of gravity.  In the final stages of gait, as your heel sta...