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Blog posts of '2017' 'November'

Durable Medical Goods (DME) - what should they cost?

DME’s – a $300 dollar hammer?plantar fasciitis night splint

Durable medical goods are items that your doctor would often dispense from his or her office.  In other cases, durable medical goods might be purchased from a home health supply company.  Examples of durable medical goods include a walking cast, a night splint, a bedsi...

Posterior Ankle Pain – Differential Diagnosis

What are the causes of posterior ankle pain?Nerves of the lower extremity

One of my peers came to me the other day at the hospital and asked me about a pain she was having in the back of the ankle.  She stated that she had had plain films taken that were unremarkable.  She also had an MRI that failed to show any bone edema, ar...

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...

Verrucae treatments – the green smoothie solution

Warts – it’s all about the vitamin AGreen smoothies for treating warts

I’ve seen a wonderful patient over the past year who is in her late sixties and has been coming in for treatment of a wart.  Although we typically think of a wart (verrucae plantaris) as disease of adolescence, every so often I’ll see someone in their sixth or s...

Venous Stasis Dermatitis

What is venous hypertension and how does it cause venous stasis dermatitis?Venous stasis dermatitis

Hypertension most commonly refers to the overall pressure of the circulatory system, or what would be called high blood pressure.   The term hypertension can also be used to describe elevated pressures in specific regions o...