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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...

Lisfranc dislocation and fracture – appropriate timing of fixation removal
Lisfranc dislocation and fracture – appropriate timing of fixation removal

History of Lisfranc injuries

Jaques Lisfranc de St. Martin was a French physician, pioneering many surgical procedures during the early 19th century.  As a surgeon in the Napoleonic army, Lisfranc worked on the Russian front where he acquired acclaim for his skill in working with foot injuries.  It...

Treatment of dislocated and mal-aligned toes

Conservative care options for toe dislocations and poorly aligned toes

It never ceases to amaze me how many people come into my office with different shapes and sizes of toes. Why do our toes change over time? What are the forces that contribute to these changes? Let’s take a closer look at how we ...

Introduction of The 1stRaythotic – ultra thin carbon fiber insole
Introduction of The 1stRaythotic – ultra thin carbon fiber insole

When a podiatrist speaks about the 1st ray, the 1st ray refers to the first metatarsal bone and the great toe.  The 1st rayHallux_limitus_diagram has a unique range of motion that requires plantarflexion of the first metatarsal to enable dorsiflexion of the great toe.  In essence, the first metatarsal needs to drop lower...

Improving functional outcomes of great toe amputations
Improving functional outcomes of great toe amputations

Wounds of the lower extremity have a host of different contributing causes, but in diabetic patients, the vast majority ofDiabetes - great toe amputation wounds occur as a result of loss of protective sensation.  Protective sensation is the ability to feel pain.  Diabetic peripheral neuropathy results in loss of sensation, inabil...