This is another one of those perennial issues that keep coming up. Discussing it with some people is like arguing a religion (and because of the $$$ involved). Views are varied from one extreme of leaving them all alone to the other extreme of using expensive custom made orthoses every 6 months in them all. There are divergent views within the podiatric profession and divergent views within the orthopedic profession. There is even a difference between textbooks (usually depending if its published in the UK vs the USA - with the USA approach tending to be more interventionist). The evidence is limited - there is only the Kilmartin et al study. So we have to rely on expert opinion and consensus - bit hard to do when "experts" don't agree.
As an educator, I have a responsibility to expose the students to all views and approaches, and most importantly try and give them the tools to make up their own minds. I spend a great deal of time going over all the issues, especially ethical decision making in the context of the lack of any real evidence for observation vs intervention. Of course, the McDonald & Kidd paper is compulsory reading (I even promise them an exam question on it that more than half fail. HINT for students: READ THE QUESTION)
The notes the students get before the lecture are explicit:
"Considerable debate in literature as to natural history and the need to intervene if asymptomatic - ethical decision to intervene in consultation with parents.
General guidelines - treat if subtalar joint is pronated after heel off; symptomatic; severe; significant medial column collapse; significant transverse plane motion; history of symptomatic problems in parents "
What brought this up today for me, was the latest issue of the Journal of Foot and Ankle Surgery - yes I know there are no students around, but that does not mean the work stops . In it is the clinical practice guidelines from the American College of Foot and Ankle Surgeons on the Diagnosis and Treatment of Pediatric Flatfoot (its only available online to subscribers). Its a weighty 30 page documents, well thought out and the authors/committee are to be congratulated. The most interesting part for me was the flowchart for the asymptomatic flatfoot and a greater emphasis on observation of the asymptomatic physiological flatfoot than I have come to expect from publications out of the USA on this issue.
Back to home page
Thursday, December 30, 2004
Asymptomatic pediatric flatfoot
This is another one of those perennial issues that keep coming up. Discussing it with some people is like arguing a religion (and because of the $$$ involved). Views are varied from one extreme of leaving them all alone to the other extreme of using expensive custom made orthoses every 6 months in them all. There are divergent views within the podiatric profession and divergent views within the orthopedic profession. There is even a difference between textbooks (usually depending if its published in the UK vs the USA - with the USA approach tending to be more interventionist). The evidence is limited - there is only the Kilmartin et al study. So we have to rely on expert opinion and consensus - bit hard to do when "experts" don't agree.
As an educator, I have a responsibility to expose the students to all views and approaches, and most importantly try and give them the tools to make up their own minds. I spend a great deal of time going over all the issues, especially ethical decision making in the context of the lack of any real evidence for observation vs intervention. Of course, the McDonald & Kidd paper is compulsory reading (I even promise them an exam question on it that more than half fail. HINT for students: READ THE QUESTION)
The notes the students get before the lecture are explicit:
"Considerable debate in literature as to natural history and the need to intervene if asymptomatic - ethical decision to intervene in consultation with parents.
General guidelines - treat if subtalar joint is pronated after heel off; symptomatic; severe; significant medial column collapse; significant transverse plane motion; history of symptomatic problems in parents "
What brought this up today for me, was the latest issue of the Journal of Foot and Ankle Surgery - yes I know there are no students around, but that does not mean the work stops . In it is the clinical practice guidelines from the American College of Foot and Ankle Surgeons on the Diagnosis and Treatment of Pediatric Flatfoot (its only available online to subscribers). Its a weighty 30 page documents, well thought out and the authors/committee are to be congratulated. The most interesting part for me was the flowchart for the asymptomatic flatfoot and a greater emphasis on observation of the asymptomatic physiological flatfoot than I have come to expect from publications out of the USA on this issue.
Back to home page
As an educator, I have a responsibility to expose the students to all views and approaches, and most importantly try and give them the tools to make up their own minds. I spend a great deal of time going over all the issues, especially ethical decision making in the context of the lack of any real evidence for observation vs intervention. Of course, the McDonald & Kidd paper is compulsory reading (I even promise them an exam question on it that more than half fail. HINT for students: READ THE QUESTION)
The notes the students get before the lecture are explicit:
"Considerable debate in literature as to natural history and the need to intervene if asymptomatic - ethical decision to intervene in consultation with parents.
General guidelines - treat if subtalar joint is pronated after heel off; symptomatic; severe; significant medial column collapse; significant transverse plane motion; history of symptomatic problems in parents "
What brought this up today for me, was the latest issue of the Journal of Foot and Ankle Surgery - yes I know there are no students around, but that does not mean the work stops . In it is the clinical practice guidelines from the American College of Foot and Ankle Surgeons on the Diagnosis and Treatment of Pediatric Flatfoot (its only available online to subscribers). Its a weighty 30 page documents, well thought out and the authors/committee are to be congratulated. The most interesting part for me was the flowchart for the asymptomatic flatfoot and a greater emphasis on observation of the asymptomatic physiological flatfoot than I have come to expect from publications out of the USA on this issue.
Back to home page
Saturday, December 25, 2004
Diabetic Foot Natural History
Some pretty bold claims were made on altering the natural history of the diabetic foot in this paper: Changing the Natural History of Diabetic Neuropathy: Incidence of Ulcer/Amputation in the Contralateral Limb of Patients With a Unilateral Nerve Decompression Procedure (Ann Plast Surg. 2004 Dec;53(6):517-522 Aszmann O, Tassler PL, Dellon AL.). The authors claims that "decompression of lower extremity nerves in diabetic neuropathy changes the natural history of this disease, representing a paradigm shift in health care costs. " All this based on being able to help diabetic neuropathy with decompression surgery. Given that the etiological pathways of diabetic foot complications are so multifactorial - especially the role of vascular disease in amputations, I can't see how improving one factor represents a "paradigm shift". Dr Dellon is doing some good work and has a number of publications on decompression surgery to relieve pressure on nerves in those with diabetic peripheral neuropathy.
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Back to home page
Diabetic Foot Natural History
Some pretty bold claims were made on altering the natural history of the diabetic foot in this paper: Changing the Natural History of Diabetic Neuropathy: Incidence of Ulcer/Amputation in the Contralateral Limb of Patients With a Unilateral Nerve Decompression Procedure (Ann Plast Surg. 2004 Dec;53(6):517-522 Aszmann O, Tassler PL, Dellon AL.). The authors claims that "decompression of lower extremity nerves in diabetic neuropathy changes the natural history of this disease, representing a paradigm shift in health care costs. " All this based on being able to help diabetic neuropathy with decompression surgery. Given that the etiological pathways of diabetic foot complications are so multifactorial - especially the role of vascular disease in amputations, I can't see how improving one factor represents a "paradigm shift". Dr Dellon is doing some good work and has a number of publications on decompression surgery to relieve pressure on nerves in those with diabetic peripheral neuropathy.
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Back to home page
Saturday, December 11, 2004
Good friend of mine, Cameron Kippen has now ended his time at Curtin University to move on to other things. Read comments here. Cameron is well know for his sex and footwear work :-)
Back to home page
Back to home page
Good friend of mine, Cameron Kippen has now ended his time at Curtin University to move on to other things. Read comments here. Cameron is well know for his sex and footwear work :-)
Back to home page
Back to home page
Foot orthoses outcomes and kinematic changes
To get some debate going, I just posted this at Podiatry Arena:
"Foot orthoses outcomes and kinematic changes
1. We use various types of foot orthoses in clinical practice in an attempt to alter the pattern of rearfoot motion to "improve" biomechanics and make patients better.
2. Numerous outcomes studies, patient satisfaction surveys (many with methodological flaws) and RCT's show patient do get better with foot orthoses that attempt to alter the pattern of rearfoot motion.
3. The numerous kinematic studies (many with methodological flaws) are about evenly divided as to if foot orthoses do alter the pattern of rearfoot motion or not. Half show no differences in rearfoot kinematics and the other half show such small (but statistically significant) differences that the biological significance of those differences need to be questioned.
Does anyone see the paradox here? What we do clinically works, but not by trying to do what we think we are doing
In an attempt to resolve this paradox, one of our projects this year measured patient symptoms (FHSQ) at issue of foot orthoses and at 4 weeks follow up. At issue of foot orthoses, rearfoot kinematics was also measured with and without the use of the foot orthoses. Guess what we found? ---- there was no correlation between changes in the pattern of rearfoot motion and symptom reduction
This is troubling as I have spent most of my professional life trying to alter patient's pattern of rearfoot motion .... they get better, but not because of the changes in rearfoot motion
What say you? "
I don't think many people are grasping the significance of all the most recent reseach on foot orthoses, their effectiveness and how they work..... especially those with vested financial interests ;-)
Back to home
"Foot orthoses outcomes and kinematic changes
1. We use various types of foot orthoses in clinical practice in an attempt to alter the pattern of rearfoot motion to "improve" biomechanics and make patients better.
2. Numerous outcomes studies, patient satisfaction surveys (many with methodological flaws) and RCT's show patient do get better with foot orthoses that attempt to alter the pattern of rearfoot motion.
3. The numerous kinematic studies (many with methodological flaws) are about evenly divided as to if foot orthoses do alter the pattern of rearfoot motion or not. Half show no differences in rearfoot kinematics and the other half show such small (but statistically significant) differences that the biological significance of those differences need to be questioned.
Does anyone see the paradox here? What we do clinically works, but not by trying to do what we think we are doing
In an attempt to resolve this paradox, one of our projects this year measured patient symptoms (FHSQ) at issue of foot orthoses and at 4 weeks follow up. At issue of foot orthoses, rearfoot kinematics was also measured with and without the use of the foot orthoses. Guess what we found? ---- there was no correlation between changes in the pattern of rearfoot motion and symptom reduction
This is troubling as I have spent most of my professional life trying to alter patient's pattern of rearfoot motion .... they get better, but not because of the changes in rearfoot motion
What say you? "
I don't think many people are grasping the significance of all the most recent reseach on foot orthoses, their effectiveness and how they work..... especially those with vested financial interests ;-)
Back to home
Foot orthoses outcomes and kinematic changes
To get some debate going, I just posted this at Podiatry Arena:
"Foot orthoses outcomes and kinematic changes
1. We use various types of foot orthoses in clinical practice in an attempt to alter the pattern of rearfoot motion to "improve" biomechanics and make patients better.
2. Numerous outcomes studies, patient satisfaction surveys (many with methodological flaws) and RCT's show patient do get better with foot orthoses that attempt to alter the pattern of rearfoot motion.
3. The numerous kinematic studies (many with methodological flaws) are about evenly divided as to if foot orthoses do alter the pattern of rearfoot motion or not. Half show no differences in rearfoot kinematics and the other half show such small (but statistically significant) differences that the biological significance of those differences need to be questioned.
Does anyone see the paradox here? What we do clinically works, but not by trying to do what we think we are doing
In an attempt to resolve this paradox, one of our projects this year measured patient symptoms (FHSQ) at issue of foot orthoses and at 4 weeks follow up. At issue of foot orthoses, rearfoot kinematics was also measured with and without the use of the foot orthoses. Guess what we found? ---- there was no correlation between changes in the pattern of rearfoot motion and symptom reduction
This is troubling as I have spent most of my professional life trying to alter patient's pattern of rearfoot motion .... they get better, but not because of the changes in rearfoot motion
What say you? "
I don't think many people are grasping the significance of all the most recent reseach on foot orthoses, their effectiveness and how they work..... especially those with vested financial interests ;-)
Back to home
"Foot orthoses outcomes and kinematic changes
1. We use various types of foot orthoses in clinical practice in an attempt to alter the pattern of rearfoot motion to "improve" biomechanics and make patients better.
2. Numerous outcomes studies, patient satisfaction surveys (many with methodological flaws) and RCT's show patient do get better with foot orthoses that attempt to alter the pattern of rearfoot motion.
3. The numerous kinematic studies (many with methodological flaws) are about evenly divided as to if foot orthoses do alter the pattern of rearfoot motion or not. Half show no differences in rearfoot kinematics and the other half show such small (but statistically significant) differences that the biological significance of those differences need to be questioned.
Does anyone see the paradox here? What we do clinically works, but not by trying to do what we think we are doing
In an attempt to resolve this paradox, one of our projects this year measured patient symptoms (FHSQ) at issue of foot orthoses and at 4 weeks follow up. At issue of foot orthoses, rearfoot kinematics was also measured with and without the use of the foot orthoses. Guess what we found? ---- there was no correlation between changes in the pattern of rearfoot motion and symptom reduction
This is troubling as I have spent most of my professional life trying to alter patient's pattern of rearfoot motion .... they get better, but not because of the changes in rearfoot motion
What say you? "
I don't think many people are grasping the significance of all the most recent reseach on foot orthoses, their effectiveness and how they work..... especially those with vested financial interests ;-)
Back to home
Tuesday, December 07, 2004
The latest British Medical Journal has a full text article on Tibialis posterior dysfunction. Its a good review and has a podiatrist as co-author
There is some interesting speculation from the Journal of Pediatric Orthopedics on the causes of growing pains. ... problem is when someone talks or writes about growing pains, its not clear that we are talkng about the same thing.
....and a bit of fun in the Canadian Medical Association Journal on: Incidence of and risk factors for nodding off at scientific sessions .... I go to so many conferences, it has to be good to keep me awake :-)
Back to home
There is some interesting speculation from the Journal of Pediatric Orthopedics on the causes of growing pains. ... problem is when someone talks or writes about growing pains, its not clear that we are talkng about the same thing.
....and a bit of fun in the Canadian Medical Association Journal on: Incidence of and risk factors for nodding off at scientific sessions .... I go to so many conferences, it has to be good to keep me awake :-)
Back to home
The latest British Medical Journal has a full text article on Tibialis posterior dysfunction. Its a good review and has a podiatrist as co-author
There is some interesting speculation from the Journal of Pediatric Orthopedics on the causes of growing pains. ... problem is when someone talks or writes about growing pains, its not clear that we are talkng about the same thing.
....and a bit of fun in the Canadian Medical Association Journal on: Incidence of and risk factors for nodding off at scientific sessions .... I go to so many conferences, it has to be good to keep me awake :-)
Back to home
There is some interesting speculation from the Journal of Pediatric Orthopedics on the causes of growing pains. ... problem is when someone talks or writes about growing pains, its not clear that we are talkng about the same thing.
....and a bit of fun in the Canadian Medical Association Journal on: Incidence of and risk factors for nodding off at scientific sessions .... I go to so many conferences, it has to be good to keep me awake :-)
Back to home
Friday, November 26, 2004
ABC News are reporting on concerned expressed by the Australian Podiatry Assciation (WA) about the impact of the closure of the course at Curtin University. More
Podiatry Management have the full text of The Comprehensive Diabetic Foot Exam (CDFE) - A Win-Win For Doctor and Patient available from their Nov 04 issue
Podiatry Today have the full text of A Closer Look At Deep Vein Thrombosis available.
Back to home
Podiatry Management have the full text of The Comprehensive Diabetic Foot Exam (CDFE) - A Win-Win For Doctor and Patient available from their Nov 04 issue
Podiatry Today have the full text of A Closer Look At Deep Vein Thrombosis available.
Back to home
ABC News are reporting on concerned expressed by the Australian Podiatry Assciation (WA) about the impact of the closure of the course at Curtin University. More
Podiatry Management have the full text of The Comprehensive Diabetic Foot Exam (CDFE) - A Win-Win For Doctor and Patient available from their Nov 04 issue
Podiatry Today have the full text of A Closer Look At Deep Vein Thrombosis available.
Back to home
Podiatry Management have the full text of The Comprehensive Diabetic Foot Exam (CDFE) - A Win-Win For Doctor and Patient available from their Nov 04 issue
Podiatry Today have the full text of A Closer Look At Deep Vein Thrombosis available.
Back to home
Tuesday, November 23, 2004
Burnout High Among Podiatrists, but Not Inevitable
Burnout High Among Podiatrists, but Not Inevitable
From Podiatry Online:
"Burnout among podiatrists doesn't have to be inevitable. Many podiatrists view it as a job hazard, something that they believe goes along with the stress of dealing with people and their problems day in and day out, but that's not so.
Research about burnout and occupational stress relating to podiatry is lacking, although a study published earlier this year does shed some light on these important issues. The study compared levels of burnout between new podiatrists in the United Kingdom and Australia. Geographical differences may limit the study's applications, but podiatrists everywhere can relate to the overall findings.
The study by the Clinical Research Centre, University of Brighton, Eastbourne, England, found that podiatrists in both Australian and the United Kingdom had significantly higher levels of burnout than published normative data. "
Back to home
From Podiatry Online:
"Burnout among podiatrists doesn't have to be inevitable. Many podiatrists view it as a job hazard, something that they believe goes along with the stress of dealing with people and their problems day in and day out, but that's not so.
Research about burnout and occupational stress relating to podiatry is lacking, although a study published earlier this year does shed some light on these important issues. The study compared levels of burnout between new podiatrists in the United Kingdom and Australia. Geographical differences may limit the study's applications, but podiatrists everywhere can relate to the overall findings.
The study by the Clinical Research Centre, University of Brighton, Eastbourne, England, found that podiatrists in both Australian and the United Kingdom had significantly higher levels of burnout than published normative data. "
Back to home
Burnout High Among Podiatrists, but Not Inevitable
Burnout High Among Podiatrists, but Not Inevitable
From Podiatry Online:
"Burnout among podiatrists doesn't have to be inevitable. Many podiatrists view it as a job hazard, something that they believe goes along with the stress of dealing with people and their problems day in and day out, but that's not so.
Research about burnout and occupational stress relating to podiatry is lacking, although a study published earlier this year does shed some light on these important issues. The study compared levels of burnout between new podiatrists in the United Kingdom and Australia. Geographical differences may limit the study's applications, but podiatrists everywhere can relate to the overall findings.
The study by the Clinical Research Centre, University of Brighton, Eastbourne, England, found that podiatrists in both Australian and the United Kingdom had significantly higher levels of burnout than published normative data. "
Back to home
From Podiatry Online:
"Burnout among podiatrists doesn't have to be inevitable. Many podiatrists view it as a job hazard, something that they believe goes along with the stress of dealing with people and their problems day in and day out, but that's not so.
Research about burnout and occupational stress relating to podiatry is lacking, although a study published earlier this year does shed some light on these important issues. The study compared levels of burnout between new podiatrists in the United Kingdom and Australia. Geographical differences may limit the study's applications, but podiatrists everywhere can relate to the overall findings.
The study by the Clinical Research Centre, University of Brighton, Eastbourne, England, found that podiatrists in both Australian and the United Kingdom had significantly higher levels of burnout than published normative data. "
Back to home
Sunday, November 21, 2004
Podiatrist Sentenced for Medicaid Fraud
Podiatrist Sentenced for Medicaid Fraud
"A podiatrist is going to jail for playing footsie with Medicaid."
Some interesting threads at Podiatry Arena:
Serial casting for internal tibial torsion
The Pros and Cons of Computerized Foot Orthotic Technology
Prefabricated vs custom made foot orthoses
Decompression drilling for heel pain
Congratulations to Mike Edmonds, Ali Foster and Lee Sanders for their book winning the British Medical Association, Medical Book of the Year:
Diabetic Foot Book Wins Medical Book of the Year
Back to home
Podiatrist Sentenced for Medicaid Fraud
Podiatrist Sentenced for Medicaid Fraud
"A podiatrist is going to jail for playing footsie with Medicaid."
Some interesting threads at Podiatry Arena:
Serial casting for internal tibial torsion
The Pros and Cons of Computerized Foot Orthotic Technology
Prefabricated vs custom made foot orthoses
Decompression drilling for heel pain
Congratulations to Mike Edmonds, Ali Foster and Lee Sanders for their book winning the British Medical Association, Medical Book of the Year:
Diabetic Foot Book Wins Medical Book of the Year
Back to homeFriday, November 12, 2004
This is getting exasperating!!!! - here is anthor:
This is getting exasperating!!!! - here is anthor:
Unclipped nails: Symptom of patients getting clipped
"A Las Vegas podiatrist allegedly seeking reimbursements for ingrown toenails that were never clipped is one of the growing number of cases across the nation involving health care fraud, authorities noted at a national conference Tuesday."
I think I need to go and find a good news story.... anyone got one?
Back to home
Unclipped nails: Symptom of patients getting clipped
"A Las Vegas podiatrist allegedly seeking reimbursements for ingrown toenails that were never clipped is one of the growing number of cases across the nation involving health care fraud, authorities noted at a national conference Tuesday."
I think I need to go and find a good news story.... anyone got one?
Back to home
This is getting exasperating!!!! - here is anthor:
This is getting exasperating!!!! - here is anthor:
Unclipped nails: Symptom of patients getting clipped
"A Las Vegas podiatrist allegedly seeking reimbursements for ingrown toenails that were never clipped is one of the growing number of cases across the nation involving health care fraud, authorities noted at a national conference Tuesday."
I think I need to go and find a good news story.... anyone got one?
Back to home
Unclipped nails: Symptom of patients getting clipped
"A Las Vegas podiatrist allegedly seeking reimbursements for ingrown toenails that were never clipped is one of the growing number of cases across the nation involving health care fraud, authorities noted at a national conference Tuesday."
I think I need to go and find a good news story.... anyone got one?
Back to home
Thursday, November 11, 2004
Doc indicted in thefts from widow
Another one!!! ---really on a roll here:
Doc indicted in thefts from widow
" A Spring Lake podiatrist who lost a court battle over his elderly neighbor's fortune was indicted in Monmouth County yesterday for allegedly duping the eccentric widow out of her home and wealth"
Back to home
Doc indicted in thefts from widow
" A Spring Lake podiatrist who lost a court battle over his elderly neighbor's fortune was indicted in Monmouth County yesterday for allegedly duping the eccentric widow out of her home and wealth"
Back to home
Doc indicted in thefts from widow
Another one!!! ---really on a roll here:
Doc indicted in thefts from widow
" A Spring Lake podiatrist who lost a court battle over his elderly neighbor's fortune was indicted in Monmouth County yesterday for allegedly duping the eccentric widow out of her home and wealth"
Back to home
Doc indicted in thefts from widow
" A Spring Lake podiatrist who lost a court battle over his elderly neighbor's fortune was indicted in Monmouth County yesterday for allegedly duping the eccentric widow out of her home and wealth"
Back to home
Wednesday, November 10, 2004
Leg Length Differences and Quality of Life
In the lastest Journal of Vertebral Subluxation Research, there is a paper on leg length differences affecting quality of life .... it was only a small pilot study, but results are interesting.
Abstract
Discuss this at Podiatry Arena
Back to home
Abstract
Discuss this at Podiatry Arena
Back to home
Leg Length Differences and Quality of Life
In the lastest Journal of Vertebral Subluxation Research, there is a paper on leg length differences affecting quality of life .... it was only a small pilot study, but results are interesting.
Abstract
Discuss this at Podiatry Arena
Back to home
Abstract
Discuss this at Podiatry Arena
Back to home
Monday, November 08, 2004
What is it with Podiatrists at the moment
ANOTHER ONE - What is it with Podiatrists at the moment!!! :-)
Doctor charged in arson of home
Back to home
Doctor charged in arson of home
Back to home
What is it with Podiatrists at the moment
ANOTHER ONE - What is it with Podiatrists at the moment!!! :-)
Doctor charged in arson of home
Back to home
Doctor charged in arson of home
Back to home
Saturday, November 06, 2004
Friday, November 05, 2004
Sunday, October 24, 2004
Leg Lengthening
From: Law.com
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
Leg Lengthening
From: Law.com
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
Thursday, October 14, 2004
Rheumatoid arthritis and callus debridement
This research raises some questions about the use of scalpel debridement of callus in rheumatoid arthritis:
Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
Back to home
Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
Back to home
Rheumatoid arthritis and callus debridement
This research raises some questions about the use of scalpel debridement of callus in rheumatoid arthritis:
Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
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Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
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Friday, September 24, 2004
Running Injury
Relation between running injury and static lower limb alignment in recreational runners
V Lun, W H Meeuwisse, P Stergiou and D Stefanyshyn
Objectives: To determine if measurements of static lower limb alignment are related to lower limb injury in recreational runners.
Methods: Static lower limb alignment was prospectively measured in 87 recreational runners. They were observed for the following six months for any running related musculoskeletal injuries of the lower limb. Injuries were defined according to six types: R1, R2, and R3 injuries caused a reduction in running mileage for one day, two to seven days, or more than seven days respectively; S1, S2, and S3 injuries caused stoppage of running for one day, two to seven days, or more than seven days respectively.
Results: At least one lower limb injury was suffered by 79% of the runners during the observation period. When the data for all runners were pooled, 95% confidence intervals calculated for the differences in the measurements of lower limb alignment between the injured and non-injured runners suggested that there were no differences. However, when only runners diagnosed with patellofemoral pain syndrome (n = 6) were compared with non-injured runners, differences were found in right ankle dorsiflexion (0.3 to 6.1), right knee genu varum (–0.9 to –0.3), and left forefoot varus (–0.5 to –0.4).
Conclusions: In recreational runners, there is no evidence that static biomechanical alignment measurements of the lower limbs are related to lower limb injury except patellofemoral pain syndrome. However, the effect of static lower limb alignment may be injury specific.
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V Lun, W H Meeuwisse, P Stergiou and D Stefanyshyn
Objectives: To determine if measurements of static lower limb alignment are related to lower limb injury in recreational runners.
Methods: Static lower limb alignment was prospectively measured in 87 recreational runners. They were observed for the following six months for any running related musculoskeletal injuries of the lower limb. Injuries were defined according to six types: R1, R2, and R3 injuries caused a reduction in running mileage for one day, two to seven days, or more than seven days respectively; S1, S2, and S3 injuries caused stoppage of running for one day, two to seven days, or more than seven days respectively.
Results: At least one lower limb injury was suffered by 79% of the runners during the observation period. When the data for all runners were pooled, 95% confidence intervals calculated for the differences in the measurements of lower limb alignment between the injured and non-injured runners suggested that there were no differences. However, when only runners diagnosed with patellofemoral pain syndrome (n = 6) were compared with non-injured runners, differences were found in right ankle dorsiflexion (0.3 to 6.1), right knee genu varum (–0.9 to –0.3), and left forefoot varus (–0.5 to –0.4).
Conclusions: In recreational runners, there is no evidence that static biomechanical alignment measurements of the lower limbs are related to lower limb injury except patellofemoral pain syndrome. However, the effect of static lower limb alignment may be injury specific.
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Running Injury
Relation between running injury and static lower limb alignment in recreational runners
V Lun, W H Meeuwisse, P Stergiou and D Stefanyshyn
Objectives: To determine if measurements of static lower limb alignment are related to lower limb injury in recreational runners.
Methods: Static lower limb alignment was prospectively measured in 87 recreational runners. They were observed for the following six months for any running related musculoskeletal injuries of the lower limb. Injuries were defined according to six types: R1, R2, and R3 injuries caused a reduction in running mileage for one day, two to seven days, or more than seven days respectively; S1, S2, and S3 injuries caused stoppage of running for one day, two to seven days, or more than seven days respectively.
Results: At least one lower limb injury was suffered by 79% of the runners during the observation period. When the data for all runners were pooled, 95% confidence intervals calculated for the differences in the measurements of lower limb alignment between the injured and non-injured runners suggested that there were no differences. However, when only runners diagnosed with patellofemoral pain syndrome (n = 6) were compared with non-injured runners, differences were found in right ankle dorsiflexion (0.3 to 6.1), right knee genu varum (–0.9 to –0.3), and left forefoot varus (–0.5 to –0.4).
Conclusions: In recreational runners, there is no evidence that static biomechanical alignment measurements of the lower limbs are related to lower limb injury except patellofemoral pain syndrome. However, the effect of static lower limb alignment may be injury specific.
Back to home
V Lun, W H Meeuwisse, P Stergiou and D Stefanyshyn
Objectives: To determine if measurements of static lower limb alignment are related to lower limb injury in recreational runners.
Methods: Static lower limb alignment was prospectively measured in 87 recreational runners. They were observed for the following six months for any running related musculoskeletal injuries of the lower limb. Injuries were defined according to six types: R1, R2, and R3 injuries caused a reduction in running mileage for one day, two to seven days, or more than seven days respectively; S1, S2, and S3 injuries caused stoppage of running for one day, two to seven days, or more than seven days respectively.
Results: At least one lower limb injury was suffered by 79% of the runners during the observation period. When the data for all runners were pooled, 95% confidence intervals calculated for the differences in the measurements of lower limb alignment between the injured and non-injured runners suggested that there were no differences. However, when only runners diagnosed with patellofemoral pain syndrome (n = 6) were compared with non-injured runners, differences were found in right ankle dorsiflexion (0.3 to 6.1), right knee genu varum (–0.9 to –0.3), and left forefoot varus (–0.5 to –0.4).
Conclusions: In recreational runners, there is no evidence that static biomechanical alignment measurements of the lower limbs are related to lower limb injury except patellofemoral pain syndrome. However, the effect of static lower limb alignment may be injury specific.
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Friday, August 27, 2004
William Olson DPM
William Olson, D.P.M.
We mourn the passing of William Olson, D.P.M. of San Francisco, CA,who died on August 24, 2004 after a courageous 2½ year battle against cancer. Dr. Olson graduated CCPM in 1979 and was a former president of the American Academy of Podiatric Sports Medicine and a clinical professor at CCPM. Olson served as team podiatrist at UCBerkeley and was a Distinguished Practitioner in the National Academies of Practice. Dr. Olson was an author and innovator, who was responsible for the introduction of many high-tech materials to the orthotics industry.In 2001, Podiatry Management Magazine named him as one of the profession's 150 most influential practitioners.Those who had the pleasure of knowing Bill can attest to hisgenerosity in freely sharing his knowledge with others. He will be sorely missed.PM News policy is to recommend that memorial donations be made to the Fund For Podiatric Medical Educationhttp://www.apma.org/fpmh.htm
(reprinted from PMNews, with permission)
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We mourn the passing of William Olson, D.P.M. of San Francisco, CA,who died on August 24, 2004 after a courageous 2½ year battle against cancer. Dr. Olson graduated CCPM in 1979 and was a former president of the American Academy of Podiatric Sports Medicine and a clinical professor at CCPM. Olson served as team podiatrist at UCBerkeley and was a Distinguished Practitioner in the National Academies of Practice. Dr. Olson was an author and innovator, who was responsible for the introduction of many high-tech materials to the orthotics industry.In 2001, Podiatry Management Magazine named him as one of the profession's 150 most influential practitioners.Those who had the pleasure of knowing Bill can attest to hisgenerosity in freely sharing his knowledge with others. He will be sorely missed.PM News policy is to recommend that memorial donations be made to the Fund For Podiatric Medical Educationhttp://www.apma.org/fpmh.htm
(reprinted from PMNews, with permission)
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William Olson DPM
William Olson, D.P.M.
We mourn the passing of William Olson, D.P.M. of San Francisco, CA,who died on August 24, 2004 after a courageous 2½ year battle against cancer. Dr. Olson graduated CCPM in 1979 and was a former president of the American Academy of Podiatric Sports Medicine and a clinical professor at CCPM. Olson served as team podiatrist at UCBerkeley and was a Distinguished Practitioner in the National Academies of Practice. Dr. Olson was an author and innovator, who was responsible for the introduction of many high-tech materials to the orthotics industry.In 2001, Podiatry Management Magazine named him as one of the profession's 150 most influential practitioners.Those who had the pleasure of knowing Bill can attest to hisgenerosity in freely sharing his knowledge with others. He will be sorely missed.PM News policy is to recommend that memorial donations be made to the Fund For Podiatric Medical Educationhttp://www.apma.org/fpmh.htm
(reprinted from PMNews, with permission)
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We mourn the passing of William Olson, D.P.M. of San Francisco, CA,who died on August 24, 2004 after a courageous 2½ year battle against cancer. Dr. Olson graduated CCPM in 1979 and was a former president of the American Academy of Podiatric Sports Medicine and a clinical professor at CCPM. Olson served as team podiatrist at UCBerkeley and was a Distinguished Practitioner in the National Academies of Practice. Dr. Olson was an author and innovator, who was responsible for the introduction of many high-tech materials to the orthotics industry.In 2001, Podiatry Management Magazine named him as one of the profession's 150 most influential practitioners.Those who had the pleasure of knowing Bill can attest to hisgenerosity in freely sharing his knowledge with others. He will be sorely missed.PM News policy is to recommend that memorial donations be made to the Fund For Podiatric Medical Educationhttp://www.apma.org/fpmh.htm
(reprinted from PMNews, with permission)
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Sunday, August 22, 2004
Saturday, August 21, 2004
Another naughty podiatrist
Another naughty Podiatrist - this one got caught flming massges - link
UK Podiatrist's and the use of the term 'physician' - link
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UK Podiatrist's and the use of the term 'physician' - link
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Another naughty podiatrist
Another naughty Podiatrist - this one got caught flming massges - link
UK Podiatrist's and the use of the term 'physician' - link
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UK Podiatrist's and the use of the term 'physician' - link
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Thursday, August 19, 2004
Severs Disease
This is a good one:
Sever's Injury: A Stress Fracture of the Immature Calcaneal Metaphysis. Journal of Pediatric Orthopedics. 24(5):488-492, September/October 2004.Ogden, John A. MD *; Ganey, Timothy M. PhD ++; Hill, J. David MD +; Jaakkola, Juha I. MD +
Magnetic resonance imaging (MRI) in children with a presumptive diagnosis of Sever's apophysitis and with continuing pain after conservative treatment demonstrated bone bruising within the trabecular bone of the metaphyseal region adjacent to the calcaneal apophysis. Limited portions of the apophyseal secondary ossification center showed similar increased signal changes. MRI studies following treatment with immobilization showed subsidence or disappearance of the metaphyseal but not any apophyseal signal changes commensurate with improvement in symptoms. Accordingly, the disorder commonly referred to as Sever's "apophysitis" may be a metaphyseal trabecular stress fracture, similar to the toddler's calcaneal stress fracture that has minimal or no involvement of the apophyseal ossification center, and thus should not be referred to as an apophysitis. Rather, it appears to be an overuse injury causing microinjury within the developing metaphyseal "equivalent" trabecular bone that has not completely adapted to the changing biologic (biomechanical) requirements of the growing, athletically active child.
Ask a question about Severs disease at the Foot Health Forum.
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Sever's Injury: A Stress Fracture of the Immature Calcaneal Metaphysis. Journal of Pediatric Orthopedics. 24(5):488-492, September/October 2004.Ogden, John A. MD *; Ganey, Timothy M. PhD ++; Hill, J. David MD +; Jaakkola, Juha I. MD +
Magnetic resonance imaging (MRI) in children with a presumptive diagnosis of Sever's apophysitis and with continuing pain after conservative treatment demonstrated bone bruising within the trabecular bone of the metaphyseal region adjacent to the calcaneal apophysis. Limited portions of the apophyseal secondary ossification center showed similar increased signal changes. MRI studies following treatment with immobilization showed subsidence or disappearance of the metaphyseal but not any apophyseal signal changes commensurate with improvement in symptoms. Accordingly, the disorder commonly referred to as Sever's "apophysitis" may be a metaphyseal trabecular stress fracture, similar to the toddler's calcaneal stress fracture that has minimal or no involvement of the apophyseal ossification center, and thus should not be referred to as an apophysitis. Rather, it appears to be an overuse injury causing microinjury within the developing metaphyseal "equivalent" trabecular bone that has not completely adapted to the changing biologic (biomechanical) requirements of the growing, athletically active child.
Ask a question about Severs disease at the Foot Health Forum.
Back to home
Severs Disease
This is a good one:
Sever's Injury: A Stress Fracture of the Immature Calcaneal Metaphysis. Journal of Pediatric Orthopedics. 24(5):488-492, September/October 2004.Ogden, John A. MD *; Ganey, Timothy M. PhD ++; Hill, J. David MD +; Jaakkola, Juha I. MD +
Magnetic resonance imaging (MRI) in children with a presumptive diagnosis of Sever's apophysitis and with continuing pain after conservative treatment demonstrated bone bruising within the trabecular bone of the metaphyseal region adjacent to the calcaneal apophysis. Limited portions of the apophyseal secondary ossification center showed similar increased signal changes. MRI studies following treatment with immobilization showed subsidence or disappearance of the metaphyseal but not any apophyseal signal changes commensurate with improvement in symptoms. Accordingly, the disorder commonly referred to as Sever's "apophysitis" may be a metaphyseal trabecular stress fracture, similar to the toddler's calcaneal stress fracture that has minimal or no involvement of the apophyseal ossification center, and thus should not be referred to as an apophysitis. Rather, it appears to be an overuse injury causing microinjury within the developing metaphyseal "equivalent" trabecular bone that has not completely adapted to the changing biologic (biomechanical) requirements of the growing, athletically active child.
Ask a question about Severs disease at the Foot Health Forum.
Back to home
Sever's Injury: A Stress Fracture of the Immature Calcaneal Metaphysis. Journal of Pediatric Orthopedics. 24(5):488-492, September/October 2004.Ogden, John A. MD *; Ganey, Timothy M. PhD ++; Hill, J. David MD +; Jaakkola, Juha I. MD +
Magnetic resonance imaging (MRI) in children with a presumptive diagnosis of Sever's apophysitis and with continuing pain after conservative treatment demonstrated bone bruising within the trabecular bone of the metaphyseal region adjacent to the calcaneal apophysis. Limited portions of the apophyseal secondary ossification center showed similar increased signal changes. MRI studies following treatment with immobilization showed subsidence or disappearance of the metaphyseal but not any apophyseal signal changes commensurate with improvement in symptoms. Accordingly, the disorder commonly referred to as Sever's "apophysitis" may be a metaphyseal trabecular stress fracture, similar to the toddler's calcaneal stress fracture that has minimal or no involvement of the apophyseal ossification center, and thus should not be referred to as an apophysitis. Rather, it appears to be an overuse injury causing microinjury within the developing metaphyseal "equivalent" trabecular bone that has not completely adapted to the changing biologic (biomechanical) requirements of the growing, athletically active child.
Ask a question about Severs disease at the Foot Health Forum.
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Monday, August 09, 2004
Diabetic Foot site
I have been tardy in updating here and at my Diabetic Foot site - just added a whole lot of new stuff - check it out here
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Diabetic Foot site
I have been tardy in updating here and at my Diabetic Foot site - just added a whole lot of new stuff - check it out here
Back to home
Back to home
Thursday, July 01, 2004
Thursday, May 27, 2004
New York Feet More Stressed than Boston Feet
New York Feet More Stressed than Boston Feet
An overwhelming 58% of those polled believed New Yorkers have the most stressed out feet, while Boston was named the city with the least stressed feet. Behind New York, San Franciscans were believed to be in need of some feet pampering, but as the closest runner-up only received 9% of the vote. A large majority of consumers have issues with their feet, and in line with being named for having stressed feet, New Yorkers (77%) and San Franciscans (60%) report either not liking the look or feel of their feet. Link
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An overwhelming 58% of those polled believed New Yorkers have the most stressed out feet, while Boston was named the city with the least stressed feet. Behind New York, San Franciscans were believed to be in need of some feet pampering, but as the closest runner-up only received 9% of the vote. A large majority of consumers have issues with their feet, and in line with being named for having stressed feet, New Yorkers (77%) and San Franciscans (60%) report either not liking the look or feel of their feet. Link
Back to home
New York Feet More Stressed than Boston Feet
New York Feet More Stressed than Boston Feet
An overwhelming 58% of those polled believed New Yorkers have the most stressed out feet, while Boston was named the city with the least stressed feet. Behind New York, San Franciscans were believed to be in need of some feet pampering, but as the closest runner-up only received 9% of the vote. A large majority of consumers have issues with their feet, and in line with being named for having stressed feet, New Yorkers (77%) and San Franciscans (60%) report either not liking the look or feel of their feet. Link
Back to home
An overwhelming 58% of those polled believed New Yorkers have the most stressed out feet, while Boston was named the city with the least stressed feet. Behind New York, San Franciscans were believed to be in need of some feet pampering, but as the closest runner-up only received 9% of the vote. A large majority of consumers have issues with their feet, and in line with being named for having stressed feet, New Yorkers (77%) and San Franciscans (60%) report either not liking the look or feel of their feet. Link
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Wednesday, May 19, 2004
Podiatrist for President
A Naples podiatrist announced Tuesday he is closing his foot and ankle practice shortly to relocate to his native Iraq to run for the presidency in the 2005 elections.
Rasool Sharif, 58, said he has returned to Iraq twice in the past two months and recently was asked by Grand Ayatollah Ali al-Sistani, Iraq's influential Shia cleric, to return for more meetings.
"I was the only American who has met with him," said Sharif, who owns the Foot & Ankle Clinic at 198 Ninth St. N. "I met with a lot of people there, a lot of intellectual people."
Link
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Rasool Sharif, 58, said he has returned to Iraq twice in the past two months and recently was asked by Grand Ayatollah Ali al-Sistani, Iraq's influential Shia cleric, to return for more meetings.
"I was the only American who has met with him," said Sharif, who owns the Foot & Ankle Clinic at 198 Ninth St. N. "I met with a lot of people there, a lot of intellectual people."
Link
Back to home
Podiatrist for President
A Naples podiatrist announced Tuesday he is closing his foot and ankle practice shortly to relocate to his native Iraq to run for the presidency in the 2005 elections.
Rasool Sharif, 58, said he has returned to Iraq twice in the past two months and recently was asked by Grand Ayatollah Ali al-Sistani, Iraq's influential Shia cleric, to return for more meetings.
"I was the only American who has met with him," said Sharif, who owns the Foot & Ankle Clinic at 198 Ninth St. N. "I met with a lot of people there, a lot of intellectual people."
Link
Back to home
Rasool Sharif, 58, said he has returned to Iraq twice in the past two months and recently was asked by Grand Ayatollah Ali al-Sistani, Iraq's influential Shia cleric, to return for more meetings.
"I was the only American who has met with him," said Sharif, who owns the Foot & Ankle Clinic at 198 Ninth St. N. "I met with a lot of people there, a lot of intellectual people."
Link
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Tuesday, May 18, 2004
Saturday, April 03, 2004
We have out a lot of our lecture notes on the Departments website at LaTrobe University.
These include: Biomechanics; Diabetes; Rheumatology; Paediatrics
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These include: Biomechanics; Diabetes; Rheumatology; Paediatrics
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We have out a lot of our lecture notes on the Departments website at LaTrobe University.
These include: Biomechanics; Diabetes; Rheumatology; Paediatrics
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These include: Biomechanics; Diabetes; Rheumatology; Paediatrics
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Friday, April 02, 2004
Foot Posture Index
I have just had a look at the logs for this web site - these tell me what keywords people are using in search engines like Google ---- 'Foot Posture Index' is currently used by a lot .... hhhmmm - I talked about that on January 17. For more on the Foot Posture Index, check that date - there are some links to our work and the work of others on this Foot Posture Index that Tony Redmond developed.
More on the Foot Posture Index
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More on the Foot Posture Index
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Foot Posture Index
I have just had a look at the logs for this web site - these tell me what keywords people are using in search engines like Google ---- 'Foot Posture Index' is currently used by a lot .... hhhmmm - I talked about that on January 17. For more on the Foot Posture Index, check that date - there are some links to our work and the work of others on this Foot Posture Index that Tony Redmond developed.
More on the Foot Posture Index
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More on the Foot Posture Index
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Thursday, February 26, 2004
Pensioner picks toenail dispute
Pensioner picks toenail dispute. A pensioner in the Highlands has claimed he was advised to have his toenails removed rather than wait for a chiropody appointment.
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Pensioner picks toenail dispute
Pensioner picks toenail dispute. A pensioner in the Highlands has claimed he was advised to have his toenails removed rather than wait for a chiropody appointment.
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Back to home
Quizz on Flat Feet
A clinical quiz on Flat feet at Medscape - you need to sign up for a free log in.
Quizz on Flat Feet
A clinical quiz on Flat feet at Medscape - you need to sign up for a free log in.
Wednesday, February 18, 2004
Saturday, January 17, 2004
Foot Posture Index
This was originally develeoped by Tony Redmond as a means to overcome some of the limitations of previous methods of quantifying posture of the foot.
We have two recent publications in which we used it in:
Static Stance Response to Different Types of Foot Orthoses
The Reliability of the Manual Supination Resistance Test
Another 2 papers from the University of South Australia has just appeared look more at the FPI validity:
Criterion Validation of Four Criteria of the Foot Posture Index
Reliability of the Foot Posture Index and Traditional Measures of Foot Position
My opinion on the Foot Posture Index (FPI):
We use it a lot in research. We use it a lot as part of the inclusion criteria for our orthotic studies (eg we may only recruit those with a Foot Posture Index greater than, say, 6 --> this probably indicates that these people would have probably got foot orthotics if they had symptoms related to a pronated foot --> anything >4-5 on the Foot Posture Index is a pronated foot). The the end of the day, the Foot Posture Index is good for what it is designed for. Like a lot of tools its not good for what it is not designed for.
Back to home
This was originally develeoped by Tony Redmond as a means to overcome some of the limitations of previous methods of quantifying posture of the foot.
We have two recent publications in which we used it in:
Static Stance Response to Different Types of Foot Orthoses
The Reliability of the Manual Supination Resistance Test
Another 2 papers from the University of South Australia has just appeared look more at the FPI validity:
Criterion Validation of Four Criteria of the Foot Posture Index
Reliability of the Foot Posture Index and Traditional Measures of Foot Position
My opinion on the Foot Posture Index (FPI):
We use it a lot in research. We use it a lot as part of the inclusion criteria for our orthotic studies (eg we may only recruit those with a Foot Posture Index greater than, say, 6 --> this probably indicates that these people would have probably got foot orthotics if they had symptoms related to a pronated foot --> anything >4-5 on the Foot Posture Index is a pronated foot). The the end of the day, the Foot Posture Index is good for what it is designed for. Like a lot of tools its not good for what it is not designed for.
Back to home
Foot Posture Index
This was originally develeoped by Tony Redmond as a means to overcome some of the limitations of previous methods of quantifying posture of the foot.
We have two recent publications in which we used it in:
Static Stance Response to Different Types of Foot Orthoses
The Reliability of the Manual Supination Resistance Test
Another 2 papers from the University of South Australia has just appeared look more at the FPI validity:
Criterion Validation of Four Criteria of the Foot Posture Index
Reliability of the Foot Posture Index and Traditional Measures of Foot Position
My opinion on the Foot Posture Index (FPI):
We use it a lot in research. We use it a lot as part of the inclusion criteria for our orthotic studies (eg we may only recruit those with a Foot Posture Index greater than, say, 6 --> this probably indicates that these people would have probably got foot orthotics if they had symptoms related to a pronated foot --> anything >4-5 on the Foot Posture Index is a pronated foot). The the end of the day, the Foot Posture Index is good for what it is designed for. Like a lot of tools its not good for what it is not designed for.
Back to home
This was originally develeoped by Tony Redmond as a means to overcome some of the limitations of previous methods of quantifying posture of the foot.
We have two recent publications in which we used it in:
Static Stance Response to Different Types of Foot Orthoses
The Reliability of the Manual Supination Resistance Test
Another 2 papers from the University of South Australia has just appeared look more at the FPI validity:
Criterion Validation of Four Criteria of the Foot Posture Index
Reliability of the Foot Posture Index and Traditional Measures of Foot Position
My opinion on the Foot Posture Index (FPI):
We use it a lot in research. We use it a lot as part of the inclusion criteria for our orthotic studies (eg we may only recruit those with a Foot Posture Index greater than, say, 6 --> this probably indicates that these people would have probably got foot orthotics if they had symptoms related to a pronated foot --> anything >4-5 on the Foot Posture Index is a pronated foot). The the end of the day, the Foot Posture Index is good for what it is designed for. Like a lot of tools its not good for what it is not designed for.
Back to home
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