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Achilles Tendinopathy and Body Mass Index

May 18, 2013

Achilles tendinopathy is no different to any other overuse injury in that the cause is the cumulative loads in the tissue are beyond what the tissue can take.

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Preferred Foot Strike Pattern and Soft Tissue Vibration

May 18, 2013

The simplified version of the ‘ Preferred Motion Pathway ‘ model is that each individual has a preferred pathway for a given task (and that will vary from person to person). The model considers that if you function within that pathway, then you are more efficient and have a less risk for injury

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Are there really that many ‘dumb’ runners doing this?

May 15, 2013

I had to roll my eyes at this in my alerts this morning. This was nothing startling, just a case report on 3 runners who got an injury in minimalist running shoes: Minimalist shoe injuries: Three case reports . Cauthon DJ, Langer P, Coniglione TC

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Foot Strike Pattern and Injury Rates

May 14, 2013

Like the running economy and footwear type issue, I have been meaning to write for a while an article that summaries the studies on the differences in injury rates between heel strikers and non-heel strikers; but before I got to doing it another two studies appear, so its worth writing about those. To date we have 4 studies (now 6) that have looked at this: Daoud et al (2012) was a retrospective review of 52 almost elite level track runners ( that are not close to being representative of typical runners ) which found the injury rate in the heel strike group was almost double the forefoot striking group. This study got an extraordinary amount of press coverage (and Vivobarefoot cherry picked it to produce a  poster).

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Botulinum toxin A combined with casting does not improve idiopathic toe walking

May 14, 2013

Researchers found no differences between casting-only and casting with botulinum toxin A injections when treating children with idiopathic toe-walking.

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Microfracture surprises tarnish the experience

May 14, 2013

U.S. orthopedic surgeons perform more than 25,000 microfractures annually, making the procedure the most common marrow-­stimulating technique used for repair of the cartilage defects that often affect active individuals.1 Although microfracture is a single-stage, low-cost intervention that requires only surgical time and common surgical tools, it requires a lengthy rehabilitation and comes with other challenges, such as limited durability and less than optimal return-to-sport rates. And, for many patients, the procedure also comes as a complete surprise.

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Women seek practical and extreme solutions to high heel pain

May 14, 2013

From corsets to high heels, women have compromised their comfort for fashion throughout every age of time, but it’s time to get real about what women are doing to their feet and learn what they can do to stop the pain without giving up their favorite pumps.

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CMS: Do EHRs lead to upcoding?

May 14, 2013

The accuracy of physician documentation has been scrutinized for years, but a relatively new focus of complaints involves how doctors use features of electronic health record systems to support their claims. Concerns that doctors are taking advantage of EHR automation to bill higher-level services – intentionally or not – are misplaced, physicians said during a May 3 forum at the Centers for Medicare & Medicaid Services headquarters.

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The role of foot morphology on foot function in diabetic subjects with or without neuropathy

May 14, 2013

The aim of this study was to investigate the role of foot morphology, related with respect to diabetes and peripheral neuropathy in altering foot kinematics and plantar pressure during gait. Healthy and diabetic subjects with or without neuropathy with different foot types were analyzed.

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Meet Matthew Garoufalis, DPM, FACFAOM – today at 9 p.m. ET

May 14, 2013

Dr.

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