archives

Emphasizing the importance of listening and developing a rapport with patients

June 28, 2016

Nicholas A Campitelli DPM FACFAS writes: “One of the most important lessons I learned from one of my attending physicians during residency was from a comment he had made toward another physician: ‘They were too busy to see all of the pathology.’ In other words, slow down and listen to your patients.

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Current insights on treating common dance injuries

June 21, 2016

Frequently subjecting the lower extremity to constant stress, dancers can be prone to dermatological issues, injuries due to biomechanical etiologies and bone injuries. Accordingly, this author discusses key intrinsic factors with this patient population, keys to the diagnostic workup and how to facilitate a timely return to the stage.

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Sizeless, lightweight, lace-free shoes may be the future of footwear

June 21, 2016

Footwear has changed significantly in the past decade, but it feels like there’s no fundamental difference. Sure, we got better technology, more flexible and sturdier shoes, we got air and all those cool things, but it’s still pretty much the same thing, with the same basic design

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Local flaps for wounds: Rules of rotation and advancement

June 21, 2016

Soft tissue reconstruction in the surgical management of lower extremity wounds can pose a challenge to surgeons involved with these high-risk patient populations.

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Does barefoot running lower the incidence of musculoskeletal injuries?

June 14, 2016

Lower extremity injuries are extremely common among runners. Approximately, 79 percent of runners sustain at least one lower extremity injury per year

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Addressing the role of equinus in stage ii adult-acquired flatfoot

June 7, 2016

Recognizing equinus as a key deforming force in those with stage II adult-acquired flatfoot, this author offers a primer on anatomical considerations, pertinent diagnostic pearls and insights on conservative and surgical treatment options, including percutaneous Achilles tendon lengthening.

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Minimalist footwear, shortened stride affect loads differently during running

June 7, 2016

Running in minimalist footwear and running with a shorter stride length are both associated with reduced knee loads, but the two approaches differ in their effects on loading at the ankle, according to research from the University of Calgary in Canada. In 14 healthy young adult men, investigators assessed the effect on joint loading of using minimalist versus control foot­wear or using a stride 10 percent shorter than the runner’s preferred stride length.

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Keys to diagnosing and treating plantar keratosis

June 7, 2016

Due to the varying presentations and causes of plantar keratosis, it is crucial to make an accurate diagnosis to facilitate effective treatment. These authors present a comprehensive guide to biomechanical and dermatological lesions as well as options for management.

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Lower body conditioning may cut upper body injury risk in softball

June 6, 2016

Safety of underhand pitching overrated By Hank Black Better pre- and offseason lower-body conditioning may help prevent some serious overuse injuries to the upper extremities of young female fast-pitch softball players, according to the lead author of a recent prospective study of player-reported injuries. “Because the lower body is the driving force of the windmill pitch, a good conditioning program for the gluteal mus­cu­lature would be important in sequentially stabilizing the pelvis and trunk to provide support for the rest of the kinetic chain,” said Matthew V.

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Excess weight affects foot loading, peak pressure even in young kids    

June 6, 2016

Weight loss may improve function By Katie Bell Overweight and obese children present with higher overall foot loading and a disproportional impact on the midfoot and longitudinal arch, with those as young as 1 or 2 years of age affected, according to research from Germany that may have implications for abnormal foot loading prevention in children. Lead author Steffen Müller, PhD, research associate at the University Outpatient Clinic, Sports Medicine & Sports Orthopaedics, at the University of Potsdam in Germany, remarked, “In our data we cannot really see a well-adapted gait strategy for these children [for foot loading] since no real compensation is visible. Therefore, it could be speculated that the obese children are not capable [of adapting] their gait sufficiently to extra weight, leading to higher and disproportional foot loading.” The study included 7575 children aged 1 to 12 years and examined foot-loading characteristics during gait

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