Lower Extremity Review
Arthritis is a medical term that describes inflammation of a joint; swelling and tenderness are common symptoms. Joints are areas where 2 different bones contact one another. Some joints allow for motion to occur and some do not. The freedom of movement ranges from…
By Paul J. Betschart, DPM
While researching the history of gait analysis to prepare for this issue, the parable of the blind men and the elephant kept coming to mind. The ancient story is of a group of blind men who have never seen an elephant. On encountering a live elephant, they each touch a different part of the large mammal and come away thinking they know what it is.
As a practicing podiatrist for 40 years, I have seen thousands of patients. About 33 years ago, I became frustrated with the fact that although many of my patients responded to conventional treatment, many did not, and I wanted to know why. To me, this was the missing link in improving my percentage of successful outcomes.
By Robert Kornfeld, D.P.M.
The bunion deformity, technically termed hallux abductovalgus or HAV, is a 3-plane positional deformity of the great toe and first metatarsal and can ultimately lead to pain with shoe wearing and walking. Conservative treatment is always favored first; however, the only way to truly eliminate the deformity itself is by surgical correction.
By Paul J. Betschart, DPM
Center of pressure is a critical biomechanical measure of human postural control and gait, particularly in chronic ankle instability. Evidence from biofeedback studies reveals COP may be modified to improve gait and functional movement.
By Danielle Torp, MS, ATC; Luke Donovan, PhD, ATC; Abbey Thomas, PhD, ATC
Falls are highly prevalent in people with multiple sclerosis (MS) and result in a range of negative consequences, such as injury, activity curtailment, reduced quality of life, and increased need for care and time off work.
By Susan Coote, PhD; Laura Comber, PhD; Gillian Quinn, PhD; Carme Santoyo-Medina, MSc; Alon Kalron, PhD, PT; Hilary Gunn, PhD
Surgical site dehiscence is one of the most commonly reported complications seen post-operatively. Surgical wound dehiscence (SWD) is defined as the separation of the margins of a closed surgical incision that has been made in skin, with or without exposure or protrusion of underlying tissue, organs, or implants.
By Windy Cole, DPM, CWSP
Background: Chronic wound treatment currently relies heavily on visual assessment by clinicians; however, the clinical signs and symptoms of infection and…
By David G. Armstrong, DPM, MD, PhD; Karen Bauer, DNP, APRN-CNP, CWS; Greg Bohn, MD; Marissa Carter, MA, PhD; Robert Snyder, DPM, MBA, MSc, CWSP; and Thomas E. Serena, MD, FACS, FACHM, MAPWCA
Inflammation associated with gout may change tissue elasticity. Ultrasound imaging using shear wave elastography (SWE) offers a non-invasive method of quantifying changes in tendon stiffness. These authors sought to determine differences in Achilles tendon stiffness in people with gout compared to controls (non-gout) using SWE.
By Simon Otter, Catherine Payne, Anna-Marie Jones, Nick Webborn, and Peter Watt
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