Chronic lateral ankle instability (CLAI), frequently resulting from ankle sprains, is often associated with undiagnosed hindfoot varus deformities, specifically subtle cavus foot (SCF). While ligament reconstruction remains the standard treatment for CLAI with SCF, there is ongoing debate regarding the need for adjunctive calcaneal osteotomy to correct the underlying malalignment. A retrospective analysis of 102 patients with CLAI and SCF was…
Lower Extremity Review
Inflammation and Nutrition-Based Indicators for Predicting DFUs
Inflammation and nutritional status are increasingly recognized as key contributors to impaired wound healing in diabetes. However, the relationship between inflammation- and nutrition-based indicators and diabetic foot ulcer (DFU) has not been well established. This study investigated these associations.
Honey Dressing for Diabetic Foot Ulcers: A Systematic Review
Researchers conducted a systematic review and meta-analysis following PRISMA guidelines regarding the efficacy and safety of honey dressing compared to conventional dressings in the treatment of diabetic foot ulcers (DFUs). PubMed, BIOSIS, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar internet were searched from inception to Jan 31, 2026, for RCTs comparing honey dressing with conventional dressings in DFU patients.
Elastic Taping of Toes after Percutaneous Forefoot Surgery: Technical Tip
Elastic taping as external fixation after percutaneous forefoot surgery is not merely an adjunct but a key component of the surgical strategy; when properly applied, it maintains three-dimensional correction and contributes to optimal functional outcomes in modern minimally invasive forefoot surgery.
Ewing Sarcoma of The Great Toe: A Rare Case Report
Ewing sarcoma (ES) rarely arises in the toes, where nonspecific pain and swelling can mimic benign conditions, delaying diagnosis. Early recognition is critical because modern multimodal therapy can achieve limb preservation and high rates of disease control. A case of a healthy 22-year-old man developed progressive pain and swelling of the left hallux after partial nail excision for a presumed ingrown toenail.
Foot To Fatality: Alarming Outcomes Following Acute Diabetic Foot Infections
Acute, deep infections of diabetes-related foot ulcers can present as surgical emergencies. The term diabetic foot attacks (DFAs) was introduced to emphasize the urgency of these infections and need for immediate intervention. DFAs are characterized by deep infection of the foot that spread rapidly to the rest of the foot and limb. It can be limb- and even life-threatening. Although DFAs are relatively common, the literature on the outcomes is scarce.
Treatment and Cost of Athletic Training in High Schools for Knee and Ankle
The monetary costs of sport-related injuries are significant, but complexity in public and private payers and disparate injury-reporting systems create challenges in accurately estimating their economic impact. Few researchers have characterized the cost of athletic training services for sport-related injuries. Treatment and costs characteristics of athletic training services provided to high school student-athletes for knee and ankle cases, including comparison of…
The Relationship Between Clinical Outcomes and Gait Biomechanics in PF
Plantar fasciitis (PF) is a common musculoskeletal disorder characterized by heel pain that disrupts gait and daily function. This study examined relationships between clinical outcomes and gait biomechanics, determined whether these relationships differ between recent- and chronic-onset cases, and identified key clinical predictors of gait speed.
Wound Talk with Dr. Windy Cole: Giving Lymphedema the Squeeze: All Things Compression
In traditional medicine, we often treat the vascular, integumentary, and lymphatic systems as separate silos. However, the “Veil Theory,” championed by Dr. Heather Hettrick, reveals that these systems are inextricably linked. At the center of this connection is the endothelial glycocalyx, a microscopic, sieve-like layer within our blood vessels that regulates the movement of fluid and proteins.
By Dr. Windy Cole, DPM, CWSP, FACCWS, FFPM RCPS (Glasg) with Dr. Loan Lam DPM,
FAWPHc, FAPWCA, CWSP, CHWS, CLWT and guest Cam Ayala
lerEXPO Highlights: AI-Assisted Risk Stratification and Management in Diabetic Limb Salvage
The global prevalence of diabetes is increasing and is projected to affect 642 million people by 2040, highlighting the growing need for effective prevention, management, and supportive care. Diabetes can be associated with a range of health complications that require ongoing medical attention. Among these, diabetic foot conditions–particularly ulcerations and infections–are leading contributors to non-traumatic lower-limb amputations.
By Dr. Laura Shin
Rethinking the Role of the Plantar Fascia’s Windlass Mechanism
Ever since Sahelanthropus tchadensis stood upright 7 million years ago, the feet of our common ancestors have undergone a series of important structural changes necessary to accommodate the functional requirements of bipedal locomotion. While the feet of arboreal primates were well-adapted for grasping branches during movement through tree canopies, their hypermobile midfoot and adducted great toe led to instability and buckling during the push-off phase of gait…
By Tom Michaud, DC, and Nicolas Haelewijn, Ph. D.
The Halo Effect of Technology in Podiatric Practice
When patients enter a podiatry office, their impressions begin forming immediately. Before any history is taken or exam performed, they are already processing what they see. Eyes are drawn to the physical space, the efficiency of the front desk, the demeanor of the staff. They enter the treatment room and notice the equipment in the room while waiting for the physician. These early signals shape expectations in ways that are both subtle and powerful.
By Mikel D. Daniels, DPM, MBA, President and Chief Medical Officer, WeTreatFeet Podiatry
Questions, Answers & Commentaries About AFOs
I would like to thank the reader for acknowledging my expertise. I want to reiterate that the literature supports functional context as a focus of rehabilitation as opposed to just impairment-based interventions. We must treat the person as a whole entity (person: mental, emotional, physical, spiritual, intellectual) of who they are in their lived spaces (environment) and what they do in that space (tasks).
By Dr. Jennifaye V. Brown
CAGA 101: The 12 Dirty Truths of Foot Mechanics
If you have been following our articles, you may have noticed a trend in how computer-aided gait analysis (CAGA) data can help characterize unavoidable and avoidable truths about your 2 feet and the long-term consequences. When it comes to footwear, even research supports the fact that improper footwear and “wear and tear” over time will have negative impacts on foot health.
By Jay Segel, DPM; Sally Crawford, MS
Application Of Transcranial Pulse Stim in Rehab: Pain Management in Knee Osteoarthritis
Knee osteoarthritis (KOA) is the most prevalent form of arthritis among adults and a leading cause of disability worldwide. The condition affects hundreds of millions of individuals and represents a substantial burden on healthcare systems. Chronic knee pain is the primary symptom and frequently prompts individuals to seek medical care. However, the management of chronic osteoarthritis pain remains challenging.
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