Category Archives: Feature Article

Featured Issue Article

June 2021

Sleep Series Part II: Sleep and Athletic Performance

Sleep – that magical state where our bodies recuperate, our minds rejuvenate, and we are free of the everyday stresses of the world – is a necessary physiological process that all humans require.

By Jeremy R. Hawkins, PhD, LAT, ATC; Michael Reeder, DO; and Alli Powell, DAT, LAT, ATC Continue reading

June 2021

Recovery and Regeneration Strategies for Foot Performance: Part II

In the first article of this series, I provided a general overview of the concepts of recovery and regeneration as well as terminological and methodological differences. I called it a necessary consequence of the stresses relating to training and performance. Since then, recovery has come out of the shadows.

By Antonio Robustelli, MSc, CSCS Continue reading

June 2021

Patient Guidance: Common Skin and Nail Conditions of the Lower Extremity – Part 2

Many foot and ankle specialists focus on the musculoskeletal conditions of patients. Skin and nail conditions of the feet, however, are some of the most common complaints that patients have. This 3-part series describes the most common conditions patients present with to my office and provides some effective treatment options.

By Paul J. Betschart, DPM Continue reading

May 2021

Wound Care Update | Smart Bandages: Science Fiction or The Future of Wound Care

Treating hard-to-heal wounds can be extremely challenging. Emerging theragnostic technologies entering into the space have the potential to transform how wound care is delivered. Presently, wound care assessment and…

By Windy Cole, DPM, CWSP Continue reading

May 2021

Is Standing on 2 Feet Such a Complex Task?

The answer is Yes and here is how to tune it. Standing upright: step-by-step instructions. Whenever I have the chance, I enjoy observing people’s standing posture while waiting for a bus at the NYC Port Authority Bus Terminal in New York City.

By Dalia Zwick, PT, PhD – Images created by the author Continue reading

May 2021

Dogs + Diabetic Peripheral Neuropathy ≠ Good Bedfellows

The canine-human relationship has changed over time, becoming increasingly more intimate. While many humans have enjoyed the increased companionship, sometimes, it hasn’t worked out as intended.

By Alex Kor, DPM, MS; Amy Young, OMS-III; Travis Montgomery, DPM Continue reading

May 2021

Common Skin and Nail Conditions of the Lower Extremity: Part 1

Many foot and ankle specialists focus on the musculoskeletal conditions of patients. Skin and nail conditions of the feet, however, are some of the most common complaints that patients have. This 2-part series will describe the most common conditions patients present with to my office and provide some effective treatment options.

By Paul J. Betschart, DPM Continue reading

April 2021

Compartment Syndrome: Appreciating Atypical Lower Leg Pain in Athletes

Chronic compartment syndrome is an often-overlooked diagnosis in patients who are athletically inclined. With an average 22-month delay in diagnosis, suspicions need to be elevated sooner. Leg pain in the active and athletic patient population can be difficult to evaluate, diagnose…

By Hayley Iosue, DPM, Joseph Albright, DPM, and Mark Mendeszoon, DPM Continue reading

April 2021

Falls in People with Multiple Sclerosis, Part II: Risk Identification, Intervention, and Future Directions

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 Continue reading

April 2021

Patient Guidance: Conservative Care Options for the Arthritic Foot

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 Continue reading

April 2021

Perspective 360: Of Gait Analyses and Elephants

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. Continue reading

March 2021

Expert Opinion: Functional Medicine Takes On Chronic Posterior Tibial Tendinitis

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. Continue reading

March 2021

Patient Guidance: Bunion Surgery Options

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 Continue reading

March 2021

Biomechanics Basics: The Challenges of Shifting Plantar Pressure

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 Continue reading

March 2021

Falls in People with Multiple Sclerosis, Part I: Risk Identification, Intervention, and Future Directions

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 Continue reading

March 2021

Wound Care Update: Surgical Site Dehiscence in the Foot: Risk Factors and Prevention

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 Continue reading

February 2021

Expert Opinion: Principles of Best Diagnostic Practice in Tissue Repair and Wound Healing: An Expert Consensus

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 Continue reading

February 2021

Achilles Tendon Stiffness in Gout

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 Continue reading

February 2021

Patient Guidance: Is there conservative care for bunions?

The bunion deformity, technically termed Hallux Abductovalgus or HAV for short, is much more than just a bump of bone growing on the foot. Technically, it is a 3-dimensional positional misalignment of the entire 1st ray, which includes the great toe and the first metatarsal. Simply put, it’s a biomechanical misfit between the bones that control your big toe…

By Paul J. Betschart, DPM, FACFAS Continue reading

January 2021

Sleep Series Part I: Basics of Sleep and Its Role with Injury

Sleep – that magical state where our bodies recuperate, our minds rejuvenate, and we are free of the everyday stresses of the world – is a necessary physiological process that all humans require. This article is the first of a series that will explore the need for sleep and its many restorative benefits.

By Jeremy R. Hawkins, PhD, LAT, ATC; Michael Reeder, DO; and Alli Powell, DAT, LAT, ATC Continue reading

January 2021

Wound Care Update: A Case of a Misdiagnosed Neoplastic Wound of The Foot

Neoplasm should be high on the differential diagnosis list when evaluating patients with chronic, non-healing wounds. Over the past 40 years, skin cancer incidence has been on the rise, growing on average 4-8% annually.1 Due to this increasing commonality of skin cancers, wound care providers are likely to frequently encounter these malignancies over the course of their clinical practice.

By Windy Cole, DPM, CWSP Continue reading

January 2021

Patient Guidance: Stay Active to Reduce the Risk of Falling: 5 Exercises to Keep You Fit

As people age, the risk of falling increases and so does the fear of having a fall-related accident. Indeed, some estimate that more than one-third of adults over age 65 fall every year. Part of that fear prevents many from engaging in physical activities. Rather than avoiding an active lifestyle, there are strategic, smart ways to stay active while decreasing the chance of falling.

By Detric Smith Continue reading

January 2021

Patient Guidance: One Thing You Can Do to Ski Better

Many would argue that the key to great skiing is understanding how to properly apply pressure to the edge of your skis. Since your feet are connected to those skis, this task falls to them. Ski boots have the critical job of communicating your thoughts to your skis, keeping your feet warm and comfortable, and helping you perform better on the slopes.

By Mark Paigen Continue reading

November 2020

Postcards From Main Street: Missives From the 3D Front Lines

3D printing has been making countless inroads into everyday work routines.  Here, O&P professionals share their use of the technology. As this month’s cover conveys, three-dimensional (3D) printing has created breakthrough opportunities across the spectrum of lower extremity challenges.

By Janice T. Radak and Friends Continue reading

November 2020

LER Pediatrics: Can’t Vs Doesn’t Understand: Coaching Toward Cognitive Abilities

Clinicians deal with clients and patients with a range of abilities. This author provides expert guidance on meeting patients and clients where they are to succeed in communicating.

By Eric Chessen, M.S. Continue reading