Lower Extremity Review
With an aging population that is increasingly overweight, a growing number of patients present to providers with a chief complaint of “knee pain.” Successful treatment of these individuals depends on making the correct diagnosis. Conventional thinking is that knee pain in middle-aged or older patients is due to the degeneration of the articular cartilage and/or the tearing of the menisci.
By Donald C. Pompan, MD
On January 17, 2011, The New York Times published an article titled “Close Look at Orthotics Raises a Welter of Doubts.” Responding to the writing and research of Benno Nigg, it called into question much of the anecdotal information we provide to our patients when prescribing footwear and foot orthotics.
By William Smith, MSPT, C.Ped.
Skin trauma to the lower extremities—blisters, lacerations, incisions, and punctures—are common for those participating in athletic and recreational activities and are seen every day in clinical care settings. A foot ulcer, an open sore on the foot, is a more serious form of skin trauma or wound that occurs, often brought on in an environment compromised by diabetes or any…
By Keith Loria
When people hear the word “Botox,” their immediate associations might be with facial injection as an anti-wrinkle treatment or magazine gossip on the latest celebrity to suffer a “botch job” from one-too-many injections. Prior to the modern use of this acetylcholine-blocking neurotoxin, no one other than medical professionals who used it to treat their patients really knew what Botox is.
By Benn Jason Scott Boshell, MSc, BSc (Hons)
Tai chi, a traditional Chinese mind-body exercise, consists of body rotations, semi-squat positions, and slow, controlled movements. As one moves through the various stances, balance shifts between single- and double-leg support, thereby incorporating gait, balance, and lower-limb strength training all at once.
By Janice T. Radak
Shortly after age 50, the rate at which a person loses muscle mass begins to accelerate.1 Figure 1 is a graphical representation of the average number of quadriceps muscle fibers present in adults aged 18 to 82.2 Looking at the center of the graph, it is clear that the number of muscle fibers remains stable until around age 50.
By Tom Michaud, DC
Surgical management of recalcitrant plantar fasciitis has largely been limited to plantar fasciotomy. A potential alternative is effective, relatively safe, and reliable gastrocnemius recession, which addresses the effect of gastrocnemius muscle contracture on these patients.
By Joseph G. Wilson, DPM, T. Craig Wirt, DPM, PhD, Jonathan L. Hook, DPM, MHA
Patellofemoral pain is a common condition among adolescents, with nearly 7% of the today’s adolescent population affected.1 It’s a particular burden for girls—it affects as many as 10% of adolescent female athletes2, and the pain likely shuts them out of sports at a similar rate to…
By Nicole Wetsman
This randomized controlled study evaluated the efficacy of slip-simulating reactive balance training compared to conventional balance training in regard to falls prevention.
By Anne Krause, Kathrin Freyler, Albert Gollhofer, Thomas Stocker, Uli Brüderlin, Ralf Colin, Harald Töpfer, and Ramona Ritzmann
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