Post on 26-Mar-2015
(Facility Name Here)
(Physician’s Name Here)
(Practice Name Here)(Practice Address Here)
(Practice Phone Number Here)(Practice Website Here)
What is a Podiatrist?
Specializes in diagnosis and treatment of conditions effecting the foot, ankle and lower leg in all age groups
Attends one of eight Colleges of Podiatric Medicine for four years
Completes a post-graduate residency between one and four years
Conditions We Treat
Dermatologic (Skin)Orthopedic (Bones)Neurologic (Nerves)Vascular (Arteries and Veins)Everything!!!!
Who We Treat?Pediatrics
Young Adults and Adults
Seniors
Everyone!!!!
Skin And Nail Conditions
Fungal NailsIngrown toe nails Athletes foot DermatitisCorns and CallusesWartsUlceration due to disease Benign skin and soft tissue mass
Skin And Nail Conditions
Fungal Nails
Skin And Nail Conditions
Ingrown toe nails
Skin And Nail Conditions
Dermatitis & Athletes Foot
Skin And Nail Conditions
Warts? Calluses? Corns?
Skin And Nail Conditions
Ulcers
Orthopedic Conditions
Heel Pain (Plantar Fasciitis)Achilles & Other foot and ankle
tendonitisFoot & Ankle deformityBunions & Hammer ToesAnkle sprains and other Sport injuries
Plantar Fasciitis Symptoms
Weight-bearing pain on arising
Pain subsides, returns with activity
Footwear related to pain?
Plantar Fasciitis Risk Factors
Weight gainTight Calf musclePoor shoegearBiomechanical
abnormalitiesWork Surface
Plantar Fasciitis Diagnosis
Pain on palpation Painful gaitFlatfootX-rayUltrasound
Plantar Fasciitis Treatment
StretchingRICEChange shoesOTC inserts
Plantar Fasciitis Treatment
Nocturnal Anti-contracture Devices
OrthoticsNSAIDSCortisone shot(s)Rarely surgery
ESWT
Heel LithotripsySurgical alternative72% effective3 months until
significant relief in most patients
Few complications
Hammertoe
Digital ContracturePain with shoesContinued pain
with aging
Hammertoe Treatment
DebridementPaddingShoe gear changeSurgery as a last
option
Hallux Valgus
Painful bumpPoor biomechanicsHurts in shoesUsually bump pain vs
joint painWider shoes helpOrthotics slow or stop
progression and pain
Osteoarthritis
Usually at first MPJHallux
limitus/rigidusPoor biomechanicsPainful to walk
Osteoarthritis Treatment
Cortisone injectionPhysical therapyNSAIDSOrthoticsSurgery
Ankle Sprains & Fractures Tear or stretching of the
ligaments of the ankle. Usually the ligaments on the outside of the ankle are involved.
Caused by and twisting injury of the foot / ankle .
Instability of the ankle can develop due to the ligament injury.
Most often treated conservatively. Surgical repair can be performed to treat chronic ankle sprains.
Ankle SprainsTreatment
Immobilize early Consider Non-
Weight bearingRICENSAIDS
Ankle SprainsRehabilitation
CAM walker to Stirrup
Stirrup to gauntletPhysical therapy
Neurological disorder
Neuroma
Tarsal Tunnel Syndrome
Drop foot
Morton’s Neuroma
Painful swelling of the interdigital nerve
Most commonly seen in third web space
Patients can feel numbness of adjacent digits and plantar pain
Etiology is abnormal stretching of the nerve
Morton’s Neuroma Differential Diagnosis
Stress fractureCallusFreiberg's
infractionCapsulitisBone tumorLocal
manifestation of systemic disease
Morton’s Neuroma Treatment
Change shoe gearPaddingOrthoticCortisone injection4% dehydrated
alcohol injection for neurolysis
Surgical excision
How do we treat?
Digital X-Rays & Diagnostic Ultrasound
How do we treat?Vascular Blood Flow Studies
Therapeutic Shoes
Newly diagnosed + 33% 1990’s
Amputations + 28% 2000 -2001
Medicare has stated that 50% of amputations were preventable
Take Home Points
Foot Pain is not normal
Most ailments are easily treatable and can improve patients level of pain free activity
Thank You!