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(Facility Name Here)

(Facility Name Here). (Physician’s Name Here) (Practice Name Here) (Practice Address Here) (Practice Phone Number Here) (Practice Website Here). Specializes in diagnosis and treatment of conditions effecting the foot, ankle and lower leg in all age groups

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(Facility Name Here)

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  1. (Facility Name Here) (Physician’s Name Here) (Practice Name Here) (Practice Address Here) (Practice Phone Number Here) (Practice Website Here)

  2. 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 What is a Podiatrist?

  3. Conditions We Treat • Dermatologic (Skin) • Orthopedic (Bones) • Neurologic (Nerves) • Vascular (Arteries and Veins) • Everything!!!!

  4. Who We Treat? • Pediatrics • Young Adults and Adults • Seniors • Everyone!!!!

  5. Skin And Nail Conditions Fungal Nails Ingrown toe nails Athletes foot Dermatitis Corns and Calluses Warts Ulceration due to disease Benign skin and soft tissue mass

  6. Skin And Nail Conditions Fungal Nails

  7. Skin And Nail Conditions Ingrown toe nails

  8. Skin And Nail Conditions Dermatitis & Athletes Foot

  9. Skin And Nail Conditions Warts? Calluses? Corns?

  10. Skin And Nail Conditions Ulcers

  11. Orthopedic Conditions • Heel Pain (Plantar Fasciitis) • Achilles & Other foot and ankle tendonitis • Foot & Ankle deformity • Bunions & Hammer Toes • Ankle sprains and other Sport injuries

  12. Plantar Fasciitis Symptoms • Weight-bearing pain on arising • Pain subsides, returns with activity • Footwear related to pain?

  13. Plantar Fasciitis Risk Factors • Weight gain • Tight Calf muscle • Poor shoegear • Biomechanical abnormalities • Work Surface

  14. Plantar Fasciitis Diagnosis • Pain on palpation • Painful gait • Flatfoot • X-ray • Ultrasound

  15. Plantar Fasciitis Treatment • Stretching • RICE • Change shoes • OTC inserts

  16. Plantar Fasciitis Treatment • Nocturnal Anti-contracture Devices • Orthotics • NSAIDS • Cortisone shot(s) • Rarely surgery

  17. ESWT • Heel Lithotripsy • Surgical alternative • 72% effective • 3 months until significant relief in most patients • Few complications

  18. Hammertoe • Digital Contracture • Pain with shoes • Continued pain with aging

  19. Hammertoe Treatment • Debridement • Padding • Shoe gear change • Surgery as a last option

  20. Hallux Valgus • Painful bump • Poor biomechanics • Hurts in shoes • Usually bump pain vs joint pain • Wider shoes help • Orthotics slow or stop progression and pain

  21. Osteoarthritis • Usually at first MPJ • Hallux limitus/rigidus • Poor biomechanics • Painful to walk

  22. Osteoarthritis Treatment • Cortisone injection • Physical therapy • NSAIDS • Orthotics • Surgery

  23. 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.

  24. Ankle SprainsTreatment • Immobilize early • Consider Non-Weight bearing • RICE • NSAIDS

  25. Ankle SprainsRehabilitation • CAM walker to Stirrup • Stirrup to gauntlet • Physical therapy

  26. Neurological disorder • Neuroma • Tarsal Tunnel Syndrome • Drop foot

  27. 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

  28. Morton’s Neuroma Differential Diagnosis • Stress fracture • Callus • Freiberg's infraction • Capsulitis • Bone tumor • Local manifestation of systemic disease

  29. Morton’s Neuroma Treatment • Change shoe gear • Padding • Orthotic • Cortisone injection • 4% dehydrated alcohol injection for neurolysis • Surgical excision

  30. Bracing & Orthotics How do we treat?

  31. Digital X-Rays & Diagnostic Ultrasound How do we treat?

  32. Vascular Blood Flow Studies How do we treat?

  33. Therapeutic Shoes • Newly diagnosed + 33% 1990’s • Amputations + 28% 2000 -2001 • Medicare has stated that 50% of amputations were preventable

  34. Take Home Points • Foot Pain is not normal • Most ailments are easily treatable and can improve patients level of pain free activity

  35. Thank You!

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