Monthly Archives: November 2012

The Austin Bunionectomy

The Austin bunionectomy is a common procedure for mild to moderate bunions. The procedure ‘shaves’ of the lump and then cuts a wedge in the bone to straighten it. That is what makes the procedure so effective as it is really a couple of procedure in one, so a commonly accepted as a comprehensive surgical solution to bunions.

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Ankylosing Spondylitis can cause heel pain

Anklyosing spondylitis is a progressive problem of the spine and is closely related to rheumatoid arthritis. A lot of physical therapy and drugs are often needed to stop the problem from becoming disabling. The reason ankylosing sponditis is important to Podiatry is that where tendons insert into to bones they can become inflamed. This means the insertions of the plantar fascia and Achilles tendon can be sites of pain in those with ankylosing spondylitis. While this is not common, it does need to be taken into account in the differential diagnosis of heel pain.

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Respect for the Windlass Mechanism of the Foot

In biomechanics I have been earning some respect for the remarkable windlass mechanism of the foot. It appears to be so crucial to foot functions and some believe the primary role of foot orthotics are to enhance windlass function so the foot can support itself when needed during propulsion. While we do things surgically to the windlass mechanism, every effort is made to preserve its integrity. It is a truly remarkable structure.

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A running drill

I came across this running drill that I have now tried a few times. The so-called 100-up running was something done by a mile runners when he was shprt on time to train. Nowadays it appears to be more useful to teach good running technique.

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Achilles Tendon Rupture

An Achilles tendon rupture usually occurs when there is a simultaneous foot dorsiflexion and knee extension which put a lot of load on the structure to rupture it. The diagnosis is usually easy and often there is an audible sound when it happens. Achilles ruptures more often happen in those above 40, but can happen earlier in those who are very active (there are plenty of YouTube videos of the rupture happening). The only real issue about Achilles ruptures is the treatment. From what I can tell, the research evidence is evenly divided between surgery vs conservative (see this symposium).

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Vibram Five Fingers

While looking up about the Weil Ostotomy, I stumbled on some comments about the Vibram Five Fingers and the legal action that they are facing for the lack of evidence for the health claims that they made for the product. Its not to dissimilar to the claims against the toning shoes companies and the settlements that they had to deal with. A lot of injuries have been linked to these shoes, most likely due to a poor adaptation to the shoes and the running style that they induce.

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Weil Osteotomy

Got to watch a number of Weil Osteotomies today. Its a great procedure if done right for a wide range of forefoot problems. However, was a bit surprised tonight when Googling it just how strongly opposed to its use some surgeons are. I struggling to see why.

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