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	<title>Podiatry Portal</title>
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	<link>http://www.podiatry-portal.com</link>
	<description>Your Portal to the the latest Podiatry Information</description>
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		<title>Vibram Five Fingers Class Action</title>
		<link>http://www.podiatry-portal.com/vibram-five-fingers-class-action/195/</link>
		<comments>http://www.podiatry-portal.com/vibram-five-fingers-class-action/195/#comments</comments>
		<pubDate>Sat, 07 Apr 2012 07:14:39 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Sports Medicine]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=195</guid>
		<description><![CDATA[While the debate about the benefits of barefoot running continues, the Vibram Five Fingers shoe which is a favourite of the barefoot running community has just had a class action law suit filed against them. The basis of the claim is that the advertising claims for the health benefits of the shoes did not eventuate. [...]]]></description>
			<content:encoded><![CDATA[<p>While the debate about the benefits of <a href="http://www.podiatry-portal.com/barefoot-running/106/">barefoot running</a> continues, the Vibram Five Fingers shoe which is a favourite of the barefoot running community has just had a class action law suit filed against them. The basis of the claim is that the advertising claims for the health benefits of the shoes did not eventuate. There is quite a lot of online debate about the <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=76280">Vibram class action suit</a>. Vibram’s have announced that they will vigorously defend the action. However, the case has similarities to the <a href="http://www.toningshoestoday.com/reebok-settle-with-ftc-for-25-million/13/">$25 million dollar settlement that Reebok</a> had to make with the FTC for claims they made for the Reebok toning shoe. <a href="http://www.toningshoestoday.com/skechers-facing-class-action-lawsuit/20/">Skechers are also facing claims</a> for the claims made for their toning shoes. None of this means that there is anything wrong with any of the shoes, it just means that the claims made in the advertisements for the benefit of the shoes were not supported by the evidence.</p>
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		<title>Kohlers Disease</title>
		<link>http://www.podiatry-portal.com/kohlers-disease/191/</link>
		<comments>http://www.podiatry-portal.com/kohlers-disease/191/#comments</comments>
		<pubDate>Sun, 01 Apr 2012 22:49:06 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Pediatrics]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=191</guid>
		<description><![CDATA[A 1958 classic. The full text of this article on the relevance of the vascular supply is available from the Journal of Bone and Joint Surgery: THE OSSIFICATION AND VASCULARISATION OF THE TARSAL NAVICULAR AND THEIR RELATION TO KOHLER’S DISEASE Kohlers disease is not common, but is an important differential diagnosis in midfoot pain in [...]]]></description>
			<content:encoded><![CDATA[<p>A 1958 classic. The full text of this article on the relevance of the vascular supply is available from the Journal of Bone and Joint Surgery:<br />
<a href="http://web.jbjs.org.uk/content/40-B/4/765.full.pdf" rel="nofollow">THE OSSIFICATION AND VASCULARISATION OF THE TARSAL NAVICULAR AND THEIR RELATION TO KOHLER’S DISEASE</a></p>
<p><a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=4143">Kohlers disease</a> is not common, but is an important differential diagnosis in midfoot pain in children aged around 5 to 10 years.</p>
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		<title>Fissures in the Diabetic Foot</title>
		<link>http://www.podiatry-portal.com/fissures-in-the-diabetic-foot/186/</link>
		<comments>http://www.podiatry-portal.com/fissures-in-the-diabetic-foot/186/#comments</comments>
		<pubDate>Mon, 27 Feb 2012 06:01:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Diabetic Foot]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=186</guid>
		<description><![CDATA[A new study has investigated superficial and deep fissures in the diabetic foot and factors associated with them. A total of 578 patients   with diabetes were assessed.  The prevalence of superficial fissures was 9.0%, and that of deep fissures was 3.8%. The presence of superficial fissures was correlated with autonomic and presence of deep fissures [...]]]></description>
			<content:encoded><![CDATA[<p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/22341798?dopt=Abstract">new study</a> has investigated superficial and deep fissures in the diabetic foot and factors associated with them. A total of 578 patients   with diabetes were assessed.  The prevalence of superficial fissures was 9.0%, and that of deep fissures was 3.8%. The presence of superficial fissures was correlated with autonomic and presence of deep fissures was correlated with autonomic neuropathy and angiopathy. The notable finding was the association of deep fissures with peripheral vascular disease.</p>
<p>&nbsp;</p>
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		<title>Posterior Tibial Tendonitis</title>
		<link>http://www.podiatry-portal.com/posterior-tibial-tendonitis/183/</link>
		<comments>http://www.podiatry-portal.com/posterior-tibial-tendonitis/183/#comments</comments>
		<pubDate>Tue, 14 Feb 2012 01:58:52 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Sports Medicine]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=183</guid>
		<description><![CDATA[We are seeing more and more reports of posterior tibial tendonitis becoming more common due to the shift to barefoot and minimalist running. Posterior tibial tendonitis is usually symptomatic either just above or just below the medial malleolus. The probable reason for the recent upsurge in this problem is that to forefoot strike, the posterior [...]]]></description>
			<content:encoded><![CDATA[<p>We are seeing more and more reports of <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=74635">posterior tibial tendonitis</a> becoming more common due to the shift to barefoot and minimalist running. <a href="http://www.foot-health-forum.com/forum/showthread.php?t=51476">Posterior tibial tendonitis</a> is usually symptomatic either just above or just below the medial malleolus. The probable reason for the recent upsurge in this problem is that to forefoot strike, the posterior tibial muscle has to work harder, hence increasing the risk for <a href="http://www.foot-health-forum.com/forum/showthread.php?t=75095">posterior tibial tendonitis</a>. It is becoming increasingly clear that barefoot and minimalist running is not the way to reduce the number of running injuries. What it is starting to show that transitioning to those particular running forms does reduce the risk for some running injuries, but it is increasing the risk for other injuries. Whichever running form a runner develops should be based on what the injury history is and which running form best reduces the loads on those tissues.</p>
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		<title>Austin Bunionectomy</title>
		<link>http://www.podiatry-portal.com/austin-bunionectomy/180/</link>
		<comments>http://www.podiatry-portal.com/austin-bunionectomy/180/#comments</comments>
		<pubDate>Mon, 13 Feb 2012 23:56:22 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Surgery]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=180</guid>
		<description><![CDATA[The Austin Bunionectomy has probably become one of the most popular procedures for the treatment of hallux abducto valgus. It is generally only used for mild to moderate cases The ‘V’ osteotomy to correct the alignment of the first metatarsal is intrinsically stable but occasionally there is an issue with a displacement of the distal [...]]]></description>
			<content:encoded><![CDATA[<p>The <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=7743">Austin Bunionectomy</a> has probably become one of the most popular procedures for the treatment of hallux abducto valgus. It is generally only used for mild to moderate cases The ‘V’ osteotomy to correct the alignment of the first metatarsal is intrinsically stable but occasionally there is an issue with a displacement of the distal fragment. Recently and analysis of the stability of one screw versus a two screw fixation was published that showed that the two screws fixation was being considerable more stable under the loads that they were tested at. Under the loads used in the study, all of the single screw fixations failed.</p>
<p>Ref: <a href="http://www.ncbi.nlm.nih.gov/pubmed/21621434">Rigby RB, Fallat LM, Kish JP: Axial loading cross screw fixation for the Austin bunionectomy. J Foot Ankle Surg. 2011 Sep-Oct;50(5):537-40. </a></p>
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		<title>Top of Foot Pain in Runners</title>
		<link>http://www.podiatry-portal.com/top-of-foot-pain-in-runners/174/</link>
		<comments>http://www.podiatry-portal.com/top-of-foot-pain-in-runners/174/#comments</comments>
		<pubDate>Sun, 22 Jan 2012 07:19:51 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Orthopedics]]></category>
		<category><![CDATA[Sports Medicine]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=174</guid>
		<description><![CDATA[With the increased popularity of barefoot or minimalist running, there is an increased incidence of and injury that is being label TOFP (Top of Foot Pain) on many forums and blogs. There are a number of causes of pain on the top of the foot such as a ganglions, tendonitis and metatarsal stress fractures.  What [...]]]></description>
			<content:encoded><![CDATA[<p>With the increased popularity of barefoot or minimalist running, there is an increased incidence of and injury that is being label TOFP (<a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=52095">Top of Foot Pain</a>) on many forums and blogs. There are a number of causes of <a href="http://www.podiatryonline.tv/top-of-foot-pain.htm">pain on the top of the foot</a> such as a ganglions, tendonitis and metatarsal stress fractures.  What most of the barefoot or minimalist runners seem to be describing with the term, TOFP is a <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=1980">dorsal midfoot interosseous compression syndrome</a> which occurs when the forefoot dorsiflexion moments on the rearfoot are too high for the tissues to tolerate and there is some compression over the dorsum of the foot between the tarsal bones and bases of the metatarsals. The <a href="http://podiatric.blogspot.com/2011/09/top-of-foot-pain-management-in-barefoot.html">treatment of top of foot pain</a> is to increase the forefoot plantarflexion moment with strapping, rearfoot striking, heel raises, calf muscle stretching and foot orthotics with the appropriate design feature. If the runner wants to continue barefoot or minimalist running then they need to use the foregoing to get over the injury and then gradually transition back to forefoot striking and away from the foot orthotics to allow the tissues to adapt to the load. In some cases the loads or dorsiflexion moments are so high, the tissues may never adapt.</p>
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		<title>Diagnosing a Baxters Nerve Entrapment</title>
		<link>http://www.podiatry-portal.com/baxters-neuritis/171/</link>
		<comments>http://www.podiatry-portal.com/baxters-neuritis/171/#comments</comments>
		<pubDate>Sun, 08 Jan 2012 02:18:33 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Orthopedics]]></category>
		<category><![CDATA[heel pain]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=171</guid>
		<description><![CDATA[This can be challenging and often mimic plantar fasciitis, and can actually be caused by plantar fasciitis. Baxters neuritis is an entrapment of a branch of the lateral plantar nerve that innervates the abductor digiti minimi muscle. It has been claimed that up to 20% of cases of heel pain may be due to this. [...]]]></description>
			<content:encoded><![CDATA[<p>This can be challenging and often mimic plantar fasciitis, and can actually be <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=46934">caused by plantar fasciitis</a>. Baxters neuritis is an entrapment of a branch of the lateral plantar nerve that innervates the abductor digiti minimi muscle. It has been claimed that up to 20% of cases of heel pain may be due to this.</p>
<p>Clinically the distinction between a <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=37527">Baxters nerve entrapment</a> and plantar fasciitis is not clear, especially in the early stages. Usually the tenderness is more over the origin of the abductor hallucis muscle which may radiate laterally. Sometimes there are a slight parathesiaes present. Phalen’s maneuver may also elicit pain: this is done by inverting and plantarflexing the foot which will compress the nerve, due to narrowing of the porta pedis at the superior margin of the abductor hallucus muscle. Many patients also lose the ability to abduct the fifth digit (but some people can’t do this anyway!). They also tend not to have the poststatic dyskinesia that typical in plantar fasciitis unless it is also present. They also tend to describe a more radiating pain.</p>
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		<title>Pedorthics</title>
		<link>http://www.podiatry-portal.com/pedorthics/169/</link>
		<comments>http://www.podiatry-portal.com/pedorthics/169/#comments</comments>
		<pubDate>Mon, 02 Jan 2012 00:50:45 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Orthotics]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=169</guid>
		<description><![CDATA[Pedorthics is defined as use of footwear and other supportive devices to treat disorders of the foot and related problems. Pedorthists recieve training ins lower limb anatomy and biomechanics; the use of footwear and footwear modification; and the use of different types of foot orthoses. The term ‘Certified Pedorthist’ is the title used after licensure [...]]]></description>
			<content:encoded><![CDATA[<p>Pedorthics is defined as use of footwear and other supportive devices to treat disorders of the foot and related problems. Pedorthists recieve training ins lower limb anatomy and biomechanics; the use of footwear and footwear modification; and the use of different types of foot orthoses. The term ‘Certified Pedorthist’ is the title used after licensure from the College of Pedorthics of Canada or the American Board for Certification in Orthotics, Prosthetics and Pedorthics. To meet the criteria for the American Board, the pedorthist must have a high school diploma or higher; successfully complete Levels 1, 2, and 3 of an NCOPE approved pre-certification pedorthic educational program; and have a minimum of 1,000 hours of patient care experience in pedorthics.  For more see the <a href="http://www.pedorthics.info">Pedorthist Forum</a>.</p>
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		<title>Practitioner Differences in Foot Orthotics</title>
		<link>http://www.podiatry-portal.com/practitioner-differences-in-foot-orthotics/165/</link>
		<comments>http://www.podiatry-portal.com/practitioner-differences-in-foot-orthotics/165/#comments</comments>
		<pubDate>Tue, 06 Dec 2011 06:41:33 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Orthotics]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=165</guid>
		<description><![CDATA[This is an interesting piece of research on foot orthotics. Effects of foot orthoses: How important is the practitioner? by TL Chevalier &#38; N Chockalingam in Gait Posture. 2011 Nov 18. Here is the abstract: Foot orthoses (FO) are commonly used in the treatment of numerous lower limb problems, pains and injuries. Whilst many studies [...]]]></description>
			<content:encoded><![CDATA[<p>This is an interesting piece of research on foot orthotics.</p>
<p><strong>Effects of foot orthoses: How important is the practitioner?</strong> by TL Chevalier &amp; N Chockalingam in Gait Posture. 2011 Nov 18.<br />
Here is the abstract:</p>
<blockquote><p>Foot orthoses (FO) are commonly used in the treatment of numerous lower limb problems, pains and injuries. Whilst many studies report their positive effects, and most practitioners would confirm those findings, the available information appears to be anecdotal. As such, the exact mechanisms in which FO work are not fully understood. Therefore, a need exists to study the influence of the inter-practitioner variability in the assessment of orthoses performance. This investigation is central to the understanding of the performance variations in custom-made foot orthoses (CFO). Eleven practitioners took part in the study. Each practitioner completed a clinical assessment of one subject, after which a pair of foot orthoses was manufactured based on casts of the subject&#8217;s feet using a neutral non-weight bearing plaster cast. Ten trials per condition were recorded during which kinematic and kinetic data were collected. CFO did not have any systematic significant effects (p&lt;0.05) on any kinetic except for the right-leg peak active force. In addition, systematic kinematic effects could be observed mainly for the sagittal plane for forefoot-to-hindfoot and hindfoot-to-tibia peak angles. The results from this study demonstrate that inter-practitioner variability is a major factor in orthotic intervention in treating a single patient and for a specific pathology. It is therefore strongly recommended to use caution when drawing general conclusions from research studies using custommade foot orthoses. The results suggest that CFO effects can differ between limbs. More importantly, their effects are also practitioner-dependant. Great caution should be used when comparing studies on CFO with different practitioners as conclusions could vastly differ.</p></blockquote>
<p>The research is essentially saying the function of foot orthotic prescribed by different practitioners varies in the way that they affect foot function. That does not necessarily mean that the clinical outcomes will be different.</p>
<p><a href="http://www.sciencedirect.com/science/article/pii/S0966636211007600" rel="nofollow">Link to article</a></p>
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		<title>Wrong Side Surgery</title>
		<link>http://www.podiatry-portal.com/wrong-side-surgery/161/</link>
		<comments>http://www.podiatry-portal.com/wrong-side-surgery/161/#comments</comments>
		<pubDate>Mon, 28 Nov 2011 00:24:13 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Surgery]]></category>
		<category><![CDATA[foot surgery]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=161</guid>
		<description><![CDATA[It is simple: Podiatrists perform surgery on the foot. There are two feet. There is a risk that the wrong foot gets operated on! A story reported that for wrong side surgery, that: Risk appears to be highest among patients receiving orthopedic or podiatric surgery. A report from a survey of orthopaedic surgeons and foot [...]]]></description>
			<content:encoded><![CDATA[<p>It is simple: Podiatrists perform surgery on the foot. There are two feet. There is a risk that the wrong foot gets operated on!</p>
<p>A <a href="http://www.wowt.com/news/features/2/3252746.html">story reported</a> that for wrong side surgery, that:</p>
<blockquote><p>Risk appears to be highest among patients receiving orthopedic or podiatric surgery.</p></blockquote>
<p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/20935072?dopt=Abstract">report from a survey</a> of orthopaedic surgeons and foot survey in 2010 found</p>
<blockquote><p>In all, 41 of 310 respondents (13%) reported performing WSS at least once, with 4 surgeons (1%) reporting the occurrence twice in their careers; 70 of 310 (23%) surgeons reported that they had prepped the wrong surgical site, but the error was recognized prior to making an incision.</p></blockquote>
<p>Even though its rare, there is a risk and every good surgeon has in place strategies to make sure that it does not happen. The American Academy of Orthopedic Surgeons has a sign your site campaign to have surgeons mark the site prior to starting the surgery. This have been <a href="http://www.lowerextremityreview.com/article/preventing-wrong-site-foot-and-ankle-surgery" rel="nofollow">reported</a> to have positive effects.</p>
<p>&nbsp;</p>
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