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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>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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		<item>
		<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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		<item>
		<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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		<item>
		<title>The &#8216;Circulation Booster&#8217;</title>
		<link>http://www.podiatry-portal.com/the-circulation-booster/157/</link>
		<comments>http://www.podiatry-portal.com/the-circulation-booster/157/#comments</comments>
		<pubDate>Thu, 29 Sep 2011 04:03:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Podiatry]]></category>
		<category><![CDATA[circulation]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=157</guid>
		<description><![CDATA[The Circulation Booster is a product that is being widely promoted in the media as a device to help improve circulation. It is largely supported by testimonials and extrapolation from some scientific studies. Most of the evidence for the circulation booster is showing that it probably helps the venous return. No research has shown that [...]]]></description>
			<content:encoded><![CDATA[<p>The <a href="http://www.circulationbooster.com/" rel="nofollow">Circulation Booster</a> is a product that is being widely promoted in the media as a device to help improve circulation. It is largely supported by testimonials and extrapolation from some scientific studies. Most of the evidence for the circulation booster is showing that it probably helps the venous return. No research has shown that it improves the arterial circulation. This does make sense as the <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=37534">Circulation Booster</a> is supposed to work by sitting with the feet on a device that provides an electrical stimulus to the bottom of the foot to make the muscles contract. This will help the muscle pump return venous blood in the same way that walking does. This will have no effect on the arterial circulation and will have just as much benefit as actually going for a walk. There has been no comparison between the <a href="http://www.podiatryonline.tv/circulation-booster.htm">Circulation Booster</a> and walking, but it is assumed that walking would have a lot more additional benefits that just acting on the venous muscles pump.</p>
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		<item>
		<title>Lasers for onychomycosis</title>
		<link>http://www.podiatry-portal.com/lasers-for-onychomycosis/153/</link>
		<comments>http://www.podiatry-portal.com/lasers-for-onychomycosis/153/#comments</comments>
		<pubDate>Wed, 20 Apr 2011 03:50:35 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Dermatology]]></category>
		<category><![CDATA[nail disorders]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=153</guid>
		<description><![CDATA[The use of lasers for onychomycosis has generated some heated debate (Laser treatment for nail fungus) on its usefulness and the evidence for its use. There is very little evidence for its use and no controlled clinical trials have yet compared it to current treatments or a placebo. This has not stopped it being widely [...]]]></description>
			<content:encoded><![CDATA[<p>The use of lasers for onychomycosis has generated some heated debate (<a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=22925">Laser treatment for nail fungus</a>) on its usefulness and the evidence for its use. There is very little evidence for its use and no controlled clinical trials have yet compared it to current treatments or a placebo. This has not stopped it being widely adopted into clinical practice and many claims made for its effectiveness (see the <a href="http://www.podiatryonline.tv/laser-therapy.htm">You Tube videos</a>).</p>
<p>The most recent published research<a rel="nofollow" href="http://www.japmaonline.org/cgi/content/abstract/100/3/166"> Treatment of Mild, Moderate, and Severe Onychomycosis Using 870- and 930-nm Light Exposure</a>, certainly shows some promise, but this was a small uncontrolled outcome study.  The outcomes look good, but there was no control group and no comparison to the current commonly used strategies.</p>
<p>The FDA has approved several devices for this therapy, but is only for safety and not efficacy. More clinical trials, that are independent and well controlled are urgently needed.</p>
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		<title>The Foot Posture Index</title>
		<link>http://www.podiatry-portal.com/the-foot-posture-index/149/</link>
		<comments>http://www.podiatry-portal.com/the-foot-posture-index/149/#comments</comments>
		<pubDate>Mon, 06 Dec 2010 00:59:51 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Orthopedics]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=149</guid>
		<description><![CDATA[Most of the measurements that are carried out as part of a biomechanical assessment have been shown in a number of research projects to be unrepeatable. There are also the issues of which measurements are more important, such as the angle of the calcaneus, the height of the arch, the bulging of the midfoot, etc. [...]]]></description>
			<content:encoded><![CDATA[<p>Most of the measurements that are carried out as part of a biomechanical assessment have been shown in a number of research projects to be unrepeatable. There are also the issues of which measurements are more important, such as the angle of the calcaneus, the height of the arch, the bulging of the midfoot, etc. As a result of these problems, the <a href="http://www.podiatry-arena.com/podiatry-forum/tags/index.php?tag=/foot-posture-index/">Foot Posture Index</a> was developed. It relies on repeatable observations rather than unreliable measurements. The <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=50684">Foot Posture Index</a> is also a composite of a number of observations rather than one particular measurement or observations. The <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=1060">Foot Posture index</a> is useful in teaching, research and clinical practice.</p>
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		<item>
		<title>Chilblains</title>
		<link>http://www.podiatry-portal.com/chilblains/131/</link>
		<comments>http://www.podiatry-portal.com/chilblains/131/#comments</comments>
		<pubDate>Mon, 23 Aug 2010 10:03:03 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Dermatology]]></category>
		<category><![CDATA[chilblains]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=131</guid>
		<description><![CDATA[Chilblains are a common problem in certain parts of the world and almost unheard of in other parts of the world. Chilblains occur when there is a too rapid change from cold to warm temperature and the microcirculation does not respond as quickly as it should. This sets up an inflammatory reaction in the toe. [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.epodiatry.com/chilblains.htm">Chilblains</a> are a common problem in certain parts of the world and almost unheard of in other parts of the world. <a href="http://www.podiatry-arena.com/podiatry-forum/tags/index.php?tag=/chilblains/">Chilblains</a> occur when there is a too rapid change from cold to warm temperature and the microcirculation does not respond as quickly as it should. This sets up an inflammatory reaction in the toe. Despite <a href="http://www.foot-health-forum.com/forum/showthread.php?t=3059">chilblains</a> being very common in some climates, not a lot of research has been published on <a href="http://www.footstore.com.au/chilblains/32/">chilblains</a>. The most recent published research was this: <a href="http://www.ncbi.nlm.nih.gov/pubmed/20098080?dopt=Abstract" rel="nofollow">Perniosis: clinical and histopathological analysis</a> that does not give a lot of insight into the problem. There are many suggested remedies, but none have been really tested in any controlled trials. <a href="http://www.podiatryonline.tv/chilblains.htm">Chilblains</a> do remain somewhat of an enigma for the profession. There are many chilblain creams and chilblain ointments on the market.</p>
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		<title>Is there really a Weil Osteotomy Controversy?</title>
		<link>http://www.podiatry-portal.com/is-there-really-a-weil-osteotomy-controversy/125/</link>
		<comments>http://www.podiatry-portal.com/is-there-really-a-weil-osteotomy-controversy/125/#comments</comments>
		<pubDate>Sun, 30 May 2010 09:32:11 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Surgery]]></category>
		<category><![CDATA[weil osteotomy]]></category>

		<guid isPermaLink="false">http://www.podiatry-portal.com/?p=125</guid>
		<description><![CDATA[In Podiatry Today there is a pro- and anti- debate on the Weil Osteotomy. On a website by an orthopaedic surgeon there is a very critical piece on the Weil Osteotomy. On Podiatry Arena there is a poll on the overuse of the Weil Osteotomy. The advocates point to its usefulness. The critics point to [...]]]></description>
			<content:encoded><![CDATA[<div><span style="font-size: x-small;">In <a href="http://www.podiatrytoday.com/is-the-weil-osteotomy-overused-by-dpms" rel="nofollow">Podiatry Today</a> there is a pro- and anti- debate on the Weil Osteotomy. On a <a href="http://drjpdriverjowitt.wordpress.com/foot-abnormalities/the-weil-osteotomy/weil-osteotomy-2/" rel="nofollow">website </a>by an orthopaedic surgeon there is a very critical piece on the Weil Osteotomy. On Podiatry Arena there is a poll on the overuse of the <a href="http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=49616">Weil Osteotomy</a>. The advocates point to its usefulness. The critics point to the high complication rate. Is it really that controversial?</span></div>
<p><span style="font-size: x-small;"> </p>
<p></span></p>
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