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(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
(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

What is a Podiatrist?


Conditions we treat
Conditions We Treat effecting the foot, ankle and lower leg in all age groups

  • Dermatologic (Skin)

  • Orthopedic (Bones)

  • Neurologic (Nerves)

  • Vascular (Arteries and Veins)

  • Everything!!!!


Who we treat
Who We Treat? effecting the foot, ankle and lower leg in all age groups

  • Pediatrics

  • Young Adults and Adults

  • Seniors

  • Everyone!!!!


Skin and nail conditions
Skin And Nail Conditions effecting the foot, ankle and lower leg in all age groups

Fungal Nails

Ingrown toe nails

Athletes foot

Dermatitis

Corns and Calluses

Warts

Ulceration due to disease

Benign skin and soft tissue mass


Skin and nail conditions1
Skin And Nail Conditions effecting the foot, ankle and lower leg in all age groups

Fungal Nails


Skin and nail conditions2
Skin And Nail Conditions effecting the foot, ankle and lower leg in all age groups

Ingrown toe nails


Skin and nail conditions3
Skin And Nail Conditions effecting the foot, ankle and lower leg in all age groups

Dermatitis & Athletes Foot


Skin and nail conditions4
Skin And Nail Conditions effecting the foot, ankle and lower leg in all age groups

Warts? Calluses? Corns?


Skin and nail conditions5
Skin And Nail Conditions effecting the foot, ankle and lower leg in all age groups

Ulcers


Orthopedic conditions
Orthopedic Conditions effecting the foot, ankle and lower leg in all age groups

  • Heel Pain (Plantar Fasciitis)

  • Achilles & Other foot and ankle tendonitis

  • Foot & Ankle deformity

  • Bunions & Hammer Toes

  • Ankle sprains and other Sport injuries


Plantar fasciitis symptoms
Plantar Fasciitis Symptoms effecting the foot, ankle and lower leg in all age groups

  • Weight-bearing pain on arising

  • Pain subsides, returns with activity

  • Footwear related to pain?


Plantar fasciitis risk factors
Plantar Fasciitis Risk Factors effecting the foot, ankle and lower leg in all age groups

  • Weight gain

  • Tight Calf muscle

  • Poor shoegear

  • Biomechanical abnormalities

  • Work Surface


Plantar fasciitis diagnosis
Plantar Fasciitis Diagnosis effecting the foot, ankle and lower leg in all age groups

  • Pain on palpation

  • Painful gait

  • Flatfoot

  • X-ray

  • Ultrasound


Plantar fasciitis treatment
Plantar Fasciitis Treatment effecting the foot, ankle and lower leg in all age groups

  • Stretching

  • RICE

  • Change shoes

  • OTC inserts


Plantar fasciitis treatment1
Plantar Fasciitis Treatment effecting the foot, ankle and lower leg in all age groups

  • Nocturnal Anti-contracture Devices

  • Orthotics

  • NSAIDS

  • Cortisone shot(s)

  • Rarely surgery


ESWT effecting the foot, ankle and lower leg in all age groups

  • Heel Lithotripsy

  • Surgical alternative

  • 72% effective

  • 3 months until significant relief in most patients

  • Few complications


Hammertoe
Hammertoe effecting the foot, ankle and lower leg in all age groups

  • Digital Contracture

  • Pain with shoes

  • Continued pain with aging


Hammertoe treatment
Hammertoe Treatment effecting the foot, ankle and lower leg in all age groups

  • Debridement

  • Padding

  • Shoe gear change

  • Surgery as a last option


Hallux valgus
Hallux Valgus effecting the foot, ankle and lower leg in all age groups

  • Painful bump

  • Poor biomechanics

  • Hurts in shoes

  • Usually bump pain vs joint pain

  • Wider shoes help

  • Orthotics slow or stop progression and pain


Osteoarthritis
Osteoarthritis effecting the foot, ankle and lower leg in all age groups

  • Usually at first MPJ

  • Hallux limitus/rigidus

  • Poor biomechanics

  • Painful to walk


Osteoarthritis treatment
Osteoarthritis Treatment effecting the foot, ankle and lower leg in all age groups

  • Cortisone injection

  • Physical therapy

  • NSAIDS

  • Orthotics

  • Surgery


Ankle sprains fractures
Ankle Sprains & Fractures effecting the foot, ankle and lower leg in all age groups

  • 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 sprains treatment
Ankle Sprains effecting the foot, ankle and lower leg in all age groupsTreatment

  • Immobilize early

  • Consider Non-Weight bearing

  • RICE

  • NSAIDS


Ankle sprains rehabilitation
Ankle Sprains effecting the foot, ankle and lower leg in all age groupsRehabilitation

  • CAM walker to Stirrup

  • Stirrup to gauntlet

  • Physical therapy


Neurological disorder
Neurological disorder effecting the foot, ankle and lower leg in all age groups

  • Neuroma

  • Tarsal Tunnel Syndrome

  • Drop foot


Morton s neuroma
Morton’s Neuroma effecting the foot, ankle and lower leg in all age groups

  • 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
Morton’s Neuroma Differential Diagnosis effecting the foot, ankle and lower leg in all age groups

  • Stress fracture

  • Callus

  • Freiberg's infraction

  • Capsulitis

  • Bone tumor

  • Local manifestation of systemic disease


Morton s neuroma treatment
Morton’s Neuroma Treatment effecting the foot, ankle and lower leg in all age groups

  • Change shoe gear

  • Padding

  • Orthotic

  • Cortisone injection

  • 4% dehydrated alcohol injection for neurolysis

  • Surgical excision


How do we treat

Bracing & Orthotics effecting the foot, ankle and lower leg in all age groups

How do we treat?


How do we treat1

Digital X-Rays & Diagnostic Ultrasound effecting the foot, ankle and lower leg in all age groups

How do we treat?


How do we treat2

Vascular Blood Flow Studies effecting the foot, ankle and lower leg in all age groups

How do we treat?


Therapeutic shoes
Therapeutic Shoes effecting the foot, ankle and lower leg in all age groups

  • Newly diagnosed + 33% 1990’s

  • Amputations + 28% 2000 -2001

  • Medicare has stated that 50% of amputations were preventable


Take home points
Take Home Points effecting the foot, ankle and lower leg in all age groups

  • Foot Pain is not normal

  • Most ailments are easily treatable and can improve patients level of pain free activity


Thank you
Thank You! effecting the foot, ankle and lower leg in all age groups


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