Neuromas

Neuromas Morton’s neuroma is an enlarged nerve that usually occurs in the third interspace, which is between the third and fourth toes (see image above). Signs and Symptoms 1. Pain between the 3rd and 4th toes most commonly, but can occur between other toes as well....

Diagnostic Ultrasound of the Foot and Ankle

Diagnostic Ultrasound of the Foot & Ankle A diagnostic ultrasound system provides an image of patient’s internal organs or soft tissue by transmitting short bursts of ultrasonic energy into the body, producing echoes as the energy bursts encounter acoustic...

Ankle Sprains

Ankle Sprains The ankle is one of the most frequently injured joints in athletes. 90% of the time the ligaments on the outside of the ankle are injured. The anatomy of the ankle consists of 3 bones: talus, tibia, and fibula. The ankle consists of 7 major ligaments: on...

Nerve test for neuropathy

Nerve test for neuropathy Different nerve test for neuropathy Sensory examination The most important exam for testing for neuropathy is the neurological physical examination in the office.  This exam consists of deep tendon reflex, proprioceptive exam, sharp and dull...

Scarf bunionectomy

Modified mini inverted scarf bunionectomy provides a stronger result. This also allows easier screw fixation and shorter healing time. I performed this surgery today with great results and a happy patient, well, at least until the anesthesia wears...

Stress Fractures

Stress Fractures A stress fracture is a small crack in a bone. Stress fractures often develop from overuse, such as from high-impact sports like distance running or basketball.  Clinical findings include pain over the bone, inability to bear weight, swelling, gross...

Custom foot orthotics

Custom foot orthotics are orthopedic devices that are used to alter or modify foot function and are designed to treat, adjust, and support various biomechanical foot disorders. Some orthotics are simple, commercially-made devices, such as cushioned heel cups or...

Common running injuries

Common running injuries  Common running injuries in the foot are discussed in this article. Running and jogging are excellent forms of exercise, but they subject the body to considerable stress. Each time a runner’s foot hits the ground, for example, it generates...

How to Perform an Ankle Brachial Index Study

The Ankle Brachial Index (ABI) exam is the most simple and common test currently used to diagnose Peripheral Arterial Disease (PAD). An Ankle Brachial Index (ABI) uses an ultrasound Doppler to assess the ratio of the highest systolic pressure at the arm to the...