More naughty Podiatrists:
Podiatrist free on promise not to leave United States
Drugs given by podiatrist allegedly out-of-date
Back to home
Friday, November 05, 2004
Sunday, October 24, 2004
Leg Lengthening
From: Law.com
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
Leg Lengthening
From: Law.com
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
In an age when plastic surgeons appear on television offering to improve patients' eyes, noses, chins, lips and breasts, perhaps it's not surprising that a Georgia podiatrist offered to make a 5-foot-5-inch man taller for $40,000. But by performing a leg-lengthening procedure purely for cosmetic reasons, the podiatrist broke the law and was negligent, a panel of the Georgia Court of Appeals declared recently. Elective use of the procedure -- in which the patient's legs are surgically broken and the bone segments are kept separated until they grow together to increase their length -- violates the Georgia Podiatry Act, according to the decision. ...
Back to home
Thursday, October 14, 2004
Rheumatoid arthritis and callus debridement
This research raises some questions about the use of scalpel debridement of callus in rheumatoid arthritis:
Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
Back to home
Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
Back to home
Rheumatoid arthritis and callus debridement
This research raises some questions about the use of scalpel debridement of callus in rheumatoid arthritis:
Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
Back to home
Debridement of plantar callosities in rheumatoid arthritis: a randomized controlled trial.
Rheumatology (Oxford). 2004 Oct 12
Davys HJ, Turner DE, Helliwell PS, Conaghan PG, Emery P, Woodburn J.Foot Health Department, The Leeds General Infirmary, The University of Leeds, Leeds, UK.
Objective. To compare forefoot pain, pressure and function before and after normal and sham callus treatment in rheumatoid arthritis (RA).
Patients and methods. Thirty-eight RA patients were randomly assigned to normal (NCT group) or sham (SCT) scalpel debridement. The sham procedure comprised blunt-edged scalpel paring of the callus which delivered a physical stimulus but left the hyperkeratotic tissue intact, the procedure being partially obscured from the patient. Forefoot pain was assessed using a 100 mm visual analogue scale (VAS), pressure using a high-resolution foot pressure scanner and function using the spatial-temporal gait parameters measured on an instrumented walkway. Radiographic scores of joint erosion were obtained for metatarsophalangeal (MTP) joints with and without overlying callosities. The trial consisted of a randomized sham-controlled phase evaluating the immediate same-day treatment effect and an unblinded 4-week follow-up phase.
Results. During the sham-controlled phase, forefoot pain improved in both groups by only 3 points on a VAS and no statistically significant between-group difference was found (P = 0.48). When data were pooled during the unblinded phase, the improvement in forefoot pain reached a peak after 2 days and gradually lessened over the next 28 days. Following debridement, peak pressures at the callus sites decreased in the NCT group and increased in the SCT group, but there was no statistically significant between-group difference (P = 0.16). The area of and duration of contact of the callus site on the ground remained unchanged following treatment in both groups. Following debridement, walking speed was increased, the stride-length was longer and the double-support time shorter in both groups; however, between-group differences did not reach levels of statistical significance. MTP joints with overlying callus were significantly more eroded than those without (P = 0.02).
Conclusions. Treatment of painful plantar callosities in RA using scalpel debridement lessened forefoot pain but the effect was no greater than sham treatment. Localized pressure or gait function was not significantly improved following treatment.
Back to home
Friday, September 24, 2004
Running Injury
Relation between running injury and static lower limb alignment in recreational runners
V Lun, W H Meeuwisse, P Stergiou and D Stefanyshyn
Objectives: To determine if measurements of static lower limb alignment are related to lower limb injury in recreational runners.
Methods: Static lower limb alignment was prospectively measured in 87 recreational runners. They were observed for the following six months for any running related musculoskeletal injuries of the lower limb. Injuries were defined according to six types: R1, R2, and R3 injuries caused a reduction in running mileage for one day, two to seven days, or more than seven days respectively; S1, S2, and S3 injuries caused stoppage of running for one day, two to seven days, or more than seven days respectively.
Results: At least one lower limb injury was suffered by 79% of the runners during the observation period. When the data for all runners were pooled, 95% confidence intervals calculated for the differences in the measurements of lower limb alignment between the injured and non-injured runners suggested that there were no differences. However, when only runners diagnosed with patellofemoral pain syndrome (n = 6) were compared with non-injured runners, differences were found in right ankle dorsiflexion (0.3 to 6.1), right knee genu varum (–0.9 to –0.3), and left forefoot varus (–0.5 to –0.4).
Conclusions: In recreational runners, there is no evidence that static biomechanical alignment measurements of the lower limbs are related to lower limb injury except patellofemoral pain syndrome. However, the effect of static lower limb alignment may be injury specific.
Back to home
V Lun, W H Meeuwisse, P Stergiou and D Stefanyshyn
Objectives: To determine if measurements of static lower limb alignment are related to lower limb injury in recreational runners.
Methods: Static lower limb alignment was prospectively measured in 87 recreational runners. They were observed for the following six months for any running related musculoskeletal injuries of the lower limb. Injuries were defined according to six types: R1, R2, and R3 injuries caused a reduction in running mileage for one day, two to seven days, or more than seven days respectively; S1, S2, and S3 injuries caused stoppage of running for one day, two to seven days, or more than seven days respectively.
Results: At least one lower limb injury was suffered by 79% of the runners during the observation period. When the data for all runners were pooled, 95% confidence intervals calculated for the differences in the measurements of lower limb alignment between the injured and non-injured runners suggested that there were no differences. However, when only runners diagnosed with patellofemoral pain syndrome (n = 6) were compared with non-injured runners, differences were found in right ankle dorsiflexion (0.3 to 6.1), right knee genu varum (–0.9 to –0.3), and left forefoot varus (–0.5 to –0.4).
Conclusions: In recreational runners, there is no evidence that static biomechanical alignment measurements of the lower limbs are related to lower limb injury except patellofemoral pain syndrome. However, the effect of static lower limb alignment may be injury specific.
Back to home
Subscribe to:
Posts (Atom)