Acute and Chronic Paronychia
 American Family Physician

ORIGINAL ARTICLE: Paronychia is an inflammation of the folds of tissue surrounding the nail of a toe or finger. Paronychia may be classified as either acute or chronic. The main factor associated with the development of acute paronychia is direct or indirect trauma to the cuticle or nail fold. This enables pathogens to inoculate the nail, resulting in infection. Treatment options for acute paronychia include warm compresses; topical antibiotics, with or without corticosteroids; oral antibiotics; or surgical incision and drainage for more severe cases. Chronic paronychia is a multifactorial inflammatory reaction of the proximal nail fold to irritants and allergens. The patient should avoid exposure to contact irritants; treatment of underlying inflammation and infection is recommended, using a combination of a broad- spectrum topical antifungal agent and a corticosteroid. Application of emollient lotions may be beneficial. Topical steroid creams are more effective than systemic antifungals in the treatment of chronic paronychia. In recalcitrant chronic paronychia, en bloc excision of the proximal nail fold is an option. Alternatively, an eponychial marsupialization, with or without nail removal, may be performed. (Am Fam Physician. 2008;77(3):339-346, 347-348. Copyright © 2008 American Academy of Family Physicians.)

Read original article . . .

Management of acute Achilles tendon ruptures in the United Kingdom
 Journal of Orthopaedic Surgery & Research

ORIGINAL ARTICLE:Excessive pronation (or eversion) at ankle joint in heel-toe running correlated with lower extremity overuse injuries. Orthotics and inserts are often prescribed to limit the pronation range to tackle the problem. Previous studies revealed that the effect is product-specific. This study investigated the effect of medial arch-heel support in inserts on reducing ankle eversion in standing, walking and running.

Read original article . . . 

Unusual presentation of hereditary neuropathy with liability to pressure palsies
 JBPPMI

ORIGINAL ARTICLE: Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal-dominant painless peripheral neuropathy characterized by episodes of repeated focal pressure neuropathies at sites of entrapment/compression, with a considerable variability in the clinical course. Electrodiagnostic and genetic testing are important in the diagnostic evaluation of these patients.

Read original article . . .

Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: a randomised clinical trial
 BMC Musculoskeletal Disorders

Original article:Patellofemoral pain syndrome is a highly prevalent musculoskeletal overuse condition that has a significant impact on participation in daily and physical activities. A recent systematic review highlighted the lack of high quality evidence from randomised controlled trials for the conservative management of patellofemoral pain syndrome. Although foot orthoses are a commonly used intervention for patellofemoral pain syndrome, only two pilot studies with short term follow up have been conducted into their clinical efficacy.

Read article. . .

Pagetoid reticulosis of Woringer-Kolopp
 Dermatology Online Journal

Original article: Pagetoid reticulosis of Woringer-Kolopp is a rare form of cutaneous T-cell lymphoma that primarily affects middle-aged males. It is characterized by the presence of one or several scaly patches and plaques with an acral distribution. We present a case of a 58-year-old woman, otherwise healthy, with a 5-month history of asymptomatic, hyperkeratotic plaques on the hands and feet. Histological and immunohistochemical analysis confirmed the diagnosis. Nearly complete spontaneous regression was noted 7 months after the initial examination. After 5 years no evidence of the disease remained.

Read article . . . 


 

Hello and welcome The Foot Blog.  I started this as a weblog for Podiatry in October 2006.   Feel free to browse or do a SEARCH on a particular topic.  The site is updated almost daily.  Feel free to contact me if you would like to contribute any information to this site.    Be sure to check out our other site, the Podiatry Internet Journal which will highlight interesting case studies in podiatry.   Both sites will officially be subsidiary sites for the Podiatry Internet Communications Network or PICOMM.  I hope that you find this site both useful and stimulating. 

 

Regards,

 

 

 

 

 

Al Kline DPM

© Podiatry Internet Communications (PICOMM)

27 Responses to “Current Issue”


  1. Dear Al,

    What a great blog website for our profession. Keep it coming.

    David Wolf, DPM


  2. Hi Dr. Al, Thanks so much for visiting my blog. Thought I would do the same. I’d be great to link exchange. I just added you to my blogroll. I’ll be stopping by here again.

  3. David G. Armstrong Says:

    Al:

    I wanted to tell you how impressed I am with this service. I wish you success with it, as I am quite sure it is providing relevent and important information to clinicians and their patients, worldwide.

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  4. labtulteak Says:

    Gutten TAG!
    Keep up this great resource.
    We enjoyed visiting your website very much. There is a lot of helpful information.

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  5. Excellent blog. Great esthetics. Proud to announce that The Dellon Intitute is now in Dubai UAE.

    Hope to share with you soon our recent clinical work re: diagnostic neuro-sensory testing (PSSD) and new surgical techniques to alleviate the complications of neuropathy (diabetic, secondary to chemotherapy or others)in the future.

    John C Bouillon MD
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    Dubai United Arab Emirates

    http://www.DellonInstitutes.com


  6. Amazing information found here. Great update on podiatry. Keep it up.


  7. Hey,
    I love what you’e doing!
    Don’t ever change and best of luck.

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  8. Hello Al

    An excellent resource – and equally impressively a professional website devoid of the overbearing egocentric know-all!

    Keep up the great work.

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