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.)
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.
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.
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.
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.
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)
November 10, 2006 at 6:11 pm
Dear Al,
What a great blog website for our profession. Keep it coming.
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November 10, 2006 at 8:40 pm
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.
December 4, 2006 at 5:53 pm
Al:
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Cheers, -DGA
January 8, 2007 at 5:59 am
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January 11, 2007 at 3:23 pm
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April 3, 2007 at 6:38 am
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May 22, 2007 at 8:08 am
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June 27, 2008 at 11:19 am
Greeting From Mission Texas!
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January 12, 2009 at 1:02 pm
I have been a podiatrist for 25 years and always received you magazine. I would like to take advantage of getting credits by reading the magazine, however I do not receive any more. I have been trying to contact you by phone to no avail. Please advise as to how I can begin to receive.
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March 9, 2009 at 10:49 pm
I keep getting a bounce back from your email address, so thought I would try to contact you this way. I am developing a poster of foot diseases on behalf of a consumer health company for use by podiatrists in Australia and would like to know whether I can obtain the image of ulcerative tinea pedis located on your web page http://thefootblog.org/?s=ulcerative+tinea+pedis. Could you please advise availability (file size, type) and costs involved?
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