The position of the heel can have a significant influence on the biomechanics of the foot.  Rearfoot varus describes the position of the heel bone (calcaneus) when the heels are turning in towards each other.  To use a simple stick figure representation, if the patient has a rectus position (alignme...

Diabetic peripheral neuropathy (DPN) is a well known complication of diabetes affecting 50% of all diabetic patients.  The symptoms of DPN are sensory but can also affect the motor skills of diabetic patients.  We’ve always referred DPN as a peripheral neuropathy affecting the feet and hands.  But a...

There's a lot of ways to stabilize an ankle - why has the Broström procedure become the most popular surgical solution for lateral ankle instability?

Lateral ankle sprains are the most common injury seen by sports medicine physicians.(1)  Many ankle sprains will result in chronic instability of...

The alignment of the heel bone (calcaneus) is an important consideration in conservative and surgical treatment of a high arch or low arch foot.  Realignment of the heel can be accomplished with an arch support, brace or surgical change of the heel bone.  The realignment goal always focuses on how w...

Necrobiosis Lipoidica Diabeticorm

Necrobiosis lipoidica diabeticorum (NLD) is a granulomatous skin disease found in diabetic patients.  The prevalence of NLD is quite rare being found in less than 0.3% of all diabetics.(1)  Fifty percent of all diabetic patients with NLD are insulin dependent.

Wha...