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What’s good about a vape device?

Nothing really - let me explain.  As a doctor you find out that conversation is the primary key to making a diagnosis.  In the medical world we may call it the history, but I call it good conversation with a focus on the primary reason the patient has come to your o...

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...

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...

What is toe spring and how does it help forefoot and midfoot pain

Walking is often described as a controlled forward fall.  As your body passes over the foot, resistance is supplied by the calf that limits forward progression of your center of gravity.  In the final stages of gait, as your heel sta...