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A high arch foot is usually a rigid foot and referred to as a supinated foot. Supination is often a bit harder to treat than is pronation. Because the supinated foot is rigid, it is less 'cooperative' when it comes to the use of pads or supports. Supinated feet are often associated with peroneal tendon problems and sprained ankles.

So is pronation just a flattening of the arch? In many respects, yes. You can say that a pronated foot is a flat foot. But you have to remember that there's a number of different medical conditions that result in pronation. What we'll be focusing on treating in this blog post are the cases of simple flat feet that result in foot fatigue.

The history of dental hygiene is actually an interesting story. At the onset of the 20th century, dental hygiene was virtually non-existent. A green stick was used to scrape only the most obvious of plaque and toothpaste was scoffed. Toothpaste recipes that included burnt bread, pulverized brick and chalk were used as abrasives. But it wasn't until the brilliant Dr. Washington Sheffield of Connecticut discovered that if you put mint into the toothpaste, people actually enjoyed using it (what a concept, right?)

I'm on call this week for our hospital's Critical Limb Care program. First thing Monday morning I had a call from a cardiologist who wanted to know whether to proceed or cancel an angioplasty (PCA). The case was an ablation of the right atrium. The problem was that the patient presented with a mid shin wound that had been present for 3 weeks. The question at hand was whether the wound was infected and would contaminate the procedure. 'What should I do? Cancel the case?'

Methotrexate is an antimetabolite that works by inhibiting dihydrofolic reductase. This enzyme is important in the production of DNA. Methotrexate targets rapidly growing cells such as inflammatory cells in rheumatoid arthritis or psoriasis. Methotrexate was originally used as a cancer drug for malignancies including acute lymphoblastic leukemia and lymphomas.