Archive for the ‘Musculoskeletal’ Category
Sinus Tarsi Syndrome
This is a painful condition involving the sinus tarsi between the talus and calcaneus. It can be injured as part of an inversion sprain by a strain of the ligaments that cross the sinus tarsi or it can be injured due to an excessively pronated foot compressing structures in the sinus tarsi. Patients...
Severs Disease
Severs disease is probably the most common problem that affects the heel bone in children. It has been likened to a stress fracture of the cartilage in the growth plate at the rear of the calcaneus. It is most common during the ages 10-14 years when the bone is actively growing. The pain is usually present...Navicular Stress Fracture
Occasionally you can hear about a top level athlete in the news getting surgery for a tarsal navicular stress fracture. Unless you are at that elite level, it assumed that the avenue of surgical management may not be open. A recent systematic review published in the American Journal of Sports Medicine...Medial Tibial Stress Syndrome and Bending...
The April 2010 edition of Podiatry Today has an update of the latest concepts in Medial Tibial Stress Syndrome. Two key concepts that came through in the article is exactly what is the pathological process in the condition - is it a soft tissue traction issue or a bone stress reaction due to tibial bending...Risk for plantar fasciitis in factory workers
A recent study from the University of Michagan looked at the risk factors for plantar fasciitis in asembly plant workers. They found that plantar fasciitis was common in this group of workers and the factors that increased the risk for it were:
forefoot pronation on physical examination
high metatarsal...Barefoot Running
There has been a lot of publicity in the media in the last few days with a number of press releases related to the benefits of barefoot running as opposed to running in running shoes. A quick look around some barefoot running websites and some running forums show that these studies have been widely discussed...New Rheumatoid Arthritis Criteria
The current criteria for the diagnosis of rheumatoid arthritis (RA) were developed in 1987. At its October meeting, the American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) released revised the guidelines. The revised criteria rate patients on a scale of 0-10 points,...Cuboid Syndrome
Cuboid syndrome is due to what is thought to be a subluxation of the cuboid bone. When the peroneus longus muscle muscle contracts, it tries to dorsally displace and evert the cuboid as the tendon passes under the bone. To prevent this from happening the cuboid needs to be very stable against the calcaneus....Foot orthotic mechanisms of action
A recent review in the British Journal of Sports Medicine show just how much we don't now about how foot orthotics work (Foot Orthoses and Gait: A Systematic Review and Meta-analysis of Literature Pertaining to Potential Mechanisms. Br J Sports Med. 2009 Dec 8)
The authors did a systematic review...
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Why was there no control group in that study? Why only healthy subjects used? The study does not show what is claimed.
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I would have thought that if MRSA was present, then that is enough to treat it, if it was the infecting organism or not. MRSA is nas
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