In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, discuss the surgical correction of big toe hammertoe, a condition that, while seemingly benign, can pose significant risks for individuals with neuropathy, particularly those with diabetes. The Doctors discuss the complexities of treating this condition and share insights from a specific case involving a high-risk diabetic patient, highlighting the delicate balance between managing diabetes and ensuring proper foot health. The episode covers surgical techniques, including the use of screws for fixation, and the recovery process, which allows for quick weight-bearing activities post-surgery.

Top Takeaways:

• The podcast episode discusses the significant advancements in diabetic limb preservation over the last 20 years, highlighting new technologies and treatment options.
• Doctor Damian Dauphine emphasizes the importance of understanding complex cases in diabetic patients to prevent amputations.
• The surgical correction of big toe hammertoe, particularly its complications in patients with neuropathy.
• The risks associated with untreated hammertoe deformities can lead to dangerous ulcers, especially in diabetic patients.
• The anatomy of the big toe and the surgical procedures involved in correcting contractures.
• The importance of post-operative care and recovery strategies for patients undergoing foot surgery.

Resources:

Visit our website: https://thepoddoctors.com/

In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, discuss the prevalent issue of athlete's foot, its symptoms, and the best treatment options. They provide a detailed analysis of three primary treatment methods for athlete's foot: topical antifungals, moisture control, and oral antifungals. Highlighting the importance of treating even minor symptoms, particularly in diabetic patients, they share professional recommendations to prevent severe complications.

Quotes

• "It’s been estimated that one in four people have some level of fungal pathology going on at some time or another. So super common athletes foot, it's a fungal infection typically of the interspaces between your toes because it stays moist, and it typically presents with burning, itching, and scaling of the skin.” -Dr. Raafae Hussain

• "People will have athlete’s foot for years and not realize that they have it because they don't feel the itching. We have to cure them of that thought process and say, no, that's athlete's foot until proven otherwise.” -Dr. Damien Dauphinee

Top Takeaways:

• Topical Antifungals: Start treatment using topical antifungals like fungifoam that pull moisture off the foot while killing the fungus.
• Moisture Control: Employ methods for controlling foot moisture including moisture-absorbing shoe liners and antiperspirant products like Drysol.
• Oral Antifungals: For severe, recalcitrant cases, consider oral antifungals but be mindful of their potential side effects on the liver.
• Importance for Diabetics: Diabetic patients must pay attention to athlete's foot due to their higher risk of complications like foot ulcers and infections.
• Treating Shoes and Feet: Clean shoes thoroughly using products like Lysol and ensure they are dry before use to prevent re-infection.

Resources:

Visit our website: https://thepoddoctors.com/

In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, discuss one of the most common foot ailments: plantar fasciitis. This episode's comprehensive guide covers everything from the basics of plantar fasciitis to the most effective treatments currently available. The doctors discuss the anatomy and mechanics of plantar fasciitis, emphasizing the importance of distinguishing between heel spurs and plantar fasciitis pain. They also highlight the significance of stretching, the use of proper orthotics and footwear, and the benefits of steroid injections.

Quotes

• "Orthotics are about architectural support, not just cushioning. Stiffer devices are more effective than gel insoles for plantar fasciitis.” -Dr. Raafae Hussain

• "Standing calf stretches are technique dependent, and that's where the ProStretch shines by leveraging gravity for optimal stretch.” -Dr. Damien Dauphinee

Top Takeaways:

• Steroid Injections: Steroid injections can help in reducing inflammation and pain, making it easier to follow through with other treatments like stretching and wearing orthotics.
• Advanced Treatment Options: For chronic cases not responsive to conventional therapies, treatments like Topaz and amnio injections offer promising results.
• Diagnostic Imaging: Utilizing tools like ultrasound to measure plantar fascia thickness can aid in determining the severity of the condition and tailoring the treatment plan accordingly.

What You Will Learn:

• Effective stretching exercises, such as standing calf stretches, towel stretches, and using tools like the ProStretch, play a crucial role in managing plantar fasciitis.
• Choosing well-made, supportive shoes and custom orthotics can significantly alleviate plantar fasciitis symptoms.

Resources:

Visit our website: https://thepoddoctors.com/