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Diagnosis and Treatment of Common Foot Conditions PowerPoint Presentation

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Description : Check out this medical presentation on Corns and Calluses, which is titled "Diagnosis and Treatment of Common Foot Conditions", to know about common foot conditions, their diagnosis and treatment.

Tags : Corns and Calluses, Diagnosis, Treatment, Common Foot Conditions

Published on : Jul 05, 2021 | Views : 2512 | Downloads : 8

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Slide 1-

Diagnosis and Treatment of Common Foot Conditions Your Name and address here
Slide 2-

What is a Podiatrist? Specializes in diagnosis and treatment of conditions effecting the foot, ankle and lower leg in all age groups Attends one of seven Colleges of Podiatric Medicine for four years Completes a post-graduate residency between one and four years
Slide 3-

Conditions We Treat Dermatologic Orthopedic Neurologic Diabetes-related foot and ankle ailments
Slide 4-

Dermatologic Conditions Onychomycosis Paronychia Verucca Tinea Pedis
Slide 5-

Orthopaedic Conditions Plantar Fasciitis Hammertoe Bunion and bunionette Osteoarthritis and Bone spurs Sports medicine related injuries
Slide 6-

Neurologic Conditions Neuroma Cutaneous Nerve Entrapment Neuropathy Tarsal Tunnel Syndrome
Slide 7-

Diabetes Related Foot and Ankle Conditions Neurotrophic Ulcers Neuropathy Charcot Foot
Slide 8-

Onychomycosis Dermatophyte Often seen with skin manifestations Usually acquired but may be inherited More treatable than in the past Differentiate from Melanoma
Slide 9-

Onychomycosis Treatment Debridement Topical Oral Matrixectomy Nail Biopsy for dermatopathology
Slide 10-

Paronychia Erythema and edema of the ungual labia Wide or incurvated nail plate May drain serous to purulent exudate Hallux most effected
Slide 11-

Paronychia Treatment Incision and Drainage Oral antibiotics usually not necessary Longstanding infection may require X-ray Chemical matrixectomy, partial or total
Slide 12-

Verruca?
Slide 13-

Verruca! Human Papilloma Virus (HPV) Contagious Usually plantar on foot
Slide 14-

Verruca Treatment Debridement is diagnostic and therapeutic Chemocautery Various topical treatments available Oral Cimetidine for pediatric usage (30-40Mg/Kg in 3 divided doses) Curretage
Slide 15-

Plantar Fasciitis Inflammation and pain of the plantar fascia, usually at its insertion at the plantar medial tubercle of the calcaneous Becomes chronic in 5-10% of all patients Is not necessarily associated with a heel spur Over 90% resolve with conservative treatment
Slide 16-

Plantar Fasciitis Symptoms Weight-bearing pain on arising Pain subsides, returns with activity Footwear related to pain?
Slide 17-

Plantar Fasciitis Risk Factors Weight gain Equinus deformity Poor shoegear Biomechanical abnormalities Work Surface
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Plantar Fasciitis Diagnosis Pain on palpation Antalgic gait Pes planus X-ray Ultrasound
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Plantar Fasciitis Treatment Stretching RICE Change shoes OTC inserts
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Plantar Fasciitis Treatment Nocturnal Anti-contracture Devices Orthotics NSAIDS Cortisone shot(s) Rarely surgery
Slide 21-

ESWT Heel Lithotripsy Surgical alternative 72% effective 3 months until significant relief in most patients Few complications
Slide 22-

Hammertoe Digital Contracture Usually PIPJ May have MPJ dorsiflexion May have clavus Pre-ulcerative in patients with diabetes
Slide 23-

Hammertoe Treatment Debridement Padding Shoe gear change Surgery as a last option
Slide 24-

Hallux Valgus Painful bump secondary to increase IM angle Poor biomechanics Hurts in shoes Usually bump pain vs joint pain Wider shoes help Orthotics slow or stop progression and pain
Slide 25-

Osteoarthritis Usually at first MPJ Hallux limitus/rigidus Poor biomechanics Painful to walk
Slide 26-

Osteoarthritis Treatment Cortisone injection Physical therapy NSAIDS Orthotics Surgery
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Ankle - Foot Orthosis Articulated hinge device Used when functional orthotic fails or will fail For active patient that can tolerate motion Excellent for sports
Slide 28-

Ankle – Foot Orthosis Gauntlet style for total control For patients that cannot tolerate motion Good for severe DJD and Charcot foot
Slide 29-

Ankle Sprains Tear or stretching of the ligaments of the ankle. Usually the ligaments on the outside of the ankle are involved. Caused by and twisting injury of the foot / ankle . Instability of the ankle can develop due to the ligament injury. Most often treated conservatively. Surgical repair can be performed to treat chronic ankle sprains.
Slide 30-

Ankle Sprains Treatment Immobilize early Consider Non-Weight bearing RICE NSAIDS
Slide 31-

Ankle Sprains Rehabilitation CAM walker to Stirrup Stirrup to gauntlet Physical therapy
Slide 32-

Morton’s Neuroma Painful swelling of the interdigital nerve Most commonly seen in third web space Patients can feel numbness of adjacent digits and plantar pain Etiology is abnormal stretching of the nerve
Slide 33-

Morton’s Neuroma Differential Diagnosis Stress fracture Callus Freiberg's infraction Capsulitis Bone tumor Local manifestation of systemic disease
Slide 34-

Morton’s Neuroma Treatment Change shoe gear Padding Orthotic Cortisone injection 4% dehydrated alcohol injection for neurolysis Surgical excision
Slide 35-

Diabetic ulcer Etiology is usually traumatic caused by shoes Bony promonence is usually involved (hammertoe, bunion, plantarflexed metatarsal, bone spur) Often start as a blister, corn or callous
Slide 36-

Diabetic ulcer treatment Always obtain serial X-rays to rule out osteomyelitis Debride the wound to granular bed Remove hyperkeratosis Gently probe wound for deep sinus Dress initially with Silvadene cream Consider other wound products Consider offloading
Slide 37-

Charcot Joint Diabetic Neuroarthropathy Often involves both pathologic dislocation and fracture Usually effects midfoot, but all lower extremity joints are susceptible Foot is acutely edematous and warm Deformity is common
Slide 38-

Charcot Joint Treatment Non-weight bearing for 12 weeks Patient education is critical to outcome Serial X-rays to document deformity Molded shoe often needed after coalescence Surgical Treatment
Slide 39-

Therapeutic Shoes Newly diagnosed + 33% 1990’s Amputations + 28% 2000 -2001 Medicare has stated that 50% of amputations were preventable
Slide 40-

Therapeutic Shoes Focal pressure keratosis with accompanying risk factors are the major cause of ulcer. Patients who have regular, frequent foot clinic visits that include risk evaluation, debridement of lesions, prescription of appropriate shoes and patient education are less likely to ulcerate. 1 1 Sage RA, Webster JK, Fisher SG: Outpatient Care and Morbidity Reduction in Diabetic Foot Ulcers Associated with Chronic Pressure Callus. JAPMA 91:275, 2001.
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Thank You!