ITEMS IN AFP WITH KEYWORD:
Foot and Ankle Disorders
Mar 1, 2021 Issue
Platelet-Rich Plasma vs. Corticosteroids for Refractory Plantar Fasciitis [FPIN's Clinical Inquiries]
Platelet-rich plasma injections are similar to corticosteroids for pain relief and improvement in function in patients with refractory plantar fasciitis lasting less than 12 weeks.
Ingrown toenails most commonly affect the great toe and most commonly occur in young men. Nail care habits and footwear are common contributing factors. Ingrown nails can be treated nonsurgically or surgically; surgical approaches are superior for preventing recurrence. Partial avulsion is the most common surgical approach; matrixectomy can be performed through surgical, chemical, or electrosurgical means.
Plantar fasciitis is common in runners but can also affect sedentary people. Treatment should start with stretching and strengthening of the plantar fascia, ice massage, and nonsteroidal anti-inflammatory drugs. Find out which conservative therapies are backed by the best evidence, and when surgery should be considered.
Many common foot problems are best managed with appropriate over-the-counter treatments and home care, such as nonprescription medications, modified footwear, and shoe inserts, with careful guidance from a family physician. Proper shoe fit is key to avoiding many foot problems.
Recognizing Charcot neuroarthropathy of the foot and ankle is critical because if untreated, patients are at risk of ulceration, infection, and amputation. Physicians should suspect Charcot foot in patients older than 40 years who present with peripheral neuropathy and acute swelling with associated erythema and warmth. The mainstay of treatment is immobilization in a total contact cast.
There is low-quality evidence that corticosteroid injections slightly reduce heel pain at one month, but they make no significant difference beyond that time. Patients treated with corticosteroid injections were less likely to experience treatment failure—a designation that was defined differently b...
The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. Learn the most likely causes of heel pain based on the specific anatomic location affected.
An older man with poor personal hygiene presents with deformed toenails and foot pain.
A newborn presented with a grossly externally rotated foot at birth.
Find out which types of fractures can be treated conservatively and which ones require orthopedic referral, as well as typical healing times for the most common types of foot fractures seen in primary care: metatarsal shaft fractures, proximal fifth metatarsal fractures, and toe fractures.