Foot and ankle clinics
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External fixation in arthrodesis of the midfoot offers a versatile alternative when internal fixation is contraindicated or impossible. Most often, the small wire fixator, such as the Ilizarov device, provides the stability that is necessary to achieve solid union. External fixation allows for continual compression and the ability to produce gradual deformity correction, if necessary.
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Foot and ankle clinics · Jun 2004
ReviewInterventional modalities in the treatment of complex regional pain syndrome.
Complex regional pain syndrome (CRPS) applies to a variety of conditions in which symptoms such as allodynia and hyperalgesia predominate along with hyperpathia and vasomotor/sudomotor disturbances. The incidence of CRPS in the chronic pain population varies and is difficult to determine, though it appears to affect women more than men. Treatment is multidisciplinary, and recovery of function and the reduction of pain are the main goals of treatment;this article addresses some of the interventional modalities that are used.
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Diabetic neuropathy typically present as a mixture of sensory, motor and autonomic involvement. The development and severity of the neuropathy varies. This article briefly reviews the types of diabetic neuropathy and their relationship to pain and discusses the proposed etiologies.
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This article focuses on regional anesthesia for orthopedic procedures of the lower extremity.
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Tarsal tunnel is an uncommon disorder of the foot that presents as a burning or tingling pain that is located diffusely on the plantar aspect of the foot. Many investigators have considered tarsal tunnel syndrome to be analogous to carpal tunnel syndrome. As more becomes known about tarsal tunnel syndrome, it is evident that this is not purely an entrapment neuropathy. It differs from carpal tunnel syndrome in anatomy, etiology, clinical presentation, and response to nonoperative and operative treatment.