1st MTPJ cartilage damage

By |2023-02-11T19:03:45+11:00February 1st, 2023|Bunions, Diagnosis, Foot pain, MTPJ|

Blog's main page I operated on this patient last week. She had suffered from marked left 1st MTPJ pain. She had been treated for her bunion via rest, orthotics, mobilisation, medication and various splints. No pain relief was achieved, and she noted that the joint was becoming slightly stiff and more symptomatic. X-ray assessment showed a [...]

Is it posterior tibial tendon dysfunction?

By |2022-12-13T20:23:53+11:00May 5th, 2022|Flat feet, Tendonosis|

Blog's main page An astute podiatrist referred this patient to me recently with a history of treatment for supposed posterior tibial tendon dysfunction (PTTD). The patient has been symptomatic on the medial navicular region radiating slightly proximal. She had been treated for PTTD for many months, including rest, orthotics and physiotherapy with no poor results by [...]

Platelet Rich Plasma (PRP)

By |2023-08-18T20:19:10+10:00June 15th, 2021|Uncategorized|

Blog's main page Surgery is often described as an art and science. This case from last week depicts exactly how science can help surgical outcomes. This patient had chronic, marked unremitting symptoms on her firm and enlarged posterior heel. Insertional Achilles tendinosis was the diagnosis, note the enlarged degenerated tendon and the marked inflammation in the [...]

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