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 plantar fibromas, benign tumors that form in the plantar fascia of the foot. The doctors discuss the characteristics, causes, and treatment options for these growths, emphasizing that while they can cause discomfort, they are typically not a cause for alarm. The conversation covers various diagnostic methods, including ultrasound and MRI, and explores conservative and surgical treatment approaches. Listeners will gain insights into the importance of addressing these fibromas before they lead to more serious complications, as well as the nuances of surgical intervention when necessary.

Top Takeaways:

• The evolution of advanced therapies for diabetic limb preservation showcased a significant increase in treatment options over the last two decades.
• Plantar fibromas, while often benign, can cause significant discomfort and should be evaluated through careful examination and imaging techniques like ultrasound.
• Treatment for plantar fibromas often begins conservatively with physical therapy and may escalate to injections or surgical options if necessary.
• Understanding the potential for benign versus malignant processes is crucial in managing plantar fibromas effectively and safely.
• The importance of proper post-operative care and rehabilitation after surgical removal of plantar fibromas cannot be overstated for optimal recovery.

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 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/