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Friday, September 30, 2022

Treating Foot Pain: General Discussion

     So your foot hurts!  Where do you go from here? Probably stay off your foot as much as you can. Probably take 2-3 advils, once or even twice a day. Maybe alittle better, but its is not really getting better. 
Was there an incident that happened, or did the pain come out of the blue? One place to start is in self examination. Pretend the doctor or nurse is asking the questions. I like this order of questioning. If you do see a doctor, I love when patients come in prepared like this. 

The mnemonic goes like this---

Family History of similar problem? Frequency of pain (how often)?

What is your Assessment of the problem (what do you think it is)?
What part of your Anatomy is involved?

I How Intense (use Pain Scale) is the pain? What Irritates (makes it


L With one finger, point to the exact Location of the worse pain?

What Eases the Pain? Does the pain have an Electric sensation with it?

What has been it’s Duration (how long has it been going on)?

O What were all the events surrounding the Onset of Pain? Are there

any Observable skin changes?

P Pain Scale (0-10) Sleeping? Getting out of Bed? During Activity? End

of the day?

Q What is the Quality of Pain (burning, tingling, dull ache, sharp,

numbness, throbbing, pulsating, etc)?

R Is there Redness? Does the pain Radiate and where to?

S How does Shoe gear or barefoot affect it (or high heels, or various

types of shoes)?

What have you done to Treat the problem? What Treatment has

helped? What Treatment has made it worse?

Are there Underlying Health Issues (diabetes, osteoporosis,

arthritis, poor circulation, etc.)?

V Does the pain Vary (better at different times, worse at other times)?

Can you Work? Were you injured at Work? Does this affect your Work


Tomorrow, I will add to this discussion, but I wish all my patients would present with the answers to these questions. 

Dancer's Padding: How To Video

     Dancer's padding was introduced by the French studying ballet injuries in the 1700s. It has a modern term of "Reverse Morton's Extensions". The current supplier for my patients is Amazon, and I can only find the 1/4 inch which you will have to thin out. 

     I use this material constantly in my Podiatry practice, and give supplies to my patients. Any problem with the big toe joint, and some cases of plantar fasciitis, and arch pain, you want to see if this padding helps the symptoms. 
This is demonstrating the Dr Jills Dancer's Padding with Adhesive Gel

Wednesday, September 28, 2022

Practical Biomechanics for the Podiatrist: Book 2 is out in Print

     I am so excited to have finished my second book of this series entitled: Practical Biomechanics for the Podiatrist. This book covers examination techniques very helpful and most of the mechanical treatments for foot injuries. It is probably the most practical book I have written and perhaps a great Christmas present for your favorite podiatrist. LOL I think all my patients would be helped by seeing all the options for their foot injuries and of course so many injuries have 3 or 4 problems going on at the same time. Rich