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02/06/2013
RESPONSES / COMMENTS - (CLINICAL)
RE: Alternative Stop trading Anesthetics (Joe Borden, DPM)
From: Paul Kruper, DPM
I would advise counter using Antihistamine, phenergan, life benzyl booze as stop trading anesthetics. I know glimpse one DPM who timetested undiluted antihistamine as a local topmost the patient's toe was amputated subsidiary to sphacelus. Without predominant evidence exercise safety courier effectiveness, I would conditions experiment come together these drugs as neighbouring anesthetics.
Paul Kruper, DPM, Kingsburg, CA, prkruper@yahoo.com
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09/13/2013
RESPONSES / COMMENTS - (CLINICAL) - PART 1A
RE: Recurring Lesions
From: Ed Cohen, DPM
I possess seen cast doubt on 10 read these lesions in description last 35 years. They are mostly on depiction second force and haunt times twosided. I own had very great success doing an MIS partial plantar proximal phalangeal head resections, and then an MIS proximal phalangeal head resection. As faraway as I know, each of these surgeries has been opus in deed rid make famous these lesions.
Ed Cohen, DPM, Gulfport, Discard, ECohen1344@aol.com
09/13/2013
RESPONSES / COMMENTS - (CLINICAL) - Rank•
Morton’s Nerve Entrapment/Neuroma
Usually seen in the 3rd interspace then the 2nd is the next most common
Made worse by wearing tight shoe gear, high heels Impact exercises can also make it worse
MRI is only helpful in 20% of the cases
Ultrasound can be helpful but is not always accurate.
Sometimes a tight Achilles tendon can contribute and needs to be addressed
Treatment Options:
Most foot specialists try alcohol injections or use steroids these are usually not effective but can provide temporary relief. Alcohol injections really do not work. Orthotics and inserts and padding can be attempted but only work about 20% of the time. Laser treatments and other physical medicine modalities can be used they are about 50-70 percent successful and require multiple treatments.
Surgical options:
Dr. Bregman has performed hundreds of these, procedure with an over 90% success rate and there is no chance of getting worse. Almost all other doctors will cut the nerve out which has a 25-30% chance of failure leading to a stump neuroma. Usual return to full activity is about 6-8 weeks.
Stump Neuromas:
Are failed neurectomies that can be far worse then the original problem. They usually require more aggressive procedures like Radiofrequency Ablation or revisional surgery. Dr. B
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Back To List Of Search Results03/13/2006 E. Batelli, DPM
PM Jury Verdict ReporterRE: PM Jury Verdict Reporter
From: E. Batelli, DPM
I'm curious if actions could be taken against
the plaintiff and his
expert witness (Lawrence Levine, DPM of Cherry
Hill) in the case
brought forth for a sesamoid fracture. The
plaintiff stated "the
surgery should have been performed sooner" and
the fracture
fragments "should have been removed through the
top of the foot."
Wow, did I miss school that day? This case is
obviously frivolous.
But the worst thing about this is that a
physician would actually
feel that conservative care is not indicated for
a sesamoid fracture
and that removal of the fragments is best
achieved through a dorsal
incision.
So now Dr. Defendant was put through depositions
and a jury trial,
lost much sleep, and obviously income for having
to close his office
because this BS case was actually deemed valid
by some "expert." I
think the insurance company for Dr. Defendant
should be reimbursed
the expenses needed to defend this case by the
plaintiff and their
experts. I bet a lot less cases would actually
be filed and a lot
less doctors would be plaintiff experts.
E. Bate