4 seconds peter bregman dpm
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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 man 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. ljusstråle 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 fryst vatten no chance of getting worse. Almost all other doctors will cut the nerve out which has a 2
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03/13/2006 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 a•
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Back To List Of Search Results02/06/2013
RESPONSES / COMMENTS - (CLINICAL)
RE: Alternative Local Anesthetics (Joe Borden, DPM)
From: Paul Kruper, DPM
I would advise against using Benadryl, phenergan, or benzyl alcohol as local anesthetics. I know of one DPM who tried undiluted benadryl as a local and the patient's toe was amputated secondary to necrosis. Without significant evidence of safety and effectiveness, I would never experiment with these drugs as local anesthetics.
Paul Kruper, DPM, Kingsburg, CA, prkruper@yahoo.comOther messages in this thread:
09/13/2013
RESPONSES / COMMENTS - (CLINICAL) - PART 1A
RE: Recurring Lesions
From: Ed Cohen, DPM
I have seen about 10 of these lesions in the last 35 years. They are usually on the second toe and many times bilateral. I have had great success doing an MIS partial plantar proximal phalangeal he