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ENHANCED BONE HEALING

Posted by on May 30, 2018 in Articles | Comments Off on ENHANCED BONE HEALING

ENHANCED BONE HEALING

Sometimes patients come to my office with broken bones. Sometimes I break their bone on purpose during surgery (after discussing their options with them—of course!). Sometimes they seek a second (or third) opinion because the fracture is not healing. Regardless, everyone would rather that the bone heal sooner than later.     THE SINGLE MOST IMPORTANT FACTOR TO IMPROVE BONE HEALING There are many ways to speed up bone healing. The one that is extremely important is immobilization. Here is why: Mother Nature has to lay down microscopic bridges...

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IF YOU HAD TO HAVE SURGERY – Part 3

Posted by on Apr 18, 2018 in Articles | Comments Off on IF YOU HAD TO HAVE SURGERY – Part 3

IF YOU HAD TO HAVE SURGERY – Part 3

PODIATRY COMES FULL CIRCLE (ALMOST) AND WHY YOU SHOULD CARE In the last two articles we discussed that many years ago, some podiatrists did surgery through small incisions, often in their office using local anesthetic. They were often derided for not making big “man-sized” incisions, and using screws and plates and pins to “fix” the bones in position. As time went on, surgeons decided maybe it was not so wonderful to make big incisions (which have the benefit of being able to better visualize structures) that require more dissection and...

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Why I Go To Seminars …

Posted by on Apr 2, 2018 in Articles | Comments Off on Why I Go To Seminars …

      Someone Asked Why I Go To So Many Seminars?   There are a gazillion new treatments developed each year in areas including surgery, medicine, sports medicine, biomechanics, and wound healing. Thus, although the state has only required 25-30 hours of continuing medical education (CME), I have never had a single year of less than 100 hours of CME during the decades of my practice. Regarding surgery, the American College of Foot and Ankle Surgeons is the pinnacle. This year involved not only over three days of didactic training, but also...

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IF YOU HAD TO HAVE SURGERY – Part 2

Posted by on Mar 14, 2018 in Articles | Comments Off on IF YOU HAD TO HAVE SURGERY – Part 2

IF YOU HAD TO HAVE SURGERY – Part 2

    IF YOU HAD TO HAVE SURGERY, WOULD YOU PREFER A BIGGER OR A SMALLER INCISION? Part II by Dr. Jay C. Goldstein     WOULD YOU PREFER A BIGGER OR A SMALLER INCISION? PODIATRY COMES FULL CIRCLE (ALMOST) AND WHY YOU SHOULD CARE In the last article we discussed that many years ago, some podiatrists did surgery through small incisions, often in their office using local anesthetic. They were often derided for not making big “man-sized” incisions, and using screws and plates and pins to “fix” the bones in position. As time went on, surgeons decided...

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If You Had To Have Surgery: Part -1

Posted by on Feb 27, 2018 in Articles | Comments Off on If You Had To Have Surgery: Part -1

If You Had To Have Surgery:  Part -1

WOULD YOU PREFER A BIGGER OR A SMALLER INCISION? by Dr. Jay C. Goldstein PODIATRY COMES FULL CIRCLE (ALMOST) AND WHY YOU SHOULD CARE Eons ago, in a Galaxy far from Portland, many podiatrists did surgery through small incisions, often in their office using local anesthetic. They were often derided for not making big “man-sized” incisions, and using screws and plates and pins to “fix” the bones in position.   As time went on, surgeons decided maybe it was not so wonderful to make big incisions (which have the benefit of being able to better...

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LIVE TO RUN ANOTHER DAY

Posted by on Feb 5, 2018 in Articles | Comments Off on LIVE TO RUN ANOTHER DAY

LIVE TO RUN ANOTHER DAY

SUMMARY Did I catch you off guard? The Summary usually belongs at the end. Lock in the following three points, and the rest is detail: 1. Plan ahead. 2. Don’t get injured. 3. Don’t get injured.   PLAN AHEAD I run. My patients run. Whether it is running, soccer, tennis, or any other sport, one of the most important keys to improving is detailed preparation for that activity. Don’t allow the maximum stress of that activity to get ahead of your conditioning. Rinse, repeat. Rinse, repeat. (Cannot stress the above statement too...

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In Search of The Holy Grail

Posted by on Jan 23, 2018 in Articles | Comments Off on In Search of The Holy Grail

In Search of The Holy Grail

OSTEOARTHRITIS For as long as humans have inhabited the earth, they have suffered from osteoarthritis.  What, exactly, is osteoarthritis?  When two bones form a joint, Mother Nature intersperses cartilage.  Cartilage is an absolutely fabulous substance that enables the bones to move with very little friction.  Even better, the cartilage is constantly broken down, hauled away, and replaced with brand new cartilage. Except, sometimes it isn’t.  Inadequate cartilage, sometimes coupled with inflammation, leads to osteoarthritis.   CARTILAGE...

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NSAIDs—Are They Worth It?

Posted by on Nov 28, 2017 in Articles | Comments Off on NSAIDs—Are They Worth It?

NSAIDs—Are They Worth It?

WHAT ARE NSAIDS? Nonsteroidal anti-inflammatory drugs have the potential to relieve/reduce pain, inflammation, and a fever.  The most prominent examples include aspirin, ibuprofen (Advil, Motrin), diclofenac (Voltaren) and naproxen (Aleve, Naprosyn).  Sounds good; but, are they?   ASPIRIN Aspirin was the first in the category (1899) with the possible exception of an herb called willow bark. Aspirin begins to act within a half-hour, gets to peak activity in about 1.5 hours, and its duration of activity is 3-6 hours for pain and inflammation. ...

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CORTISONE INJECTIONS

Posted by on Sep 25, 2017 in Articles | Comments Off on CORTISONE INJECTIONS

CORTISONE INJECTIONS

One of the more common requests that I get is to administer a cortisone injection for an injury. Sometimes I comply, but most often I offer what I believe are better alternatives.   DOES CORTISONE ENHANCE HEALING? A key step in the healing process is inflammation. Cortisone reduces initial pain by reducing inflammation. However, by reducing inflammation it may delay long term healing of the structure, which is a more important goal. In addition, does it alter the original cause of the problem? (Hint: No!).   IS IT THE CORTISONE OR THE NEEDLE?...

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RUNNER’S PAIN ON THE BALL OF THE FOOT

Posted by on Jul 1, 2017 in Articles | Comments Off on RUNNER’S PAIN ON THE BALL OF THE FOOT

RUNNER’S PAIN ON THE BALL OF THE FOOT

— Dr. Jay C. Goldstein — Nancy continued running until she was five months into her pregnancy. She was also three weeks into a pain she had never before experienced. However, no big deal because it disappeared when she stopped running about that time due to her pregnancy. During the last two weeks of her pregnancy she developed a shooting pain into her third and fourth toes whenever she put on her shoes, especially while walking.   NO BIG DEAL … However, no big deal because during the last two weeks of her pregnancy she had...

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