Common problem unusual presentation - Stumped!!

You know that thing where you wait for a bus for hours and then 4 come along at once, that thing where you see something odd and unusual and then three more people come in with it that weeks? Well recently 4 people have come into my clinic with a common complaint but with unusual presentation and it's stumping me a bit as to what sort of orthotic design and treatment program I should prescribe.

Accessory navicular

I have not seen much in the way of accessory naviculars on xray, diagnosed and treated a few, but not requiring radiographs.
A GP has referred a 13 year old girl with very painful medial navicular of one week duration, though has had some pain the area on both feet for at least 12 months. She is on crutches and brought in these xrays. I have since accessed the report that notes the accessory navicular and states findings are normal.

Things you never want to hear from podiatry patients

1. "I've been doing some research on the internet"
2. "My consultant told me i had to wear heels for my circulation"
3. "i bought these corn removal pads..."
Anyone following the MMR vaccine and Autism debate?

This whole saga surrounding this has been fascinating. Now this has appeared on UK TV, as reported by the British Medical Journa.l

Platelet Rich Plasma for Musculoskeletal Conditions

The rationale for the use of PRP to improve tissue healing is strong, but the efficacy for many musculoskeletal applications remains unproven. PRP has been shown to be a safe treatment. A number of questions regarding PRP remain unanswered, including the optimal concentration of platelets, what cell types should be present, the ideal frequency of application, or the optimal rehabilitation regimen for tissue repair and return to full function.

Emails that keep you sane

I have in recent years taken more interest in the 'hatch, match & despatch' section in the local paper & only then do I read the news.
The lonely hearts column also holds my interest (not for myself you understand). I am blissfully happy. A little like taking an interest in meat recipes although I am a vegetarian.

"Foot and Ankle Injection Techniques" provides the student and practising podiatrist with all they need to understand when, how and what to inject. To support the clinician and student, the text covers: changes in legislation; the full range of injectable drugs available to the practitioner; and, essential information on nerve physiology, drug action, equipment, patient selection, injection techniques and many other topics.

Purchase from:

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Podiatry Associations

Podiatry Canada

Podiatry New Zealand

The Society of Chiropodists and Podiatrists

American Podiatric Medical Association (APMA)

Australasian Podiatry Council

Society of Chiropodists and Podiatrists in Ireland

South African Podiatry Association (SAPA)

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Foot pain, dry, cracked, burn feeling and hurts to walk

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