Nailed It Ortho
OITE/Board Review: F&A 14: Posterior Tibial Insufficiency + Other foot conditions
Oct 28, 2022
Dr. Cole and Dr. Woolwine, both experts in orthopaedic education, dive into posterior tibial insufficiency and related foot disorders. They compare surgical and non-surgical treatment strategies, emphasizing the importance of understanding midfoot stability. The duo explores diagnosing adult acquired flat foot, dissecting physical exam techniques and x-ray interpretations. They also clarify stages of posterior tibial insufficiency, shedding light on crucial interventions, from custom inserts to surgical options, ensuring residents are well-equipped for patient care.
21:51
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Quick takeaways
- Non-surgical treatments for foot conditions like plantar paresthesias include mobilization techniques, anti-inflammatories, and supportive orthotics.
- Understanding staged treatment approaches for posterior tibial tendon insufficiency is vital for optimizing surgical interventions and patient functionality.
Deep dives
Non-Surgical Treatment Options for Foot Conditions
Non-surgical treatment options for patients experiencing plantar paresthesias and other foot conditions include various rehabilitative and medicinal approaches. Patients may benefit from mobilization techniques which can alleviate swelling and improve overall symptoms, along with the use of anti-inflammatories or COX-2 inhibitors. Additionally, steroid injections are an option to target inflammation directly, while orthotics with a medial post can provide cushioning to support different areas of the foot. Selective serotonin reuptake inhibitors (SSRIs) may also be considered, even though these are less commonly referenced outside of academic discussions.
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