Observador de los pies, aprendiendo de pies y tratando de tratar pies. Sports podiatrist,Football and Running injury prevention. Lower limb Biomechanic.
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Joined November 2011
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Dicen mis pacientes que siempre tengo buena música en la clínica.
Siempre les digo que tengo Música.
Esta es la Música que me acompaña en la vida...👇
youtube.com/watch?v=yVRD1G9s…
Podo Balance retweeted
🦶 Therman Test of the Ankle
The Therman Test helps assess subtalar instability in patients with recurrent ankle sprains or a feeling of the hindfoot “giving way.”
With the patient supine and the ankle in approximately 10° of dorsiflexion, stabilize the forefoot and apply inversion and internal rotation to the calcaneus. Excessive medial shifting with reproduction of pain or instability suggests a positive test.
🔗 Link: wikism.org/Therman_Test_of_t…
#SportsMedicine #AnkleInstability #PhysicalExam #Musculoskeletal #MedicalEducation
Podo Balance retweeted
El seguro de tu casa se escaquea para cambiar una pieza del desagüe que cuesta 10€, el del coche a todo riesgo te cubre antes la caída de un meteorito que un retrovisor roto, pero el de salud te va a salvar la vida por 70€ al mes. Los seguros son un timo y tú eres imbécil.
Podo Balance retweeted
When plan A shifts, it’s time to improvise. 🔄
On MRI, the retrotalar sheath of the flexor hallucis longus (FHL) was distended with fluid. An easy injection, right? 🥄
But the MRI was performed with the patient supine, while the procedure was done prone. With the change in position, the fluid shifted into the plantar extension of the sheath, leaving the retrotalar segment collapsed.
The solution? Compress the plantar aspect of the foot to move the fluid back. To maintain pressure during the injection, I taped a cotton ball in place to take the job of my finger. The fluid shifted back into the retrotalar sheath, and the injection became straightforward again. 👣💉
A simple, practical trick when fluid shifts within a tendon sheath with patient positioning. Ultrasound-guided procedures often call for anatomical insight, a little creativity—and sometimes an improvised extra hand. 🧠✨
#MusculoskeletalRadiology #MSKUltrasound #UltrasoundGuided #UltrasoundIntervention #FHL #FlexorHallucisLongus #TendonSheath #SportsMedicine #Radiology #MedicalEducation
Podo Balance retweeted
The foot moves. The range is restricted.
In this calcaneonavicular coalition case, subtalar motion was preserved; midtarsal motion was restricted.
Assess each separately.
Normal-motion clip: a different patient.
Golshteyn & Schneider. Clin Podiatr Med Surg. 2022.
Podo Balance retweeted
Genç Tibbiyelilere ve takipçilerime zor bir soru? Sınavlarda çıkabilir 🤗
35 yaşında kadın, balık pazarında yürürken adını bilmediği balık üzerine basmış. Bastığı balık ile birlikte yakın bir küçük hastaneye başvurmuş.
Çekilen grafi sonrasında balık çekilmiş. Pansuman yapılarak eve gönderilmiş.
Iki gece sonra ayak tabanında gelişen ağrı ve şişlik nedeniyle acil servise başvuruyor. Hastada hızla ilerleyen selülit, şiddetli ağrı ve hemorajik büller görülüyor.
Hastanın öyküsünde; kronik karaciğer hastalığı öyküsü bulunuyor.
Bu hastada nekrotizan yumuşak doku enfeksiyonu ve sepsise yol açabilecek en olası mikroorganizma hangisidir?
A) Erysipelothrix rhusiopathiae
B) Mycobacterium marinum
C) Vibrio vulnificus
D) Streptococcus iniae
E) Aeromonas hydrophila
Podo Balance retweeted
Remembering iconic comic Groucho Marx, born today in 1890. "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly, and applying the wrong remedies."
Podo Balance retweeted
Exercise OPTIONS for Peroneal Tendinopathy.
Exercise selection (if appropriate and indicated) and parameters will obviously vary based on stage of rehab, symptoms, function, goals, etc.
Learn more: youtu.be/0fsR5-oqcVU
Podo Balance retweeted
🦶 A twist of the foot can fracture the base of the fifth metatarsal. Can you identify this fracture pattern?
Which fracture involves an avulsion of the tuberosity at the base of the fifth metatarsal?
A. Jones fracture
B. Pseudo-Jones fracture
C. Dancer’s fracture
D. Lisfranc fracture
📍 Pearl: The precise location of a fifth metatarsal fracture affects its treatment and risk of delayed healing.
👇 Share your answer in the comments!
🔗 Link: wikism.org/Fifth_Metatarsal_…
#FootFracture #FifthMetatarsal #SportsMedicine #EmergencyMedicine #Orthopedics
Podo Balance retweeted
This Explains Insulin Resistance in 2 Minutes
1/4) If you take understand this 200 word thread, you’ll understand insulin resistance better than more doctors 🧵
Consider three things insulin is supposed to do:
💪Tell muscles to gobble up glucose out of the blood
🛑Tell the liver to STOP making more glucose because you just ate carbs
🟢Tell the liver to START making fat out of the carbs you ate
Podo Balance retweeted
The shoe removal test evaluates for hamstring strains.
The patient removes the contralateral shoe by externally rotating the affected leg to reach the opposite heel, mimicking normal shoe removal while standing. The test is positive when the maneuver reproduces the patient’s pain.
In one study, sensitivity and specificity were 100%.
Read: wikism.org/Shoe_Removal_Test
Watch: youtube.com/watch?v=9HKC9PSX…
#HamstringInjury #Orthopedics #SportsMedicine #PhysicalExam
Podo Balance retweeted
A 57-year-old man with history of thyroidectomy for Graves’ disease, presented with a slowly growing mass on the extensor surface of his left big toe. Two years earlier, a 3 cm lesion was removed from the same site.
- What’s the diagnosis ?
#medtwitter #foamed #meded
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Before ordering a scan or blood test, doctors still look at the nails. Cancer, lung disease, severe iron deficiency, heart infection and kidney disease can all leave clues there.
Most changes are harmless. These five deserve a closer look:
1. A DARK LINE WIDENS
Podo Balance retweeted
A 40-year-old patient presents with a chronic, progressive swelling of the foot and ankle, multiple firm nodules, draining sinuses, hyperkeratosis, and progressive architectural distortion. Granular material expressed from the sinuses shows both black and yellow grains.
The classic triad of tumefaction, multiple draining sinuses, and granular discharge, together with the characteristic grain colors, is highly suggestive of mycetoma (Madura foot).
🔬 Question: What is the most likely diagnosis, and what do the black and yellow grains suggest regarding the possible etiologic organisms?
Image/clinical case: Dr. Harinder Singh Sandhu
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Which of the following conditions can cause splinter hemorrhages (linear, reddish-brown streaks beneath the nails)?
A) Infective endocarditis
B) Trauma or improper nail/foot care
C) Liver disease
D) Renal, cardiac, or vascular disorders
E) All of the above
