Plantar Plate Dysfunction

January 27, 2012

The plantar plate is an important structure of the first metatarsophalangeal joints in the foot. The plantar plate is part of the plantar fascia and is a thickening of the plantar aspect of the joint capsule. Plantar plate dysfunction is a common cause of pain under the first metatarsophalangeal joint. Ultrasound often demonstrates a plantar [...]

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Sesamoiditis

August 2, 2011

Sesamoiditis is a common problem in athlete with high loads under the first metatarsophalangeal joint. It is not really a sesamoiditis, as it is an inflammation of the soft tissues around the sesamoid bones at this joint. The pain of sesamoiditis is usually on direct palpation of the area. Imaging is sometimes useful to rule [...]

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Sinus Tarsi Syndrome

March 13, 2011

This is a common problem in athletes. Sinus tarsi syndrome generally occurs in two situations that are almost opposite to each other. One is that the structures in the sinus tarsi can be damaged during an inversion ankle sprain. Often this problem goes undetected until some of the original ankle sprain settles. The other condition [...]

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Diabetic Foot and Exercise

June 12, 2010

Exercise for those with diabetes is extremely important. It is important for general health and fitness as well as weight control. There are also some diabetes specific benefits of exercise for those with diabetes such as assisting in glucose controls and also in type two diabetes its also has the affect of increasing insulin sensitivity. [...]

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Medial Tibial Stress Syndrome

April 2, 2010

The April 2010 edition of  Podiatry Today magazine has a good update of the latest concepts in Medial Tibial Stress Syndrome by Kevin Kirby. Two interesting key concepts that came through in the review is that there is no agreement on exactly what is the pathological process in the condition – is it a soft tissue traction [...]

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Weightbearing MRI for plantar fasciitis

March 31, 2010

In a recent edition of Radiological Medicine there is a new study that investigated the use of a weightbearing MRI to assess those with plantar fasciitis. They were able to report that the changes in the MRI signal that was associated with plantar fasciitis when compared by blinded examiners in those without plantar fasciitis. Unlike [...]

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Barefoot running and its interpretation by the media

March 5, 2010

There has been a lot of recent attention given by the media to barefoot running. Recent publications by Kerrigan et al and Liebermann et al have been widely promoted in the news media and on running barefoot websites. Both studies have been badly interpreted and misrepresented by the media and barefoot running websites as showing [...]

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Determining a “Do Not Start” Temperature for a Marathon on the Basis of Adverse Outcomes

January 27, 2010

In the February 2010 Medicine & Science in Sports & Exercise, William Roberts reports on the Do Not Start temperature issue for starting a marathon. He analyzed the number of starters, finishers, and finish line medical encounters and this was plotted against the race start wet bulb globe temperature (WBGT), and the WBGT level at which [...]

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Self-reported disordered eating in adolescent elite athletes

December 21, 2009

Dieting to win or to be thin? A study of dieting and disordered eating among adolescent elite athletes and non-athlete controls
M Martinsen, S Bratland-Sanda, A K Eriksson, J Sundgot-Borgen
Br J Sports Med 2010;44:70-76 doi:10.1136/bjsm.2009.068668

Objective: To examine the prevalence of dieting, reasons for dieting and prevalence of disordered eating among adolescent elite athletes and age-matched controls, [...]

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Misuse of non-steroidal anti-inflammatory drugs by athletes

December 17, 2009

Press Release:
Misuse of non-steroidal anti-inflammatory drugs by athletes
High school winter sports athletes’ need to baby their immune systems
NSAIDs: Take ‘em early and often when competing? Think again. Athletes’ superstitions and rituals can help them get psyched up for contests, but when these rituals involve non-steroidal anti-inflammatory drugs (NSAIDs), which many athletes gobble down before and [...]

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