Foot and Ankle Blog - Page 9 of 9

What is Epidermal Nerve Fiber Density (ENFD) testing

What is Epidermal Nerve Fiber Density (ENFD) testing

Epidermal Nerve Fiber Density (ENFD) testing is the analysis of a 3mm punch biopsy of skin to quantify the number of unmyelinated C-fibers and myelinated A delta-fibers within the epidermis. The skin has a rather consistent number of epidermal nerves at specific anatomical sites. This density is also found to be consistent between different age groups and genders. Small fiber read more »

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Sesamoiditis and Sesamoid Fractures Treatment Options

Sesamoiditis and Sesamoid Fractures Treatment Options

Big Toe Pain: Sesamoid Pathology The sesamoids are two small round or oval bones situated in the thick soft tissue ligamentous plantar plate under the first metatarsaophalangeal (big toe) joint and provide attachments for multiple important ligaments and muscle-tendinous units that provide critical stability, strength, and function to the big toe during ambulation and propulsion. They fully ossify by the read more »

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Topaz Procedure for Heel Pain and Plantar Fasciitis

Topaz Procedure for Heel Pain and Plantar Fasciitis

Radio Frequency Topaz Microdebrider for Chronic Heel Pain Heel pain is a common presenting complaint causing patients to seek a foot and ankle surgeon or doctor.  One of the most common etiologies of heel pain is mechanical or repetitive overuse injury causing inflammation of the plantar fascia, termed Plantar Fasciitis. Symptoms of Plantar Fasciitis Pain and stiffness in heel (can be read more »

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