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Searching file 26

Message Number 261347
Re: Why? View Thread
Posted by AllenF on 10/17/09 at 16:21

Did you actually read the whole article that you linked. It actually provides a very compelling case for why the law should not have passed. Civil litigation was not designed to bring people to justice. That's what the government does or is suppose to do. Civil litigation is simply to make the 'damaged' person 'whole' again or as much as possible usually by awarding money or issuing an injunction of some sort. By the way, the appeals court simply stated that what this woman has alleged happen to her does not fall within the arbitration clause that she signed. The court in no way offered any validity to her actual claims of what happened. You state 'I have no reason not to believe her'. You also have absolutely no reason to believe her.

You said at the beginning of your post that Iraq has no rape laws. That does not matter. Contractors, in Iraq, fall under the authority of the military's UCMJ as I stated earlier but you never responded. If a soldier in Iraq claims they are raped by another soldier then military authorities must investigate. LET ME REPEAT; CONTRACTORS FALL UNDER THIS AUTHORITY.

Result number: 1

Message Number 261335

Re: Why? View Thread
Posted by AllenF on 10/16/09 at 23:27

Marie,

This story is not very honest. It is true, that by signing the contract this woman gave up the right to sue but these men should have been criminally investigated. Under current laws they could have been investigated and charged by either the FBI or the military's UCMJ. These are both fairly recent changes in our laws. The fact that this was not investigated is a failure of either the FBI or the military. Also, without a proper investigation all we have is this woman's word that it happened. There is no way of knowing if anything she has said is true or not. So, I see this as a failure of our government not the company. Even without the arbitration clause these men would be no more criminally liable than they are now. Many companies use arbitration clauses to try and protect themselves from litigation. This story is much udo about nothing.

Allen

Result number: 2
Searching file 25

Message Number 258531

Re: Earth cooling or heating? View Thread
Posted by Rick R on 7/01/09 at 16:09

John,

John Coleman a Chicago weather icon and the man behind the weather channel wrote an interesting paper on the topic Jan 28, 2009. When ever anyone tells you the science is settled, it's time for the alarms to go off. Temperatures have gradually declined over the past decade. We are now measuring the ocean temps, far better than fickle air, which changes as buildings go up and down, colors change from faded blacktop to fresh etc...

I'm not going to say warming isn't an issue, I'm not saying man isn't doing dangerous things to the planet. I do believe that the global warming / climate change movement is far from a well based science. Way too much raw opportunism going on.

Rick

Result number: 3

Message Number 257405

Re: Obama's Health Care Plan!!!! HURRAY!!!! View Thread
Posted by marie:) on 5/10/09 at 17:30

I have a pretty good impression of the plan...of course we have yet to see the final version. It seems that the health care industry is ready to make a deal. They are trying to gain influence before americans see the final bill. I hope Obama doesn't cave to them.

http://www.google.com/hostednews/ap/article/ALeqM5irNxCC9jjmVT9NsYoi39usrvum2gD983JSVO1
Top representatives of the health care industry plan to offer $2 trillion in cost reductions over 10 years in a bid to help pass President Barack Obama's health overhaul, a source familiar with the negotiations said Sunday.

In a rare move before the administration has unveiled all the details of its proposal, the industry groups are trying to strike a deal now with Obama officials to help get coverage for all Americans in the hopes they can stave off legislation that would restrict their profitability in future years. Obama has courted industry and provider groups; he invited representatives to a health care summit discussion at the White House. There is a sense among some of the groups that this may be the best opportunity to strike a deal before public opinion turns against them, fueled by anger over costs.

Result number: 4

Message Number 256903

Re: Subtalar fusion View Thread
Posted by TracyLP on 4/14/09 at 22:04

I must sound kinda stubborn. The first doc seemed nice enough, but somehow my gut didn't feel completely confident with him. The 2nd doc just went with the first recommendation without completely evaluating me. He only read a report, didn't see the xrays. I am seeking a 3rd opinion and will go beyond if I'm not satisfied. This surgery seems very involved and will certainly change my life for many weeks. I live alone and I keep wondering how I'm going to manage this. Thanks
t

Result number: 5

Message Number 254916

Re: Stump Neuroma View Thread
Posted by Deb on 2/08/09 at 20:25

What did your stump neuroma feel like? Maybe I don't want to know. Ha!
My pt. said she didn't feel much if any scar tissue, and not much of anything else either--just normal foot I guess.
So why the electric shocks?
I also have pain in my calf and thigh from time to time---I'm sure that is from walking poorly---pt. should help that.
I'm sooooo ready for normal!
Birmingham Alabama hugh? Wow! We have the Mayo Clinic just 90 miles from our home! If I don't get this problem under control I'm headed there.
I'm 10 almost 11 weeks out from surgery, and I dont know exactly how I'm supposed to be feeling. I'm pretty sure I'm expecting alot, but then again I dont know what to expect so I'm kinda CRAZY!
Let me know how your doing too. We can share!
Thanks,
Deb
PS-
I can walk pretty good, I followed my husband allll around the Lowes store today, but I did have some pain, but atleast I can walk---slowly. I think my shoes were the problem today! I need better shoes!!

Result number: 6

Message Number 254873

Final post on this subject and redaction View Thread
Posted by Dr. Wedemeyer on 2/07/09 at 12:47

The original discussion was in response to Ryans’s claim that PT’s could see patient’s without a doctor’s referral and were autonomous practitioners. I cannot find the original thread but I do recall that terminology being used. I disagreed (mainly because of the term autonomous and the inference that direct access to care in that context implied primary care and typical) and from there Ryan posted states where PT’s have direct access to care, I do not disagree that many states have direct access to care for PT’s but I pointed out that there are so many scope of practice, educational level standing and length of treatment restrictions in place that his statement was not correct on its own merit. Thrown in insurance restrictions and the many states that do in fact restrict payment for PT’s who treat without a referral and the reality is that despite what the laws may or may not state, it is not common practice for PT’s to treat patients without doctor supervision.

For stating these facts and realities I have been assailed, treated disrespectfully and challenged as a doctor unfriendly to the PT profession. Again, I do respect PT’s and their abilities and have never, ever made an unprofessional and insulting comment about physical therapists, period. Cease putting words into my mouth CJ, I was not the one who made the comment about “when pigs fly”, that was an orthopaedic physician and in context of direct access in the State of California. Don’t shoot the messenger; I didn’t say that I agreed with this statement merely that this was his opinion on direct patient care by PT’s in the state that he practices without physician supervision.

Ryan wrote:

“I think we are mixing apples and oranges because insurance was thrown into the mix. I never said insurance paid for the treatments only that there are states that permit Physical Therapy Evaluations and treatments without a physicians referral.

When you bring WC into the mix it does not negate the fact that a Physical therapist can still evaluate and treat such cases but indeed to collect and meet WC requirements a physician may need to be part of the mix. Without WC just a general PT case and perhaps it has to even be self pay the answer is that it is possible to receive an evaluation and treatment without a physicians referral in the states I listed.”

In his own words I believe that he has confirmed my original comments. What good is an ‘evaluation’ of a Worker’s Compensation, Personal Injury or group health patient if the PT cannot act as their primary care giver, render a diagnosis, treat the patient and either manage their WC, PI or group health benefits claim without doctor supervision and referral?

CJ wrote:
“How about discussing the following the quote below, now that we clear that 'PT's can see patients without a referral'

No we are not clear and since each state has its own laws and regulations governing what a PT’s scope and direct access laws are, it renders your arguments factually incorrect. No states recognize PT’s as primary care or portal of entry doctors or physicians, I cannot disagree more with your spurious conclusions CJ. See them for what reason, they cannot give an opinion and pursue treatment unless that treatment is within their scope of practice (which is not that of primary care and portal of entry doctors) self-procured and paid for by the patient. Perhaps this is improving and if it is that is good for the PT profession but is it common practice?

How does this lower health care costs since you are so swift to intimate that that is your goal; improved care and lower health costs and you continue to mention one questionable study to that effect. This is yet more anemic logic CJ and a complete and utter waste of cognitive effort to argue with someone who plays the straw man argument game instead of presenting cogent logic and facts. Your abject lack of respect obviates the need to further this discussion, I am sure the readers can see plainly through your misanthrope and self-serving ruminations and assumptions. Medicare sets the tone for reimbursement and recognition of health fields and although lobbying efforts may be in place as you are keen to point out, the facts do not support your assertions at this time.


Read for yourself the current direct access laws by state and for Medicare and you tell me and the readers that I am incorrect:

http://www.apta.org/AM/Template.cfm?Section=Direct_Access&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=187&ContentID=32999


http://www.apta.org/AM/Template.cfm?Section=Top_Issues2&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=22369

CJ number one you were not a party of the original thread and discussion. Upon entering the discussion you rambled in, verbal gun blaring and disrespected me by addressing me by my last name only. You backed up this with the logic that only medical doctors have the right to be called doctors (which is absurd). You then showed disrespect for Dr. Wander by calling him DSW.

Now you are perpetuating and compounding your continued disrespectful tone by continually adding little darts about Doctors of Chiropractic by in one sentence praising them for their unity and care and on the other hand diminishing them by posting completely off point internet web pages and suggesting Google searches. The irony is that your post is so incoherent it is not clear to the readers as to what your purpose is. It is perfectly clear to me and Dr. Wander though, I assure you and it is not altruism but a professional scope of practice argument and it is obvious that it is your professional insecurity that drives your posts. You won’t find the argument that you seek here until you improve your grammar, logic and facts and I fail to see the victory in arguing with an unarmed man.

Again CJ what is your interest in continuing this discussion unless you have a professional stake in this? It is pertinent what your profession is because I believe that it is deceptive to make the claims that you have without presenting all of the facts, post alleged knowledge of the industry and billing practices (box 17 & b of the CMS1500 form), rally the physical therapy profession to action and remain anonymous. Are you afraid that we will find out that you posts have been skewed in favor of the PT profession because you are in fact a PT or PT student yourself? There is absolutely nothing wrong with being a PT, in fact it is a great profession and a vital one in health care but the tenor and venom in your posts do not serve the profession well. I merely commented on the status and reality of direct access to PT’s and you have twisted this discussion into something far more personal.

Just answer the question and post your real name or your posts will be deleted, that I can promise you. The one commonality of the doctor’s who provide their time and expertise here is that we present factual information related to our scope of practice and counter misinformation in the best interest of the readership. We also will not tolerate misinformation from parties who have a financial bias in a product or service or who speciously infer they have professional knowledge or have attained a relevant professional standing and post anonymously. Ultimately Scott R owns the site and to date he has agreed to let allow Dr. Wander to moderate the board because of his commitment, candor and ethics. When you call him “DSW” and call me “Wedemeyer” you are being very disrespectful and that is your entire purpose.

Aim high.

This post is for clarification of my comments only and to redress the factually incorrect and disreputable responses from CJ and others who have sought to twist and misinterpret my original comments on the state of direct access to PT providers. I have no axe to grind and have never shown that profession any disrespect and I do not appreciate these verbal attacks and straw man arguments being fabricated to further your personal agenda. I will not tolerate these actions or any further potentially libelous falsehoods being attached to my name or any further misanthropic preamble from any three of you. Do not respond to this thread unless you can provide us with your true name and professional designation or I will ask that your ability to post her be rescinded.

We are not playing a game of words here and this forum is not for personal vendettas and politically motivated vitriol, it exists for social interaction and I am serving fair warning that there is no “we” in this social forum concerning you three. Go about your lives and decline to address me further, I am finished with this ludicrous and disrespectful discussion. I have a real name and real title and a professional reputation to protect and I assure I will do so vigorously.

Result number: 7

Message Number 254117

bump under the foot View Thread
Posted by kaykay on 1/18/09 at 14:30

i have a bump under my foot for know over 3 years know.ive been to many foot doctors and they cant tell what it is.it has been growing and its soft but very tender. it is as big as a a soda bottle cork. im 13 and im asking somebody to help me please.. its causing me not to wear certain shoes and i cant run.please help me!!!!

Result number: 8

Message Number 254006

Re: To Dr. Wedemeyer View Thread
Posted by Ryan on 1/14/09 at 12:39

I think we are mixing apples and oranges because insurance was thrown into the mix. I never said insurance paid for the treatments only that there are states that permit Physical Therapy Evaluations and treatments without a physicians referral.

When you bring WC into the mix it does not negate the fact that a Physical therapist can still evaluate and treat such cases but indeed to collect and meet WC requirements a physician may need to be part of the mix. Without WC just a general PT case and perhaps it has to even be self pay the answer is that it is possible to receive an evaluation and treatment without a physicians referral in the states I listed.

Result number: 9

Message Number 252364

Re: Mistake View Thread
Posted by Dr. DSW on 11/17/08 at 19:40

Yes, Judaism has different 'branches' from Orthodox to Reform. Many strong Orthodox/Chasidic Jews almost don't even consider Reform Jews as 'real' Jews since they don't follow the traditional 'laws' as interpreted as strictly. The Orthodox and Chasidic Jews follow the laws much more strictly and literally, while the Reform Jews basically follow what is convenient and fits modern times.

Conservative Jews are a middle of the road, though they tend to follow the traditions more closely like the Orthodox, and observe more laws such as Kosher laws, etc, than the Reform. Most of these branches evolved out of convenience since some of the laws are/were rather strict and difficult to live by, therefore different branches 'lightened up' on some of the interpretations and didn't take some of the meanings as literally as other branches.

The common thread among all the branches of Judaism remains the Old Testament/Torah as the bible and the idea that the Messiah is yet to come, therefore differentiating it from Christianity.

Result number: 10

Message Number 251995

Foot injury View Thread
Posted by rusty on 11/08/08 at 09:39

Can you please advise on which Doctor better knows the Foot. A podiatrist or an orthopaedic??

Result number: 11

Message Number 251679

Re: Sacro-iliac joints and MBT-shoes View Thread
Posted by Jeremy L, C Ped on 10/30/08 at 21:19

Keep in mind that the specific design of MBT shoes is to de-stabilize the gait. As you found, this can help in cases of lower extremity arthritis. As you also found, it can have profound limitations on thoracic joints. You might be able to find more satisfactory relief by having stable walking/casual shoes modified with a reduced version of a SACH heel. Many C Peds and all experienced cobblers can perform this modification.

Result number: 12

Message Number 251657

Sacro-iliac joints and MBT-shoes View Thread
Posted by Peggy H on 10/30/08 at 16:30

Hi everyone,
I'm new to this but I have a question: I am wearing MBT-shoes 24/7 since about roughly 2 years and I LOVE them, they help me with my knee arthtritis a lot. I recently had to wear other shoes and I noticed that pain in my sacro-iliac joints disappeared when I switched shoes. Is it possible that the MBT-shoes are good for one joint (knees) but bad for other ones? Is there something I can do about that?

Thanks!

Peggy

Result number: 13

Message Number 250489

Re: Qualifications To Buy A Home View Thread
Posted by john h on 9/26/08 at 11:47

Marie: The housing problem did not begin with this administration. It began long ago and through several administrations. The Clinton Administration did more than their fare share of attempting to make us all equal. This is not Democratic or Republican failure. It is a failure of our entire Congress and various Presidents. Trying to assess blame is a waste of time as it goes to far back. We need to do something. We know what the problem is and it is to late to throw anyone in jail. Even now our Congress can not agree on a solution as economist cannot all agree on a solution. I do know that nations like Canada are very much in favor of a bailout as in their opinion if we do not there could be a global recession if not depression. Even the appearance of doing something like a bailout will do some good as it will give many nations and many of our own people the feeling we are doing something. Reality is very much clothed in appearances. I certainly am not smart enough to know what will work and what want but I do know from reading that many nations think we need to proceed with a bailout as they fear if we do not it will hurt their economy and probably ours. Something is going to come out of this but Congressmen are positioning themselves so as to say I told you so no matter what the outcome. Just cannot get away from politics. The public, I read, are not for bailing out anyone as they want the fat cats to suffer. The Congressmen like to quote this. The public however is ill equipped to make economic judgements of this magnitude. I majored in economics but I would not pretend to have a clue as to what a bailout will do or not do. We have supposedly the brightest economist and bankers in the world giving our Congress advice so I will support what ever they come up with. From what I read it appears they will likely have a deal worked out by Sunday night. The consequences of doing something or nothing is going to be big. All of our leaders and elected officials should act on what in their opinion is best for the country and in no way be influenced by what political advantage it might give to someone. This is much much to important for that. I was young but I have seen a depression and we never want to go there. I continue to think we will work our way out of this. It may take several years and a few bumps but continue to think positive. My thinking is not based on politics or who get elected. Currently our GNP is still positive in spite of all the bad news.

Result number: 14
Searching file 24

Message Number 249929

Re: Z-Coil shoes View Thread
Posted by Dr. Wedemeyer on 9/07/08 at 21:38

I agree with Jeremy that nutating the hemipelvis 1 full inch forward can be fraught with disastrous results. It places a lot of strain on the spinal discs and sacroiliac joints and increases the lumbar lordosis.

I wouldn't recommend it for anyone with a low back history. I also have concerns with anyone with any forefoot complaints or sagittal plane issues.

Jeremy I posted a question about a shoe company called APOS on the academic site. I am very curious what if anything you know about that brand?

Result number: 15

Message Number 249318

Re: Nerve Stimulator Failure View Thread
Posted by Lakemom on 8/16/08 at 12:56

Sorry it didn't turn out to be a help for you Norm. I did a quick search and found http://www.healiohealth.com/tek9.asp?pg=products&specific=jpirenc0 which it says can be used for Tarsal tunnel. It sounds like a stronger version of a Tens machine.

Result number: 16

Message Number 249290

Some Musings From Today's Wall Street Journal View Thread
Posted by john h on 8/15/08 at 14:39

The U.S. is not the only nation suffering the effects of high oil prices. Gross National Product out of Europe fell for the first time in 6 years. It appears they are heading into recession. The low value of the Dollar against the Euro is having the effect of reducing exports in Europe. Now we are starting to see a rise in the Dollar against the Euro which will result in the U.S. having fewer exports. Most of the world is in an economic downturn and could go into a recession.

THE U.S. IS SECOND IN THE WORLD IN TAXING CORPORATE PROFITS. Currently the combined Federal and State Tax on Corporate Profits is a whopping 39.9%. Obama promises to raise that. Corporations will have less money to invest and grow with a resultant loss of jobs.

The U.S still remains the worlds largest importer and accounts for 25% of Global Economic Output. This surprised me. Clearly any economic problems here are felt around the world. GDP Growth in every major economy in the world has fallen in the second quarter of this year vs the first quarter. From my understanding of economics, raising taxes or terminating the Bush tax cuts of several years ago would be one of the worst things we could do in the present world economy. There are times to raise taxes but now is certainly not the time. I think Obama is wrong on his tax proposals.

Obama has released some of the details on how he will raise money to do some of the things he has promised such as our changing our medical system. He will tax dividends at a much higher rate, end the war in Iraq, end the Bush Tax Cuts, etc. Taxing dividends at a higher rate will certainly change the way older retired people invest as many or most depend on Dividends to help live. It will certainly change my thinking on investing my money in stocks that pay dividends and my expectations of making profits on capital gains. My only alternative may be low paying Governnment Bonds. The high corporate tax rate and the higher tax on dividends and capital gains will have a negative effect on corporations and individuals/Ira/Union/retirement fund returns. Many Corporations are already moving out of our country entirely to enjoy the benefits of a low tax rate in nearly every country in the world. Many nations are lowering corporate tax rates to try and get the already over taxed corporations in the U.S. to move to their countries. Many economist in Europe think a zero tax rate on corporations is a better way to move any economy forward as it causes corporations to expand and hire more employees and be more competitive in the world market. Companies are owned by stock holders who already pay taxes on capital gains and dividends so we are actually be doubled taxed when the corporations profits are taxed. Obama also wants a windfall profits tax on oil companies. This is really a dumb dumb idea as oil companies make a lot less profits than many other industries. It would lead to less oil production. He has not defined what a windfall profit is?

Britain is really having a tough go of it with their economy. Prices are rising fast and they are having a housing problem much like the U.S. We do not read much about this in the mainstream papers but you can read a lot about it in the Wall Street Journal or Economic Journals. Cheers.

Result number: 17

Message Number 248655

Re: Obama is "Right On" on this View Thread
Posted by marie:) on 7/23/08 at 14:48

Obama has been pretty clear about Iran all along but the media hypes what will sell. I happen to have supported the surge as long as it wasn't a permanent solution.It was not a popular stance but I took it.

Obama has always had these views of Israel. It's just that many Democratic Jewish Americans were backing Clinton so his message was deluded.

I'm glad he made the trip.

Result number: 18

Message Number 248088

Re: 11 years View Thread
Posted by russ h on 6/28/08 at 16:37

That's a long time friend, most of that is the same course I have gone through too, with not much success but spent a lot of money on trial and error. One thing you mentioned in there is the same route I'm starting monday with my wife. You mentioned lower back, do you have low back disorders or pain? I'm not a doctor but dang I have tried everything just about that deals with the feet, calves, quads, hamstrings, etc. I have L4 and L5 disk degeneration that I manage to for the most part keep in pretty good check with monthly or 6 week chiropractic adjustments. However, my wife start with this disease pf about 2 years ago, and she got to the point where she got out of bed in the morning and hobbled bad. She did most everything I have except the injections, she would not go there. But at the same time she injured her back with some deal called spondylacitis or something, it's a small fracture in the vertabrae which lots of people have I guess but deals with lots of lifting objects, and her job requires that. Where am I going with this, well, she started going to physical therapy and chiropractor 2-4 times a week and she still had the foot problems. After about a month of heavy therapy and she did this at home to with BACK excercises, and strengthening, not pf therapy mind you, no, rehab her back, her foot pain subsided. She still continues her physical therapy excercises at home for her BACK, and to this day, she does not have any foot pain at all.
She did also lose about 25 pounds, which I'm sure helped as well, but I am going to start monday to begin physical therapy strengthening for my back for about a month to see if I see an improvement. I Stretch my back muscles a few times a week but don't do strengthening excercises to it, which about every 4 weeks to 6 weeks my sacroilliac joint on left side gets flared up and I have to go get adjustments, I'm wondering if I get the back stronger, if this will have any positive effect on the feet as well.
Check it out yourself, might be something contributing to both of our causes.

Result number: 19

Message Number 247650

The "smart" will think this is nuts. The wise will believe it. View Thread
Posted by Susan on 6/15/08 at 10:41

I've mentioned The China Study' before, but maybe it's time to post another excerpt from it. I'm sure SteveG will think it's all nuts and quackery, since surely the medical industry knows what it's doing, and cannot be wrong.

From 'The China Study' by Colin Campbell, PhD:

'I will not ask you to believe conclusions based on my personal observations, as some popular authors do. There are over 750 references in this book, and the vast majority of them are
primary sources of information, including hundreds of scientific publications from other researchers that point the way to less cancer, less heart disease, fewer strokes, less obesity, less
diabetes, less autoimmune disease, less osteoporosis, less Alzheimer’s, less kidney stones and less blindness.
Some of the findings, published in the most reputable scientific journals, show that:

• Dietary change can enable diabetic patients to go off their medication.

• Heart disease can be reversed with diet alone.

• Breast cancer is related to levels of female hormones in the blood, which are determined by the food we eat.

• Consuming dairy foods can increase the risk of prostate cancer.

• Antioxidants, found in fruits and vegetables, are linked to better mental performance in old age.

• Kidney stones can be prevented by a healthy diet.

• Type 1 diabetes, one of the most devastating diseases that can befall a child, is convincingly linked to infant feeding practices.

These findings demonstrate that a good diet is the most powerful weapon we have against disease and sickness. An understanding of this scientific evidence is not only important for improving health; it also has profound implications for our entire society. We must know why misinformation dominates our society and why we are grossly mistaken in how we investigate diet and disease, how we promote health and how we treat illness.

...
...

These findings—the contents of Part II of this book—show that heart disease, diabetes and obesity can be reversed by a healthy diet. Other research shows that various cancers, autoimmune diseases, bone health, kidney health, vision and brain disorders in old age (like
cognitive dysfunction and Alzheimer’s) are convincingly influenced by diet. Most importantly, the diet that has time and again been shown to reverse and/or prevent these diseases is the same whole foods, plant-based diet that I had found to promote optimal health in my laboratory research and in the China Study. The findings are consistent.'

Result number: 20

Message Number 247544

Re: A note of skepticism View Thread
Posted by SteveG on 6/10/08 at 14:01

Scott ( and John H) - Another interesting post. Truly your world-view is an interesting one. Going through these

1. Semantic Web.

I believe the “semantics” referred to here is still derivative (contingent on minds), but I will delay that discussion.

2 and 3 above both seem to me misguided and don’t reflect the current role of philosophy . Much of the work in cognitive science and AI is driven by work that was originally done by philosophers – including work in semantics, intentional logic, epistemology, etc. Take, for example, two of the people mentioned above (Barwise and Perry). The theory of semantics they developed (situation semantics) has been widely discussed in AI. The following article in AI magazine lists the workshop described below the link

http://www.aaai.org/ojs/index.php/aimagazine/article/viewFile/1738/1636

A workshop entitled “Barwise and Situation Semantics” was collocated with CONTEXT-03 and chaired by Tim Fernando (Trinity College). The workshop was based on the work of Jon Barwise and John Perry on situation semantics, a semantic framework that analyzes context in terms of situations. It provided a forum to discuss what problems, issues, or insights connected with Barwise’s work motivate
today’s research.1

And the following article describes a computational model based on the semantic theory Perry and Barwise developed

http://dspace.wul.waseda.ac.jp/dspace/bitstream/2065/11777/1/SEOUL2-67-76.pdf

More generally, much of the driver for work in AI leverages models and theories developed by philosophers. The review listed below makes the following acknowledgement (Searle teaches philosophy at Berkeley) -

How you turn this informal story into a computational system that can take part in conversations is a fascinating, and unsolved, problem. Artificial intelligence and computational linguistics work in this area has very largely been based around attempts to encode Searle's (1969) notion of speech acts in the STRIPS notation for describing actions, and then to use standard AI planning techniques (Fikes and Nilsson 1971; Sacerdoti 1977) to manipulate such actions.

http://www.aclweb.org/anthology-new/J/J91/J91-2007.pdf

5. I was pointing out that the arguments surrounding the operation of the human brain change as they are proven wrong in the same way arguments about the nature of God change

This is an interesting comment. No doubt views about the operation of the brain changes as new data and better imaging becomes available. Aquinas argued many moons ago that God is

• Omniscient
• Omnipotent
• Exists necessarily (i.e., his existence is not contingent on the existence of anything else).
• Is pure actuality (he does not have any potential)

I am curious as to how you think this view has changed “when confronted with new facts”. And what are these facts?

6. I meant logical thinking when compared to animals, not memory. My 6 pound chihuahua has a better memory and pattern-recognition system than i. I often learn what i am about to do by noticing my dog change in behavior as a result of predicting what i am doing next. This proves she is more conscious than i. There are some things she predicts that i haven't figured out clues she's keying on.

Hmmmm. Perhaps “dog psychology” could be a topic for discussion. For my part, I believe my dog is conscious and has beliefs and desires. I don’t think she has a “better” memory than I do because the list of things she can remember is much more limited conceptually. She cannot, for example, remember that it was Truman who fired Macarthur and ended his career. She has, however, a sense of smell that is detailed beyond my comprehension.

8. By your reasoning, you are the only one who has ever been conscious. It seems you really don't want consciousness to ever be in the world of observable science and that you'll change your definition in the face of any argument to make it something observable and therefore worthy of rational discourse. You insist on forcing it into some mubo-jumbo mystical meta-physical world, probably sitting on the right hand of God. Neuroscience can look at individual neurons firing with brain scans. You have never had a thought, feeling, emotion, or taste that has not been seen in monkeys while doing a brain scan. Look into mirror neurons, for example. This is why consciousness is in the realm of science.

Much of our disagreement turn here, I think. My grandmother did not need brain scans to infer that other people were conscious and neither do we. I think other people are conscious because:

• I am (I cannot really be mistaken about that)
• Other people are obviously like me
• Their actions are explained in terms of their beliefs and desires ( why is Jones raising his hand – because he wants the waiter’s attention and he believes that’s a good way to get it)

When you do a scan you aren’t observing Fred’s consciousness. The brain scan can tell you that certain mental states are associated with certain brain states. Although I don’t quite understand why this is thought to be such a big deal or so insightful. As Jerry Fodor stated in a recent article:

“ what if, as it turns out, nobody ever does find a brain region that’s specific to thinking about teapots or to taking a nap? Would that seriously be a reason to doubt that there are such mental states? Or that they are mental states of different kinds? Or that the brain must be somehow essentially involved in both?”

In fact the whole article is worth a look –

http://www.lrb.co.uk/v21/n19/fodo01_.html

But the most interesting part of this discussion has been the hints it provides about the Scott R Theory of Education (SRTE). Let’s say that across the hall from the mornings philosophy class, an English professor is discussing Hemingway’s The Sun Also Rises. Is this fellow also a fraudulent leech of the tax payers money? Or is it only the lady that discusses Plato’s dialogues? If someone in the history department is discussing Locke’s role in the Enlightenment. Is your reaction – fire ‘em, who cares what Locke did and what scientific insight could it possibly provide!

I would appreciate hearing your thoughts on humanities and what role, if any, they should play in the modern university

Result number: 21

Message Number 247281

Re: orthotic modifications View Thread
Posted by Dr. Wedemeyer on 6/02/08 at 19:53

The link between gait and dysfunction in the lumbar spine and sacroiliac joints has been proposed but there is little in the literature to support it Laurie. I believe that some gait patterns and pronation problems can and do effect the chain further up.

DPM's are well schooled in biomechanics and I would consider many more expert than myself with the caveat that we are trained to locate and remove the spinal dysfunction conservatively. Perhaps a more interdisciplinary approach is beneficial in your case.

Result number: 22

Message Number 247178

Foot pain View Thread
Posted by Kayte on 5/29/08 at 11:51

Hello

For the past month I have had intense pain in the back of my right heel- it has gotten worse, when i first get up in the morning I cannot put weight on it, and for a couple hours of being up. I can feel some swelling in the spot where it hurts- it feels like there is something there too-

I have pf in the left foot- but this is a different pain- not the same pain.

I go to the doc June 10th for a different reason I am going to bring this up- but until then what can i do to alivate the pain- i cannot take ibprofen due to low platelets-

thanks

Result number: 23

Message Number 246540

Re: Treatment options for foot injury View Thread
Posted by larrym on 5/04/08 at 07:26

Since you are a million miles away, we cant send you to anyone we know. Obviously not seeing you is difficult to say but did anyone mention a Lisfranc fracture? It sounds like what you are describing and may times they are missed in the ER or just called a sprain. Usually a simple x-ray will miss it but if the right angle and load is used the right foot person can find it by looking for abnormal gaps in speficic joints This link kind of explains it http://orthoinfo.aaos.org/topic.cfm?topic=A00162 If you have that or some other midfoot injury with resulting arthritis USUALLY they respond to limiting the demand of flexion and motion you put on your foot. I realize in India it is warm and you are in a cluture that wears thinner sandals often.

Many people with these types of old injuries find a hiking boot to be the most comfortable thing they can wear. If it has a rigid shank (stiffener) so that it doesnt bend length wise and a rocker sole it reduces demand on the foot by working like a walking cast. Some people with this injury cant even walk up stairs without turning their foot out because the beding and load required makes it hurt.This does not mean you have to become a slave to the boots but wear them when you will be on your feet a lot. The orthoticc may have failed because it was too hard or too agressive.

Old midfoot injuries usually respond to gentle control and a rigid shoe with rocker. If you make the device force the foot it usually wont work because the foot has kind of settled into its position. Supporting it is good but trying to over correct it is not.

Result number: 24

Message Number 245653

To each troop his own.......... View Thread
Posted by marie:) on 4/09/08 at 15:08

We read and listen to retired brass and who the support. Each candidate has a retired general or colonel somewhere backing them. The troops are not suppose to get into politics but they have just as much on their minds about the election as every other American, more so if they're in the war zone. We know the majority like Ron Paul but alas he won't be on the ticket. ABC interviewed a few boots on the ground in iraq to see if they're paying attention...................they are! Sorry Johnh no one brought up your guy's name.

Surprising Political Endorsements By U.S. Troops
http://abcnews.go.com/WN/Story?id=4244798&page=1
In 2004, 73 percent of the U.S. military voted for a presidential candidate, and officials believe it may be even higher this time around.

PFC Jeremy Slate said he supported Sen. Barack Obama, D-Ill., because of his stated intention to pull out of Iraq right away. 'That would be nice,' Slate said, 'I'd like to be home, yea.'

SFC Patricia Keller also expressed support for Obama, citing his representation for change.

Lt. Leah Wicks said that, tied into concerns about her family's welfare, were concerns about the economy, 'where we're going to be in the future.'

Spc. Imus Loto said he supported Obama. 'It will be something different. But he's out there and he'll probably support us a lot more.'

1st Sgt. David Logan said, 'I am leaning toward Hillary. I think that we should have a gradual drawdown.'

To that end, Lindsesdt's pick is Obama. 'The fact that he's followed his views, regardless of what they have been [sic] and whether I've agreed with them or not, sometimes. But he's been steady the entire way.'

Result number: 25

Message Number 245404

Re: Dr. Ed - Sodium Hyaluronate View Thread
Posted by Dr. Ed on 4/01/08 at 20:47

Dee:

They are different. The first, I believe, is a component of injections used on arthritic joints, akin to a synthetic joint fluid. Hyaluronidase is an enzyme that breaks down scar tissue.

Dr. Ed

Result number: 26

Message Number 245378

Dr. Ed - Sodium Hyaluronate View Thread
Posted by Dee on 4/01/08 at 13:18

Hi Dr. Ed.

Is sodium hyaluronate the same thing as hyaluronidase? My podiatrist has this in his cupboard and is open to using it for scar pain, but to date has used it only for arthritic joints. Please advise.

Thanks.

Dee

Result number: 27

Message Number 245242

Rjulie your not a doc just a fat nasty hole with a smelly __ View Thread
Posted by APRIL on 3/28/08 at 17:14

thats right

Result number: 28

Message Number 245240

Re: julie your not a doc just a fat hole View Thread
Posted by APRIL on 3/28/08 at 17:10

stay out of peoples buss you dont know a dam thing you tramp __

Result number: 29

Message Number 245153

Re: Ohio voters in trouble? View Thread
Posted by wendyn on 3/27/08 at 12:08

John, as I mentioned before - I have not seen the whole videos of the sermons, but as soon as I get a chance, I intend to watch them.

If you have not done so already, I suggest you take the time to di it as well.

I have to say that I think you need to give some of his statements some context and some serious thoughtful consideration.

The world has seen historical racialized medical practices before (eg. The Tuskegee Syhphilis incident) and Rev. Wright is certainly not the first person who suspects an aids/race/medical connection. I was just reading an academic journal on race this morning that cited exactly the same reference and this particular article indicated that _many_ people in the black commuity feel that there is at least some credibility to the claim. I'm not sure how that belief (if it's an honest belief) is something hateful. Wrong maybe, paranoid maybe, but not hateful. What if he's right? Could you still consider his comments hateful?

With respect to September 11 being 'America's fault' - there are people in the United States and throughout the world who honestly believe that at least some American policies have had devastating consequences throughout various parts of the world. They believe that these policies have provided a basis for other people with a legitimate reason to go after Americans.

Again - whether or not the belief is true...it's certainly held by more people than just Rev. Wright. Again, I don't see how the belief that the government's policies are dangerous and negative in parts of the world equates to hate speech. Now you might not share the same view - you might believe that everything your government has done in various parts of the world has only brought peace and harmony to other nations - but if Rev. Wright and others disagree, what basis do you have for silencing that opinion?

I'm not trying to be difficult (seriously) but how can you say that giving voice to two well-recognized (if not widely accepted or welcome) assertions equates to hate speech and obscenity?

Result number: 30

Message Number 244793

Re: Plantar Fibromas preceded my multiple growths in body. View Thread
Posted by cindyh on 3/20/08 at 14:27

Dr. Wedemeyer,
Hi again. Just wanted to keep you posted. My Rheumetologist in OKC just called and said my ANA is high and I have protein in my urine (again) and my liver enzymes were a little high. Is getting more blood from me tomorrow to have more tests done. Will keep you posted. What is ANA?
Thanks,
Cindy

Result number: 31

Message Number 243725

Arch pain View Thread
Posted by Mary Ann C-J on 2/25/08 at 18:25

Had 3 x-rays; revealed no bone chips, arthritis, etc. Pain in arch radiating to top of foot. Doesn't hurt when walking; hurts at night; pain for 4 years; When applying pressure to top of foot, pain subsides. Motrin, etc., really doesn't help. Have gone 2 weeks - no pain - then starts up again. Do I have plantar fasicitis or a form of it?

Result number: 32

Message Number 243724

Arch pain View Thread
Posted by Mary Ann C-J on 2/25/08 at 18:24

Had 3 x-rays; revealed no bone chips, arthritis, etc. Pain in arch radiating to top of foot. Doesn't hurt when walking; hurts at night; pain for 4 years; When applying pressure to top of foot, pain subsides. Motrin, etc., really doesn't help. Have gone 2 weeks - no pain - then starts up again. Do I have plantar fasicitis or a form of it?

Result number: 33

Message Number 242991

Re: another added problem View Thread
Posted by LindaW on 2/09/08 at 14:40

Dottie good luck on your next surgery. I felt the same exact way when I had my last surgery, but now regret moving it up, because of the lovely doctor that I worked for, it gave him more reason to let me go when he did (my defense he had no friggen right). I finally had a talk with my boss today and it was a real nice one, but she convinced me to stay at least to the middle of May and I think that I am going to try to stick it out for my husband sake and money. My poor husbanc just got let go from his job yesterday, because of lack of work (electrician). Hopefully by June he will be called back. I'll tell you, when things happen to my husband and myself, they happen real hard and furious. I have been on the generic brand of Neurotin now for 2 weeks and have felt no relief of nerve pain. I guess I need to give it more time, but I want something to start to work, before I go nuts. Well got to go now, the Neurotin makes me real tired and all I want to do is sleep. If I do not talk to you before your surgery, good luck and I will talk to you when I get back from our vacation. Maybe we will win a lot of money while out in Vegas and I will not have to back to work. I know with my luck, nothing like that will ever happen to this house hold.
LindaW

Result number: 34

Message Number 242955

Latest on Biodiesel View Thread
Posted by john h on 2/08/08 at 18:25

On a study released yesterday by Princeton and reported in some scientific journals it has been reported that the production of bio-diesel we have in fact increased carbon in the atmosphere by double or more. In the rush to produce this bio fuel million and millions of acres have been leveled to grow the necessary product to produce the fuel. We have even converted acreage in the Brazilian Rain Forest. Millions of these acres contained green products which absorbed more carbon than could be saved by the production of bio-diesel. In some cases, depending on the product, it will take over 300 years to grow the natural product back that once absorbed the carbon. I am no scientist but you would think that any science in planning to produce such fuel would have thought this through to conclusion. This does not sound like Einstein science and in our rush to save the planet we are making things worse.

Some producers of bio-diesel were interviews and they were mad as hell. They said they had invested millions in plants to produce the fuel and now are presented with this.

Seems like this all has a familiar ring to it. How often do we find that some medication or product we use is actually making us worse than we were. Usually long after we have been using it.

Result number: 35

Message Number 242692

Re: custom inserts View Thread
Posted by Dr. Ed on 2/02/08 at 07:58

Mark:

Dr. Wedemeyer provided an excellent description of an orthotic design which may work for you. It is now up to you to seek that out. One cannot attach a specific name to the orthotic just as one cannot do so for eyeglasses as they are individual prescriptions.

Orthotics are only one third of the treatment triad. One part of the treatment triad may work alone but more often than not, all three parts need be addressed.

Considering that it has been 10 months, it is time to have someone look at the fascia. The fascia can be imaged via MRI, or better yet, in my opinion, by diagnostic ultrasound. Many cases of seemingly intractable plantar fasciitis are actually plantar fasciosis (do a search for that term on this site). Treatments for plantar fasciosis may include ESWT (check out Dr. Z's site). ESWT may not be covered by many insurance plans but it beats surgery and is probably less costly than the list of things you have tried.

Dr. Ed

Result number: 36

Message Number 242415

Re: Does anyone have it this bad? View Thread
Posted by Tab on 1/26/08 at 19:21

Try the chiropractor. I had similar issues with my feet tingling and the chiropractor adjusted my sacroiliac joint. It took a few treatments but hasn't returned in a year and a half. If your feet aren't properly supported it will affect your whole body and can put your back out of alignment.

Result number: 37

Message Number 242210

S I JOINT PAIN View Thread
Posted by PITBUT on 1/20/08 at 14:48

CHECKING TO SEE IF ANYONE HAS ATTEMPTED TO USE ESWT FOR SACRO ILLIAC JOINT PAIN AND IF SO WITH WHAT RESULT.

Result number: 38

Message Number 241774

Re: Fact or Myth View Thread
Posted by cbjcarroll on 1/09/08 at 19:35

Check out this site for info on Area Code 809. http://www.snopes.com/fraud/telephone/809.asp

Result number: 39

Message Number 241723

Re: dx9000 View Thread
Posted by cbjcarroll on 1/08/08 at 18:45

Just moved to SC last year near the Myrtle Beach area. Thank you for sharing your knowledge to help me make an informed decision by providing infomation on a variety of options. One more question. Should I be concerned with the mild arthropathic facet changes as I am a very young 30 years old?

Result number: 40

Message Number 241699

Re: dx9000 View Thread
Posted by cbjcarroll on 1/08/08 at 12:15

Initially, a heavy object that I was holding onto twisted and fell over the first week of December. Had intense lower back pain within 20 minutes. Went to chiopractor for about 3 weeks with some back pain relief but hip pain began to manifest. Hip pain became more intense the last week of December and then began cramp like pain down left leg. At that point went to Family dr who ordered MRI and put me on Naproxen for inflamation. In the last week the leg pain has changed to a constant numbness of left leg and left foot and only have shooting leg pain based on certian movements. No history of back problems other than muscle spams that were due to sports about 10 years ago. No saddle numbness.

Result number: 41

Message Number 241687

Re: dx9000 View Thread
Posted by cbjcarroll on 1/08/08 at 07:31

Also, will contact dr and find out info on size or mm and check on whether or not it is contained. Do have numbness and tingling of entire left leg and foot.

Result number: 42

Message Number 241686

Re: dx9000 View Thread
Posted by cbjcarroll on 1/08/08 at 07:21

Am to go to orthopedic dr on the 24th of this month. Wanted to research my options before the appointment and not go into it blindly. I appreciate your response and welcome any ideas or suggestions for treatment options.

Result number: 43

Message Number 241657

dx9000 View Thread
Posted by cbjcarroll on 1/07/08 at 18:35

Here is my MRI impression. Would I be a candidate for DX9000 and what exactly does all of this mean in laymans terms?

MRI: Findings: Examination of the alignment of the spine demonstrates that it is grossly anatomic. There is preservation of vertebral body marrow signal at all levels examined. The conus is unremarkable in appearance. No paraspinal masses are detected.

Examination: at L4-5 there is no significant deformity of the thecal sac. Mild arthropathic facet changes appear present. The neural foramen are patent. At L5-S1, there is a small disc extrusion noted central to the left of midline which is mildly compressing the left anterior lateral thecal sac. The right neural foramen is patent. The left appears patent.

Impression: 1. Disc protrusion/extrusion to the left of midline at L5-S1, which is mildly compressing the thecal sac. 2. Mild arthropathic facet changes are noted at L4-5 and L5-S1. No foraminal stenosis is noted.

Result number: 44

Message Number 240810

Re: Driving after surgery on right foot? View Thread
Posted by MissesV on 12/14/07 at 22:01

Good luck with your sugery!!! I had my left foot done on November 8th. I got my stitches out 13 days later and drove that day. I drive a stick shift vehicle (so does my husband), so my recovering foot was my clutch foot. The doctor told me that I could drive as long as I could tolerate it. I drove that evening to the salon to get my haircut! I ended up being able to tolerate it just fine. Now, a stop and go traffic jam would not have been good for me, but I was careful at first. Now it is not even an issue. My surgery and recovery seem a bit different from 'the norm,' so I'm not sure what you should expect. Good luck to you though. I wish you a speedy recovery and happy holiday!

Result number: 45
Searching file 23

Message Number 239596

Re: PF - considering surgery - but first a few questions please View Thread
Posted by Tom B. on 11/18/07 at 20:12

Dr. DSW,

Thanks you for your reply.

Concerning my back, neck, and shoulder pain:

My shoulder problems have been diagnosed (via MRI) as inflammation surrounding the AC joints. This only flares up with repetitive over the head motions (i.e. - throwing my six year old up in the air).

I have considered the possibility of an arthritis related syndrome (my wife's diagnosis) however, the recent X-rays of my feet showed no signs. In fact, the doctor said my xrays and bone structure and alignment were 'textbook' and there was no evidence of arthritis. Also, there is no family history. My feet have always been 'sore' even as a teenager when I played ALOT of basketball (on hot schoolyard blacktop, wearing less than the best sneakers). I believe this is attributable to very flat feet. I also grew up in a beach front community and have spent many summers/falls walking/running barefoot on the beach. Also, my back and neck pain respond well to massage and I am convinced it is stress related (mostly the stress from my PF).

Additionally, I should add that I often need to make a conscious effort to avoid dehydration. My typical fluid intake consists of a few cups of coffee during the day and a few glasses of wine in the evening. I rarely feel thirsty and have been advised by my general doctor that I need to drink more water. I have often thought that this could be contributing to the joint aches. My diet otherwise is very healthy.

I appreciate your comments.

regards,
Tom

Result number: 46

Message Number 239595

Re: PF - considering surgery - but first a few questions please View Thread
Posted by Tom B. on 11/18/07 at 20:05

Dr. Z

Thanks you for your reply.

Your Question:
Do you have pain when you first get up in the morning or after sitting for a period of time and then trying to get up?

Answer:
YES! I can't win. If I rest too long it is painful when I try to walk.
If I stay on my feet too long (> 15 mins.) the pain increases.

Your Comment:
Anklyosing Spondylitis- You are in the profile for Anklyosing Spondylitis.

Response: My shoulder problems have been diagnosed (via MRI) as inflammation surrounding the AC joints. This only flares up with repetitive over the head motions (i.e. - throwing my six year old up in the air).

I have considered the possibility of an arthritis related syndrome (my wife's diagnosis) however, the recent X-rays of my feet showed no signs. In fact, the doctor said my xrays and bone structure and alignment were 'textbook' and there was no evidence of arthritis. Also, there is no family history. My feet have always been 'sore' even as a teenager when I played ALOT of basketball (on hot schoolyard blacktop, wearing less than the best sneakers). I believe this is attributable to very flat feet. I also grew up in a beach front community and have spent many summers/falls walking/running barefoot on the beach. Also, my back and neck pain respond well to massage and I am convinced it is stress related (mostly the stress from my PF).

Additionally, I should add that I often need to make a conscious effort to avoid dehydration. My typical fluid intake consists of a few cups of coffee during the day and a few glasses of wine in the evening. I rarely feel thirsty and have been advised by my general doctor that I need to drink more water. I have often thought that this could be contributing to the joint aches. My diet otherwise is very healthy.

I appreciate your comments.

regards,
Tom

Result number: 47

Message Number 239547

Re: Quilter...Where are you? View Thread
Posted by Quilter on 11/16/07 at 12:42

Hi,Helen and all.
I am fine, drugged, elevated and healing. Surgery took 2 hrs. Nurse, who was filling out the workorder said she was getting writers cramp from all the nerves that needed to be decompressed. She had to spell them all out, she wasn't allowed to write'all'.

The Jones bandage is HUGE. Doc just called and said I could loosen it if it was too tight, which I complained about. (it comes off next Tues). I have been elevated and iced the whole time, going on 48hrs now. Moving my toes and ankle some but the dressing is sooo tight!! almost impossible.

Hubby is taking good care of me, Cat at my side!!Some pain when the vics start to wear off. Only complaint is when I have to go to bathrm... my lft hip is so sore from supporting my weight. I am lucky that my commode is in it's own lil room and I can grab the door frame to get up and down.

keep in touch. I'm not going anywhere!!
tks for yr support,
Quilter

Result number: 48

Message Number 239432

Re: Aspartame -- the bad news keeps rolling in.... View Thread
Posted by Dr. Wedemeyer on 11/13/07 at 18:54

Larry

Rumsfeld was the most influential figure in Nutrasweet being approved by the FDA. The FDA had previously stated that they would never approve it for human consumption, but good old Donald lobbied an cajoled and peddled his influence until this poisonous garbage was allowed to be fed to the population without any disclaimer of the facts. All for money my friend.

Anyone who reads the book by Bob Woodward 'State of Denial' can gain a sense of Rumsfeld's egocentric and proprietary vision for our military and why we are in the fight of our lives in Iraq. This guy should go down in history as the absolute worst, most self-effacing and incompetent head of our military ever.

You don;t have to be partisan to see what a boob he is or how his micromanagement style was the single greatest contributor to the slow, painful process of castrating our Joint Chiefs and slimming our once mighty military into the 'leaner and meaner' force that Rumsfeld unleashed on Iraq. His gamble was eventually his undoing in that the insufficient show of force and technology heavy troops that showed up lacked the traditional 'boots on the ground' standing force capable of dealing with the messier war that occurred after our initial victory in 2003.

Absolutely the worst Sec Def ever and a poison pandering troglodyte.

Result number: 49

Message Number 239172

Re: SI JOINT RESPONSE TO ESWT View Thread
Posted by Dr. Ed on 11/08/07 at 07:31

Fredd:

I am not aware of ESWT being used for sacroiliac joint pathology. A good start would be to call practitioners who offer ESWT in your area. You are lucky to be in a country with access to machines like the Siemens Sonocur which I feel is one of the most cost effective means of procuring effective ESWT treatment.

Dr. Ed

Result number: 50

Message Number 238902

Re: UNLOCKING OVERPRONATION View Thread
Posted by Dr Kiper on 11/03/07 at 17:34


There’s nothing wrong with my comprehension, your post is showing desperate inconsistency. When we spoke about you trying the SDO, you made no mention of having recurrent PF. It sounds like a convenient fabrication since I can’t prove it. If you had a recurrence that lasted days because you walked around barefoot too much one day, then you’re orthotics were not fitting you correctly. Were you spending 24 hours/day at the pool? If you had a recurrence of pain, putting on your orthotics after the meet until the next time should have improved completely, after all your muscle memory should have corrected with corrected alignment quickly. That’s the way it works for me.

Then you talk about being active in the office, with sports etc, how much time do you actually stand still in place in a day? While you are correct, the SDO can be uncomfortable in static stance, especially for people in jobs that require standing in one place, like a checker at a grocery (and I believe you did experience this discomfort at some moment in time), are you saying the discomfort was SO GREAT that it was intolerable? And omygosh this is terrible. How about the fact if you’d discussed it like you were supposed to, I could have fixed that with a simple adjustment in fluid.

You didn’t have time to send it back? You did not even discuss this with me, how would you know to send it back? Are you saying that you don’t send mail out from your office, insurance billing, patient statements etc, etc. All you’d have to do is put it in an envelope and the mailman would have picked it up like the rest of the mail you send out of your office the way every office functions.

I forgot, you wouldn’t have even had to send it back. The SDO is a “closed” system. We can not open and reseal the orthotic. I would have sent you a new orthotic just like I do with all my patients. But your intent to fail and speak poorly of the SDO has become evident. You may have started with an open mind, but you shut the door fast.

You disregarded my instructions so that you could hopefully fail and be able to report what you are. You say you knew you could just put on your old technology and feel better? I wasn’t treating you for PF, you were not a patient, I simply offered you an opportunity to try and evaluate it. I asked you (and you agreed) to follow my instructions so that I could share my knowledge and experience with you.

You have patients walking around comfortably with “Powersteps”—of course they’re more comfortable, any generic orthotic helps to minimize symptoms, so they’re happy they’re not in AS MUCH pain as before. But the intent of a doctor is to get the patient completely better, not partially better. An OTC support can perhaps in a handful of people get completely better. But then what? Somehow the fact that a person’s Rx changes over time has eluded you, what are you going to do then? Give them another same orthotic with no further correction? You must be joking.

Result number: 51

Message Number 237144

indium reminder View Thread
Posted by Scott R on 10/04/07 at 09:54

In 10 years indium will increase from $700 per kg to $7,000 per kg at the minimum. $20,000 per kg seems reasonable since that would cost only $1,000 for indium to cover a house in solar cells and only $1 of indium per iPhone-like devices. We will need 4 times more indium just for solar cells in 10 years, not counting LCD requirements. The market will be flooded with 4 times more zinc just to get the indium out of it. If i knew where to get indium, I'd buy and bury it somewhere.

Result number: 52

Message Number 236783

Re: Stretching painful View Thread
Posted by Dr. DSW on 9/27/07 at 17:51

Jen,
Basically, you can take the advice of 'Louis' or the advice of Julie and her MANY years of practice as a yoga instructor, and my advice of 22 years of practice and treating thousands of patients with this problem. But of course, Louis now seems to be an expert on this topic.

Not to mention the article that was posted from Journal of Bone and Joint Surgery, one of THE most prestigious orthopedic journals, with a study from Mass. General Hospital (Harvard's teaching hospital) supporting my view.

That is EXACTLY the problem with this site, when one individual starts giving an opinion based on ONE experience, verse the experience of several professionals that have treated this condition on MANY patients for MANY years.

Believe me, do NOT do the wall stretch, at any time. Period, despite the suggestion of 'Louis'.

Result number: 53

Message Number 235983

Re: hip causing plantar fascitis? View Thread
Posted by Julie on 9/12/07 at 05:02


Todd

If your yoga practice is helping you, and you are enjoying it, I would continue with it, with the caution that you take great care with all the postures. You are doing Ashtanga Vinyasa yoga, which is a strong, dynamic, fast-paced style - one that I wouldn't normally recommend for anyone with back problems. You are moving rapidly through a sequence of postures without sufficient time to reflect on what you are doing, and (possibly, depending on your teacher) without the necessary encouragement to STOP if a posture isn't appropriate for you. So do be careful.

The Warrior poses, and the Triangle and its variations, do feel good when you perform them, and afterwards. But they are asking the hip joint to do something it isn't anatomically designed to do or capable of doing: rotate outwards at a full 90 degrees. Something's got to give. For most people, it's the knee joint that suffers (I'm sure you've been told to keep your knee in line with your ankle and hip). For people with very mobile hips, it's the sacroiliac joint that takes the strain. Hypermobile, unstable SI joints are a very common yoga injury: the result of repeated stress that may not show up for many years. But when it does, it causes lots of problems. So do be careful.

For someone with your history, and the hip and low back problems that you already have, I would advise staying as 'straight' as possible, focusing always on a balanced, aligned standing posture, and deviating as little as possible from it in your yoga practice. I would be happier if you were to find a gentler, more reflective style of yoga, with more emphasis on mindful working and on relaxation; and a teacher who has some understanding of the kinds of problems you have and can guide you safely.

I would also advise concentrating on strengthening your core stabilising muscles: pelvic floor and deep transversus abdominis muscles. All movement of the limbs should come from a stable core. Pilates is probably the most useful for this.

I'm a little surprised that you can do the kind of yoga you're doing with a painful PF foot. Doesn't all that standing work hurt??

It would be great if you could see Dr Wedemeyer. Good luck and let us know how you fare.
.

Result number: 54

Message Number 235905

Re: hip causing plantar fascitis? View Thread
Posted by Julie on 9/11/07 at 02:00


Hello Todd

I've just written a long post to Dr Wedemeyer, which is of course meant as much for you as for him. Of course I agree that you need treatment by a practitioner who looks at the whole of you and not just your foot or hip or back. I do think, though, that it would be useful to examine what you are doing in your daily life that might be causing your problems.

I've suggested that you look at your guitar-playing technique. That is something you do a great deal, as it is your profession. Look at the way you are sitting (or standing, or moving around) as you play, and at the way you hold the instrument. Perhaps you're bearing all your weight on one hip. Perhaps you're over-using certain muscles in one of both of your hands or wrists or shoulders and there has been a knock-on effect on your upper back. Try and look at your technique as an outside observer would (difficult, I know) and see if you can identify something that could be causing a problem.

You say you practise yoga every day. I practise and teach yoga, and train yoga teachers, so it's possible I may be able to help you here, but I would need to know what you are doing and how you are doing it. There are some postures that are particularly stressful for the hips and lower back, including the sacroiliac joints - those that require the leg to be turned out at a 90 degree angle from the hip. Are you doing any of these? Some of the backbending postures hyperextend the lumbar spine and put pressure on the discs, if not done carefully and correctly. These would be the most likely but not necessarily the only culprits. Yoga is my life: I love it and I teach it.b But it is not a cure-all, and not all postures are appropriate for all bodies.

If you can tell me in some detail about your practice, I may be able to make some specific suggestions, in addition to the general guesses I've just put forward.
.

Result number: 55

Message Number 235788

Re: WILL SOMEONE SOOTH DR. DSW FEELINGS? View Thread
Posted by Dr. DSW on 9/09/07 at 08:27

Dr. Goldstein,
This has nothing to do with 'feelings'. You simply don't get it. What I have attempted to state during that particularly disturbing 'thread' was that I have absolutely no problem if you disagree with my opinion. However, you turned the thread into an unprofessional joke when you crossed the line, and when I became angry, you then made a mockery of the events by telling ME to take a 'Xanax' and then telling me that you were going to go 'get a massage and a steam bath'. In case YOU forgot, these are the events that took place:

1) I stated that I would not operate for plantar fasciitis that was overweight IF I felt that weight was a contributing factor in that patient's pain, since I believed operating on that patient would result in less than optimal surgical results.

2) YOU responded by questioning my surgical skills AND techniques

3) YOU told me that the idea of weight having anything to do with surgical outcome was 'idiotic and without merit'.

4) Although I have disagreed with many of your past comments, I have never insulted your professional skills, but YOU crossed the line and insulted MY professional skills as a surgeon, a line you should NEVER have crossed and I requested and demanded an apology.

5) Scott posted a journal article from a well respected orthopedic Foot and Ankle Journal confirming MY statement that YOU called idiotic and without merit, that weight DOES play a contributing factor in surgical outcome for plantar fascia surgery.

6) I requested that you at least apologize for calling my statements/comments 'idiotic' and 'without merit', but you did not.

Instead of being professional or man enough to admit YOUR ERRORS, you instead come on the website and make a MOCKERY and tell everyone that I am hot headed, have a bad temper, etc., and deflect the actual REAL problem. The REAL problem is that you do not address the FACTS written above. You make a joke of the entire thing and have the audacity to tell me to take a 'pill' (Xanax) and then tell me you're going to go get a massage and steam bath, after you've attempted to trash my reputation and make yourself look like a fool by calling my comments 'idiotic and without merit' though YOU were just proven WRONG by a well respected, peer reviewed orthopedic journal article.

Now, to make matters even WORSE, instead of just dropping this entire matter, you have to bring it one step further and create an ENTIRE THREAD titled 'WILL SOMEONE SOOTH DR. DSW FEELINGS?'

What is YOUR problem? My feelings aren't 'hurt', don't you get it? I simply can't believe how unbelievably UNPROFESSIONAL you have acted by your actions by questioning my surgical abilities without EVER having witnessed me in the operating room, by questioning my surgical judgment, though you have never met me, and my calling my statement 'idiotic and without merit' even though a journal article just proved my statement correct and you WRONG!!!

This has NOTHING to do with feelings, this is all about professional conduct. I still can't believe that you posted the things you did in that thread, but now it's REALLY unbelievable that you have the balls to create a whole NEW thread to 'sooth my feelings'.

For your sake, I hope our paths don't cross any time soon.

Result number: 56

Message Number 235663

Re: Dr. Wander, Dr. Ed View Thread
Posted by Arbitrator on 9/07/07 at 13:50

Scott my good man. Have I gone crazy or are you the proprietor of this website? If I am not in error, than why are you soliciting 'Dr. Wander' to delete the posts of this 'Dr. Parker'. Yes, apparently 'Dr. Wander' has the ability to delete posts and according to the information at the top of page, he is a moderator, but why are you asking this gentleman to come to your defense.

If he is not presently available to 'press the button', then why don't you simply exercise that option yourself? Maybe 'Dr. Wander' is somewhere enjoying a good __tail or in one of those fancy sports cars the rich doctors like to drive. Maybe 'Dr. Wander' and 'Dr. Z' are talking about plantar fasciitis at this very moment, while you are waiting for him to delete 'Dr. Parker's' post.

So my good man, have the cajones to press the button yourself, and delete 'Dr. Parker's' posts if you see the need, and I'm confident you'll probably delete this post while you're in the mood to press the button. And let 'Dr. Wander' relax, after all...it's the weekend!

Result number: 57

Message Number 235386

Medial heel skive View Thread
Posted by Lakemom on 9/02/07 at 18:28

Jeremy, I was reading your previous posts about lateral heel skive and wondered about you opinion of medial heel skives. My right foot pronates more than my left and when the Podiatrist tried to increase the rear foot varus posting, it strained my right sacroiliac joint while at the same time did not control my foot, I still pronate over pronated with that foot. I tried an experiment that I heard from a lecturer to place a couple of layers of moleskin in the area that the medial skive would go to simulate what it would be like if you had a medial skive and it seemed like my foot still pronated over it and I then strained either the PTT or other tendon that wraps around my medial heel at that point. So who are the best candidates for medial heel skives?

Result number: 58

Message Number 235077

Re: anyone... someone...this is my big reach out to the people at heelspurs.com View Thread
Posted by Kevin L on 8/28/07 at 17:48

Dr DSW
Below are all the Podiatry providers that take my insurance within 30 miles of my zip 11223 (Brooklyn NY) In alphabetical order…then with detailed info address…etc etc..
A
Abady, Robert, DPM 1
Abeles, Jay, DPM 11
Abrahamson, Hal, DPM 11
Alfieri, Donna M., DPM 1
Alongi, Maryanne, DPM 11
Amante, Gregory, DPM 5
Amato, Richard, DPM 11
Amico, Susan G., DPM 5
Archer, Jean V., DPM 5
Aronica, Frank R., DPM 5
Asaro, Carlo S., DPM 1
Assini, Joseph, DPM 5
Axman, Wayne R., DPM 11
B
Babayev, Emil, DPM 5
Bagner, Jerome E., DPM 11
Baird, William T., DPM 5
Balboa, Henry M., DPM 11
Barbaro, Thomas, DPM 11
Bar-David, Tzvi, DPM 1
Barkoff, Matthew W., DPM 11
Barkoff, Steven L., DPM 5
Barlizo, Sharon R., DPM 1
Barone, Salvatore A., DPM 5
Barragan, Juan C., DPM 1
Bartol, David M., DPM 5
Bass, Elliot L., DPM 5
Bass, Fara D., DPM 5
Bautista, Debbie P., MD 1
Bayerbach, Frank, DPM 1
Becker, Jack S., DPM 11
Bell, Burt L., DPM 5
Bendeth, Marc L., DPM 11
Benzakein, Ralph, DPM 5
Berlin, Kim, DPM 11
Bienenfeld, Jay D., DPM 5
Biller, Bob S., DPM 11
Bilotti, Mary A., DPM 11
Birch, Gregory M., DPM 5
Bover, Elina, DPM 5
Braun, Suzanne G., DPM 5
Breitman, Debra, DPM 11
Breth, Evan G., DPM 5
Bubbers, Linda A., DPM 11
Buenahora, Joseph A., DPM 11
Burzotta, John L., DPM 11
Bushansky, Abe A., DPM 1, 5
Butters, Marva, DPM 5
Butts, Bryon G., DPM 1
Buxbaum, Frederick D., DPM 5
Buzermanis, Steven Z., DPM 5
C
Caimano, Francis X., DPM 11
Campbell, Andrew, DPM 1
Campbell, Douglas E., DPM 5
Caprioli, Russell, DPM 11
Caprioni, Enrico P., DPM 5
Carlton, Lawrence S., DPM 5
Castillo, Dennis E., DPM 5
Catanese, Dominic J., DPM 1
Charlot, Giznola J., DPM 1, 5
Cheng, Tung W., DPM 6
Chernick, Stephen B., DPM 11
Chionis, Anthony, DPM 1
Chopra, Jaideep, DPM 1, 6
Cicio, Gary, DPM 6
Ciment, Avraham Y., DPM 1
Cohen, Greg E., DPM 6
Cohen, Richard B., DPM 6
Cohen, Robert J., DPM 1, 11
D
Dacher, Jeffrey, DPM 6
D'Amato, Theodore A., DPM 6
D'Angelo, Nicholas A., DPM 6
Daniel, Lawrence B., DPM 6
Davies, Daniel A., DPM 11
Davies, Gregory F., DPM 11
De Bello, John A., DPM 1
DeCicco, John J., DPM 11
DeLeon, Jose L., DPM 1
Dellolio, Joseph A., DPM 1
DeMeo, James R., DPM 6
Dennis, Lester N., DPM 6
DeSantos, Pasquale, DPM 6
Dhandari, Angeleta, DPM 1
Dharia, Sumit S., DPM 6
Dixit, Chaitanya V., DPM 6
Donovan, Glenn J., DPM 6
Dorazi, Stephen T., DPM 6
Dubov, Spencer F., DPM 11
E
Edelstein, Michael C., DPM 1
Ehrlich, Josh C., DPM 6
Einhorn, Jill L., DPM 6
Elsinger, Elisabeth C., DPM 1
F
Fagen, Leonard, DPM 6
Falcone, Jeffrey J., DPM 6
Feldman, Gary B., DPM 11
Ficke, Henry, DPM 6
Finkelstein, Barry I., DPM 1
Fiorenza, Dominic, DPM 11
Fox, Corey, DPM 11
Fox, Roberta A., DPM 11
Frankel, Bruce, DPM 1
Freiser, Mark A., DPM 1
Fridman, Robert, DPM 1
Friedlander, Bruce W., DPM 6
Fuchs, David B., DPM 11
G
Ganjian, Afshin, DPM 6
Garcia, Sandra P., DPM 1
Garofalo, Alfred A., DPM 6
Garofalo, Gail F., DPM 11
Gasparini, Mark C., DPM 11
Gaudino, Salvatore C., DPM 2, 6
Geiger, Arthur, DPM 6
George, Thomas, DPM 2, 6, 11
Gertsik, Vladimir V., DPM 6
Gervasio, Joseph, DPM 11
Giammarino, Philip A., DPM 6
Ginsberg, Steven E., DPM 2
Giordano, Richard S., DPM 2
Gitlin, David, DPM 2
Glockenberg, Aaron, DPM 2, 6
Goez, Emilio A., DPM 2, 11
Goldenberg, Perry Z., DPM 2
Goldman, Gershon A., DPM 6
Goldstein, Harold L., DPM 2
Goldstein, Israel, DPM 7
Golub, Cary M., DPM 12
Gonzalez, Ivan, DPM 7
Goodman, Warren J., DPM 7
Gottlieb, Robert J., DPM 12
Gramuglia, Vincent J., DPM 2
Greenbaum, Bruce R., DPM 7
Greenbaum, Mitchell A., DPM 12
Greiff, Lance, DPM 2, 12
Grossman, Myles, DPM 12
Guberman, Ronald M., DPM 7
Gutierrez, David, DPM 2
Gventer, Mark, DPM 7
H
Habib, Henry, DPM 7
Harris, Carl F., DPM 2
Heller, David P., DPM 7
Herbert, Scott E., DPM 12
Herman, Craig P., DPM 2, 7
Hershey, Paul E., DPM 12
Herzberg, Abraham, DPM 12
Hickey, John, DPM 12
Honore, Lesly S., DPM 12
Horl, Lawrence, DPM 12
Horowitz, Mitchell L., DPM 7, 12
I
Iorio, Anthony R., DPM 2
Irwin, Robert A., DPM 12
Isaacson, Ernest, DPM 2
Ivanovs, Ray, DPM 7
J
Jackalone, John A., DPM 12
Jacobs, Louis W., DPM 2
Jarbath, John A., DPM 7, 12
Joshi, Pradip M., DPM 2
Jusma, Francoise D., DPM 7
K
Kaiser, Craig A., DPM 7
Kapadwala, Imtiyaz I., DPM 7
Karpe, David E., DPM 12
Kashefsky, Helene P., DPM 12
Kasminoff, June G., DPM 12
Katz, Alex S., DPM 7
Katzman, Barry, DPM 7
Kessler, Howard N., DPM 12
Kisberg, Stephen, DPM 12
Kitton, Stuart E., DPM 12
Klein, Michael S., DPM 12
Klirsfeld, Jeffrey S., DPM 12
Knobel, Jeffrey, DPM 7
Kohn, Arlene F., DPM 12
Kolberg, John J., DPM 2, 12
Koslow, Paul M., DPM 12
Kumrah, Praveen, DPM 2
L
Lafferty, William A., DPM 7
Lai, Katherine M., DPM 2
Landau, Laurence D., DPM 12
Landy, Robert J., DPM 2, 12
LaRocca, Albert, DPM 12
Larsen, Joseph A., DPM 12
LaSalle, Michael, DPM 2
Lepore, Frank L., DPM 7
Levine, Stanley, DPM 12
Levitsky, David A., DPM 12
Levitz, Steven J., DPM 7
Levy, Brian K., DPM 7
Levy, Denise A., DPM 2
Levy, Paul J., DPM 2
Liswood, Paul J., DPM 7
Livingston, Douglas W., DPM 12
Livingston, Leon B., DPM 13
Livingston, Michael D., DPM 13
Locastro, Robert M., DPM 2
Lok, Jonat, DPM 2
Lopiano, Steven N., DPM 2
Losyev, Sergey, DPM 7
Lucido, Jeffrey V., DPM 7
Lynn, Brian P., DPM 2, 13
M
Mahgerefteh, David, DPM 7, 13
Makower, Bryan L., DPM 7
Mandato, Mark, DPM 7
Mantzoukas, Argirios, DPM 7
Marcelonis, Debra A., DPM 7
Marchese, Nicholas A., DPM 13
Marville, Jillion, MD 3, 7
Masani, Farhan, DPM 13
Matthews, Frederick, DPM 8
McElgun, Terence M., DPM 13
Mckay, Douglas J., DPM 8
Mcshane, William J., DPM 13
Meliso, Vincent D., DPM 8
Meller, Edward P., DPM 8
Meshnick, Joel A., DPM 8, 13
Micallef, Joseph, DPM 8, 13
Moazen, Ali, DPM 13
Mollica, Peter W., DPM 8
Mollica, Raymond J., DPM 8
Montag, Richard M., DPM 13
Montalvo, Luis, DPM 8
Morreale, Edward, DPM 8
N
Nachmann, Dennis S., DPM 3
Naik, Hetal B., DPM 8
Nekritin, Vadim, DPM 8
Nester, Elizabeth M., DPM 13
Nester, Matthew J., DPM 13
Newmark, Alan J., DPM 8
Nezaria, Yehuda, DPM 13
Novofastovsky, Raisa, DPM 8
O
Odinsky, Michael E., DPM 8
Odinsky, Wayne Z., DPM 13
Oliva, Imelda A., DPM 3, 8
Orlando, Anthony, DPM 8
Oropall, Robert, DPM 3
Owusu, Stephen E., DPM 8
P
Pace, George N., DPM 8
Pace, John F., DPM 8
Pannell, Richard, DPM 3
Papa, Philip M., DPM 8
Passik, Arthur L., DPM 8
Pawson, John F., DPM 8
Pecora, Maria, DPM 8
Pedro, Helder F., DPM 8, 13
Perez, Walter H., DPM 8
Peterson, Donald T., DPM 13
Pierre, Nadja M., DPM 8
Pierre, Nedjie, DPM 9
Plotka, Steven D., DPM 3
Posner, Jonathan, DPM 3
Prince, Steven L., DPM 9, 13
Purvin, Jay M., DPM 13
R
Rabiei, Payman, DPM 9
Radler, Bruce L., DPM 9
Rampino, Robert, DPM 3
Ransom, Sherry M., DPM 3
Raskin, Simon, DPM 9
Reifer, Howard J., DPM 9
Richardson, Hugh L., DPM 13
Richman, Tara, DPM 3
Romano, Constance A., DPM 9
Rosen, Alan J., DPM 9
Ross, Charles F., DPM 3
S
Saadvandi, Terence M., DPM 9
Sande, Hervey, DPM 9
Scheiner, David M., DPM 9
Schikman, Lana, DPM 9
Schneidermesser, Susan G., DPM 9
Schulman, Leonard B., DPM 3
Scotti, Lorenzo, DPM 3
Shapiro, Eugene, DPM 9
Shechter, David Z., DPM 9
Shechter, Stuart B., DPM 9
Sherman, Gary, DPM 9
Silberstein, Jeffrey, DPM 9
Silverstein, Alan B., DPM 9
Snyder, Robert S., DPM 3
Spector, Donald, DPM 3
Spellman, Dean S., DPM 3
Spielfogel, William D., DPM 9
Spilken, Terry, DPM 3
Spindler, Harlan, DPM 9
Stanimirov, Catherine, DPM 9
Steiner, Richard M., DPM 3, 9
Stern, Stuart M., DPM 3
Strassman, David, DPM 3
Strassman, Lawrence, DPM 3
Stuto, Joseph C., DPM 9
T
Tabari, Issac, DPM 3
Tajerstein, Alan R., DPM 9
Tanenbaum, Mark, DPM 9
Tartack, Ira, DPM 9
Tavroff, Clifford D., DPM 9
Thompson, Michael, DPM 3
Trepal, Michael J., DPM 9
Trivlis, Maryann Z., DPM 9
U
Unger, Leslie M., DPM 9
V
Vader, Bonnie, DPM 9
Velasco, Debra, DPM 3
Vincetic, Anto, DPM 3
Vitale, Thomas, DPM 3
W
Waiss, Samuel M., DPM 9
Wallach, Jacob B., DPM 9
Walter, Eric G., DPM 3
Wexler, Craig, DPM 3
Winston, Wayne, DPM 4
Wolstein, Lewis, DPM 4
Wolstein, Peter D., DPM 4
Woltman, Robert T., DPM 4, 10
Z
Zonenashvili, Merabi, DPM 10
Zwiebel, Neil S., DPM 10

PODIATRY
Abady, Robert, DPM
181172P
731 White Plains Rd
Bronx, NY 10473
(718) 589-8324
181173P
Burnside Medical Center
165 E Burnside Ave
Bronx, NY 10453
(718) 563-0003
St Barnabas Hospital
Alfieri, Donna M., DPM
37006P
4206 Barnes Ave
Bronx, NY 10466
(718) 325-6487
Mount Vernon Hospital, Our
Lady of Mercy Medical Center
Asaro, Carlo S., DPM
37182P
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-7224
50629P
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3589
Jacobi Medical Center, North
Central Bronx Hospital
Speaks Italian
Bar-David, Tzvi, DPM
36919P
3616 Henry Hudson Pkwy E
Bronx, NY 10463
(718) 548-5757
Columbia-Presbyterian
Medical Center
Speaks HebrewSpanish
Barlizo, Sharon R., DPM
357781P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Speaks FrenchSpanish
Barragan, Juan C., DPM
36954P
St. John's Medical Center
1561 Westchester Ave
Bronx, NY 10472
(718) 328-6200
Speaks Spanish
Bautista, Debbie P., MD
301273P
St. Barn Ambulatory Care
4487 3rd Ave
Bronx, NY 10457
(718) 960-1780
301276P
Union Comm Hlth Ctr
2021 Grand Concourse
Bronx, NY 10453
(718) 960-3933
348297P
CCDC/Burnside Med Ctr
731 White Plains Rd
Bronx, NY 10473
(718) 589-8324
Our Lady of Mercy Medical
Center, St Barnabas Hospital
Bayerbach, Frank, DPM
216992P
Mercy Community Care
4234 Bronx Blvd
Bronx, NY 10466
(347) 341-4300
39016P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
M1246P
2371 Arthur Ave
Bronx, NY 10458
(718) 364-6199
Brunswick General Hospital,
Brunswick Hospital Center, Inc,
Good Samaritan Hospital,
Good Samaritan Hospital (West
Islip)
Speaks
SpanishGermanItalian
Bushansky, Abe A., DPM
368478P
1715 University Ave
Bronx, NY 10453
(718) 960-5616
368491P
1963 Grand Concourse
Bronx, NY 10453
(718) 294-5000
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Parkway
Hospital
Butts, Bryon G., DPM
349336P
421 E 149th St
Bronx, NY 10455
(718) 401-3668
The Mount Sinai Hospital of
Queens
Speaks Spanish
Campbell, Andrew, DPM
36957P
St. Barnabas Hospital
4422 3rd Ave
Bronx, NY 10457
(718) 960-9000
56967P
Union Community Health Ct
260 E 188 St
Bronx, NY 10458
(718) 220-2020
56970P
St. Barnabas Ambulatory C
4487 3rd Ave
Bronx, NY 10457
(718) 960-1780
56972P
Bronx Park Medical Pavill
2016 Bronxdale Ave
Bronx, NY 10462
(718) 863-8695
St Barnabas Hospital
Catanese, Dominic J., DPM
37141P
Orthopedic Surgery Dept.
1695 Eastchester Rd
Bronx, NY 10461
(718) 405-8430
Albert Einstein College of
Medicine, Community Hospital
at Dobbs Ferry, Montefiore
Med Ctr (Henry & Lucy Moses
Div), SAINT MARYS
HOSPITAL
Charlot, Giznola J., DPM
357878P
HHC-Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-6610
357880P
HHC-North Central Bx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-2108
Jacobi Medical Center, Kings
County Hospital Center, North
Central Bronx Hospital
Chionis, Anthony, DPM
54771P
1725 Edison Ave
Bronx, NY 10461
(718) 892-5542
Parkway Hospital, St John's
Episcopal Hospital - Far
Rockaway
Speaks Greek, Modern
(1453-)
Chopra, Jaideep, DPM
284748P
NY Westchester Square Med
2475 Saint Raymonds Ave
Bronx, NY 10461
(718) 792-1100
Staten Island University
Hosp-North, University
Hospital of Brooklyn
Speaks Hindi
Ciment, Avraham Y., DPM
351611P
Soundview Healthcare ntwk
731 White Plains Rd
Bronx, NY 10473
(718) 589-8324
351618P
Diallo Medical Center
1760 Westchester Ave
Bronx, NY 10472
(718) 892-8474
351623P
Jessica Guzman Med Ctr
616 Castle Hill Ave
Bronx, NY 10473
(718) 239-9013
351628P
Burnside Medical Center
165 E Burnside Ave
Bronx, NY 10453
(718) 563-0003
Our Lady of Mercy Medical
Center, St Barnabas Hospital,
Westchester Medical Center
Speaks Hebrew
Cohen, Robert J., DPM
M4190P
140-1 Elgar Pl
Bronx, NY 10475
(718) 671-0400
Our Lady of Mercy Medical
Center, Parkway Hospital
Speaks French
De Bello, John A., DPM
289396P
New York Foot Care Srvc
3635 E Tremont Ave
Bronx, NY 10465
(718) 409-0400
3114603P
New York Foot Care Svc
421 E 149th St
Bronx, NY 10455
(718) 365-6363
36995P
New York Foot Care Svc
3201 Grand Concourse
Bronx, NY 10468
(718) 365-6363
Montefiore Med Ctr (Henry &
Lucy Moses Div), Mount Sinai
Hospital of Queens, North
Shore University Hospital, Our
Lady of Mercy Medical Center,
Parkway Hospital
Speaks Spanish
DeLeon, Jose L., DPM
179943P
625 E Fordham Rd
Bronx, NY 10458
(718) 933-1900
37252P
2111 Williamsbridge Rd
Bronx, NY 10461
(718) 828-6060
Our Lady of Mercy Medical
Center
Speaks Spanish
Dellolio, Joseph A., DPM
38329P
4362 White Plains Rd
Bronx, NY 10466
(718) 994-7054
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), Our
Lady of Mercy Medical Center,
Westchester Medical Center
Speaks Spanish
Dhandari, Angeleta, DPM
116473P
North Central Bronx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3589
116482P
Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-5700
Jacobi Medical Center, North
Central Bronx Hospital
Edelstein, Michael C., DPM
178750P
3224 Grand Concourse
Bronx, NY 10458
(718) 561-0041
Our Lady of Mercy Medical
Center
Speaks Spanish
Elsinger, Elisabeth C.,
DPM
37257P
MAP-Dept of Ortho Sgy
3400 Bainbridge Ave
Bronx, NY 10467
(718) 920-2060
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Speaks German
Finkelstein, Barry I.,
DPM
169233P
3327 Bainbridge Ave
Bronx, NY 10467
(718) 881-7990
194335P
NY Podiatry & Foot Surg
2425 Eastchester Rd
Bronx, NY 10469
(718) 881-7990
227755P
Wilson Orthopedics
75 E Gun Hill Rd
Bronx, NY 10467
(718) 798-1000
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), United
Hospital Medical Center (NY)
Speaks HebrewYiddish
Frankel, Bruce, DPM
200374P
Lincoln Medical & Mental
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Freiser, Mark A., DPM
36628P
Bronx Footcare
421 E 149th St
Bronx, NY 10455
(718) 292-5045
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center, St
Barnabas Hospital
Speaks SpanishFrench
Fridman, Robert, DPM
351650P
3616 Henry Hudson Pkwy
Bronx, NY 10463
(718) 548-5757
Columbia-Presbyterian
Medical Center
Garcia, Sandra P., DPM
353857P
Happy Feet
953 Southern Blvd
Bronx, NY 10459
(718) 542-0472
Board Certified
Male Female
Wheelchair Accessible
353859P
Uptown Healthcare Mgmt In
930 E Tremont Ave
Bronx, NY 10460
(718) 860-1111
Forest Hills Hospital
Speaks Spanish
Gaudino, Salvatore C.,
DPM
37096P
71 Metropolitan Oval
Bronx, NY 10462
(718) 829-6436
Mount Sinai Medical Center,
Parkway Hospital, Queens
Hospital Center
George, Thomas, DPM
197631P
3219 E Tremont Ave
Bronx, NY 10461
(718) 792-8115
Hempstead General Hospital
Med Ctr., New York
Westchester Square Medical
Center
Ginsberg, Steven E., DPM
132102P
2391 Arthur Ave
Bronx, NY 10458
(718) 365-4141
SVCMC-St Marys Hospital
Brooklyn, St Joseph's Hospital
Division, CMC
Giordano, Richard S.,
DPM
36494P
1217 Castle Hill Ave
Bronx, NY 10462
(718) 828-6982
Northern Westchester Hospital
Center, Our Lady of Mercy
Medical Center
Gitlin, David, DPM
379153P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Metropolitan Hospital Center
Glockenberg, Aaron,
DPM
201399P
Lincoln Med & Mental Hlth
234 E 149th St
Bronx, NY 10451
(718) 579-4900
276540P
2445 Arthur Ave
Bronx, NY 10458
(718) 733-1999
Kings County Hospital Center,
Lincoln Medical & Mental
Health Center, Our Lady of
Mercy Medical Center, St
Barnabas Hospital, Union
Hospital of the Bronx (closed)
Speaks PolishHebrew
Goez, Emilio A., DPM
301254P
Union Comm Hlth Ctr
2021 Grand Concourse
Bronx, NY 10453
(718) 960-3933
301255P
St Barn Ambulatory Care
4487 3rd Ave
Bronx, NY 10457
(718) 960-1780
371846P
St. Barnabas Hospital
4422 3rd Ave
Bronx, NY 10457
(718) 960-6105
51028P
Bronx Park Med Pavilion
2016 Bronxdale Ave
Bronx, NY 10462
(718) 863-8695
Nassau University Medical
Center, Saint Catharines
General Hospital, St Barnabas
Hospital
Speaks Spanish
Goldenberg, Perry Z.,
DPM
231271P
3250 3rd Ave
Bronx, NY 10456
(718) 328-3668
St Barnabas Hospital
Goldstein, Harold L.,
DPM
187909P
2016 Bronxdale Ave
Bronx, NY 10462
(718) 863-8695
37017P
St. Barnabas Hospital
4422 3rd Ave
Bronx, NY 10457
(718) 960-6105
371962P
St Barnabas Ambulatory C
4487 3rd Ave
Bronx, NY 10457
(718) 960-6488
371965P
Union Community Health Ct
2021 Grand Concourse
Bronx, NY 10453
(718) 960-3933
371966P
Union Community Health Ct
260 E 188th St
Bronx, NY 10458
(718) 220-2020
St Barnabas Hospital, United
Hospital Medical Center (NY),
White Plains Hospital Center
Speaks SpanishItalian
Gramuglia, Vincent J.,
DPM
216990P
Mercy Community Care
4234 Bronx Blvd
Bronx, NY 10466
(347) 341-4300
49500P
AllMed Medical & Rehab
4377 Bronx Blvd
Bronx, NY 10466
(718) 325-0700
49501P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
M1576P
3795 E Tremont Ave
Bronx, NY 10465
(718) 828-3333
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks SpanishItalian
Greiff, Lance, DPM
354487P
3333 Henry Hudson Pkwy
Bronx, NY 10463
(718) 601-2100
Brooklyn Hospital Center
(Downtown Campus), New
York Flushing Hospital &
Medical Center, Parkway
Hospital
Gutierrez, David, DPM
M1570P
2100 Bartow Ave
Bronx, NY 10475
(718) 320-0200
Our Lady of Mercy Medical
Center
Speaks Spanish
Harris, Carl F., DPM
201401P
Lincoln Med & Mental Hlth
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Harlem Hospital Center,
Lincoln Medical & Mental
Health Center
Herman, Craig P., DPM
227774P
Advanced Foot Care
3396 E Tremont Ave
Bronx, NY 10461
(718) 409-2121
300046P
Bronx Health Center
975 Westchester Ave
Bronx, NY 10459
(718) 991-9250
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks Spanish
Iorio, Anthony R., DPM
357778P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Isaacson, Ernest, DPM
341669P
Parkchester Family Foot
1340 Metropolitan Ave
Bronx, NY 10462
(718) 863-3338
Beth Israel Medical Center
(Petrie Campus), Our Lady of
Mercy Medical Center
Speaks Hebrew
Jacobs, Louis W., DPM
36524P
4240 Hutchinson River Pkwy
E
Bronx, NY 10475
(718) 671-2233
Speaks SpanishHungarian
Joshi, Pradip M., DPM
36975P
1963A Daly Ave
Bronx, NY 10460
(718) 617-6141
39978P
1650 Selwyn Ave
Bronx, NY 10457
(718) 590-1800
Bronx-Lebanon Hospital
Center - Fulton Division, Our
Lady of Mercy Medical Center
Speaks Spanish
Kolberg, John J., DPM
351082P
1387 Grand Concourse
Bronx, NY 10452
(718) 992-9918
New Island Hospital
Speaks Spanish
Kumrah, Praveen, DPM
187664P
2015 Grand Concourse
Bronx, NY 10453
(718) 299-7295
214484P
Uptown HealthCare Mgmt
1778 Jerome Ave
Bronx, NY 10453
(718) 764-1661
221984P
1807 Randall Ave
Bronx, NY 10473
(718) 617-2468
New York Westchester Square
Me, Our Lady of Mercy
Medical Center
Speaks HindiPunjabi
LaSalle, Michael, DPM
200845P
Lincoln Medical & Mental
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Lai, Katherine M., DPM
37068P
Center for Podiatric Care
1500 Astor Ave
Bronx, NY 10469
(718) 882-6881
Beth Israel Medical Center
(Petrie Campus), Mount Sinai
Medical Center, Our Lady of
Mercy Medical Center
Landy, Robert J., DPM
37072P
1340 Metropolitan Ave
Bronx, NY 10462
(718) 863-3338
Massapequa General Hospital,
Our Lady of Mercy Medical
Center, Parkway Hospital,
Southside Hospital, Winthrop
University Hospital
Speaks Spanish
Levy, Denise A., DPM
141439P
Hyperbaric Unit
111 E 210th St
Bronx, NY 10467
(718) 920-6655
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Speaks Spanish
Levy, Paul J., DPM
169192P
2545 Wallace Ave
Bronx, NY 10467
(718) 231-2500
36736P
2539 Fish Ave
Bronx, NY 10469
(718) 231-2500
Brooklyn Hospital Center
(Downtown Campus), Our Lady
of Mercy Medical Center
Speaks Spanish
Locastro, Robert M.,
DPM
124212P
731 White Plains Rd
Bronx, NY 10473
(718) 893-7773
Southside Hospital, St
Barnabas Hospital, St
Catherine of Siena, St
Catherine of Sienna Medical
Center
Lok, Jonat, DPM
227010P
East Tremont Medical Ctr
930 E Tremont Ave
Bronx, NY 10460
(718) 860-1111
New York Downtown Hospital
(Beekman), Our Lady of Mercy
Medical Center
Lopiano, Steven N., DPM
36777P
3108 Kingsbridge Ave
Bronx, NY 10463
(718) 548-1102
Our Lady of Mercy Medical
Center
Speaks SpanishItalian
Board Certified
Male Female
Wheelchair Accessible
Lynn, Brian P., DPM
38157P
Ctr for Ortho Specialty
1695 Eastchester Rd
Bronx, NY 10461
(718) 405-8430
38159P
MAP - Dept. of Ortho Surg
3400 Bainbridge Ave
Bronx, NY 10467
(718) 920-2060
Long Island Jewish Medical
Center, Montefiore Med Ctr
(Henry & Lucy Moses Div)
Speaks Spanish
Marville, Jillion, MD
179966P
Morris Heights Hlth Ctr
625 E 137th St
Bronx, NY 10454
(718) 401-6578
49882P
Morris Heights Hlth Cntr
85 W Burnside Ave
Bronx, NY 10453
(718) 716-4400
Nachmann, Dennis S.,
DPM
188735P
Urgent Foot Care,PC
3594 E Tremont Ave
Bronx, NY 10465
(718) 597-5800
37260P
Urgent Foot Care PC
3058 E Tremont Ave
Bronx, NY 10461
(718) 409-0500
37261P
1216 Beach Ave
Bronx, NY 10472
(718) 597-1107
40448P
326 E 204th St
Bronx, NY 10467
(718) 655-3410
53065P
1387 Grand Concourse
Bronx, NY 10452
(718) 992-9918
Bronx-Lebanon Hospital
Center - Fulton Division,
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), New
York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks Spanish
Oliva, Imelda A., DPM
357238P
HHC Morrisania D & T Ctr
1225 Gerard Ave
Bronx, NY 10452
(718) 960-2781
357786P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Kings County Hospital Center,
Metropolitan Hospital Center,
Morrisania Hospital
Speaks TagalogSpanish
Oropall, Robert, DPM
142725P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
18943P
820 Lydig Ave
Bronx, NY 10462
(718) 792-5900
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks German
Pannell, Richard, DPM
288046P
HHC-Morrisania D &TC
1225 Gerard Ave
Bronx, NY 10452
(718) 960-2781
Harlem Hospital Center,
Metropolitan Hospital Center
Plotka, Steven D., DPM
200379P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Mount Sinai
Medical Center, Raritan Bay
Medcal Center, Robert Wood
Johnson University Hosp.
Speaks Spanish
Posner, Jonathan, DPM
105432P
Jonathan Posner, DPM
360 E 193rd St
Bronx, NY 10458
(718) 933-2400
105434P
Jonathan Posner, DPM
1621 Eastchester Rd
Bronx, NY 10461
(718) 405-8040
143124P
MMG - CHCC
305 E 161st St
Bronx, NY 10451
(718) 579-2500
P0052P
2532 Grand Concourse
Bronx, NY 10458
(718) 960-1500
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Rampino, Robert, DPM
157922P
North Central Bronx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3630
157925P
Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-5700
Coney Island Hospital
Ransom, Sherry M., DPM
198963P
Derm & Surgery Associates
3620 E Tremont Ave
Bronx, NY 10465
(718) 792-4700
Mount Vernon Hospital
Richman, Tara, DPM
364345P
Tej Podiatric Group P.C.
1963-A Daly Ave
Bronx, NY 10460
(718) 617-6141
Bronx-Lebanon Hospital
Center - Fulton Division
Ross, Charles F., DPM
3113966P
HHC-Lincoln Med & Mntl HC
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Schulman, Leonard B.,
DPM
36464P
MMC-Family Care Center
3444 Kossuth Ave
Bronx, NY 10467
(718) 920-2273
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Scotti, Lorenzo, DPM
36715P
North Central Bronx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3589
51545P
Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-7224
Coney Island Hospital, Jacobi
Medical Center, North Central
Bronx Hospital
Speaks ItalianSpanish
Snyder, Robert S., DPM
46604P
3867 E Tremont Ave
Bronx, NY 10465
(718) 792-8790
Forest Hills Hospital, Parkway
Hospital
Speaks Spanish
Spector, Donald, DPM
36812P
Cambridge Podiatry Center
259 W 231st St
Bronx, NY 10463
(718) 548-3080
St Joseph's Medical
Center-Yonkers
Spellman, Dean S., DPM
381596P
Middletown Podiatry Assoc
1200 Waters Pl
Bronx, NY 10461
(718) 863-5511
New York Westchester Square
Medical Center
Spilken, Terry, DPM
200471P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Steiner, Richard M., DPM
188831P
3530 Henry Hudson Pkwy E
Bronx, NY 10463
(718) 548-3550
379697P
Kingsbridge Community Med
170 W 233rd St
Bronx, NY 10463
(718) 543-0700
SVCMC-St Vincents Manhattan
Stern, Stuart M., DPM
36652P
Morris Park Podiatry
1015 Morris Park Ave
Bronx, NY 10462
(718) 863-3737
New Island Hospital, Plainview
Hospital, Syosset Hospital
Strassman, David, DPM
349822P
MMC - Dept of Surgery
111 E 210th St
Bronx, NY 10467
(718) 920-6603
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), New
York Methodist Hospital, New
York Westchester Square
Medical Center
Strassman, Lawrence,
DPM
358330P
MMC - Eastern Vascular
1825 Eastchester Rd
Bronx, NY 10461
(718) 792-8115
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), New
York Westchester Square
Medical Center
Tabari, Issac, DPM
208998P
108 E 183rd St
Bronx, NY 10453
(718) 295-4600
Lutheran Medical Center,
Nassau University Medical
Center
Speaks FARSI,
EASTERNPersian
Thompson, Michael, DPM
36705P
2574 Frisby Ave
Bronx, NY 10461
(718) 892-8382
Brooklyn Hospital Center
(Downtown Campus), Our Lady
of Mercy Medical Center
Velasco, Debra, DPM
201409P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
214314P
Segundo Ruiz Belvis DTC
545 E 142nd St
Bronx, NY 10454
(718) 579-4000
288345P
HHC-Morrisania D &TC
1225 Gerard Ave
Bronx, NY 10452
(718) 960-2781
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Speaks Spanish
Vincetic, Anto, DPM
231369P
3635 E Tremont Ave
Bronx, NY 10465
(718) 409-0400
Montefiore Med Ctr (Henry &
Lucy Moses Div), Mount
Vernon Hospital
Speaks Croatian
Vitale, Thomas, DPM
201089P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Walter, Eric G., DPM
142727P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
357174P
1619 Pelham Pkwy N
Bronx, NY 10469
(718) 665-3410
36967P
Bronx Foot Rehab Assoc.
326 E 204th St
Bronx, NY 10467
(718) 655-3410
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center, SJRH -
St Johns Division, St Barnabas
Hospital
Speaks German
Specialist
Board Certified
Male Female
Wheelchair Accessible
PODIATRY (Continued)
Wexler, Craig, DPM
36647P
2391 Arthur Ave
Bronx, NY 10458
(718) 365-4141
Newton Memorial Hospital,
Our Lady of Mercy Medical
Center
Winston, Wayne, DPM
359588P
Signature Health Center
220 E 161st St
Bronx, NY 10451
(718) 537-1100
Forest Hills Hospital
Wolstein, Lewis, DPM
42408P
100-1 De Kruif Pl
Bronx, NY 10475
(718) 671-7226
New York Westchester Square
Medical Center, United
Hospital Medical Center (NY),
White Plains Hospital Center
Speaks Spanish
Wolstein, Peter D., DPM
19917P
1340 Metropolitan Ave
Bronx, NY 10462
(718) 863-3338
Speaks SpanishTagalog
Woltman, Robert T., DPM
174899P
1488 Metropolitan Ave
Bronx, NY 10462
(718) 823-6239
174900P
Wellness Medical Asso
1180 Morris Park Ave
Bronx, NY 10461
(718) 863-8465
Long Island Jewish Medical
Center, New York Westchester
Square Me, Peninsula Hospital
Center
Board Certified
Male Female
Wheelchair Accessible
PODIATRY
Amante, Gregory, DPM
199177P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Speaks Spanish
Amico, Susan G., DPM
184838P
SL Quality Care Diagnosti
9708 Seaview Ave
Brooklyn, NY 11236
(718) 444-0520
184843P
SL Quality Care Diagnosti
1902 86th St
Brooklyn, NY 11214
(718) 621-9400
184852P
SL Quality Care Diagnosti
1220 Avenue P
Brooklyn, NY 11229
(718) 376-1004
49812P
9731 4th Ave
Brooklyn, NY 11209
(718) 836-1800
SVCMC-St Vincents Staten
Island, Staten Island University
Hosp-North, Victory Memorial
Hospital
Speaks ItalianSpanish
Archer, Jean V., DPM
105663P
Brookdale Family Care Ctr
2554 Linden Blvd
Brooklyn, NY 11208
(718) 240-8600
40532P
Jamaica Hosp Medical Ctr
3080 Atlantic Ave
Brooklyn, NY 11208
(718) 647-0240
Jamaica Hospital
Speaks Spanish
Aronica, Frank R., DPM
36667P
20 Plaza St E
Brooklyn, NY 11238
(718) 638-6387
Catholic Medical Center (NY),
Long Island College Hospital
Speaks SpanishItalian
Assini, Joseph, DPM
36727P
8616 3rd Ave
Brooklyn, NY 11209
(718) 948-3838
Doctors Hosp. of Staten Island,
Lutheran Medical Center,
Staten Island University
Hosp-North, Victory Memorial
Hospital
Speaks Italian
Babayev, Emil, DPM
224479P
Perloff Medical PC
2626 E 14th St
Brooklyn, NY 11235
(718) 368-2626
37241P
Professional Medical Plaz
2269 Ocean Ave
Brooklyn, NY 11229
(718) 339-8200
46696P
421 Ocean Pkwy
Brooklyn, NY 11218
(718) 287-4200
Lutheran Medical Center, New
York Methodist Hospital
Speaks Russian
Baird, William T., DPM
37008P
Plaza Foot Care, PC
5412 Kings Plz Mall
Brooklyn, NY 11234
(718) 377-1212
Peninsula Hospital Center
Speaks
SpanishFrenchRussian
Barkoff, Steven L., DPM
36921P
248 Roebling St
Brooklyn, NY 11211
(718) 599-0505
Brooklyn Hospital Center
(Downtown Campus), New
York Methodist Hospital
Speaks Spanish
Barone, Salvatore A.,
DPM
36884P
1601 Voorhies Ave
Brooklyn, NY 11235
(718) 646-5553
Lutheran Medical Center
Speaks SpanishGerman
Bartol, David M., DPM
139333P
North Star Orthopedics
1408 Ocean Ave
Brooklyn, NY 11230
(718) 338-0909
59239P
North Star Orthopedics
2615 E 16th St
Brooklyn, NY 11235
(718) 745-8787
59240P
North Star Orthopedics
26 Court St
Brooklyn, NY 11242
(718) 935-0311
M6958P
1000 Church Ave
Brooklyn, NY 11218
(718) 826-4000
M6958P
740 64th St
Brooklyn, NY 11220
(718) 439-2000
Parkway Hospital
Bass, Elliot L., DPM
36493P
2381 E 29th St
Brooklyn, NY 11229
(718) 743-1400
49605P
Elliot L Bass, MD
2 W End Ave
Brooklyn, NY 11235
(718) 743-2900
Bass, Fara D., DPM
50123P
2 W End Ave
Brooklyn, NY 11235
(718) 743-1400
M100
2381 E 29th St
Brooklyn, NY 11229
(718) 743-1400
New York Methodist Hospital
Speaks Yiddish
Bell, Burt L., DPM
105602P
7608 20th Ave
Brooklyn, NY 11214
(718) 837-8003
113259P
3065 Brighton 5Th St
Brooklyn, NY 11235
(718) 332-2722
New York Community Hospital
of Brooklyn
Benzakein, Ralph, DPM
36761P
2241 Ocean Ave
Brooklyn, NY 11229
(718) 998-1375
New York Community Hospital
of Brooklyn
Speaks
ArabicHebrewRussianSpani
sh
Bienenfeld, Jay D., DPM
47072P
165 Taylor St
Brooklyn, NY 11211
(718) 599-0753
Peninsula Hospital Center
Speaks
SpanishHebrewYiddish
Birch, Gregory M., DPM
36595P
6419 Bay Pkwy
Brooklyn, NY 11204
(718) 232-6737
Staten Island University
Hosp-North
Bover, Elina, DPM
353725P
A. Amerimed Physician P.C
1655 E 13th St
Brooklyn, NY 11229
(718) 339-3100
353726P
A. Amerimed Physician P.C
1100 Coney Island Ave
Brooklyn, NY 11230
(718) 434-7533
New York Methodist Hospital
Speaks AbkhazianAfam
(Oromo)
Braun, Suzanne G., DPM
142989P
2171 Nostrand Ave
Brooklyn, NY 11210
(718) 758-8920
359508P
710 Parkside Ave
Brooklyn, NY 11226
(718) 270-2075
University Hospital of Brooklyn
Speaks SpanishItalian
Breth, Evan G., DPM
49200P
Evan G. Breth, DPM
2352 Ralph Ave
Brooklyn, NY 11234
(718) 251-0200
M1550P
263 7th Ave
Brooklyn, NY 11215
(718) 369-8080
M1551P
United Medical Assoc
9001 3rd Ave
Brooklyn, NY 11209
(718) 748-2900
M1552P
7124 18th Ave
Brooklyn, NY 11204
(718) 234-3333
Lutheran Medical Center, New
York Methodist Hospital
Bushansky, Abe A., DPM
231380P
734 Pennsylvania Ave
Brooklyn, NY 11207
(718) 493-5986
37057P
711 Eastern Pkwy
Brooklyn, NY 11213
(718) 493-5986
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Parkway
Hospital
Butters, Marva, DPM
343047P
158 Clarkson Ave
Brooklyn, NY 11226
(718) 783-4780
Brooklyn Hospital Center
(Downtown Campus), Kings
County Hospital Center
Buxbaum, Frederick D.,
DPM
36540P
1501 W 6th St
Brooklyn, NY 11204
(718) 837-0442
New York Community Hospital
of Brooklyn, New York
Methodist Hospital, Parkway
Hospital
Buzermanis, Steven Z.,
DPM
57282P
1230 Neptune Ave
Brooklyn, NY 11224
(718) 615-3200
57282P
3245 Nostrand Ave
Brooklyn, NY 11229
(718) 615-3777
57282P
345 Schermerhorn St
Brooklyn, NY 11217
(718) 858-6300
Campbell, Douglas E.,
DPM
37122P
MAIMONDES MED CTR
BROOKLYN, NY 11219
(718) 283-7593
54942P
4801 Fort Hamilton Pkwy
Brooklyn, NY 11219
(718) 853-7469
54944P
241 Willoughby St
Brooklyn, NY 11201
(718) 853-7469
Maimonides Medical Center
Caprioni, Enrico P., DPM
163554P
326 7th St
Brooklyn, NY 11215
(718) 369-7192
New York Methodist Hospital
Speaks ItalianSpanish
Carlton, Lawrence S.,
DPM
36731P
1981 Flatbush Ave
Brooklyn, NY 11234
(718) 338-8715
Brooklyn Hospital Center
(Downtown Campus)
Castillo, Dennis E., DPM
0X190P
345 Clinton Ave
Brooklyn, NY 11238
(718) 783-7300
105747P
450 Clarkson Ave
Brooklyn, NY 11203
(718) 783-7300
376722P
SUNY Downstate Med Ctr
840 Lefferts Ave
Brooklyn, NY 11203
(718) 783-7300
376724P
SUNY Downstate Med Ctr
445 Lenox Rd
Brooklyn, NY 11203
(718) 783-7300
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Kingsbrook
Jewish Medical Center,
University Hospital of Brooklyn
Speaks Spanish
Board Certified
Male Female
Wheelchair Accessible
)
Charlot, Giznola J., DPM
358034P
HHC-Kings County Hospital
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Jacobi Medical Center, Kings
County Hospital Center, North
Central Bronx Hospital
Cheng, Tung W., DPM
36670P
299 Livingston St
Brooklyn, NY 11217
(718) 624-2150
Speaks Chinese
Chopra, Jaideep, DPM
283717P
Medical Office
462 Ocean Pkwy
Brooklyn, NY 11218
(718) 856-6010
284749P
1324 Bergen St
Brooklyn, NY 11213
(718) 774-5224
362592P
710 Parkside Ave
Brooklyn, NY 11226
(718) 270-2045
363451P
University Phys of Bklyn
450 Clarkson Ave
Brooklyn, NY 11203
(718) 270-2045
Staten Island University
Hosp-North, University
Hospital of Brooklyn
Speaks Hindi
Cicio, Gary, DPM
36673P
142 Joralemon St
Brooklyn, NY 11201
(718) 624-3003
Beth Israel Med Ctr (Kings
Hwy Division), Long Island
College Hospital, New York
Downtown Hospital (Beekman)
Cohen, Greg E., DPM
168309P
142 Joralemon St
Brooklyn, NY 11201
(718) 624-3003
Cabrini Medical Center, Long
Island College Hospital
Cohen, Richard B., DPM
36732P
1331 E 16th St
Brooklyn, NY 11230
(718) 375-3400
Brooklyn Hospital Center
(Downtown Campus)
D'Amato, Theodore A.,
DPM
369717P
9731 4th Ave
Brooklyn, NY 11209
(718) 745-3177
Staten Island University
Hosp-North, Victory Memorial
Hospital
D'Angelo, Nicholas A.,
DPM
M1613P
6511 20th Ave
Brooklyn, NY 11204
(718) 837-7300
New York Methodist Hospital
Speaks Italian
Dacher, Jeffrey, DPM
36847P
3901 Nostrand Ave
Brooklyn, NY 11235
(718) 648-9104
Woodhull Medical & Mental
Health Ctr
Speaks Yiddish
Daniel, Lawrence B.,
DPM
10292P
2832 Linden Blvd
Brooklyn, NY 11208
(718) 240-2000
58558P
Lawrence B. Daniel, DPM
1576 E 66th St
Brooklyn, NY 11234
(718) 241-3803
Brooklyn Hospital Center
(Downtown Campus),
Montefiore Med Ctr (Henry &
Lucy Moses Div), Montefiore
Med Ctr (Jack D Weiler Hosp
of A Einst)
DeMeo, James R., DPM
169482P
1545 Atlantic Ave
Brooklyn, NY 11213
(718) 613-4856
Cabrini Medical Center,
Interfaith Medical Center,
Mount Vernon Hospital, SJRH -
St Johns Division
DeSantos, Pasquale, DPM
371165P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Speaks ItalianSpanish
Dennis, Lester N., DPM
50225P
746 Manhattan Ave
Brooklyn, NY 11222
(718) 389-4404
Catholic Medical Center (NY),
New York Flushing Hospital &
Medical Center, New York
Hospital Medical Center of
Queens, St Joseph's Hospital
Division, CMC, United
Hospital Medical Center (NY),
Wyckoff Heights Medical
Center
Dharia, Sumit S., DPM
349314P
552 Saint Marks Ave
Brooklyn, NY 11238
(516) 359-3339
Speaks Gujarati
Dixit, Chaitanya V., DPM
229092P
NY Medical Associates
98 Avenue U
Brooklyn, NY 11223
(718) 372-0500
39505P
1700 Flatbush Ave
Brooklyn, NY 11210
(718) 692-1120
M1245P
2235 W 9th St
Brooklyn, NY 11223
(718) 372-0400
Jamaica Hospital, New York
Methodist Hospital, Our Lady
of Mercy Medical Center
Speaks SpanishHindiItalian
Donovan, Glenn J., DPM
348058P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Dorazi, Stephen T., DPM
144643P
374 Stockholm St
Brooklyn, NY 11237
(718) 963-7233
Franklin Hospital, New York
Hospital Medical Center of
Queens, New York United
Hospital Medic, Sound Shore
Medical Center of Westchester,
Wyckoff Heights Medical
Center
Speaks Spanish
Ehrlich, Josh C., DPM
341691P
Astrocare Medical Center
1669 Bedford Ave
Brooklyn, NY 11225
(718) 467-7200
36823P
1651 Coney Island Ave
Brooklyn, NY 11230
(718) 382-2221
49886P
1535 51st St
Brooklyn, NY 11219
(718) 436-8886
Maimonides Medical Center,
Staten Island University
Hosp-North
Speaks
HebrewYiddishRussian
Einhorn, Jill L., DPM
36976P
2616 Avenue U
Brooklyn, NY 11229
(718) 891-2706
Beth Israel Med Ctr (Kings
Hwy Division), Maimonides
Medical Center
Fagen, Leonard, DPM
36474P
1390 Pennsylvania Ave
Brooklyn, NY 11239
(718) 642-2088
Brookdale Hospital Medical
Center
Speaks Spanish
Falcone, Jeffrey J., DPM
168454P
8012 3rd Ave
Brooklyn, NY 11209
(718) 745-5600
New York Methodist Hospital
Ficke, Henry, DPM
177873P
2875 W 8th St
Brooklyn, NY 11224
(718) 266-3131
288626P
444 Avenue X, Ste 1E
Brooklyn, NY 11223
(718) 375-1616
288630P
2015 Bath Ave
Brooklyn, NY 11214
(718) 375-1616
Long Beach Memorial Hospital
Speaks
GermanItalianSpanish
Friedlander, Bruce W.,
DPM
229664P
567 9th St
Brooklyn, NY 11215
(718) 840-0220
Long Island College Hospital
Speaks SpanishFrench
Ganjian, Afshin, DPM
37177P
146 Sheridan Ave
Brooklyn, NY 11208
(718) 235-6100
Coney Island Hospital, St
Joseph's Hospital Division,
CMC
Speaks
PersianSpanishRussianItalia
n
Garofalo, Alfred A.,
DPM
226023P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
Bellevue Hospital Center,
Gouverneur Hospital, Woodhull
Medical & Mental Health Ctr
Gaudino, Salvatore C.,
DPM
114762P
Boro Medical, PC
540 Atlantic Ave
Brooklyn, NY 11217
(718) 855-4900
37094P
Bensonhurst Fam. Foot Ctr
7819 18th Ave
Brooklyn, NY 11214
(718) 234-7054
51018P
Bensonhurst Family Foot
420 74th St
Brooklyn, NY 11209
(718) 836-1017
Mount Sinai Medical Center,
Parkway Hospital, Queens
Hospital Center
Geiger, Arthur, DPM
52948P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center
George, Thomas, DPM
197909P
888 Fountain Ave
Brooklyn, NY 11208
(718) 235-0574
Hempstead General Hospital
Med Ctr., New York
Westchester Square Medical
Center
Gertsik, Vladimir V., DPM
193957P
Gertsik Podiatry< PC
415 Ocean View Ave
Brooklyn, NY 11235
(718) 934-4842
New York Methodist Hospital
Speaks Russian
Giammarino, Philip A.,
DPM
149919P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
199181P
HHC-Sheepshead Bay Ctr
3121 Ocean Ave
Brooklyn, NY 11235
(718) 646-9190
36584P
8607 21st Ave
Brooklyn, NY 11214
(718) 266-1986
Coney Island Hospital,
Lutheran Medical Center
Speaks SpanishItalian
Glockenberg, Aaron,
DPM
36620P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center,
Lincoln Medical & Mental
Health Center, Our Lady of
Mercy Medical Center, St
Barnabas Hospital, Union
Hospital of the Bronx (closed)
Speaks PolishHebrew
Board Certified
Male Female
Wheelchair Accessible
Goldman, Gershon A.,
DPM
372901P
Fayn Medical PC
1517 Voorhies Ave
Brooklyn, NY 11235
(718) 648-2491
Forest Hills Hospital, Parkway
Hospital
Speaks
HebrewFrenchYiddishSpanis
h
Goldstein, Israel, DPM
169498P
Ezra Medical Center
571 McDonald Ave
Brooklyn, NY 11218
(718) 686-7600
228018P
468 Ocean Pkwy
Brooklyn, NY 11218
(718) 693-0578
Speaks
YiddishRussianRomanianHe
brew
Gonzalez, Ivan, DPM
137870P
East New York D & TC
2094 Pitkin Ave
Brooklyn, NY 11207
(718) 240-0400
Brooklyn Hospital Center
(Downtown Campus), Kings
County Hospital Center, St
Joseph's Hospital Division,
CMC, University Hospital of
Brooklyn
Speaks
SpanishFrenchPortugueseIt
alian
Goodman, Warren J., DPM
213648P
Kings Highway Podiatry
380 Avenue U
Brooklyn, NY 11223
(718) 376-3077
Victory Memorial Hospital
Speaks FrenchSpanish
Greenbaum, Bruce R.,
DPM
P0058P
3000 Ocean Pkwy
Brooklyn, NY 11235
(718) 265-2600
Staten Island University
Hosp-North, Staten Island
University Hosp-South
Guberman, Ronald M.,
DPM
144825P
Wound Healing & Hyperbar
374 Stockholm St
Brooklyn, NY 11237
(718) 381-8402
FLUSHING HOSPITAL
MEDICAL CENTER, Franklin
Hospital, Jackson Heights
Hospital Division (closed),
Sound Shore Medical Center of
Westchester, Wyckoff Heights
Medical Center
Speaks Spanish
Gventer, Mark, DPM
49889P
434 3rd St
Brooklyn, NY 11215
(718) 499-7583
New York Community Hospital
of Brooklyn
Speaks RussianSpanish
Habib, Henry, DPM
44484P
8000 4th Ave
Brooklyn, NY 11209
(718) 833-8136
SVCMC-St Vincents Manhattan
Speaks ItalianArabic
Heller, David P., DPM
36550P
843 Utica Ave
Brooklyn, NY 11203
(718) 345-8923
49818P
2124 Knapp St
Brooklyn, NY 11229
(718) 743-4121
Interfaith Medical Center
Herman, Craig P., DPM
363912P
94-98 Manhattan Avenue
Brooklyn, NY 11206
(718) 388-0390
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks Spanish
Horowitz, Mitchell L.,
DPM
123582P
Quality Health Center Inc
138 Division Ave
Brooklyn, NY 11211
(718) 387-2408
Ivanovs, Ray, DPM
226092P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
Woodhull Medical & Mental
Health Ctr
Jarbath, John A., DPM
155825P
2051 Flatbush Ave
Brooklyn, NY 11234
(718) 677-1000
Forest Hills Hospital, New York
Hospital Medical Center of
Queens, Parkway Hospital,
Peninsula Hospital Center
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Jusma, Francoise D., DPM
221129P
Cumberland D & T Ctr
100 N Portland Ave
Brooklyn, NY 11205
(718) 260-7500
221130P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
M4204P
100 Parkside Ave
Brooklyn, NY 11226
(718) 940-5288
Brooklyn Hospital Center
(Downtown Campus), Woodhull
Medical & Mental Health Ctr
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Kaiser, Craig A., DPM
361854P
1220 Avenue P
Brooklyn, NY 11229
(718) 376-1004
361888P
19-02 86th St
Brooklyn, NY 11214
(718) 621-9400
361892P
9708 Seaview Ave
Brooklyn, NY 11236
(718) 444-0520
37134P
465 Ocean Pkwy
Brooklyn, NY 11218
(718) 941-3796
Maimonides Medical Center,
New York Methodist Hospital
Kapadwala, Imtiyaz I.,
DPM
37207P
220 A. Saint Nicholas Ave
Brooklyn, NY 11237
(718) 418-8540
50700P
2848 Church Ave
Brooklyn, NY 11226
(718) 703-3000
Kingsbrook Jewish Medical
Center, Wyckoff Heights
Medical Center
Speaks UrduHindi
Katz, Alex S., DPM
291819P
2797 Ocean Pkwy
Brooklyn, NY 11235
(718) 615-4444
New York Community Hospital
of Brooklyn
Speaks
RussianHebrewSpanish
Katzman, Barry, DPM
M0791P
233 Nostrand Ave
Brooklyn, NY 11205
(718) 826-5900
New York Flushing Hospital &
Medical Center, New York
Hospital Medical Center of
Queens, Parkway Hospital
Speaks Spanish
Knobel, Jeffrey, DPM
M4199P
1636 E 14th St
Brooklyn, NY 11229
(718) 336-1800
M4200P
662 Bedford Ave
Brooklyn, NY 11211
(718) 336-1800
Beth Israel Medical Center
(Petrie Campus), Brookdale
Hospital Medical Center,
Jamaica Hospital
Speaks RussianYiddish
Lafferty, William A., DPM
355861P
858 Schenectady Ave
Brooklyn, NY 11203
(718) 604-5574
SVCMC-St Vincents Staten
Island, Staten Island University
Hosp-North
Lepore, Frank L., DPM
194379P
349 Henry St
Brooklyn, NY 11201
(718) 780-8104
Catholic Medical Center (NY),
Long Island College Hospital,
Wyckoff Heights Medical
Center
Speaks ItalianSpanish
Levitz, Steven J., DPM
371880P
3010 Avenue L
Brooklyn, NY 11210
(718) 258-1820
Brooklyn Hospital Center
(Downtown Campus), Wyckoff
Heights Medical Center
Levy, Brian K., DPM
109695P
1390 Pennsylvania Ave
Brooklyn, NY 11239
(718) 642-2088
Brookdale Hospital Medical
Center, Kingsbrook Jewish
Medical Center
Speaks Spanish
Liswood, Paul J., DPM
37131P
Comprehensive Podiatry Sv
7212 4th Ave
Brooklyn, NY 11209
(718) 745-0256
53864P
506 6th St
Brooklyn, NY 11215
(718) 780-5850
Lutheran Medical Center, New
York Methodist Hospital
Speaks RussianSpanish
Losyev, Sergey, DPM
173305P
2005 Ocean Ave
Brooklyn, NY 11230
(718) 645-4324
Lutheran Medical Center
Speaks Russian
Lucido, Jeffrey V., DPM
36833P
441 77th St
Brooklyn, NY 11209
(718) 745-3800
54176P
150 55th St
Brooklyn, NY 11220
(718) 630-7095
Doctors Hosp. of Staten Island,
Lutheran Medical Center
Speaks ItalianSpanish
Mahgerefteh, David, DPM
349781P
4405 16th Ave
Brooklyn, NY 11204
(718) 633-8662
Parkway Hospital
Speaks Yiddish
Makower, Bryan L., DPM
100861P
Downstate Foot &Ankle Pod
121 Dekalb Ave
Brooklyn, NY 11201
(718) 250-8753
101467P
176 Fenimore St
Brooklyn, NY 11225
(718) 940-0400
36786P
100 Parkside Ave
Brooklyn, NY 11226
(718) 768-1906
54693P
Downstate Foot & Ankle Po
322 Linden Blvd
Brooklyn, NY 11226
(718) 768-1906
Brooklyn Hospital Center
(Downtown Campus), New
York Methodist Hospital
Speaks SpanishFrench
Mandato, Mark, DPM
298290P
HHC-Kings County Hospital
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center,
Metropolitan Hospital Center
Mantzoukas, Argirios,
DPM
221092P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Speaks Greek, Modern
(1453-)
Marcelonis, Debra A.,
DPM
173195P
465 New Lots Ave
Brooklyn, NY 11207
(718) 240-8900
Jamaica Hospital
Board Certified
Male Female
Wheelchair Accessible
PODIATRY (Continued)
Marville, Jillion, MD
49868P
353 Empire Blvd
Brooklyn, NY 11225
(718) 221-9244
Matthews, Frederick, DPM
302146P
Frederick Matthew DPM
1641 Bergen St
Brooklyn, NY 11213
(718) 778-2938
Interfaith Medical Center
Speaks Spanish
Mckay, Douglas J., DPM
54837P
1704 Mermaid Ave
Brooklyn, NY 11224
(718) 265-0900
Staten Island University
Hosp-North
Meliso, Vincent D., DPM
212393P
1029 Manhattan Ave
Brooklyn, NY 11222
(718) 383-3377
37004P
Lorimer Foot Care
411 Graham Ave
Brooklyn, NY 11211
(718) 383-2518
New York Methodist Hospital
Speaks Italian
Meller, Edward P., DPM
112287P
Ambulatory Care Clinic
1 Brookdale Plz
Brooklyn, NY 11212
(718) 240-5045
112288P
Urban Strategies
1873 Eastern Pkwy
Brooklyn, NY 11233
(718) 240-8700
Jamaica Hospital, St Joseph's
Hospital Division, CMC
Meshnick, Joel A., DPM
105804P
Kings Country Medical Doc
2705 Mermaid Ave
Brooklyn, NY 11224
(718) 265-2222
191516P
2876 W 27th St
Brooklyn, NY 11224
(718) 265-2222
57875P
ODA Primary Health Care
14-16 Heyward St
Brooklyn, NY 11211
(718) 260-4600
Lutheran Medical Center,
Staten Island University
Hosp-North
Micallef, Joseph, DPM
106156P
1095 Flatbush Ave
Brooklyn, NY 11226
(718) 240-8800
Brookdale Hospital Medical
Center, Forest Hills Hospital,
Jamaica Hospital, New York
Hospital Medical Center of
Queens
Mollica, Peter W., DPM
36634P
8223 14th Ave
Brooklyn, NY 11228
(718) 875-9357
36635P
410 Clinton St
Brooklyn, NY 11231
(718) 875-9357
36636P
585 Schenectady Ave
Brooklyn, NY 11203
(718) 604-5481
Interfaith Medical Center,
Kingsbrook Jewish Medical
Center, New York Methodist
Hospital
Speaks Italian
Mollica, Raymond J.,
DPM
36621P
8223 14th Ave
Brooklyn, NY 11228
(718) 236-2871
50026P
Raymond J Mollica, MD
410 Clinton St
Brooklyn, NY 11231
(718) 875-1105
Catholic Medical Center (NY),
Kingsbrook Jewish Medical
Center, Lutheran Medical
Center, New York Methodist
Hospital
Montalvo, Luis, DPM
37021P
7523 Fort Hamilton Pkwy
Brooklyn, NY 11228
(718) 745-7266
Lutheran Medical Center,
Wyckoff Heights Medical
Center
Speaks Spanish
Morreale, Edward, DPM
0X185P
736 Ocean Pkwy
Brooklyn, NY 11230
(718) 437-9343
SVCMC-St Vincents Manhattan
Speaks ItalianSpanish
Naik, Hetal B., DPM
113873P
Lafayette Med Office PC
468 Lafayette Ave
Brooklyn, NY 11205
(718) 399-6234
145498P
1417 Foster Ave
Brooklyn, NY 11230
(718) 421-6300
37256P
121 Dekalb Ave
Brooklyn, NY 11201
(718) 250-8753
Brooklyn Hospital Center
(Downtown Campus), Lutheran
Medical Center, Maimonides
Medical Center
Speaks
HindiGujaratiSpanishUrdu
Nekritin, Vadim, DPM
294087P
2306 Avenue U
Brooklyn, NY 11229
(718) 769-8210
St John's Episcopal Hospital
Speaks Russian
Newmark, Alan J., DPM
36637P
34 Plaza St E
Brooklyn, NY 11238
(718) 857-9004
54470P
372 Kingston Ave
Brooklyn, NY 11213
(718) 604-0675
Brooklyn Hospital Center
(Downtown Campus)
Speaks
SpanishHebrewFrench
Novofastovsky, Raisa, DPM
214483P
1812 Quentin Rd
Brooklyn, NY 11229
(718) 382-1773
37025P
3066 Brighton 6
Brooklyn, NY 11235
(718) 382-1773
37026P
8622 Bay Pkwy
Brooklyn, NY 11214
(718) 333-2121
51725P
All Medical Care L.L.P.
8622 Bay Pkwy
Brooklyn, NY 11214
(718) 333-2121
Lutheran Medical Center, New
York Community Hospital of
Brooklyn
Speaks Russian
Odinsky, Michael E.,
DPM
P0019P
200 Montague St
Brooklyn, NY 11201
(718) 422-8000
P0019P
546 Eastern Pkwy
Brooklyn, NY 11225
(718) 604-4800
Oliva, Imelda A., DPM
139001P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center,
Metropolitan Hospital Center,
Morrisania Hospital
Speaks TagalogSpanish
Orlando, Anthony, DPM
371187P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital, Forest
Hills Hospital, Lutheran
Medical Center, North Shore
University Hospital
Owusu, Stephen E., DPM
208624P
434 Rockaway Ave
Brooklyn, NY 11212
(718) 346-2628
37081P
Mount Zion Podiatry,PC
106 Pennsylvania Ave
Brooklyn, NY 11207
(718) 385-2085
Jamaica Hospital, St Joseph's
Hospital Division, CMC
Pace, George N., DPM
373411P
Manhattan Footcare
133 Smith St
Brooklyn, NY 11201
(718) 330-1117
Cabrini Medical Center, Long
Island College Hospital, New
York Downtown Hospital, New
York Downtown Hospital
(Beekman)
Speaks Spanish
Pace, John F., DPM
45625P
John F. Pace, MD
398 Court St
Brooklyn, NY 11231
(718) 834-0909
Long Island College Hospital,
SVCMC-Bayley Seton
Papa, Philip M., DPM
141176P
Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Passik, Arthur L., DPM
45847P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital,
Massapequa General Hospital,
Plainview Hospital, Syosset
Hospital
Speaks SpanishItalianGreek,
Modern (1453-)
Pawson, John F., DPM
134403P
9229 Flatlands Ave
Brooklyn, NY 11236
(718) 257-1444
202015P
Bay Park Medical, PC
6403 18th Ave
Brooklyn, NY 11204
(718) 621-0800
New York Community Hospital
of Brooklyn
Speaks
SpanishRussianChineseHeb
rew
Pecora, Maria, DPM
40587P
3245 Nostrand Ave
Brooklyn, NY 11229
(718) 615-3777
Forest Hills Hospital, Jamaica
Hospital, New York Hospital
Medical Center of Queens, St
Joseph's Hospital, St Joseph's
Hospital Division, CMC
Speaks Spanish
Pedro, Helder F., DPM
339019P
Family Physician FHC
5616 6th Ave
Brooklyn, NY 11220
(718) 439-5440
339024P
Caribbean American FHC
3414 Church Ave
Brooklyn, NY 11203
(718) 940-9425
54244P
Sunset Park Family Health
150 55th St
Brooklyn, NY 11220
(718) 630-7208
Long Island Jewish Medical
Center, Lutheran Medical
Center
Perez, Walter H., DPM
114659P
Advanced Walkin Foot CAre
2146 Beverley Rd
Brooklyn, NY 11226
(718) 675-1100
216489P
2919 Avenue T
Brooklyn, NY 11229
(718) 336-4390
38123P
Advanced WalkIn Foot Care
1214 Coney Island Ave
Brooklyn, NY 11230
(718) 677-7700
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Jamaica
Hospital
Speaks
SpanishRussianTurkish
Pierre, Nadja M., DPM
225911P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
Brooklyn Hospital Center
(Downtown Campus), Woodhull
Medical & Mental Health Ctr
Speaks French
Pierre, Nedjie, DPM
145469P
552 Saint Marks Ave
Brooklyn, NY 11238
(718) 398-8700
37250P
3400 Snyder Ave
Brooklyn, NY 11203
(718) 693-4060
37251P
The Brooklyn Hospital Cen
121 Dekalb Ave
Brooklyn, NY 11201
(718) 488-3708
Brooklyn Hospital Center
(Downtown Campus)
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Prince, Steven L., DPM
125224P
JHMC DTC - East New York
3080 Atlantic Ave
Brooklyn, NY 11208
(718) 647-0240
Jamaica Hospital, V A Hospital
- St. Albans
Rabiei, Payman, DPM
214667P
Metropolitan Foot Care PC
94-13 Flatlands Ave
Brooklyn, NY 11236
(718) 649-6464
58033P
Metropolitan Foot Care PC
3309 Church Ave
Brooklyn, NY 11203
(718) 209-0013
Kingsbrook Jewish Medical
Center, Long Island Jewish
Medical Center, Parkway
Hospital
Speaks HebrewPersian
Radler, Bruce L., DPM
36518P
6416 17th Ave
Brooklyn, NY 11204
(718) 236-2821
Staten Island University
Hosp-North
Raskin, Simon, DPM
377535P
Simon Raskin, DPM, P.C.
1409 Gravesend Neck Rd
Brooklyn, NY 11229
(718) 332-7771
Reifer, Howard J., DPM
152842P
1670 E 17th St
Brooklyn, NY 11229
(718) 382-9200
174814P
2433 86th St
Brooklyn, NY 11214
(917) 974-8726
174816P
3059 Brighton 13Th St
Brooklyn, NY 11235
(917) 974-8726
198147P
Quentin Medical, PC
280 Quentin Rd
Brooklyn, NY 11223
(718) 336-4499
217778P
157 York St
Brooklyn, NY 11201
(718) 222-0333
Brooklyn Hospital Center
(Downtown Campus), Kings
County Hospital Center
Speaks Spanish
Romano, Constance A.,
DPM
36902P
386 Graham Ave
Brooklyn, NY 11211
(718) 389-9870
Cabrini Medical Center,
Interfaith Medical Center
Speaks Italian
Rosen, Alan J., DPM
36933P
5402 Flatlands Ave
Brooklyn, NY 11234
(718) 444-3338
Brookdale Hospital Medical
Center
Saadvandi, Terence M.,
DPM
349531P
Physicare Multi Services
150 55th St
Brooklyn, NY 11220
(718) 253-3900
349532P
Nostrand Community Medica
220 13th St
Brooklyn, NY 11215
(718) 769-4988
349533P
Brighton Community Medica
9000 Shore Rd
Brooklyn, NY 11209
(718) 646-5500
Lutheran Medical Center
Speaks Arabic
Sande, Hervey, DPM
52950P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center
Scheiner, David M., DPM
208600P
Good Health Medical, P.C.
3019 Brighton 1St St
Brooklyn, NY 11235
(718) 743-9700
Brunswick Hospital Center Inc,
South Nassau Comm. Hospital,
South Nassau Communities
Hosp., South Nassau
Communities Hospital,
Winthrop University Hospital
Speaks RussianSpanish
Schikman, Lana, DPM
359328P
Kingsbrook Jewish Med Ctr
585 Schenectady Ave
Brooklyn, NY 11203
(718) 604-5388
Kingsbrook Jewish Medical
Center
Speaks Russian
Schneidermesser, Susan
G., DPM
37048P
18 Prospect Park W
Brooklyn, NY 11215
(718) 398-7593
37049P
894 Eastern Pkwy
Brooklyn, NY 11213
(718) 778-7311
Kingsbrook Jewish Medical
Center
Speaks Spanish
Shapiro, Eugene, DPM
36841P
301 Ocean View Ave
Brooklyn, NY 11235
(718) 332-2582
New York Community Hospital
of Brooklyn
Speaks Russian
Shechter, David Z., DPM
49893P
3066 Brighton 6Th St
Brooklyn, NY 11235
(718) 743-0111
New York Hospital Medical
Center of Queens, St Joseph's
Hospital Division, CMC,
Wyckoff Heights Medical
Center
Shechter, Stuart B., DPM
49678P
Stuart B Shechter, MD
3066 Brighton 6Th St
Brooklyn, NY 11235
(718) 743-0111
Island Medical Center (NY)_
Sherman, Gary, DPM
M4643P
7902 Bay Pkwy
Brooklyn, NY 11214
(718) 236-7520
Maimonides Medical Center,
New York Downtown Hospital
(Beekman), SVCMC-St Vincents
Staten Island
Silberstein, Jeffrey, DPM
36639P
1367 51st St
Brooklyn, NY 11219
(718) 438-4305
Speaks YiddishSpanish
Silverstein, Alan B., DPM
36642P
1185 Dean St
Brooklyn, NY 11216
(718) 774-2740
Interfaith Medical Center
Spielfogel, William D.,
DPM
36935P
Hamilton Podiatry PC
369 93rd St
Brooklyn, NY 11209
(718) 680-6276
Columbia-Presbyterian
Medical Center
Spindler, Harlan, DPM
36541P
5412 Kings Plz
Brooklyn, NY 11234
(718) 377-1212
Peninsula Hospital Center,
Wyckoff Heights Medical
Center
Speaks
FrenchRussianSpanish
Stanimirov, Catherine,
DPM
112328P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
137433P
Ida G Irael Comm Hlth Ctr
2201 Neptune Ave
Brooklyn, NY 11224
(718) 946-3400
Coney Island Hospital
Speaks Spanish
Steiner, Richard M., DPM
101731P
2811 Ocean Ave
Brooklyn, NY 11229
(718) 648-5609
SVCMC-St Vincents Manhattan
Stuto, Joseph C., DPM
36813P
100 Remsen St
Brooklyn, NY 11201
(718) 624-7537
Brooklyn Hospital Center
(Downtown Campus), Long
Island College Hospital, New
York Community Hospital of
Brooklyn
Tajerstein, Alan R., DPM
36951P
1335 54th St
Brooklyn, NY 11219
(718) 972-5000
Brooklyn Hospital Center
(Downtown Campus)
Speaks YiddishHebrew
Tanenbaum, Mark, DPM
36644P
1648 E 14th St
Brooklyn, NY 11229
(718) 627-0585
Tartack, Ira, DPM
187670P
Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
New York Community Hospital
of Brooklyn, Our Lady of Mercy
Medical Center
Speaks
ItalianSpanishRussian
Tavroff, Clifford D., DPM
P0038P
233 Nostrand Ave
Brooklyn, NY 11205
(718) 826-5900
Trepal, Michael J., DPM
183218P
115 Henry St
Brooklyn, NY 11201
(718) 624-8022
Long Island College Hospital,
Metropolitan Hospital Center,
New York Downtown Hospital
(Beekman), SVCMC-St Vincents
Manhattan
Trivlis, Maryann Z., DPM
216717P
248 Avenue P
Brooklyn, NY 11204
(718) 945-0770
Brooklyn Hospital Center
(Downtown Campus)
Speaks Greek, Modern
(1453-)
Unger, Leslie M., DPM
36470P
1405 46th St
Brooklyn, NY 11219
(718) 438-8717
49514P
Lesie M Unger, MD
2315 Mermaid Ave
Brooklyn, NY 11224
(718) 373-1820
Maimonides Medical Center
Speaks SpanishYiddish
Vader, Bonnie, DPM
36966P
621 Amboy St
Brooklyn, NY 11212
(718) 345-2935
Brookdale Hospital Medical
Center, Forest Hills Hospital
Speaks Spanish
Waiss, Samuel M., DPM
351219P
2223 Coney Island Ave
Brooklyn, NY 11223
(718) 375-6096
New York Community Hospital
of Brooklyn
Speaks HebrewYiddish
Board Certified
Male Female
Wheelchair Accessible
PODIATRY (Continued)
Wallach, Jacob B., DPM
15739P
2108 Avenue P
Brooklyn, NY 11229
(718) 951-6399
Maimonides Medical Center
Woltman, Robert T., DPM
205506P
Lyudmila Cavalier Physici
9014 Flatlands Ave
Brooklyn, NY 11236
(718) 209-5353
Long Island Jewish Medical
Center, New York Westchester
Square Me, Peninsula Hospital
Center
Zonenashvili, Merabi,
DPM
293458P
201 Kings Hwy
Brooklyn, NY 11223
(718) 621-1811
Staten Island University
Hosp-North
Speaks
RussianGeorgianSpanish
Zwiebel, Neil S., DPM
363102P
420 Fulton St
Brooklyn, NY 11201
(718) 797-3668
Cabrini Medical Center, Long
Island College Hospital
Kings
PODIATRY
Abeles, Jay, DPM
36958P
4136 Hicksville Rd
Bethpage, NY 11714
(516) 796-2900
Massapequa General Hospital,
New Island Hospital, Syosset
Hospital
Abrahamson, Hal, DPM
54152P
100 Manetto Hill Rd
Plainview, NY 11803
(516) 822-9595
Catholic Medical Center (NY),
Forest Hills Hospital
Speaks Hebrew
Alongi, Maryanne, DPM
36724P
226 7th St
Garden City, NY 11530
(516) 248-9680
Franklin Hospital ,
Massapequa General Hospital,
New Island Hospital
Amato, Richard, DPM
343044P
R.A. Podiatry, P.C.
2116 Merrick Ave
Merrick, NY 11566
(516) 378-9191
New Island Hospital
Axman, Wayne R., DPM
179959P
70 Maple Ave
Rockville Centre, NY 11570
(516) 536-3336
182388P
1420 Broadway
Hewlett, NY 11557
(516) 374-8600
Long Beach Memorial
Hospital, Long Island Jewish
Medical Center, Mount Sinai
Hospital, Mount Sinai of
Queens, New York Hospital
Medical, South Nassau
Communities Hospital
Speaks SpanishGreek,
Modern (1453-)
Bagner, Jerome E., DPM
36499P
30 Hempstead Ave
Rockville Centre, NY 11570
(516) 764-6800
49647P
165 N Village Ave
Rockville Centre, NY 11570
(516) 746-6800
New Island Hospital
Speaks
YiddishItalianJapaneseSpani
sh
Balboa, Henry M., DPM
36506P
100 Manetto Hill Rd
Plainview, NY 11803
(516) 822-9595
Forest Hills Hospital, New
Island Hospital, Syosset
Hospital
Barbaro, Thomas, DPM
36883P
706 Jericho Tpke
New Hyde Park, NY 11040
(516) 326-7979
Long Island Jewish Medical
Center, North Shore University
Hospital
Speaks Italian
Barkoff, Matthew W.,
DPM
36920P
2900 Hempstead Tpke
Levittown, NY 11756
(516) 579-2800
Glen Cove Hospital, New
Island Hospital, North Shore
University Hospital, Plainview
Hospital, Syosset Hospital
Speaks Spanish
Becker, Jack S., DPM
36551P
178 E Rockaway Rd
Hewlett, NY 11557
(516) 596-1700
49835P
Jack S Becker, MD
3000 Hempstead Tpke
Levittown, NY 11756
(516) 579-1700
Franklin Hospital, Franklin
Hospital , Nassau University
Medical Center, South Nassau
Communities Hosp., South
Nassau Communities Hospital
Bendeth, Marc L., DPM
36520P
1226 W Broadway
Hewlett, NY 11557
(516) 374-4444
Berlin, Kim, DPM
36650P
830 Atlantic Ave
Baldwin, NY 11510
(516) 623-4580
Long Beach Memorial
Hospital, South Nassau
Communities Hospital
Speaks Spanish
Biller, Bob S., DPM
M1057P
756 E Park Ave
Long Beach, NY 11561
(516) 432-7470
LONG BEACH MEMORIAL
MEDICAL CENTER, SAINT
JOHNS EPISCOPAL
HOSPITAL-SOUTH SHORE
Bilotti, Mary A., DPM
169106P
Long Island Podiatry Grp
2001 Marcus Ave
New Hyde Park, NY 11042
(516) 327-0074
M0911P
Long Island Podiatry Grp
375 N Central Ave
Valley Stream, NY 11580
(516) 825-4070
Franklin Hospital , Long Island
Jewish Medical Center
Speaks Spanish
Breitman, Debra, DPM
36886P
250 Broadway
Lawrence, NY 11559
(516) 239-4700
Peninsula Hospital Center, St
John's Episcopal Hospital, St
John's Episcopal Hospital -
Far Rockaway
Speaks Spanish
Bubbers, Linda A., DPM
36627P
Sunrise Foot Care
4880 Sunrise Highway
Massapequa Park, NY 11762
(516) 795-6255
Syosset Hospital
Speaks Spanish
Buenahora, Joseph A.,
DPM
M2238P
477 Newbridge Rd
East Meadow, NY 11554
(516) 679-1338
Brunswick General Hospital,
Brunswick Hospital Center Inc,
New Island Hospital, Plainview
Hospital, Syosset Hospital,
Wyckoff Heights Medical
Center
Speaks SpanishYiddish
Burzotta, John L., DPM
36762P
2419 Jericho Tpke
Garden City Park, NY 11040
(516) 294-9540
50161P
Pro Health Care
2800 Marcus Ave
Garden City Park, NY 11042
(516) 622-6040
Long Island Jewish Medical
Center, North Shore University
Hospital
Speaks Italian
Caimano, Francis X.,
DPM
300372P
Francis X Caimano
495 S Broadway
Hicksville, NY 11801
(914) 555-1212
P0014P
350 S Broadway
Hicksville, NY 11801
(516) 938-0100
Syosset Hospital
Speaks Spanish
Caprioli, Russell, DPM
359698P
1999 Marcus Ave
New Hyde Park, NY 11042
(516) 555-1212
36764P
Long Island Podiatry Grp
2001 Marcus Ave
New Hyde Park, NY 11042
(516) 327-0074
Franklin Hospital, Franklin
Hospital , Long Beach
Memorial Hospital, Long
Island Jewish Medical Center
Speaks ItalianSpanish
Chernick, Stephen B.,
DPM
50872P
175 Fulton Ave
Hempstead, NY 11550
(516) 489-2261
Parkway Hospital, St John's
Episcopal Hospital - Far
Rockaway
Speaks SpanishHebrew
Cohen, Robert J., DPM
36557P
72 Covert Ave
Garden City, NY 11530
(516) 354-7222
Our Lady of Mercy Medical
Center, Parkway Hospital
Speaks French
Davies, Daniel A., DPM
36889P
6 Scranton Ave
Lynbrook, NY 11563
(516) 596-0022
Cabrini Medical Center, Good
Samaritan Hospital, Good
Samaritan Hospital (West Islip)
Speaks Italian
Davies, Gregory F., DPM
36657P
Syosset Medical Building
175 Jericho Tpke
Syosset, NY 11791
(516) 496-7676
Glen Cove Hospital, North
Shore University Hospital,
Plainview Hospital, Syosset
Hospital
Speaks Spanish
DeCicco, John J., DPM
36618P
875 Old Country Rd
Plainview, NY 11803
(516) 681-8866
New Island Hospital, Plainview
Hospital, Syosset Hospital
Speaks SpanishGreek,
Modern (1453-)Italian
Dubov, Spencer F., DPM
383227P
New Island Hospital
4295 Hempstead Tpke
Bethpage, NY 11714
(631) 858-0011
Mary Immaculate Hospital,
Massapequa General Hospital
Inc., NY Hospital Medical
Center of Queens, Plainview
Hospital
Speaks
YiddishSpanishItalian
Feldman, Gary B., DPM
36826P
5 Sunrise Plz
Valley Stream, NY 11580
(516) 825-6825
St Joseph's Hospital Division,
CMC
Fiorenza, Dominic, DPM
P0048P
350 S Broadway
Hicksville, NY 11801
(516) 938-0100
Fox, Corey, DPM
37000P
Massapequa Podiatry Assoc
4160 Merrick Rd
Massapequa, NY 11758
(516) 541-9000
Brunswick General Hospital,
Brunswick Hospital Center Inc,
New Island Hospital, Plainview
Hospital, Syosset Hospital
Speaks
SpanishTagalogItalian
Fox, Roberta A., DPM
37003P
410 Lakeville Rd
New Hyde Park, NY 11042
(516) 488-5050
Long Island Jewish Medical
Center
Fuchs, David B., DPM
36704P
855 Cynthia Dr
East Meadow, NY 11554
(516) 292-2372
New Island Hospital, Syosset
Hospital
Garofalo, Gail F., DPM
37140P
NS Podiatric Med & Surger
410 Lakeville Rd
New Hyde Park, NY 11042
(516) 326-4709
Long Island Jewish Medical
Center, St Catherine of Siena,
St Catherine of Sienna Medical
Center, Winthrop University
Hospital, Winthrop-University
Hospital
Gasparini, Mark C., DPM
337162P
119 New York Ave
Massapequa, NY 11758
(516) 804-9038
Speaks Italian
George, Thomas, DPM
141475P
1029 Bellmore Rd
North Bellmore, NY 11710
(516) 679-4636
Hempstead General Hospital
Med Ctr., New York
Westchester Square Medical
Center
Gervasio, Joseph, DPM
36653P
1000 Park Blvd
Massapequa Park, NY 11762
(516) 799-0550
36654P
156 Post Ave
Westbury, NY 11590
(516) 334-8208
Massapequa General Hospital,
Massapequa General Hospital
Inc., New Island Hospital,
Plainview Hospital, Southside
Hospital
Goez, Emilio A., DPM
51027P
Long Island Foot Care
294 W Merrick Rd
Freeport, NY 11520
(516) 378-8383
Nassau University Medical
Center, Saint Catharines
General Hospital, St Barnabas
Hospital
Speaks Spanish
Golub, Cary M., DPM
37076P
854 E Broadway
Long Beach, NY 11561
(516) 889-2200
Long Beach Medical Center,
South Nassau Communities
Hospital
Speaks Hebrew
Gottlieb, Robert J., DPM
36579P
188 W Main St
Oyster Bay, NY 11771
(516) 922-0502
Glen Cove Hospital, Good
Samaritan Hospital (West Islip)
Speaks Spanish
Greenbaum, Mitchell A.,
DPM
36924P
111 Mineola Ave
Roslyn Heights, NY 11577
(516) 484-1444
36925P
525 Woodbury Rd
Plainview, NY 11803
(516) 433-3353
Glen Cove Hospital, Long
Island Jewish Medical Center,
New Island Hospital, North
Shore University Hospital,
Plainview Hospital, Syosset
Hospital
Speaks Spanish
Greiff, Lance, DPM
36988P
29 Barstow Rd
Great Neck, NY 11021
(516) 829-1028
Brooklyn Hospital Center
(Downtown Campus), New
York Flushing Hospital &
Medical Center, Parkway
Hospital
Grossman, Myles, DPM
36831P
2174 Hewlett Ave
Merrick, NY 11566
(516) 379-2560
41745P
156 Post Ave
Westbury, NY 11590
(516) 334-8208
New Island Hospital, Plainview
Hospital
Speaks SpanishHebrew
Herbert, Scott E., DPM
284145P
49 Church St
Freeport, NY 11520
(516) 378-0184
St Catherine of Siena
Hershey, Paul E., DPM
36462P
2110 Northern Blvd
Manhasset, NY 11030
(516) 627-5775
Long Island Jewish Medical
Center, Saint Francis Hospital -
Bronx
Speaks SpanishYiddish
Herzberg, Abraham, DPM
54315P
300 Franklin Ave
Valley Stream, NY 11580
(516) 561-1617
54316P
833 Northern Blvd
Great Neck, NY 11021
(516) 622-7900
Franklin Hospital, Jamaica
Hospital
Speaks Yiddish
Hickey, John, DPM
M4002P
2870 Hempstead Tpke
Levittown, NY 11756
(516) 735-4545
New Island Hospital, Plainview
Hospital, Syosset Hospital
Honore, Lesly S., DPM
132409P
Podiatry Services of New
905 Uniondale Ave
Uniondale, NY 11553
(516) 565-5666
132410P
981 Rosedale Rd
Valley Stream, NY 11581
(516) 295-6307
Cabrini Medical Center, Mercy
Medical Center,
Winthrop-University Hospital
Speaks
SpanishFrenchCreoles and
pidgins (Other)
Horl, Lawrence, DPM
36912P
61 N Park Ave
Rockville Centre, NY 11570
(516) 766-5550
Forest Hills Hospital,
Hempstead General Hospital
Med Ctr., Mercy Medical
Center, Peninsula Hospital
Center, South Nassau
Communities Hospital, St
John's Episcopal Hospital -
Far Rockaway
Speaks Spanish
Horowitz, Mitchell L.,
DPM
M2025P
2720 Jerusalem Ave
North Bellmore, NY 11710
(516) 679-2720
Irwin, Robert A., DPM
37172P
143 Merrick Ave
Merrick, NY 11566
(516) 623-2800
NY Hospital Medical Center of
Queens, New Island Hospital,
New York Hospital Medical
Center of Queens, Syosset
Hospital
Speaks SpanishItalianGreek,
Modern (1453-)
Jackalone, John A., DPM
277559P
Podiatry Offices
4295 Hempstead Tpke
Bethpage, NY 11714
(516) 579-3500
Catholic Medical Center (NY),
Forest Hills Hospital, Long
Beach Memorial Hospital, St
Vincents Medical Center Of
New York
Speaks Spanish
Jarbath, John A., DPM
155828P
50 Hempstead Ave
Lynbrook, NY 11563
(516) 599-0302
Forest Hills Hospital, New York
Hospital Medical Center of
Queens, Parkway Hospital,
Peninsula Hospital Center
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Karpe, David E., DPM
160781P
Howard Kessler & Assoc PC
200 N Village Ave
Rockville Centre, NY 11570
(516) 764-0434
Franklin Hospital, Franklin
Hospital , Peninsula Hospital
Center, South Nassau Comm.
Hospital, South Nassau
Communities Hosp.
Speaks Spanish
Kashefsky, Helene P., DPM
37071P
2201 Hempstead Tpke
East Meadow, NY 11554
(516) 572-0123
Nassau University Medical
Center
Speaks Spanish
Kasminoff, June G.,
DPM
37044P
666 Old Bethpage Rd
Old Bethpage, NY 11804
(516) 777-3668
Massapequa General Hospital,
New Island Hospital, Syosset
Hospital
Kessler, Howard N., DPM
36570P
200 N Village Ave
Rockville Centre, NY 11570
(516) 764-0434
Franklin Hospital, Franklin
Hospital , Mercy Medical
Center, Nassau University
Medical Center, South Nassau
Communities Hosp., South
Nassau Communities Hospital
Kisberg, Stephen, DPM
36519P
11 Franklin Pl
Woodmere, NY 11598
(516) 295-2121
St John's Episcopal Hospital -
Far Rockaway
Kitton, Stuart E., DPM
36573P
41 Woods Dr
Roslyn, NY 11576
(516) 626-3999
MEADOWLANDS HOSPITAL
MEDICAL CENTER, Mount
Sinai Medical Center,
SVCMC-St Vincents
Manhattan, The Mount Sinai
Hospital of Queens
Speaks Spanish
Klein, Michael S., DPM
36893P
East Norwich Podiatry
898 Oyster Bay Rd
East Norwich, NY 11732
(516) 624-2101
36894P
Oceanside Podiatry
3105 Lawson Blvd
Oceanside, NY 11572
(516) 766-8500
Glen Cove Hospital, Long
Beach Memorial Hospital,
Syosset Hospital
Klirsfeld, Jeffrey S.,
DPM
36857P
2870 Hempstead Tpke
Levittown, NY 11756
(516) 731-3300
Massapequa General Hospital,
New Island Hospital, Syosset
Hospital
Speaks Spanish
Kohn, Arlene F., DPM
37113P
Family Footcare
120 Bethpage Rd
Hicksville, NY 11801
(516) 938-6000
Mercy Medical Center, New
Island Hospital, Syosset
Hospital
Speaks Spanish
Kolberg, John J., DPM
37222P
320 Post Ave
Westbury, NY 11590
(516) 338-8802
New Island Hospital
Speaks Spanish
Koslow, Paul M., DPM
50912P
Great Neck Podiatry Asso
29 Barstow Rd
Great Neck, NY 11021
(516) 829-1028
Maimonides Medical Center,
New York Hospital Medical
Center of Queens, New York
Methodist Hospital
LaRocca, Albert, DPM
36594P
2 Raemar Ct
Bethpage, NY 11714
(516) 935-0111
New Island Hospital
Speaks ItalianGerman
Landau, Laurence D., DPM
193059P
86 George St
Roslyn Heights, NY 11577
(516) 731-1900
38312P
160 Hicksville Rd
Bethpage, NY 11714
(516) 731-1900
New Island Hospital, Plainview
Hospital
Landy, Robert J., DPM
123448P
120 Bethpage Rd
Hicksville, NY 11801
(516) 827-4500
123481P
530 Hicksville Rd
Bethpage, NY 11714
(516) 937-5000
Massapequa General Hospital,
Our Lady of Mercy Medical
Center, Parkway Hospital,
Southside Hospital, Winthrop
University Hospital
Speaks Spanish
Larsen, Joseph A., DPM
50624P
National Foot Care
2419 Jericho Tpke
Garden City Park, NY 11040
(516) 294-9540
North Shore University
Hospital
Levine, Stanley, DPM
36477P
4725 Merrick Rd
Massapequa, NY 11758
(516) 799-8545
Brunswick General Hospital,
Brunswick Hospital Center Inc,
Hempstead General Hospital
Med Ctr., Massapequa General
Hospital, New Island Hospital,
Syosset Hospital
Speaks
SpanishGermanItalian
Levitsky, David A., DPM
301933P
161 Orchard St
Plainview, NY 11803
(516) 822-9666
Board Certified
Male Female
Wheelchair Accessible
Livingston, Douglas W.,
DPM
37180P
Livingston Foot Care Spec
1685 Newbridge Rd
North Bellmore, NY 11710
(516) 826-0103
Brunswick Hospital Center Inc,
Massapequa General Hospital
Inc., Nassau University Medical
Center, New Island Hospital,
Plainview Hospital, Syosset
Hospital
Livingston, Leon B., DPM
36486P
Livingston Foot Care Spec
1685 Newbridge Rd
North Bellmore, NY 11710
(516) 826-0103
New Island Hospital, Plainview
Hospital, Syosset Hospital
Livingston, Michael D.,
DPM
37064P
Livingston Foot Care Spec
1685 Newbridge Rd
Bellmore, NY 11710
(516) 826-0103
Brunswick Hospital Center Inc,
Nassau University Medical
Center, New Island Hospital,
Plainview Hospital, Syosset
Hospital
Lynn, Brian P., DPM
108081P
Comprehensive Podiatric
2110 Northern Blvd
Manhasset, NY 11030
(516) 627-5775
355143P
Comprehensive Podiatric
935 Northern Blvd
Great Neck, NY 11021
(516) 627-5775
Long Island Jewish Medical
Center, Montefiore Med Ctr
(Henry & Lucy Moses Div)
Speaks Spanish
Mahgerefteh, David, DPM
349786P
230 Middle Neck Rd
Great Neck, NY 11021
(516) 829-2560
Parkway Hospital
Speaks Yiddish
Marchese, Nicholas A.,
DPM
359291P
1000 Park Blvd
Massapequa Park, NY 11762
(516) 799-0550
New Island Hospital, Southside
Hospital
Masani, Farhan, DPM
37069P
530 Old Country Rd
Westbury, NY 11590
(516) 334-7642
Nassau University Medical
Center, Syosset Hospital,
Wyckoff Heights Medical
Center
Speaks
SpanishFrenchHindiUrdu
McElgun, Terence M.,
DPM
36861P
520 Franklin Ave
Garden City, NY 11530
(516) 746-4732
36862P
1135 N Broadway
Massapequa, NY 11758
(516) 756-0091
380037P
N. Shore Hosp., Plainview
888 Old Country Rd
Plainview, NY 11803
(516) 796-1313
New Island Hospital, Plainview
Hospital, Syosset Hospital
Speaks SpanishItalian
Mcshane, William J., DPM
36802P
Harbor Podiatry PC
131 Main St
East Rockaway, NY 11518
(516) 593-2233
36803P
54 Main St
Hempstead, NY 11550
(516) 538-4531
Franklin Hospital, Island
Medical Center (NY)_
Meshnick, Joel A., DPM
139939P
2574 Hewlett Ln
Bellmore, NY 11710
(516) 781-5440
Lutheran Medical Center,
Staten Island University
Hosp-North
Micallef, Joseph, DPM
36900P
101st Avenue Foot Care PC
287 Northern Blvd
Great Neck, NY 11021
(516) 773-4001
Brookdale Hospital Medical
Center, Forest Hills Hospital,
Jamaica Hospital, New York
Hospital Medical Center of
Queens
Moazen, Ali, DPM
P0033P
226 Clinton St
Hempstead, NY 11550
(516) 483-2020
Speaks Persian
Montag, Richard M.,
DPM
36509P
528 Bellmore Ave
East Meadow, NY 11554
(516) 483-7386
Island Medical Center (NY)_,
Plainview Hospital, Syosset
Hospital
Speaks Spanish
Nester, Elizabeth M., DPM
37243P
3 Walnut Rd
Glen Cove, NY 11542
(516) 674-9661
37244P
Nester Podiatry Associate
267 Lincoln Blvd
Long Beach, NY 11561
(516) 889-0969
57655P
East Coast Podiatry PLLC
680 Merrick Rd
Baldwin, NY 11510
(516) 889-0969
Glen Cove Hospital, Long
Beach Medical Center
Speaks Spanish
Nester, Matthew J., DPM
211451P
Nester Poadiatry Assoc
3227 Long Beach Rd
Oceanside, NY 11572
(516) 431-1600
50871P
Nester Podiatry Asso.
3 Walnut Rd
Glen Cove, NY 11542
(516) 674-9661
Long Beach Medical Center,
Long Beach Memorial
Hospital, St John's Episcopal
Hospital, St John's Episcopal
Hospital - Far Rockaway
Speaks Spanish
Nezaria, Yehuda, DPM
37236P
7 Franklin Ave
Lynbrook, NY 11563
(516) 887-2820
49675P
2053 Bellmore Ave
Bellmore, NY 11710
(516) 887-2820
Franklin Hospital, Franklin
Hospital , Huntington Hospital
Speaks Hebrew
Odinsky, Wayne Z., DPM
P0034P
2035 Lakeville Rd
New Hyde Park, NY 11040
(718) 343-0600
New York Hospital Medical
Center of Queens, Parkway
Hospital, Rockaway Beach
Hospital (closed)
Pedro, Helder F., DPM
54241P
Helder F. Pedro, DPM
1 Willow Pl
Albertson, NY 11507
(516) 621-3721
Long Island Jewish Medical
Center, Lutheran Medical
Center
Peterson, Donald T.,
DPM
36931P
8029 Jericho Tpke
Woodbury, NY 11797
(516) 496-0900
Plainview Hospital, Syosset
Hospital
Prince, Steven L., DPM
124780P
78 Marina Rd
Island Park, NY 11558
(516) 432-1332
Jamaica Hospital, V A Hospital
- St. Albans
Purvin, Jay M., DPM
36608P
467 Merrick Ave
East Meadow, NY 11554
(516) 489-1950
New Island Hospital, Plainview
Hospital
Richardson, Hugh L., DPM
195855P
L.I. Podiatric Grp
2001 Marcus Ave
New Hyde Park, NY 11042
(516) 327-0074
195856P
L.I. Podiatric Grp
375 N Central Ave
Valley Stream, NY 11580
(516) 825-4070
363220P
1999 Marcus Ave
New Hyde Park, NY 11042
(516) 555-1212
Franklin Hospital, Franklin
Hospital , Long Island Jewish
Medical Center, Long Island
Jewish, Manhasset (closed)
Speaks Spanish
Bronx Kings Nassau

Result number: 59

Message Number 234579

Kelly L/Monday View Thread
Posted by LindaW on 8/17/07 at 21:15

Hi Kelly, on Monday I will either be driving the jeep or we have a GMC Jimmy, It depends on the weather, if it is raining, I will drive the jeep and if not I will drive the other car. Just thought I would let you know. I want to thank you so much for coming with me and after it is over, I would like to take you out to lunch somewhere. I will go on mapquest to get directions. Talk to you soon. Linda

Result number: 60

Message Number 234488

Doctor's Cpeds what do you think of this shoe/barefoot?? View Thread
Posted by marie on 8/16/07 at 07:57

http://www.vibramfivefingers.com/

I saw this link in one of the comments. Have any of you heard of them? Opinions?


Result number: 61

Message Number 233912

Re: orthotic "casting" View Thread
Posted by MENG K, C PED on 8/03/07 at 03:47

I HAVE BEEN USING THE AMFIT SINCE 2003, AND I MAKE 70 PAIRS OF INSOLE EACH MONTH AND THE RETURN RATE IS LESS THEN 4% I HAVE TO SAY THAT THIS MACHINE IS RELIABLE, YET LIKE LARRY SAY, THE OPERATOR IS PLAYING A VERY IMPORTANT ROLE WETEHR HE NANAGE TO CAPTURE A GOOD SCAN OF YOUR FEET.

Result number: 62

Message Number 233293

Re: cc joint fusion surgery Dr. Ed View Thread
Posted by Dr. Ed on 7/21/07 at 00:02

Lisa:

You are correct in not taking the decision for or against surgery lightly. I strongly recommend a second opinion, particularly by a practitioner well versed on foot biomechanics. The answer to the question about the imaging MRI/CT is an important one; one that you should know before making a decision. Please obtain copies of the MRI and CT scan reports.

Dr. Ed

Result number: 63

Message Number 233288

Re: cc joint fusion surgery Dr. Ed View Thread
Posted by Lisa on 7/20/07 at 22:10

I really don't know. I seen the MRI and the joint was all inflamed. I can't remember what it is called but I had a shot under x-ray (it was like a numbing medicine?) and it made my foot better for two and a half days. He says that fusion would be the next step since nothing else has worked. It has taken him seven months to make this decision and he has worked on my foot a lot. I have heard a lot of good reports about him and he even preformed surgery on my boyfriend, he had a lisfranc dislocation.
I did have an orthotic that went in my shoe that was high in the back and around that area. I don't know if that is the same one you are talking about. It is red and blue in color and I had it fitted at American Orthopedics.
How do I know if this is a non-necessary surgery? What else could be done for testing to see what is causing my pain? If I was to have the surgery what would it do to my other joints, if anything?

Result number: 64

Message Number 233283

Re: cc joint fusion surgery Dr. Ed View Thread
Posted by Dr. Ed on 7/20/07 at 19:59

Lisa:

What did the MRI and CT show? What I am try to ascertain is whether those tests show any joint disease. If they do, then surgery may be indicated but if they do not, that implies a biomechanical etiology.
AFO's are generally not used for this problem. I made some specific descriptions on the type of device used for lateral column problems and have to wonder if you had recieved anything that fit that description?
It may be time for another opinion, preferably with a practioner with a good biomechanics background.

Dr. Ed

Result number: 65

Message Number 233269

Re: cc joint fusion surgery Dr. Ed View Thread
Posted by Lisa on 7/20/07 at 15:59

Had both a CT and MRI done on the foot. Tried physical therapy, while I was there it seemed to help but a few hours later it went back to being painful, expecially after I walk. I was fitted for an AFO and it caused extream pain across the top of my ankle and tendons started to pull tight (one is still tight now).My heal has also been bothering me this whole time. The MRI revealed the whole cc joint was inflamed and then they did the injection under x-ray into that joint, which made it better.
At this point I am frustrated because nothing has worked. All types of braces have been tried and failed, inserts, changing shoes, decrease in activity, therapy... I am at the end of my rope. I used to be very active, but now I haven't jogged in over a year because of the pain. I am currently taking Vicoden 5mg and Ibu 800mg together for the pain.
What would you prescribe to me? I am too young to be in this much pain.

Result number: 66

Message Number 233244

Re: cc joint fusion surgery View Thread
Posted by Dr. Ed on 7/20/07 at 08:26

Lisa:

Whoa! Not so fast. Very little lateral column pain requires surgery. Have you had a CT scan of the foot? Such a scan may be needed to establish arthrosis (jt disease) at the cc joint.

Here is a fairly common sequence of events in the treatment of lateral column pain.

1) manipulation of the cc joint
2) biomechanical exam to look for lateral column overload
3) depending on #2, fabrication of an orthotic with an extended rearfoot post, butress at the cc joint, extrinsic forefoot valgus post; change in running shoes to more stable shoe
4) physical therapy

Dr. Ed

Result number: 67

Message Number 233237

cc joint fusion surgery View Thread
Posted by Lisa on 7/19/07 at 23:05

I have been having Lateral Column Pain for about 7 months now that has seemed to be getting worse. No history of foot trauma. I had an injection under x-ray in the 'cc' or calcaneus cuboid joint as a kind of test to see if my foot would get better... and it did!!! About 90% better in fact! I felt like I could run again... but it was short lasting, only two and a half days worth. So I went back and seen the doctor and the only treatment for this is a fusion surgery with one to two screws in my foot because all other treatment has failed. They are going to fuse the calcaneus and the cuboid and then it is below the knee cast for at lest six weeks for me.
Unfortunatly I have to wait untill the 4th of September for my pre-op and the 19th for surgery. Waiting is like torcher to me. I would just like to hear from another doctor or someone who has had the same surgery. Hear about the risks of non-union of those bones, post-op pain, and anything else. I would really like to hear from someone as waiting has made me nervous. It would really help. Thanks.

Result number: 68

Message Number 232379

Re: Following the money....... View Thread
Posted by marie on 7/01/07 at 21:54


Result number: 69

Message Number 232145

Re: "Fairness Doctrine" View Thread
Posted by larrym on 6/27/07 at 14:57

So there are only a few hosts they dont like? Fairness my arse because you dont hear those same people talking fairness when Michael moore spews out another propaganda piece. You dont hear them squeal when tons of shows from MTV to MSNBC to Johen Stewart etc. slam Bush and conservatives every day.

As usual with libs, their idea of fairness is to 'control' anything they dont like. You mean big tough Pelosi doesnt have the cajones to handle a conservative talk show host?????? phooey, she doesnt want to be the loud voice IN PUBLIC trying to shut down critics of the left because her app rating would drop even more. This is censorhip at its worst. People can tune in or out to any message or media without some govt intervention. Nazis also were biut on controlling information as were most communist regimes

Result number: 70

Message Number 231809

Re: KellyL View Thread
Posted by Kelly L on 6/19/07 at 08:37

Linda,how does it look to you? Do you see a spot where drainage occurred? Is there any type of 'opening'? If yes, I would go see another doc. If not, I would just wait until I got my insurance. My reasoning being, if there is an opening, you don't want to risk infection. If not, at this point,can it really feel much worse?

You know how I feel... I am giving up on docs. This is just a nasty little bugger and I guess we just have to find ways to live with it. I am still very much up in the air as to what to do about therapy. It isn't doing a thing. I do the exercizes faithfully, my ankles feel stronger, but they still collapse. Whatever.. I give up.

If you want to go for another opinion, I have been to three docs and liked them all. I would be happy to give you their names.I think your doc just feels bad that he can't help you. Don't be mad at him. I can't remember, have you been to this neuro yet? If not, he may want to run many tests and without insurance....may become very expensive.

I know, I haven't helped at all! Let me know what you decide to do. I'll be thinking of you though. :)

Result number: 71

Message Number 231464

Re: kjewell View Thread
Posted by kjewell on 6/12/07 at 20:17

Sorry for the slow response, was a long week. I am getting sacroiliac joint injections right now for my hips and just limiting my activity. I have been off work a long time (6months) so that helps. I am allowed to only do a little housework a day (few dishes and no more than 1 load of laundry without help). I also take Percocet or vicodin (depending on my pain level) to help out with the pain on a daily basis between shots. My pain therapist says not much more can be done until they fix the lower half though, sorry I could not be of more help.

Result number: 72

Message Number 231416

Recent surgery View Thread
Posted by Lori T on 6/11/07 at 23:02

I have been reading this site off and on for a while and felt compelled to tell my story. I started having PF about 10 years ago while pregnant. Would have some better days but usually some pain most of time, including back/hip pain and sacroiliac joint pain along with heel pain. It felt like I walked on rocks all the time. Saw pod early on and tried otc heel pads but no real relief. finally went to ortho after about 8 1/2 years of mostly pain, sent to physical therapy and they did alot of stretching, custom inserts, etc but found that my calf muscles were so tight they could rarely get them relaxed enough and didn't last long anyhow. Ortho finally referred me to another pod and first visit he gave me a cortisone inj in right heel. Relief for a few days, had injection in the other heel same thing. Recommended surgery for PF and TTS- first time I knew about TTS. Researched and I was almost text book with symptoms for both. Anyhow I was petrified about surgery, especially after reading others stories. I had EPF and TT release done on right foot in April. Set myself up in area near kitchen and bathroom, used rolling office chair and crutches to get around, cordless phone, cup with lid and handle that doesn'
t spill when turned on side. Limited weight after 3 days and progressed as tolerated. It hurt like crap to start walking each time but after I got going was okay. 2 months later foot feels better still some aching and pain but it is a different pain and I can tolerate it better. Had the left heel done last week 4 days ago and am having to go through tenderness again like first time but feel sure that this too will pass. It is not a dream surgery by no means, it hurts but if you use pain meds early and allow lots of resting, it has not been nearly as bad as I expected and so far am glad I did it. I have not returned to work yet and look forward to that in about a month. Also hope to be able to start walking for exercise and can get some weight off soon.

Result number: 73

Message Number 230761

Should the NFL Falcons fire Vick over dog fighting? View Thread
Posted by marie on 5/29/07 at 18:23

I don't have alot of patience for people who torment animals for their personal pleasure. If he's guilty fire him.

http://msn.foxsports.com/nfl/story/6861974?CMP=OTC-K9B140813162&ATT=5
t is such a sad contrast. Hill, a hero in death, to a young superstar like Vick, who has been paid $48 million over the past three seasons, and has the wealth to be doing so much potential good on his former Virginia Tech campus. Instead, he is linked to a potential crime detested by dog lovers everywhere.

Goodell and the NFL don't owe Vick any compassion if he is guilty.

http://www.wjbf.com/midatlantic/jbf/sports.apx.-content-articles-JBF-2007-05-29-0034.html
http://www.usatoday.com/sports/football/nfl/falcons/2007-05-28-vick-informant-dogfighting_N.htm?csp=34

Result number: 74

Message Number 230598

LindaW View Thread
Posted by kjewell on 5/26/07 at 08:51

I too started having hip and 'sciatica' problems after bilateral TTS. Turns out i was causing sacroiliac damage from the penguin walk that a double limp gave me (in addition to having sponylothesis (spelled wrong for sure). My pain doctor gave me sacroiliac joint injections until my release surgery, then put them on hold until I could walk 'semi-normal' again. She said that working on my hips was redundant until I got the feet fixed. I am now down to a 4 pain in the hips since having both feet done and have returned to the injections.

Result number: 75

Message Number 230441

Re: Plantar fasciitis View Thread
Posted by Dr. David S. Wander on 5/24/07 at 08:17

Ralph,

Dr. Z is 100% correct. Podiatry Today and Podiatry Management are not peer reviewed 'journals' but are simply magazines that publish articles and accept a lot of advertisements, etc. They are trade magazines. The Journal of Foot & Ankle Surgery is the official publication of the American College of Foot & Ankle Surgeons and is a well respected journal that often receives contributions from orthopedic surgeons domestically and internationally. The Journal of the American Podiatric Medical Association is also a well respected peer reviewed journal. Unfortunately, you do not have acccess to these journals unless you subscribe to them, etc. These journals contain both original research articles, case studies, etc., and not just individual 'anecdotal' reports as some of the 'magazines' you have critiqued.

So yes Ralph, there are DPM's out there in addition to Dr. Weil do some excellent work and research, but unfortunately you simply haven't been exposed to it since you're not in the profession. There are excellent orthopaedic journals (Foot & Ankle, Journal of Bone & Joint Surgery) and many excellent podiatric publications and researchers that you are simply not aware of at this time.

Result number: 76

Message Number 230416

ABC shares COVERT plan for Iran and today.... View Thread
Posted by marie on 5/23/07 at 20:14

nine US warships entered the Gulf for rare daylight training off the coast of Iran.

Yesterday ABC's blog by Brian Ross reported that Bush signed off on a CIA COVERT PLAN to destabalize Iran. The report was detailed and gave information about specific plans. Why on Earth would a news agency let Iran know what Bush has planned for them. Was this intentional or is ABC just plain stupid. Today ABC removed the article which was at this link: http://blogs.abcnews.com/theblotter/2007/05/bush_authorizes.html


http://www.cbsnews.com/stories/2007/05/23/politics/animal/main2844183.shtml
The CIA plan 'reportedly includes a coordinated campaign of propaganda, disinformation and manipulation of Iran's currency and international financial transactions.'

Why would anyone at the CIA, let alone multiple sources, be so outraged by it that they decided to leak its existence to ABC News?

Beats me. Maybe I'm not using my imagination enough. But there is an alternative: namely that this wasn't the work of malcontents at all. Rather, it was deliberately leaked as a way of sending a message to Ira

Result number: 77

Message Number 230297

Re: Dr Wander, Jeremy View Thread
Posted by Dr. David S. Wander on 5/22/07 at 06:32

Yes. An injection for a neuroma is typically more proximal than an injection for a 'capsulitis' and is aimed at the actual perineural fibrosis. The idea is to deposit the medication into the fibrous neural tissue and not around the joint. The injection I give for a 'capsulitis' is aimed directly at the joint and is directed to basically inject completely around the joint medially, laterally, plantar-medially and plantar-laterally. As previously stated, some critics may say that this is not as effective as injecting directly into the joint, but I will defend my results over the many years I've practiced, stating that my patients have obtained excellent results with this method without the post injection 'flare up' common to injections directly into the joint, and without the additional possible complication of causing a septic joint (introducing an infection into the joint).

Result number: 78
Searching file 22

Message Number 229900

The Old Days & Dr. Z & Patients View Thread
Posted by john h on 5/15/07 at 11:39

Every year or so I like to post some picture I made while visiting Dr. Z along with some of our other posters. Dr. Z was at the forefront of ESWT in those days. We had a big party at one of his favorite hangouts with a singing waiter. Several of us had ESWT's and one had a surgery and all had a good time. We traveled from as far away as San Diego and Little Rock. You will also see a picture of the famous Orbasone which really should be in a museum but Dr. Z says they are still in use. He has upgraded to the new Cadillac of ESWT machines and has it on the road in a fancy bus. To the days when men were men and had ESWT with out a shot (me) and women were still sissys (Judy who yelled):

http://dell.shutterfly.com/view/slideshow.jsp?auto=1&aid=67b0de21b335f21605cc&js=1179246696450

Result number: 79

Message Number 228791

Re: Product Recommendation View Thread
Posted by ibcajun2me on 4/29/07 at 15:15

I have to say that I use a bracelet of magnets and copper for my elbow and after a few months of constantly wearing it, my pain is completely gone....at the time I started using it, I was willing to do surgery of any kind to stop the pain, I couldn't even lift my purse my elbow hurt so bad....the pain is all gone now....thank goodness

Result number: 80

Message Number 228735

1st MTP OA View Thread
Posted by Chewlet on 4/28/07 at 04:31

Is it common for the nerve that runs through the area of the 1st MTP joint to become highly sensitized with severe OA? I have quite a large area of my big toe, side, and outer foot, that is often quite numb, and tapping directly over the nerve causes electric jolts to shoot down to the end of my big toe. I also have a lot of inflammation in the joint despite using an anti-inflammitory twice daily as prescribed by my doctor.

I keep meaning to mention this to my surgeon but seem to forget every time I see him because there is always something else to discuss. I haven't had surgery yet, is this anything to be concerned about?

I have this problem bilaterally, is there anything you can recommend that I can do to alleviate these symptoms?

Chewlet

Result number: 81

Message Number 228119

mortons neuroma View Thread
Posted by neuroma on 4/19/07 at 11:28

I had a recurrence of a neuroma I had had 2 years ago and it went away again. Just 1 week later I received a neuroma on my other foot (in the interspace between toes 4 and 5). What would cause neuromas in succession suddenly? I didn't wear heals or narrow toed shoes. I am hoping to get rid of this one with acupuncture but am frustrated and in pain with my neuroma recurrences. The doc just says I am doing everything right...sigh

Result number: 82

Message Number 228023

Re: Back of Heel Spurs/achellies tendon pain View Thread
Posted by Calvin on 4/17/07 at 23:37

Hi

If you have information on this topic that you can mail, please do.
cajunkid01 at yahoo.com


We have been using ESWT for insertional achilles tenodonitis with or witout spur. If you would like informational let me know

Result number: 83

Message Number 227880

Re: PSSD View Thread
Posted by kjewell on 4/16/07 at 13:16

Prior to my PSSD I had a multitude of problems from the back down to the feet. I was in a car accident that crushed my leg without breaking it. I had tingling sensations in the whole leg, feet swollen and painful to stand on, the arch felt like there was a golf ball under it, the toes cramped, the whole foot would get 'stuck' in a straight out position. I was diagnosed with RSD (now docs say RSD is 'probably' not present) and tendinosis, along with ACL damage shown by scarring. I had positive Tinnel's test everywhere they performed it. For a long time I could not stand to have anything on my legs or feet, couldn't lay on my stomach due to the feet not wanting to be in that position. I have spondylothesis (spelled wrong most likely) and because of my 'penguin' walk for so long I have sacroiliac joint dysfunction. I had pain in both knees, almost like someone was pinching me from inside. The PSSD actually only took about 30 minutes...which after 2yrs of waiting for a proper fix was nothing!

My diagnosis was bilateral TTS, bilateral deep and common pereoneal nerve compression, saphenous nerve compression. I too was in the military...but kicked out because of all this (National Guard after having served in the 80's full time) and being 'unfit' for duty since I could not put on a combat boot. Even the military doctors said RSD which is why they booted me.

My 1st surgery went great! He release the tarsal tunnel, deep and common pereoneal nerves and next wednesday will be doing the exact same on the right leg. Four weeks later I am wearing a shoe for up to 3 hours, walking with a limp only from the right side, and in 1/2 the pain I used to be. I only took the pain meds for the first 4 days, after that it was all ok. Keep me posted on your results and stay on your Commander to get the right treatment!

Result number: 84

Message Number 227690

Imus and the law of unintended consequences View Thread
Posted by john h on 4/13/07 at 12:24

In this morning's USA Today it is reported that CBS will lose $15 million in annual revenues because of firing Imus. Of course this is just the tip of the iceberg as local stations will also lose revenue and other entinities that have fired Imus will lose revenues. When you lose revnue you have to cut jobs. Probably many of the lost jobs will be African Americans. I think the Law of Unintended Consequences will come into play here.

Imus is the sole supporter of a Boys and Girls Ranch he, his brother, and wife created. It purpose it to help young boys and girls in need of help. I suspect he will still keep it up and running. I do not know but clearly think many of these young boys and girls are African American.

There is another Chairtable Foundation he is largely involved with. Once again I do not know if his loss of pay will effect the amount of support it will receive or any lost jobs.

This post is not to suggest that Don Imus should or should not be fired but to make people aware that there are consequences that may not be intended.

He is a wealthy man an hopefully can keep these very good foundations up and going. The following is a complete explanation of how the Ranch works. It is lengthy but if you are interested about its mission and how it works then here it is.

Introduction to the Imus Ranch
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Updated: 11:26 p.m. CT July 1, 2004
This is the place to learn everything you always wanted to know about the Imus Ranch, and probably quite a few things you don’t.

The Imus Ranch is an authentic, working cattle ranch nestled beneath a majestic mesa in the rolling hills near Ribera, New Mexico, 50 miles northeast of Santa Fe. Its sole purpose is to provide the experience of the great American cowboy to children suffering from cancer or serious blood disorders, and children who've lost brothers and sisters to Sudden Infant Death Syndrome (SIDS).

It is extremely important that all parents and children understand the fundamental philosophy of the ranch: it is not a camp! It is a working cattle ranch. Our objectives for the kids are to encourage in them a sense of achievement, responsibility and self-esteem through hard work and fun, while restoring their pride and dignity. Many have become convinced that because they are sick they are not normal. At The Imus Ranch they quickly discover they can do anything any other kid can do. Each child who visits the ranch is treated as a typical kid. Our policy forbids any mention of illness by ranch employees. The child life specialists, the doctors and nurses are responsible for addressing such issues when and if they come up.

Of course, the children themselves are free to initiate conversations on any appropriate matter with anyone. The Imus Ranch will always respond with patience, love and understanding.

The ranch is a magnificent facility. Nearly 4,000 open acres surround an old western town that rivals any movie set in Hollywood. All of the kids become part of our extended family living together in a stunning 14,000 square foot adobe hacienda; the architectural masterpiece that comprises the main ranch house. Their days are spent side-by-side with Don, Deirdre, Fred and the Ranch wranglers doing chores and learning to care for and ride their very own horse. As they round up our Texas Longhorns, herd and feed sheep, buffalo, chickens, goats and donkeys, the kids not only become intimate participants in the dawn to dusk rhythms of the ranch but also develop enriching lifetime bonds with animals. Often, it's been demonstrated that when children suffering from these frightening illnesses are given the opportunity to participate in programs such as those offered by the Imus ranch, the experience can actually contribute to healing and recovery.

The ranch also features a state of the art greenhouse and two acre garden, gigantic old-time barns, an indoor riding arena, an outdoor professional rodeo arena, a gorgeous, magnificently designed swimming pool, miles of trails and thousands of trees. There are two ponds for watering cattle that also contain hundreds of fish; trout in one, bass in the other.

The ranch has been designed to host ten children, two child life specialists, a doctor, a nurse, and EMT personnel for each session.


YOU AND THE IMUS RANCH

Think of your visit to the ranch as a summer job. Our experience has taught us that some kids think we're kidding when we say you will be working. We are not. You will be required to perform daily chores. You will be responsible for your very own horse and required to pitch in feeding all of the other animals. You should think of yourself as an unofficial employee of The Imus Ranch and a member of the Imus family. We understand that the ranch is not for everyone. There are certain fundamental physical requirements and other considerations that you should discuss with your parents, your doctors and your child life specialists. Below is a list of frequently asked questions and answers that may help you decide:

Who selects the children who go to the ranch?
The Tomorrows Children Fund and the C. J. Foundation for SIDS. New Mexico children and kids from other areas are selected by the hospitals or organizations they are associated with. The ranch provides advice about physical requirements but does not exercise any decision on who is ultimately selected.

How old do I have to be to come to the ranch?
Between 10 and 16 years of age.

What are the physical limitations?

You must be physically fit enough to work and ride a horse. The work can be demanding and you should consider that when making your decision whether to come to the ranch.

What does my trip to the ranch cost?
Nothing. All expenses are provided including airfare and transportation to and from the airport in New Mexico.

How far is the ranch from the airport?
A little over a hundred miles. Travel time is about an hour and a half.

How long will I be at the ranch?
Seven complete days. You leave on the morning of the eighth day.

What kind of activities will I be participating in?
You will be required to do daily chores (helping collect laundry, working in the garden and the greenhouse, pitching in in the kitchen, and performing other ranch chores). You will be responsible for feeding, grooming and care of your own horse.

What's a typical day?
6:00 a.m. Rise and shine
6:30 a.m. Feed your horse and other animals
7:00 a.m. Breakfast
8:00 a.m. Chores or horse lessons
12:00 p.m. Lunch
1:00 p.m. Rest and relaxation
2:00 p.m. Chores or horse lessons
5:30 p.m. Feed your horse and the other animals
6:30 p.m. Dinner
7:30 p.m. Evening activities (fun stuff)
9:30 p.m. In your room and lights out

What happens if I don't feel well and can't participate in regular activities?
It is important to remember when you choose to come to the ranch that you are agreeing to a certain level of responsibility. Not feeling well enough to do chores is understandable... not wanting to do them is not. We will always leave it up to you, the child life specialists and the doctors to make the final determination on the status of your health. Regardless, you will always have things to do and someone to love and help you.

What happens if I get sick and am not able to fly home?
The saloon (infirmary) has been designed, stocked, and staffed by the Hackensack University Medical Center. If you need special medical attention, but do not need to be hospitalized, there are two bedrooms in the saloon for you to stay in that are identical to those in the main ranch house (they are beautiful). All decisions on the status of your health, in these cases, will be made exclusively by the doctor. The ranch will ultimately do whatever is recommended, including flying your parents to the ranch, or you back home -- all at the ranch's expense.

What is the ranch telephone policy?
Parents may always call the ranch office. In the case of a genuine emergency, children will be available to take calls. In all other instances children are not allowed to make telephone calls. The ranch policy is identical to many camps kids attend in which they are not allowed to call home for the initial ten days they are at camp. Kids are at The Imus Ranch seven days.

May I bring a cell phone, computer, walkman or CD player?
No. The child life specialists are responsible for enforcing this policy.

What should I bring to the ranch?
a light windbreaker jacket
two swimsuits
hooded raincoat or poncho
two sweatshirts
two or three pairs of comfortable jeans
five long sleeve (light) shirts
one pair of hiking or other type of boots. (Remember, you will have cowboy boots and they are comfortable)
one or two pairs of sneakers
two pairs of pajamas
seven or eight pairs of socks
seven or eight pairs of underwear
five or six T-shirts

The ranch supplies all linens, blankets, pillows and towels. So remember... the ranch will supply cowboy boots, Wrangler jeans and shirts and Resistol cowboy hats. You'll be given Imus Ranch baseball caps and T-shirts as well. They are fabulous. You should bring a toothbrush and any other special toiletry items you require. The general store will be stocked with almost everything else you might need ...toothpaste, soap, shampoo, sun-screen... whatever.
If you do not have any of the above listed items contact Samantha Gordon at the TCF, or the Imus Ranch at (505) 421-IMUS. Anything you need will be provided so don't worry about it!

Is there a laundry policy?
Yes. We have complete laundry facilities so it's no big deal to wash, say, your favorite pair of jeans every night. You and the child life specialists are responsible for washing your own clothes and setting up your laundry routine. The head of housekeeping will help you master the machines in the laundry room. You're expected to observe all laundry room rules including removing lint from the dryers after each use and keeping the room clean. Please report any machine malfunction immediately. And very important: all of your clothes must be marked with a laundry marker.

What's the weather like?
New Mexico has a dry, warm, agreeable climate. The Imus Ranch elevation is nearly 7,000 feet. During the summer, our average daytime temperature is 85 degrees (though it can get into the 90's). The thin, dry air radiates heat quickly after sundown and summer nighttime temperatures average a cool 50 degrees. Summer also brings frequent gusty afternoon thunderstorms and breezes. It is comfortable even when it's hot, although you have to be especially careful when exposed to the sun because you can burn quickly. Plenty of sun screen is essential and should be applied every two hours. In the winter, snow falls throughout the state and January temperatures vary from about 55 degrees in the south to an average of 35 degrees in the north where the ranch is located. It is not uncommon to have three feet of snow at the ranch in December.

Is there a swimming pool?
Yes. The pool is chlorinated and swimming is strictly supervised and only allowed when there is an accomplished, accredited life guard on duty. The pool is a replica of an old time swimming pool hole and the design and landscaping are striking.

Will I be able to write and receive letters or send and receive E-mail
Letters, yes. E-mail, no.

Do I need spending money?
We can't think of any reason you would. In the unlikely event you do, the ranch will provide it.

What will I be eating?
A healthy diet of all-natural, organic whole foods, fresh fruits and vegetables. We are a vegan ranch. We serve no meat, fish, poultry or dairy products. We can and will respond to basic special dietary needs, but our menu generally reflects an all-American cuisine in both selection and preparation. We are non-denominational in all respects including the preparation and serving of foods.

What if I don't like the food? Will I starve?
No. We'll find something healthy that you do like (pizza?). Almost everyone who has been to the ranch loves the food and goes home with a new and enlightened attitude about their diets.

Where will I sleep?
In the main ranch house in your own room with one other child. Each room has its own individual bathroom and shower.

Do I get to pick whom I room with?
You should work that out on your way to the ranch with the advice of the child life specialists.

Will girls and boys sleep in separate rooms?
Yes.

Are sleeping quarters air-conditioned?
Yes.

Where do the child life specialists stay?
In the main ranch house in bedrooms next to yours.

Will there be someone at the ranch who I know?
Yes. Other kids, the child life specialists and the doctors and nurses.

If I get scared or lonely will there be someone to talk with?
Yes. The child life specialists. In addition, you will make new friends at the ranch.

How many nurses and doctors will the ranch be staffed with?
One doctor. One nurse. Two child life specialists. One or two EMT specialists.

Who are the medical staff?
The TCF and The Hackensack University Medical Center supply the medical staff personnel. When children sponsored by organizations other than TCF and Hackensack visit, the ranch itself will make arrangements for necessary medical personnel including child life specialists. The Emergency Medical personnel are supplied by the ranch and are licensed by the state of New Mexico.

Where is the closest hospital?
Santa Fe, New Mexico. 40 minutes by car.

If a medical emergency arises, will the infirmary be stocked with all necessary medications for each child?
We have been assured by the TCF and The Hackensack University Medical Center that to the degree that it is practical and possible, it will be. Each group of children will be accompanied by doctors and nurses who they're familiar with. They are ultimately responsible for your medical well being and we have placed our trust in them, as have you.

How will discipline be handled?
All discipline will be administered by the child life specialists with the exception of fundamental guidance from the ranch managers (Don, Deidre & Fred) and ranch hands in instructing the kids about chores and activities, and to insure safety. For example, if Don asks a child to perform a chore and the child refuses, a child life specialist would then be summoned to reconcile the matter. Under no circumstances will any ranch employee discipline, reprimand or chastise a child for any reason. All disputes will be resolved by the child life specialist. Children are expected to follow instructions and to cheerfully perform their chores and assignments and to follow safety instructions at all times. It cannot be stressed enough... in choosing to come to the ranch you have agreed to participate in all of the activities with good humor and enthusiasm to the best of your ability.

Will there be volunteers assisting at the ranch?
No. All employees are paid and have passed stringent security clearances and background checks. They will abide by a basic manual instructing them in their relationships with the children. They and the children will be closely supervised at all times by Don, Deidre and Fred Imus. Remember, there are only ten kids per session. Close personal supervision and care are assured.

What is the role of the child life specialists while they are at the ranch?
To supervise the children when they are not engaged in ranch activities... in the evening, from dinner until breakfast the next morning and during the hour or so they have after lunch. We have discovered that when child life specialists or doctors or nurses participate in ranch activities with the kids it detracts from the experience of the children and defeats the fundamental purpose of the experience of The Imus Ranch. It is important to remember the child life specialists and the doctors and nurses are not volunteers. They are paid full salaries and on occasion need to be reminded that they are not on vacation. We remind them. The ranch requires that the doctor and nurse be present at the infirmary (not out jogging or bird-watching) during the hours the kids are engaged in ranch activities. Similarly, EMT personnel stationed at the infirmary are expected to be present there, available and ready for immediate duty when and as needed.

Who selects the doctors, nurses and child life specialists?
The Hackensack University Medical Center, the Tomorrows Children's Fund, The C.J. Foundation for SIDS and other organizations who send children to the ranch. The Imus Ranch ultimately reserves the final determination on the suitability of all personnel.

May staff (doctors, nurses, child life specialists, EMT personnel) bring family members?
No, they may not.

Where do the doctors and nurses sleep?
In one of the bunkhouses in the town or near the main house.

What if my child cannot attend the entire session?
We are not prepared to accommodate partial sessions.

If it rains, what happens?
The animals still have to eat. Aside from that, we're prepared with an indoor riding arena, an art barn and a great house for lots of interesting things to do, rain or shine.

If a child gets homesick, what happens?
Parents can help a lot by letting kids know that getting homesick is not unusual (even for adults). Remember, the kids are going to be with people they know. Further, the child life specialists we've met have terrific natural rapport with the children which will help enormously to ease any anxieties. In the end, the ranch will do whatever it takes to make everyone happy.

May kids leave the ranch and return home before their session ends?
Of course.

Will the ranch allow children who are on medical maintenance?
Yes. As long as they meet the basic physical requirements the ranch has outlined and have been approved by the hospital.

Will there be formal religious services?
No, but children and staff will be allotted the time they request for any observance they feel appropriate.

Is there a policy manual for the ranch?
Yes. Each employee has one and much of the information is contained in the information you are reading.

Malpractice insurance?
Malpractice insurance is the responsibility of the hospital, the TCF and any other organization that provides doctors, nurses and child life specialists. The ranch carries significant liability insurance and each child and their parent will be required to sign a standard release/consent form.

Is Hanta virus an issue?
We will take every precaution and will not place the children at unnecessary risk while always relying on the advice of medical staff.

Guns?
All guns are under lock-and-key and protected by trigger locks. It is a cattle ranch in New Mexico and there are coyotes, mountain lions and wild dogs. Our only goal is to protect the children and we will be rigorously responsible in that effort.

Well then, is the ranch safe?
Yes. It is foolish, however, not to be prepared.

There are lots of animals -- horses, cattle, sheep, buffalo -- are they safe?
Yes. Accidents, of course, can happen. But with close supervision, a competent medical staff and cooperative kids we should keep mishaps to a minimum and of little consequence. But again, it is a working cattle ranch in New Mexico and we can't be too careful.


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Result number: 85

Message Number 227455

ATTN: DR WANDER--RE: SILICONE TRIAL View Thread
Posted by Dr Kiper on 4/11/07 at 10:05

I have a few questions regarding the logistics of the SDO challenge/study from the heelspurs website. In several of Zuckerman's posts, he states that he is 'paying for ALL the expenses involved'. I was under the impression that he was basically splitting all the expenses/lab fees with you and in turn, was sharing in the profits.

I also thought that 'neutral' parties such as Dr. Ed or I would get copies of the lab fees/invoices to make sure everything was kept legitimate.

Anyway, I was a little annoyed at several of Zuckerman's posts when he kept stating that HE was paying for ALL expenses and lab fees, when I thought that you were both splitting the expenses as well as the potential profits.

Please clear up this matter for me, it will be appreciated.

I'm sorry you didn't take my 'advice' and turn down his offer and tell him that this isn't the way you built your business model. I personally wouldn't have agreed to his challenge and would have told him to shove it up his ass, unless he was willing to start giving away free ESWT treatments under the same agreement. I know you have confidence in your product, but don't believe you have anything to gain or prove by this challenge, and this can only hurt, not help your cause. Because every successful patient will be happy and tell one more person, but every unsuccessful person will linger on this site and tell his/her story for the next 10 years and for the next 1000 people to view.


As for the splitting of expenses and profits, there is room for confusion.
When he originally suggested that I pay to do this challenge, I told him to put up ½ my fee ($346.00). I didn’t think it through that I would also pay for ½ the expenses when I was already putting up my time. It’s not a big deal anyway because expenses will only be approx $50.00.00 apiece.

When I contacted Z to establish the finality of it, I did tell him that I would put up my time and expenses would come out of his end. I haven’t been reading all the posts, because I didn’t see where he was telling everyone that he was paying all expenses.
So, in order to shut him up, at the end of the trial I will cover ½ the expenses out of the $173 and split the profits.

I was waiting to hear from you and Dr Ed that you were willing to participate by monitoring the invoices. Your post now was the first to acknowledge, and I haven’t heard from Dr Ed that he would. I really didn’t know if either of you was willing to take part in this. Do you know how I can reach Dr Ed?

The challenge may be more than I was expecting, because only a few of the patients have contacted me and only one of them meets the criteria of having PF less than a year. The rest are seriously chronic and one has already had ESWT and is in constant spasm. One of them is a patient of Dr Z and she had unsuccessful ESWT from him.

I’ll wait to see who the other patients are after all I can turn it down based on qualifying for the criteria.

I’ll probably need to fill the slots with a couple of the other people who asked to be included if I proceed.

Thanks for posting me that David W was not you, I thought it was.



3/24/2007 LTR TO WANDER


I would hope that you will be open enough to start looking at the way the biomechanics works a little askew from everything you’ve leaned about rear foot control and immobilization of the calc-cuboid joint. After all, there are leaders and there are followers. And sometimes change comes in the back door.

The SDO not only meets the criteria for a functional orthoses, but because of the fluid mechanics it can be made to fit and secure the foot closest to the neutral position than any other orthotic. The SDO does it better and faster with less problems and a way to fix them. And because it does that and the principles of science that govern the silicone orthotic, it always matches the way the foot walks while walking in it’s optimal position on the floor, and it is easy and comfortable to wear. The same orthotic will fit in a greater variety of shoes for most people, and compliance is very important for success.

In an earlier letter you suggested I tell Z that, this challenge wasn’t the way I built my business model and after I thought about it, I think it is just that. I’ve tried very hard to get colleagues to open up to the idea that rigid orthotics is old technology. Still useful and even essential for certain conditions, but by and large not as efficient as the SDO. It defies the traditional thinking of rear foot control. It changes everything. It will even change the way we understand biomechanics. It will turn it upside down.

THIS MAY BE WHY

THE FITTING OF A CUSTOM ORTHOTIC IS TO ALWAYS KNOW HOW IT’S FITTING. I CAN ASK MY PATIENTS OVER AND OVER TO DESCRIBE THE WAY IT FITS ACCORDING TO CRITERIA OF THE FIT – WITH THAT KNOWLEDGE ANY COMPETENT DOC SHOULD KNOW HOW TO PROCEED.

BY BEING EFFICIENT IT REDUCES THE TIME TO REVERSE THE BUILD UP TO PAIN.

I think I need to take my case to the public. The people who are my patients all thought it made sense to them.

Patients will be happier and more comfortable with fewer complaints, because instead of trying to capture a specific position—the Dr can concentrate on managing the patient able to figure out if an adjustment is required or help the patient change their wearing time.

No longer will we have patients who are so vocal about DPM selling bad product, incompetence etc, because it’s not the docs fault, it’s the product. The SDO is in my opinion the next generation in natural motion control orthotics.

One surgery that may become antiquated is the dorsal wedge osteotomy for IPKs. Diabetic and neuropathic ulscers will have a better degree of success healing and maintaining.

If you can start to think about this and agree, it would be great to have a colleague that might be able to help. There is right now a ground floor opportunity for the early bird that catches the worm.

I can also understand that this simply defies the traditional thinking of bio-mechanical control. The truth to me is In the early 1960’s Dr Merton Root introduced his concept of foot biomechanics (the mechanics of a living structure). His concept of orthotic control was a device that would allow the foot to move unrestricted through normal ranges of motion while preventing it from compensating abnormally for intrinsic structural foot abnormalities and intrinsic or extrinsic functional abnormalities or misalignments. (Biomechanics magazine, 6/96, Sheldon Langer, DPM)

In my opinion this orthotic most closely responds to move unrestricted through normal ranges of motion than anything else because of it’s fluid mechanics:,

The more you can derive physical quality of life depends on the basic way you age. With greater wear and tear or less wear and tear. The people who have not taken care to do the most they can to maintain the health of their posture will suffer the greatest physical consequences over those who have been successful. (TAKE OUT?)

My task is to try and convert our entire profession and for those allied practitioners who make orthotics, if they see the sensibility in it too, they’ll follow, but at least podiatry will be first and foremost to prescribe it.

In my opinion it will elevate podiatry in the world community. It’s that good.

If you compare orthotics to drugs, one would say
The SDO works quicker and longer in it’s healing effects. It’s also more comfortable to wear at all times in most shoes. It has a higher healing ratio compared to everything else.



The impatience to get better is a part of the individuals healing speed.

There is a point with most every patient that in their treatment starts to question the efficacy of their doc’s ability to get them better. With the SDO it’s a matter of judging the criteria of the fit determining if the Rx is ready to be changed. The patient will be compliant because the doc knows what he’s talking about.

If not, then it’s the patients own healing time and other modalities can be used more successfully because the patient is in better balance.

All orthotics are foreign to the body. The SDO is a homeopathic orthotic. It’s natural to the feel of the foot standing and walking. It matches the way the foot walks.

Traditional orthotics starting with rigid orthotics are the most foreign, to the natural and dynamic locomotion the foot is designed to do.

Semi rigid orthotics, the more flexible the better for most people (there is validity for using a more firm control for healing too).

The brands that have been highly successful are among the most flexible. The problem is that they’re efficacy is usually used up quickly.

The next step is to go for maximum healing with a custom device.

The foot is a structure like the frame of a building and your foundation must be solid.

Except for clubfoot deformities and variances of a high arch, most people are born with their foundation loose in order to cushion their locomotion

Most children born are born with your foundation loose. Every baby with the exception of certain pathologies have flat feet when walking,. The whole foot is mostly soft tissue, some bones are not even there yet. That’s a flat foot.
Now we watch them grow and there are certain stages that we can physically test and see if that foot is developing normally

At some point even a normally developing foot, will continue to develop and then begin to age as healthy as possible by slowing down and minimizing the wear and tear process.




When an orthotic hurts wearing it, but it helps the bigger problem more is because the more rigid an orthotic is the more prone it is to mechanically cause pain because the anatomical structure is being stressed beyond its limit .---- Valmassey Clinical biomechanics of the LE , and I agree with this.

An assumption is always made that when DPMs discuss validity, it’s related to whether the entity meets the criteria of the theory.

Instead I propose to give you something that simply works and let the profession relate it to their mathematical calculation and see if it holds up.

Pg 190 L side of Valmassey’s book CB of the LE discusess pronation in terms of velocity and ground reactive force, the SDO specifically relates to both.

Sometimes posters discuss finding out later that an orthotic actually caused another problem.

You can’t do that with the SDO because if you overcorrect muscle reaction/ sensory will let you know.


Pg 199—technical stuff

4/3/2007


I don't think that any of the doctors answering questions on this site is in any way, shape or form 'unprofessional'. And once again, in case anyone didn't understand or couldn't read my post correctly, I did not ever state anything was unprofessional.

What I did state was that the methodology of the clinical trial was certainly not being performed in a professional manner. As a critique, I believe that Dr. Kiper or a third party that was unbiased (Dr. Ed and myself had volunteered) could have gathered the data via email and then posted the data after all the results were obtained and gathered. I believe that may have been at least a 'little more' professional than having each participant come on the site and start listing his/her individual comments as subjectively on the website.

A more objective question form that must be filled out with definite answers with choices may have been better to obtain data that could be 'standardized'. The way the information is being obtained makes in almost impossible to really get a feel on the overall satisfaction/success/failure of the product.

A more objective form with questions on a scaled basis would at least allow for data collection and a more accurate objective analysis and comparison of the effectiveness of theSDO product among the trial participants. In my opinion, the present questions are much too subjective, way too vague, and don't allow for any real hard final outcome.






There can be no final hard outcome here, because 1st-as I had stated earlier that none of these patients would be that much better in the 90 days allowed. Any formal trial probably would be at least a year and there would probably be closer to 100 patients than just three (I would be willing to conduct a trial through any of our institutions of higher learning, with a standardized approach).

In my mind it isn’t just getting a final outcome, because my philosophy, is that PF (as are other biomechanical issues) a long-term process. I am aware that this whole trial is different from an established protocol. For me it was getting them on the road to recovery.

We’ve seen and discussed results of other formal and legitimate trials and as I’ve posted I’ve discussed why those trials are faulty. Because I only have 90 days and since there is no protocol for what is happening on the Internet, I’m surprised that this is being compared to the established type of trial one would expect to see in a scientific journal.

Dr Z presented me with a challenge to put my money where my mouth is (and I asked the same back).

The patients have all expressed appreciation for attempting this. I’m putting myself on the line. If it helps them, they will probably remain patients after this trial. If not we’ll know who did or didn’t have any positive improvement.

Then based on whatever results have or haven’t been achieved everyone can think what they want. Having the patients anonymously post their ongoing results is for other patients to see and is in my opinion no more a violation of the codes of conduct then if we discussed a patient anonymously with a complex problem where we would put our heads together and try to help. Those that have failed with other treatments and orthotics have the opportunity to see that not only is this a different orthotic, but the way it’s conducted is different. I always maintain that I’m no one special and not any smarter than any of my colleagues, it’s my product that separates me, and frankly I’ve learned more about bio-mechanics and the healing process from using this orthotic then anything else.

How many practitioners discuss a daily report?
I do, because that’s what makes it possible for me to assess the criteria of the fit . It’s part of my philosophy that muscle reaction can change from day to day, because of the alignment effect an orthotic has. So when a patient gives me confusing information about his pain or a new pain that is hurting, pulling, throbbing, etc I can assess that that is normal and part of the healing process or the Rx may need to be changed.

By knowing what the patient is going through tells me whether the orthotics fit , because symptoms are only secondary to whether the orthotics are working.
The questions I ask are designed to give me that ability to assess the information I need.




Posted by Dr. David S. Wander on 4/10/07 18:59 Poster's previous posts

Okay,
Now it's my turn. Dr. Kiper has been gracious enough to send me a pair ofSDO's at no charge. So I am grateful to Dr. Kiper for his kindness, and I don't want to look a gift horse in the mouth, but I can only sit back and observe for so long.

As Dr. Kiper will attest to, I've been very open minded on this forum and have avoided criticizing him or his product. On the contrary, I have supported him and his RIGHT to his opinion, though I had no past experience with his product.

It is not my intention at this point in time to 'bash' his product, but I do have some comments based on over 20 years of practice and a VERY open mind. I have the very unique position of:

1) a significant amount of time in private practice treating plantar fasciitis and other biomechanical ailments

2) a relatively strong understaning of biomechanical principles

3) a faily 'open' minded view of new technology

4) I HAVE plantar fasciitis

5) I have worn many different varieties of OTC and custom orthoses

6) I believe I am objective in my observations

7) I believe that the above qualifications allow me to 'know what I'm talking about.

After having worn Dr. Kiper'sSDO's as directed diligently, my PROFESSIONAL opinion is that theSDO is simply a shock absorbing/cushioning device that does not provide biomechanical control as I would define biomechanical control. I do not find mySDO' limiting my pronatory forces, no matter which device I wear on which foot. I find the devices relatively comfortable when dynamic, but rather uncomfortable when static.

My heel continues to experience significant pain when standing, when the fluid is dispersed, but there is some relief while walking and there is movement and some cushioning from the fluid. I find the devices uncomfortable below my sulcus, as if my socks are wrinkled all the time.

After reading that there is very little difference between MOST prescriptions, and finding out that you can change between left and right, I'm not sure how Dr. Kiper can treat these devices as if there is such a great 'science' or adjustment process to these devices. It seems like there's almost a three sizes fits all scenario, and that the only REAL difference is the length and width of the devices, and that the amount of fluid varies minutely.

Regardless, as previously stated, whether these relieve symptoms or not is one discussion, but as open minded as I attempted to be, I can not honestly state that I can see how these devices in any way, shape or form provide any biomechanical control to my gait pattern, nor do I see how adding a few more milliliters of fluid would alter the gait of my 175 pounds.




With all due respect Dr Wander, you have not allowed me to finish the process with you; in fact other than making the SDO’s for you, we never even began.
So to say you’ve worn the SDO’s as directed diligently , I don’t understand how you can say that.

As for little differences in the Rx, I was referring to the difference between each foot of the same patient. There are in fact anywhere from (on average) 4 different prescriptions of a small foot, like a women’s size 4 (in 3 gram increments) to 21 different prescriptions of a large foot like a man’s size 15 (triple that for many basketball players). Naturally there are common averages for each size foot and that individuals biomechanics.

I believe in your first post on this board after wearing it was that you had had significant relief . The fact that you are still having significant pain is normal. It is common to have initial relief, and then plateau quickly. The real and permanent healing simply takes time. I’ve stated many times that the healing process takes an average of 1-2 years to get better and then may require a new Rx to carry you (no pun intended) to 100% full and final relief. After all, as you know, plantar fasciitis is the #1 most common foot problem, it stems from a lifetime of all the walking, running etc, it is a conservative problem and in most cases, fully reversible (provided there has been no other radical treatments). Considering that you are on your feet a lot during the day (and at home) is aggravating the healing time with every step you take, kind of like 2 steps forward and one back.

Like any orthotic there can be nuances, like feeling the orthotic under your sulcus. This may simply need an adjustment in the fluid volume OR your muscles may still need more time to transition OR I need to determine if you’ve placed the orthotic in its correct position in the shoe AND/OR if the orthotic may have slipped forward OR did fluid migrate forward by capillary action into the anterior edge of the orthotic AND what shoe are you wearing them in. These are all important factors in helping a patient wear their orthotics successfully.

Without the information I ask for patients to render, and an opportunity to assess, I cannot determine if or how I can make the Rx better, is there just a physical adjustment that needs to be made, and lastly the opportunity to assess one’s transition time to wearing full time.

Being highly qualified as you are in traditional orthotics and biomechanics is only a small help with the SDO initially but very helpful in the long run. For example, you mentioned that you doubted whether a few milliliters of fluid would alter your gait. Actually a few milliliters can be very significant for some and in fact may make all the difference in others (a few milliliters can be a full prescription change), but in no way do I try to alter your gait, that’s what a traditional orthotic does (and is part of the problem in my PROFESSIONAL opinion). The silicone orthotic simply limits the motion of your foot without altering your gait.

The feeling that it did not limit your pronatory forces is a subjective one (and may simply need a few milliliters more, but without any questions or answers from you…???). The SDO is subtle in controlling your pronatory forces , because it allows the foot to move unrestricted through its normal range of motion —this in fact is one of Dr Root’s tenets of an orthotic. In my opinion, he got it right. What he got wrong was thinking that a brace/traditional orthotic would allow the normal flow of a dynamic footstep.

You are right about calling the SDO a shock absorbing/cushioning device . What you did not give enough time to find out is that it is a cushioning device that works exactly the way an orthotic should.

Your not fathoming how a few milliliters will affect you is understandable, you’re not allowing me to demonstrate how it does is closing the door on an open mind.

By adding more fluid (if necessary), supporting/cushioning the midfoot and midstance phase of gait , further reduces the talus from moving forward, medially and dropping as the rearfoot everts with heel strike, (this is the pronatory force you referred to).

This is not just my definition of biomechanics, this is out of the literature.

Heel strike is also affected by the movement of the silicone fluid by dampening heel contact and cushioning its impact (what an artificial rearfoot post should do).

Due to this dampening effect, the foot moves forward more quickly as the silicone fluid moves, assisting (not rigidly controlling) the foot into a stable midstance position.

ANY device that balances a patient’s postural complex, relieves pain, is easy and comfortable to wear, regardless of what you call it, is in my book, the answer!

I maintain that orthotic therapy is a process of getting the patient on the road to recovery, guiding him/her through the inflammatory and often painful path to getting better, not one of instant resolution.

I also maintain that making an orthotic for children as early as 10 years old (regardless of medical intervention), will help the normal and abnormal biomechanics through his/her lifetime.

BTW—no offense taken, just disappointment.

Result number: 86

Message Number 226917

Re: Silicone Dynamic Orthotic Trial View Thread
Posted by sandra l on 4/06/07 at 07:31

Dr. Kiper: The back of the heel, achilles area, inner malleolus region is very tender to touch. The throbbing pain seems to shoot up the backside. More specifically it appears to be throbbing more to the right side of the back of the achilles. This achilles discomfort was present when I came out of an aircast and was in a flare-up in Dec/Jan. I have done what you suggested. It feels better this morning, the symptoms still persist but with less severity. Sandy

Result number: 87

Message Number 226674

Re: Orthotic trial View Thread
Posted by Dr KIper on 4/03/07 at 15:13

There can be no final hard outcome here, because 1st-as I had stated earlier that none of these patients would be that much better in the 90 days allowed. Any formal trial probably would be at least a year and there would probably be closer to 100 patients than just three (I would be willing to conduct a trial through any of our institutions of higher learning, with a standardized approach).

In my mind it isn’t just getting a final outcome, because my philosophy, is that PF (as are other biomechanical issues) a long-term process. I am aware that this whole trial is different from an established protocol. For me it was getting them on the road to recovery.

We’ve seen and discussed results of other formal and legitimate trials and as I’ve posted I’ve discussed why those trials are faulty. Because I only have 90 days and since there is no protocol for what is happening on the Internet, I’m surprised that this is being compared to the established type of trial one would expect to see in a scientific journal.

Dr Z presented me with a challenge to put my money where my mouth is (and I asked the same back).

The patients have all expressed appreciation for attempting this. I’m putting myself on the line. If it helps them, they will probably remain patients after this trial. If not we’ll know who did or didn’t have any positive improvement.

Then based on whatever results have or haven’t been achieved everyone can think what they want. Having the patients anonymously post their ongoing results is for other patients to see and is in my opinion no more a violation of the codes of conduct then if we discussed a patient anonymously with a complex problem where we would put our heads together and try to help. Those that have failed with other treatments and orthotics have the opportunity to see that not only is this a different orthotic, but the way it’s conducted is different. I always maintain that I’m no one special and not any smarter than any of my colleagues, it’s my product that separates me, and frankly I’ve learned more about bio-mechanics and the healing process from using this orthotic then anything else.

How many practitioners discuss a daily report?
I do, because that’s what makes it possible for me to assess the criteria of the fit . It’s part of my philosophy that muscle reaction can change from day to day, because of the alignment effect an orthotic has. So when a patient gives me confusing information about his pain or a new pain that is hurting, pulling, throbbing, etc I can assess that that is normal and part of the healing process or the Rx may need to be changed.

By knowing what the patient is going through tells me whether the orthotics fit , because symptoms are only secondary to whether the orthotics are working.
The questions I ask are designed to give me that ability to assess the information I need.

Result number: 88

Message Number 226447

Re: Question for Dr. Rob and/or Dr. Dave, DC View Thread
Posted by Ralph on 4/01/07 at 12:26

Lisa,
There is a good book called 'The Secret Cause of Low Back Pain' by Vicki Sims, P.T. She wrote this book in corroboration with Dr. Alan Lippitt M.D. who is a pioneer in his field and developed surgery that was non conventional but helped many people who suffered from sacroiliac join instability and dysfunction. She works along side Dr. Lippitt in surgery. They are in Georgia.

Quotes from the book:
'The Sacroiliac join is often overlooked as a source of chronic lower back pain, with symptoms confused with those arising from a disc problem. Lower back pain that has defied diagnosis by conventional means frequently emanates from the sacroiliac joint'

' The most frequent complain from patients with sacroiliac joint dysfunction is increased discomfort with sustained positions such as standing, sitting and laying, with the inability to attain a position of comfort'.

You know I'm not a doctor but your gait may be directly related to an SI joint dysfunction. You really need to read about it. You could begin by looking up SI joint dysfunction. There is also an excellent paper written by Don Tigney P.T. Here is a piece below.

'The effects of the core distortion pattern (one ilium rotated posteriorly and the other rotated anteriorly) are noted from the iliums down through the feet. This can be seen in the position of the feet as they relate to the compensation within the lower leg and ankle to either absorb extra leg length as on the side of the anteriorly rotated ilium, or compensate for the short leg as on the side of the posteriorly rotated ilium.
http://www.kytbinc.com/pages/plantar.htm'

Lisa, Do you notice any increased discomfort when climbing stairs, inclines or hills?
Ralph

Result number: 89

Message Number 226376

Re: Question for Dr. Rob and/or Dr. Dave, DC View Thread
Posted by David G. Wedemeyer, DC on 3/31/07 at 12:39

Ralph hello. From what I have seen you appear to have had a poor outcome and experience with a chiropractor in the past. While troubling I do not know who you are or whom the doctor in question was but I will say you seem to seize any opportunity to give opinions bordering on medical advice.

I'd like to address each issue you addressed separately so that people who ask my advice are not in a quandary over an opinion that I give willingly and in the spirit of help.

#1 I offered Lisa suggestions in response to her questions. I try to use diction which is suggestive rather than directive. This is afterall a web board. That said....

We are taught and use the same standard orthopedic and neurologic tests that are taught in medical school. Period. The straight leg raise (SLR) that you describe is a provocative test for sciatica. The McKenzie test I described is both provocative and predictive of a disc as well as being therapeutic. Since Lisa's MRI was clear it is unlikely that she has frank herniation of the nucleus. I merely suggested it to give her a starting point, it is impossible to adequately confirm her condition over the internet and I would not advise this; it was merely a helpful opinion based on treating literally hundreds of patients like her.

#2 Sacroiliac joint pain is often mistaken for low back pain. Pain from a degenerating disc can be referred to the SI joint areas, so SI joint pain can often be mistaken for disc pain. In Lisa's case going on limited information I am suggesting that her problem is complex and offering another tool to help her locate the root cause of her dysfunction. Sacroiliac (SI) joint pain is a challenging condition affecting 15% to 25% of patients with axial low back pain, for which there is no standard long-term treatment. This means often these people are seen by more than one practitioner and that results are highly variable. In my practice when a patient doesn't show marked improvement within 12 visits they are referred out to an ortho for exam, which she has done. Many go on to work through the pain with physical therapy, injections etc. Even the local ortho's I work with tend to offer conservative therapy initially which does include protocols like the McKenzie technique that I described.

If we are all that bored I can discuss the basis for the McKenzie protocol and related fluid dynamics of the spinal disc and why extension exercises can be a very helpful adjunct to manipulation. Better not to get me started as I tend to be rather prolix.

Ralph you are certainly entitled to your opinions and sharing your experience and I never enjoy hearing that anyone had a poor experience with one of my colleagues. If you understand the functional anatomy of the SI joint you would know that motion at that joint, although controversial, is limited. The truth is there are contraindications to chiropractic manipulation of the region. Did the other physicians actually confirm that you suffered a dislocation at that location? I have never heard of this from manipulation and as I stated in my previous post I am very precise about the wording that I use, dislocation versus subluxation are two distinctly different findings. Also what many of my colleagues refer to as 'subluxation' is in no way the medical usage of this term.

DW

Result number: 90

Message Number 226355

Re: Question for Dr. Rob and/or Dr. Dave, DC View Thread
Posted by David G. Wedemeyer, DC on 3/31/07 at 04:32

Hello Lisa. You pose some difficult questions without having examined you myself but I'll try to answer. Psoas contracture often refers a knife-like pain through the scaroiliac joint (which many patients like to refer to as their hip). Just to be concise when you say hip do you mean around the area of the ball of your hip on the side or below the belt line in the rear (the SI joint)? many people say hip pain and in fact mean the sacroiliac joint. Your dr's could consider radiography to assess your symptoms in either area.

The leg pain you are describing does it cross the knee (especially into the foot or toes)? If it does it is radiculopathy and most probably disc related. If it does not cross the knee it may well be referred pain. The quadratus muscles just love to trick people into thinking they have sciatica. Your doctor I am sure is aware of this. In fact about 40% of my 'sciatica' cases are QL referred and usually walk out that day feeling dramatically more comfortable, there is a very specific PT release that I use on them.

Degenerative arthritis can be very daunting. After years of viewing plain film I can tell you most of the population has some degree of osteoarthritis of the spine after age 40. Have you had a lot of trauma or participated in a lot of sports? Even early OA can cause excessive joint irritation and disc complaints. Your best bet is to engage in sensible exercise when you are safely able. Use it or lose it I always say. Yoga, swimming (the best)and pilates are excellent rehabilitative endeavors and can be enjoyed for a lifetime.

As for an old healed disc showing up on MRI; yes they often do. A disc heals with scar tissue and it can be re-injured so be mindful of this. I hope this helps Lisa, I admit I have had a history of back pain over the years (don't ask what insanity I involve myself in for recreation) and there is one common sense thing I learned long before I became a DC; the more physically fit I am the less likely I am to have
back pain.

Core strength is especially important. If you would like I can direct you to some resources for exercises you can print up and discuss with your doctors as well.

DW

Result number: 91

Message Number 225893

Re: Question for the Dr's and Cped's View Thread
Posted by Dr. David S. Wander on 3/24/07 at 16:26

Dr. Wedemeyer,

You are a paradox to me. You originally posted on THIS VERY SITE, to please email you to keep this 'private'. Therefore, out of RESPECT TO YOU, I honored YOUR REQUEST and emailed you privately.

In my email, which you decided to publicly display without my permission and only display portions of the email, I stated that I was simply being honest and expressed my concerns......PRIVATELY in an email to you.

You then responded to that email and informed me of your intentions to earn your Cped, etc. Your email did not reflect any anomosity or problems or concerns with the email that I had sent you. You simply answered my questions. Period.

I then sent you a follow up email and only asked you two questions as outlined in my previous post. Those two questions were very simple and DID NOT QUESTION YOUR ETHICS. I simply asked what you did if a patient had a complication, and simply asked why you chose to remain anonymous.

Then you came on this website and went off on how you refused to answer my SECOND email because I was questioning your ethics, business practices, etc??????????????????

Sorry, but you lost me on that one. You seemed to have NO PROBLEM answering my first email, and my second email was completely benign, as outlined above and in a prior post.

Now you come on this site, and cause some sensationalistic journalism but publicly posting that you 'refused' to answer my second email, though that email was completely benign and only posed two non threatening questions.

And to top in off, you pull one of THE most unprofessional AND unethical stunts that I've ever witnessed. YOU request that I privately email you, and then YOU have the audacity to publicly post that email.

Sorry Dr., but following that stunt it will be a VERY long time before you EVER obtain my trust or respect.

Remember, it was YOU that requested that I privately email you, and I honored that request. It's nice that one of us has some integrity.

Result number: 92

Message Number 224725

Re: Section 113 Interesting View Thread
Posted by Dorothy on 3/09/07 at 11:00

Harass, eddie? YOU actually have the gall to say that ANYONE here has harassed YOU??? What a smarmy little worm! You must be hoping that no one remembers your long history here. YOU who have repeatedly over the years pleaded, demanded, cajoled, threatened, manipulated and whined to get information about all other posters here who have either disagreed with you, disputed what you say, dislike you - or, in Dorothy's case, about whom you used to creepily claim some "simpatico" and with whom you expressed that you wanted to exchange personal e-mails to carry on those "simpatico" political discussions. Dorothy never shared your inflated view of yourself. It's creepy, eddie; very, very creepy. There has never been any "meeting of the minds" between you and Dorothy and she never wants any personal dialogue with you. Repeatedly declined your overtures in the past and generally ignores you now. In general, she ignores you until you write something provocative and threatening, - as you always inevitably do because it seems to give you a perverse thrill to provoke people who simply don't like what you write, but you can't seem to control yourself. For the most part, Dorothy ignores you because she thinks you are creepy and weird. Ignores you - and you can't stand to be ignored, can you. Over the years, you have repeatedly shown here that you seem to get a perverse thrill from provoking and harassing others; then you step back and claim that you are innocent, a victim of others' mistreatment of you and you have historically cried for Scott to protect you and, most of all, give you others' personal information. Creepy, creepy, creepy. You're like the little kid who hits another kid and when that kid hits back, the instigator cries, "Mommy! Mommy! She hit me! I was just standing here being sweet little me and she hit me!"
(Modern translation: Dorothy doesn't like me! I'm going to say she's harassing me!) Creepy little footman.

Aren't you really saying the same thing you have said so many times in the past on this website - that you think YOU are entitled to the personal information of anyone who disagrees with you, doesn't like you or ridicules your insufferable self-importance? Why do you want personal information about posters here, eddie? What possible use could an honorable, sweet and decent fellow such as yourself have for such material? In what possible way are YOU - YOU of all people here - harassed??!!

"Anonymous women harassing men...." Would one of those be YOU?? How many different guises have YOU used here over the years, eddie? Dorothy has had one identity on this website. One name, one identity on this website. How about it, eddie? How many different names and guises have you used to harass and dissemble here?

You confuse harassment with simple disgust for your style and your ideas and your persistent, pathetic expression of need to be in personal contact with Dorothy. Nobody here harasses you, eddie, but YOU have harassed and wreaked havoc on this website several times, thrown things into utter disarray and done some damage. The last time you wreaked havoc, then you left and you and marie established your own website; then you went solo, but now you're back here - being your same eddie haskell self. And you have kept up your expressed drive to have personal contact with Dorothy but I'm pretty sure Dorothy does not share the positive view of yourself that you try to promote here. I'm pretty sure she finds you an ominous presence and your persistent drive to have personal information about her to be a persistently ominous pattern from you. Why do you do it, eddie?

I suggest you leave Dorothy alone, "Dr. Ed". She ignores you unless you threaten her. Do yourself a favor and ignore her. She doesn't like you, eddie, and wants nothing to do with you - not in public here and most assuredly not in private. She doesn't really find creeps interesting or appealing, and when they're right-wing creeps, even worse. Get a hobby, Dr. Ed, a hobby other than your weird fixation about Dorothy, your creepy little compulsion to control Dorothy. You've said you're not a practicing doctor anymore - as I recall, you were saying it was retirement - but the career alternative doesn't have to be living on a foot website and creepily demanding personal information about someone who has no interest in you and making false claims about that person. A hobby would be good for a footman who apparently has nothing else to do but hang out here. What do snakes do in their spare time? Oh, that's right.....all you have is spare time in which to hang around here - doing good works, of course,helping the suffering masses and wanting nothing in return...... except perhaps personal information about other posters. You, of course, will recall, the KGB, the East German Stazi, "Soar Like an Eagle" Ashcroft, and you name any other right-wing weirdo or fascist wannabe - they always want somebody else's personal information. It's all about wanting to control others isn't it, eddie.

I will now go back to ignoring you, which you interpret as harassing you. It pleases me to realize that you find being ignored by Dorothy so distressing. A hobby, eddie; you need a hobby. Some of us have to work for a living and I am going to get back to some actual creative work now, not this tedious dealing with another of eddie's self-serving whines. Pity the poor footman.

Result number: 93

Message Number 224551

Sorry Marie here is the real explanation! View Thread
Posted by jim on 3/07/07 at 18:47

I cannot reveal my source or it my get deleted if Dorthy complains.

Sept. 4, 2006 issue - In the early morning of Oct. 1, 2003, Secretary of State Colin Powell received an urgent phone call from his No. 2 at the State Department. Richard Armitage was clearly agitated. As recounted in a new book, "Hubris" Armitage had been at home reading the newspaper and had come across a column by journalist Robert Novak. Months earlier, Novak had caused a huge stir when he revealed that Valerie Plame, wife of Iraq-war critic Joseph Wilson, was a CIA officer. Ever since, Washington had been trying to find out who leaked the information to Novak. The columnist himself had kept quiet. But now, in a second column, Novak provided a tantalizing clue: his primary source, he wrote, was a "senior administration official" who was "not a partisan gunslinger." Armitage was shaken. After reading the column, he knew immediately who the leaker was. On the phone with Powell that morning, Armitage was "in deep distress," says a source directly familiar with the conversation who asked not to be identified because of legal sensitivities. "I'm sure he's talking about me."


Armitage's admission led to a flurry of anxious phone calls and meetings that day at the State Department. (Days earlier, the Justice Department had launched a criminal investigation into the Plame leak after the CIA informed officials there that she was an undercover officer.) Within hours, William Howard Taft IV, the State Department's legal adviser, notified a senior Justice official that Armitage had information relevant to the case. The next day, a team of FBI agents and Justice prosecutors investigating the leak questioned the deputy secretary. Armitage acknowledged that he had passed along to Novak information contained in a classified State Department memo: that Wilson's wife worked on weapons-of-mass-destruction issues at the CIA. (The memo made no reference to her undercover status.) Armitage had met with Novak in his State Department office on July 8, 2003—just days before Novak published his first piece identifying Plame. Powell, Armitage and Taft, the only three officials at the State Department who knew the story, never breathed a word of it publicly and Armitage's role remained secret.

Armitage, a well-known gossip who loves to dish and receive juicy tidbits about Washington characters, apparently hadn't thought through the possible implications of telling Novak about Plame's identity. "I'm afraid I may be the guy that caused this whole thing," he later told Carl Ford Jr., State's intelligence chief. Ford says Armitage admitted to him that he had "slipped up" and told Novak more than he should have. "He was basically beside himself that he was the guy that f---ed up. My sense from Rich is that it was just chitchat," Ford recalls in "Hubris," to be published next week by Crown and co-written by the author of this article and David Corn, Washington editor of The Nation magazine.

Result number: 94

Message Number 224217

Re: Why? View Thread
Posted by larrym on 3/05/07 at 14:16

Without making this long and drawn out. making foot orhtotics is not like eye glasses in that you can get an exam at many different places and take the script and get a very similar and repeatable script filled. I often tell patients that it is like asking 10 grannies how you make the worlds greatest lasagna. You are going to get 10 different answers and some will overlap and some will end up great and some not so great. Orthotics can be a very good conservative treatment when done properly.

They are subjective, art and science and common sense all rolled into one. Just like carpenters or lawn mowers you dont get the same result from everyone. Plaster, foam or automated scanners are all used and any one of them can result in anything from a great device to a piece of plastic junk. And for the average Joe, dnt think you are alone. I see many professional and high level college athletes and the stuff I see college freshman in. Even pros that get traded have devices from their previous team that are 100% wrong sometimes.

The key is you need to properly identify the condition and its causes be they biomechanic and or footwear. Then one needs to know what device, modifications, material type and shoe will best address the symptoms. Proper break-in instructions, expectations and properly interfacing it in the shoe is also key. Some of these things are simple but they take more time and they dont always get done at some facilities.

Result number: 95

Message Number 223440

Re: Czech President calls manmade global warming a myth; questions Al Gore's sanity. View Thread
Posted by Tim M. on 2/23/07 at 10:06

I am making no such assumption, Ed.

Klaus was speaking to an economic journal, and portions of the rest of his discussion directly addressed the economic aspect of the question.

"For example, we know that there exists a huge correlation between the care we give to the environment on one side and the wealth and technological prowess on the other side. It's clear that the poorer the society is, the more brutally it behaves with respect to Nature, and vice versa."

Obviously, Klaus is directly addressing an economic interest in the question.

Result number: 96

Message Number 223350

Re: Czech President calls manmade global warming a myth; questions Al Gore's sanity. View Thread
Posted by Tim M. on 2/22/07 at 11:53

I really like that he "presented his opinions to a prominent economic journal." It seems to me just like someone in big business to put some country's economic well-being over the well-being of the planet on which we all have to live.

This is just like automobile manufacturers resisting safety features in their cars because it is expensive and might affect their profits.

Let me edit my statement, that you quoted, to be perhaps more palatable for you.

"Ed, are you going to believe someone who has an economic interest in the question over hundreds of objective scientists and peer-reviewed studies?"

Result number: 97

Message Number 223334

Re: Czech President calls manmade global warming a myth; questions Al Gore's sanity. View Thread
Posted by Dr. Ed on 2/22/07 at 09:08

"Ed, are you going to believe a president of a former Eastern Bloc country over hundreds of real scientists and peer-reviewed studies? "

Yes.

This is not just one man's opinion. Klaus is an erudite individual who has studied the issue and presented his opinions to a prominent economic journal in the Czech Republic. What does the fact that the Czech Republic was in the Eastern Bloc have to do with the credibility of its President? The Czech people never chose to be in the Eastern bloc; they were subjugated by the Russians after WW2. Czecholovakia had what was probably the most democratic governments in Europe in the first half of the 2Oth century

Here is a very brief summary of modern Czech history:

In October 1938 the Nazis occupied the Sudetenland, with the acquiescence of Britain and France, after the infamous Munich Agreement. In March 1939 Germany occupied Bohemia and Moravia. Slovakia proclaimed independence as a Nazi puppet state. After World War II in 1945 Czechoslovakia was reestablished as an independent state. In the 1946 elections, the Communists became the largest party with 36% of the popular vote and formed coalition government. In 1948 the Communist staged coup d'etat and Czechoslovakia became a communist country. In the 1960s Czechoslovakia enjoyed a gradual liberalization under the reformist general secretary of the Czechoslovak Communist Party, Alexander Dubcek. But this short period was crushed by a Soviet invasion in August 1968. In 1969 the reformist Dubcek was replaced by the orthodox Gustav Husak and Czechoslovakia stayed a communist country under the Soviet influence. The communist government resignated in November 1989 after a week of demonstrations known as the Velvet Revolution. The popular Vaclav Havel was elected president of the republic. At the end of 1992 Czechoslovakia split into Czech Republic (Bohemia and Moravia) and Slovak Republic (Slovakia). This peaceful splitting is called the Velvet Divorce. Twelve years later, on May 1, 2004 Czech Republic became a part of the European Union.

My father hailed was forced to flee his home in Czechoslovakia twice. The first time due to the Germans (1940) and the second time due to the Russians (1948). He clearly saw that totalitarian philosophies were wrong irrespective of whether they came from the "left" or the "right." The last ally and philosophical equal of Hitler left after WW2 was the Mufti of Jerusalem who was involved in the Moslem Brotherhood, the link between the Nazis and modern Islamofascism. As expected, it is the left that is "soft" on Islamofascism as both entities respect policies that detract from individual liberties.

Ed

Result number: 98

Message Number 223301

Rock on Al View Thread
Posted by marie on 2/21/07 at 21:30

Sounds like the place to be this summer! :)
http://prod1.cmj.com/articles/display_article.php?id=30547306
Al Gore announced today that he has helped organize a group of concerts, dubbed Live Earth, to raise awareness about global warming. The shows will have a similar set up to Live 8, which was held in 2005. The concert is scheduled for July 7 and will be held throughout London, Shanghai, Sydney, Johannesburg, with more cities in Brazil, Japan and the United States to be determined. More than 100 acts will perform, including Snoop Dogg, Pharrell, Red Hot Chili Peppers, Black Eyed Peas, Bon Jovi, Fall Out Boy, Akon, Lenny Kravitz, John Legend, Foo Fighters, KoRn and Duran Duran. More bands are expected to be announced at a later date.

Result number: 99

Message Number 222020

While RNC Spent Time Lying About Pelosi what was Pelosi doing? View Thread
Posted by marie on 2/09/07 at 18:12

Oh yeah her job........

The RNC, GOP if you will, has wasted 2 weeks playing politics and lying about nancy Pelosi who Bush has now given his full support. I can understand why Republicans may not respect or believe George W. Bush because little he has said in the past has been truthful either but this rukis has hurt their party perhaps beyond repair. You see the American people are sick of lies, deceipt, corruption and most of all they are sick of this CRAP!

Lets see what Pelosi was doing..........

Pelosi Names Members for House Committee on Standards of Official Conduct
http://speaker.house.gov/newsroom/pressreleases?id=0068
Washington, D.C. – Speaker Nancy Pelosi announced today the Members of the House Committee on Standards of Official Conduct. With their commitment to the highest ethical standard, this group of Members will serve with integrity, building on our bipartisan efforts to restore accountability, honesty, and openness to the House of Representatives. Pelosi said.
_____________________________________________

From a commitment on tackling global warming, the Iraq War and National Security Nancy has been a busy lady doing the job the American people elected her to do.
http://speaker.house.gov/newsroom/multimedia

Republicans had nothing to share after the first 100 hours so they played their distraction card once again. The GOP counts on it's followers to fall for this stunt over and over again. Using the Washington Post, who pitched the Iraq War to the American people via reporters like Judith Miller (gag) and is owned by the MOONIES they sprang into action thinking no one would find them out. But the GOP was outed once again. Most of the Republicans have figured this game out and jumped ship.......now declaring themselves as independents. My advice for the GOP is stop playing this game you basically suck at and serve the American people that elected you. Your independents are anxiously awaiting the return of the REAL Republican Party.

What went on this week.......I didn't find much at the RNC just a bunch of blathering Dem hate talk.

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First Vote of The Week… Last Vote Predicted…
Monday 6:30 p.m. Friday p.m.
Legislative Program - 51600 (PIPE) Floor Information - 57400 (PIPE) Whip Information - 63210
MONDAY, FEBRUARY 12, 2007
The House will meet at 12:30 p.m. for morning hour and at 2:00 p.m. for legislative business.
Votes will be postponed until 6:30 p.m.
Suspensions (9 bills):
1) H.Res. 134 - Recognizing and honoring the employees of the Department of Homeland
Security for their efforts and contributions to protect and secure the Nation (Reps. Carney,
Bilirakis – Homeland Security)
2) H.R. 437 - To designate the facility of the United States Postal Service located at 500 West
Eisenhower Street in Rio Grande City, Texas, as the "Lino Perez, Jr. Post Office" (Rep. Cuellar –
Oversight and Government Reform)
3) H.R. 414 - To designate the facility of the United States Postal Service located at 60 Calle
McKinley, West in Mayaguez, Puerto Rico, as the "Miguel Angel Garcia Mendez Post Office
Building" (Rep. Fortuño – Oversight and Government Reform)
4) H.R. 34 - To establish a pilot program in certain United States district courts to encourage
enhancement of expertise in patent cases among district judges (Reps. Issa, Schiff – Judiciary)
5) H.Con.Res. 44 - Honoring and praising the National Association for the Advancement of
Colored People on the occasion of its 98th anniversary (Rep. Al Green – Judiciary)
6) H.Res. 122 - Recognizing the significance of the 65th anniversary of the signing of Executive
Order 9066 by President Franklin D. Roosevelt and supporting the goals of the Japanese
American, German American, and Italian American communities in recognizing a National Day
of Remembrance to increase public awareness of the events surrounding the restriction,
exclusion, and internment of individuals and families during World War II (Rep. Honda –
Judiciary)
7) H.Res. 109 - Recognizing the historical significance of the Pinedale Assembly Center, the
reporting site for 4,823 Japanese Americans who were unjustly interned during World War II
(Rep. Costa – Judiciary)
8) H.R. 342 - To designate the United States courthouse located at 555 Independence Street,
Cape Girardeau, Missouri, as the "Rush Hudson Limbaugh, Sr., United States Courthouse" (Rep.
Emerson – Transportation and Infrastructure)
9) H.R. 798 - To direct the Administrator of General Services to install a photovoltaic system for
the headquarters building of the Department of Energy (Rep. Oberstar - Transportation and
Infrastructure)
TUESDAY, FEBRUARY 13, 2007 AND THE BALANCE OF THE WEEK
On Tuesday, the House will meet at 9:00 a.m. for Morning Hour and at 10:00 a.m. for legislative
business. On Wednesday and Thursday, the House will meet at 10:00 a.m. for legislative business.
On Friday, the House will meet at 9:00 a.m.
H.R. 976 – Small Business Tax Relief (Reps. Rangel, McCrery - Ways and Means)
Iraq War Resolution (Subject to a Rule)

I wonder what the GOP will be doing next week.....apologising to Nancy Pelosi? I doubt it. That would take courage and if they would be in Iraq along side our troops.

Result number: 100

Message Number 221693

Re: The Walking Company Inserts View Thread
Posted by Jeremy L on 2/06/07 at 17:06

I had the chance to browse one of their franchises up in the DC area not too long ago. What I was most happy to see was the good selection of footwear, particularly of those specializing in making fashionable shoes with orthopedic elements. They are a licensed user of Aetrex's IStep scanner, so that was likely what you saw there. What's nice about IStep (as well as a few other similar machines) is that it can be programmed to assist with items stocked at any particular retailer. Although I don't think of it as a mechanical evaluation tool, it does a fantastic job at assessing true foot size. This is the function for which it's used at the New Balance brand stores.

One thing I will relate is that apparently not all locations carry cork-based inserts. From what I can tell the only brand that is approved franchise-wide are the Aetrex inserts (which are made well, but not the best value in my experience). Some of their stores have C Ped's on staff (some in franchise ownership), so stock variations (especially with inserts) and staff expertise vary widely.

Thanks for sharing your experience.

Result number: 101

Message Number 221280

Re: Driving after Kidner Procedure View Thread
Posted by Dr. Z on 1/31/07 at 21:18

Jodi,
You are getting close. The doctor has to x-ray and re-evaluate any tendon transfers that may have been done. I know it been a long time but enjoy yourself just alittle bit longer. You been in the traffic jams very soon

Result number: 102

Message Number 221191

Re: 3 Helicopters lost in Iraq since Jan 1 View Thread
Posted by Dr. Z on 1/30/07 at 22:11

dorothy,
I had read how you feel and understand this. I do have one question. Do you think that maybe we should have not moved Sadam out of Kuwait?
If we used your logic just maybe we should have avoided the entire Kuwait problem and let the Arab World stand up for itself. There were no alliance between Kuwait and the USA as far as I know. Saudia Arabia isn't one of our military allies. Just maybe we pulled the trigger too fast. Maybe we should have allowed Sadam alittle more rope and allowed his occupation of Kuwait. Just maybe this was the mistake that led to our present problems. Maybe the world needed to suffer alot more before we moved. I am serious this could have been the mistake that led to our present problems

Result number: 103

Message Number 221177

Re: PLANTAR FIBROMAS View Thread
Posted by Dr. David S. Wander on 1/30/07 at 18:45

Okay, now it's my turn to chime in on this matter. With all due respect to Dr. Goldstein, there is a significant difference between a podiatric magazine, and a podiatric medical journal. Podiatry Today and Podiatry Management are basically magazines that are not exactly academically oriented. These contain articles that pertain to everyday practice, including articles on billing, practice management, retirement advice, malpractice issues, medical issues, new technology, etc. In addition, these magazines are FILLED with payed advertisements. These also often have some interesting medical ARTICLES or CASE STUDIES, such as those submitted by Dr. Goldstein. These are rarely "peer reviewed" or sent back and forth for editing as per medical journals.

On the other hand, podiatric journals such as the Journal of the American Podiatric Medical Association, The Journal of Foot & Ankle Surgery, etc., are JOURNALs (not magazines) that do not have "articles" related to practice management, etc., but are dedicated to academic issues. Additionally, these usually are not filled with advertisements, but usually only have a few limited pages in the front for ads (usually surgical instruments).

There is an extremely vigorous peer review process to have an article/paper published. It can take months to over one year or more for a manuscript to be accepted or rejected with corrections, deletions, etc. The majority of the papers are research oriented, some are case studies or unique cases, etc.

This is not to discount or discredit any of Dr. Goldstein's belief's or past work, but there is a HUGE difference having a paper published in a medical journal vs. a professional magazine, so let's call a spade a spade.

Result number: 104

Message Number 220554

Custom orthodics... which shoes to use? View Thread
Posted by Alex on 1/24/07 at 12:45

I have custom orthodics but the problem is that when I put them in my shoes... the already present arch in the shoe pushes the orthodic into my foot. This is very painful because the gap between the top of the shoe and my foot is now like 1/4 of an inch. There's no room for my foot to move around in there and the middle of the arch of the orthodic just jams right into my foot. This completely defeats the purpose of the orthodic in the first place. What kind of shoes should I wear that doesn't have an arch support to begin with and enough room for my foot to fit in the shoe with the orthodic inserted?

Result number: 105

Message Number 220537

Re: Idiopatic Peripheral Neuropathy and TTS. A second site? View Thread
Posted by Suzy D on 1/24/07 at 09:35

Idiopathic just means there is not a clue as to cause. We probably should not have this disease, but we DO! Treatment plans don't seem to work well unless it is a diabetic neuropathy. Gets very frustrating, doesn't it? S

Result number: 106

Message Number 220504

Re: ATTN TO THE FOLLOWING PEOPLE: View Thread
Posted by Dr. Z on 1/23/07 at 19:19

Sandra I
This is also Dr. Z's silcone study, after all I though of it and I am paying for half the costs. If you should get pain relief then I will be very happy. And I hope that Dr. Kiper and myself will publish the findings in one of the podiatric journal.

Result number: 107

Message Number 220355

Re: Good Outcomes? View Thread
Posted by Jared on 1/22/07 at 12:34

Tarsal tunnel syndrome (TTS) is like carpal tunnel but in the foot. Although I'm not as medically knowledgable as others are, basically, the major nerve in the foot is pinched within the tarsal tunnel (formed by bone and muscle I think) causing the nerve to be deprived of oxygen thus causing the pain. I went to a foot orthopedic doc just this summer when the pain in my foot was getting worse. Five years prior to this, my pediatrician (I was 17 at the time) said the pain was just plantar fasciatis, and to take ibuprofen or another over the counter pain killers. I pretty much went on with that for about 5 years until the pain was so bad I couldn't walk the mall or lift weights or do anything standing up for any period of time. My foot doc pretty much diagnosed TTS right away, but did some tests to make sure. First, I had X-rays done to make sure it wasn't a bone spur, the he did a Tinel's test (where he tapped on the tarsal tunnel to check how the nerve is sending signals), and then finally a nerve conduction test confirmed that it was TTS. I tried orthopedic inserts for about a month on top of my current prescription pain killers with no relief. So I decided to have the TTS release surgeries.

Result number: 108

Message Number 220346

Re: 2 subtalar fusions much pain View Thread
Posted by Dr. Ed on 1/22/07 at 10:16

Dee:

The first ting that needs to be established in the source of the pain. The act of fusing a joint, eliminates the joint, and thus that specific joint should no longer hurt even for a person with RA. So the first question is, "Was the fusion successful?" The second thing to look at are the joints surrounding the fused subtalar joint. The adjacent joints have significantly greater mechanical stresses place on them due to elimination of motion at the subtalar joint. If those joints are arthritic prior to the fusion, they will flare up after such a fusion. Podiatric surgeons closely examine the joints adjacent to the subtalar joint before moving forward with a fusion. If those joints appear arthritic, then a procedure known as a pantalar fusion may be considered.

Again, operating under somewhat limited information, lets assume that the subtalar fusion was successful and that the adjacent joints are only minimally arthritic. A foot orthotic or AFO may be necessary to remove excessive strain from those joints and coupled with a well padded and cushioned extra depth shoe to accomodate the AFO and facilitate gait.

Dr. Ed

Result number: 109
Searching file 21

Message Number 219553

Re: DRX9000 View Thread
Posted by mike Y on 1/12/07 at 16:08

Marcie,
I just visited with my patient who is bed-ridden, on heavy medications and is in very serious pain from a post-surgical, three level disc fusion, due in part to the drx9000. Further, the patient recommends highly to knowone the drx9000 and I as a practicing chiroprtactor am ashamed and appalled by such sham schemes. I have practiced nearly 20 years and have a very good rep. There may be some benefits to this treatment but I for one would never precharge a patient for treatment, about the closest I equate such practices is for a lottery ticket or a horse inthe 7th to win!!!!Charging a patient pre-treatment costs. This is from a Chiropractor, Please ... "DON'T DO IT!!!!!

Listen, do me a favor, don't believe me, read the latest issue in the Chiropractic Journal, volume 21, no. 4, jan 2007 page 39. Or e-mail www.worldchiropracticalliance.org. There are allegations of fraud, misconduct. Look up the Oregon State Board.

As for my patient, I am actively seeking representaion for my her and her husband, into formal charges of flagrant malpractice. Do not be fooled! Good night and Good Luck!! Mike Y

Result number: 110

Message Number 219473

Why are the DRX9000 guys suing me???? View Thread
Posted by Oma Z on 1/11/07 at 20:02

Axiom DRX9000- Why are these guys suing me????

THE CHIROPRACTIC JOURNAL - JANUARY 2007

Read and respected by more doctors of chiropractic than any other
professional publication in the world.
A publication of the World Chiropractic Alliance January 2007

Device championed by JC Smith under fire as fraudulent

The "DRX 9000 spinal decompression system" is the subject of recent lawsuits and legal investigations as a fraudulent device being promoted by false advertising. The device has been widely promoted and touted by JC Smith, DC, winner of the American Chiropractic Association's 'Service to Chiropractic'award.

In one article, Dr. Smith stated that "The most effective form of care for failed back surgery, severe low back pain, or for patients with back pain in most cases of patients who complete the program." Speaking of his own "Spinal Care Clinic," Smith proudly announced, "Without hesitation I can say the DRX 9000 ranks
among the best treatments for many types of low back pain, and when combined with our spinal rehab program, patient improvement is assured."

It is widely accepted that the "success" of Smith's back pain clinic depended on his use of this device. Yet, according to prosecutors, the device is "questionable" and advertised claims that the device has an "86 percent success rate for treating debilitating back pain without surgery" is unfounded.

According to a report in the Monterey (Calif.) Herald, the "District Attorney's Consumer Protection Unit demanded substantiation of the claims from the chiropractors and the device's distributor, Axiom Worldwide Inc., but has received none. He said a multi-agency task force is investigating avenues of possible civil and criminal actions against the company."

Two California DCs were fined $25,000 for violating false-advertising laws by publishing the claims made by the company. One of the doctors cooperated with prosecutors and had $17,000 of his fine suspended.

One claim was particularly blatant to investigators. Although the company states that the device was based on "an accidental NASA discovery" that outer space quickly and easily solved most back pain, prosecutor John Hubanks said that, in fact, NASA has determined space travel has a detrimental impact on the spine.

Smith's article echoed the claims made by the company, which also assert that pre- and post-treatment MRIs demonstrate a greater than 50% reduction in the size and extent of herniation after four weeks of treatment, and that it has an 86% treatment success rate with persons suffering from herniated or bulging lumbar discs, degenerative disc disease, post-surgical relapses, or facet
syndromes.

Ironically, in an article for Journal of Chiropractic Humanities (1999), Smith accused the chiropractic profession of unethical behavior, citing "tacky Page 1 of 2 Device championed by JC Smith under fire as fraudulent advertising and outlandish claims" as two of its more grievous shortcomings.

"However topical any discussion about ethics may be," he wrote, "it is a subject in dire need of debate because the chiropractic profession appears to some in the public arena to be the least ethical of all the health professions, due to years of intense medical misinformation/slander as well as the use of tacky advertising, outlandish claims, sensational leadership and cases of insurance fraud that appear on news programs such as '60 Minutes.'"

California isn't the only state to investigate the claims made by the DRX 9000. In Nov. 2006, the Oregon Board of Chiropractic Examiners announced that it was questioning the company's claims about its device's link to NASA research.

The Oregon Board noted: "A typical claim is that an 'Accidental Discovery by NASA in Outer Space Quickly and Easily Solves 86% of Back Pain... Astronauts that left with back pain would come back without it...."

Yet, according the to Board's press release, information obtained by the Board "casts doubt on the validity of these advertising claims. One study published in Psychosomatic Medicine in 2001 states, 'Back Pain is one of the most frequently occurring medical problems during space flight. It has been reported by 68% of astronauts.' Another 2001 article in the same journal states, 'astronauts grow
taller in space, and stretching of the spinal nerve roots can lead to back pain.'"

The Board cited several other references that clearly refute the company claim. The Board contacted the company for substantiating evidence but never received a response.

In addition, Oregon Board Executive Director Dave McTeague noted that "The Board is concerned about high pressure marketing to potential patients using questionable claims. The typical treatment protocol calls for twenty treatments over a six-week course of therapy. Add to that the financial pressures of purchasing a DRX 9000 type device (upwards of $65,000 to $125,000, Used 2005 model on ebay for $65,000) and there may be other motives for the treatment program than optimal patient care."

The profit potential for the device was apparent in a report by American HealthChoice, Inc. (AHC) that operates 13-company owned clinics in Texas and more than 30 affiliated clinics in Texas, Tennessee and Kansas.

According to the company report, AHC installed a DRX 9000 system at its Katy, Texas clinic August 2004. "The Company anticipates net revenue of approximately $100,000 per quarter in fiscal 2005 from this one system," it noted, adding that "the capital investment for the DRX 9000 is approximately
$95,000 per system."

http://www.worldchiropracticalliance.org/tcj/2007/jan/d.htm

Result number: 111

Message Number 218116

What do you think the highlight of the State of the Union Address will be? View Thread
Posted by marie on 12/28/06 at 11:41

With Bush's approval rating on Iraq dipping into the 20's according NBC News/Wall Street Journal poll I have to wonder what will be the highlight of Bush's speech. Can someone share some positives about the past year. And please don't share Bush's claim to creating 3 million new jobs. Clinton claimed the creation of 23 million new jobs at the same stage of his presidency. But there must be something out there????

http://news.yahoo.com/s/nm/20061214/pl_nm/usa_poll_bush_dc_2
The poll found only 23 percent backed Bush's Iraq strategy, an 11-point drop since the previous NBC/Journal poll in late October and Bush's lowest mark on the question in this survey, NBC reported.

Result number: 112

Message Number 218108

Re: Here is some more trivia about President Ford. View Thread
Posted by Kathy G on 12/28/06 at 11:00



I truly believe that men and women like Gerald Ford won't subject themselves or their families to the scrutiny of the American Press or this ridiculous idea that the American people seem to have that our president has to be a perfect Christian with no skeletons in his closet, who shouldn't have even "lusted in his heart," and as a result we aren't going to get good people to run.

Gerald Ford was a totally reasonable human being. I see very few politicians I would describe that way. He was ambitious, of course, but he still remained humble.

I didn't agree with his pardoning Nixon for a while, either, until I realized that it was the smartest thing to do in terms of getting on with running the country. It took me a while to admire him for it.

I have an interesting bit of trivia about Ford. After the two attempts on his life, the Secret Service didn't want him to travel, naturally, but he refused. The first trip he made was to Nashua, NH where I was working. Naturally, I managed to cajole my boss into letting me go out to see him.

I was standing in a crowd and behind me, I heard a small amount of noise. I turned around to see a few men leaving but that was it. My mother, who ironically had found me in the crowd, said that she had seen the whole thing. A young man had been standing there, seemingly doing nothing, when out of the blue, another man, in a suit who actually didn't look like your typical Secret Service man, turned to him and grabbed him. She said that out of nowhere, three more SS men appeared and they quietly cuffed the guy and led him off. Never did hear what he did.

It was kind of strange. I'd seen many political candidates and presidents before and many up much closer but I had never seen Secret Service men on the tops of building, and sharp shooters with rifles in the windows of the buildings around us. And I was standing next to a SS agent and could pick out a couple more around me.

I'm proud to say that nothng happened to Ford that day and I'm glad I had the courage to go out and greet him as many people were afraid to even go near him for fear there would be an attempt on his life. He refused to live his life in fear.

Result number: 113

Message Number 217226

Re: IS YOUR PLANTAR FASCIITIS GONE? View Thread
Posted by Dr Kiper on 12/15/06 at 11:11

Yes, you need a different TYPE of orthotic.

Chances are you are NOT an extreme case, I suspect your doc just is blaming you.

Custom orthotics need to match the way you walk while maintaining the optimal position of your foot through the foot step, and not just fit the shape of your foot.
They also need to be comfortable and make you feel stable on the ground

I am not an advocate of rigid orthotics. In my own experience I was dissatisfied with the lack of success I and colleagues I knew admitted to having.

Being flat footed is one of the “normal” foot types. You just have a higher degree of flexibility throughout the middle portion of your foot, such that when your foot is on the ground as you are stepping over it, it collapses completely. This type of foot is more vulnerable to problems later in life because of the amount of movement and wear and tear with each step.

You probably have found yourself more comfortable with flexible over-the-counter orthotic types because while they are not custom, they do minimize some of your arch motion and more closely matches the way you walk.

The problem is, that an orthotic that is not precise can only get you partly better.
As I mentioned, you also have to be ready for the changes that will occur over years in order to get you and keep you completely better (this means that you will eventually need a new prescription every few years until your foot cannot change anymore).

Go to: ASK.COM put in a search for “orthotics”, look at the first 20-25 (or more if necessary) listings one by one and look for anything that is interesting and different and then research it.

Contact each of the various different types of orthotics providers listed and see what kind of service they provide. Look for a money back guarantee so there is no risk in losing more money.

Once you’ve decided on something, give it a chance to work. Don’t expect it to feel exactly right, right away. Remember your muscle memory is used to the way you’re walking now, so you need help in transitioning and understanding what kinds of reactions you may go through.

Result number: 114

Message Number 214972

Why do Republicans think It's ok to post nuclear secrets View Thread
Posted by marie on 11/05/06 at 08:20

on the Internet? Are they willing to sacrafice our national security to remain in power? Someone please explain to me why you don't think it's a big deal. Why don't we just give terrorists keys to the CIA, NSA and the DoD?

http://news.yahoo.com/s/ap/20061105/ap_on_go_co/iraq_documents;_ylt=AnS7ChR7_epGVWCPTFcrvn2yFz4D;_ylu=X3oDMTA0cDJlYmhvBHNlYwM-
Dems seek answers on Iraq documents site

The documents, mostly in Arabic, were posted since March on a federal Web site called the "Operation Iraqi Freedom Document Portal."

Administration officials say the site was a repository for millions of pages the U.S. government found in
Iraq the past 15 years.

The matter adds to the pre-election debate over the threat Iraq poses and which political party is best on security and guarding secrets.

Result number: 115

Message Number 214834

Re: Glucosomine Study View Thread
Posted by SA on 11/02/06 at 22:01

As an epidemiologist and a researcher, I would interpret this as a positive finding, despite the lack of statistical significance. In this case, the lack of significance is more likely driven by the small sample size (N=29 patients) rather than by the effect size. A small sample size means that the power to detect a significant difference between the placebo and treatment groups will be low (in scientific jargon, one would say that the probability of a Type 2 error (failing to detect a significant difference when one exists) is high). Think of it like looking for a needle in a haystack with just your eyes (low power) or with an X-ray machine (high power). Notice that the p-value they report is 0.15; while people are familiar with p<0.05 being the cutoff for statistical significance (which, by the way is an arbitrary cutpoint), with a small sample I would be more liberal and consider anything <0.2 as a promising positive finding given the low power. That said, this is a pilot study (usually meaning a first phase of a larger, more sophisticated study that will be conducted to confirm the results).

Also, note that it was a randomized double blinded, placebo-controlled trial (the most rigorous type of study design), so despite the small sample size (N=29 patients); the convenience sample, and the borderline significance I would give this study relatively high marks as a pilot effort.

Since glucosamine has no known side effects, this would push me toward taking it as long as I could afford it (I take it anyhow). However, if this were a study of an invasive surgical procedure, I would definitely wait to see whether other large studies confirmed these pilot findings before acting.

Result number: 116

Message Number 214817

Opps Kerry did it again View Thread
Posted by larrym on 11/02/06 at 15:57

POWs LAWSUIT COULD FORCE KERRY TO COME
CLEAN ON VIETNAM ‘WAR CRIMES’ CHARGES

When John Kerry slandered an entire generation of men who fought in Vietnam he branded them as "war criminals." Today, much of the same thing is being said about our young men and women in Iraq.

Now, a lawsuit filed in Philadelphia’s Court of Common Pleas will test the very foundation of Kerry’s anti-war persona for the first time. It isn’t dubious medals or Kerry’s disputed service record in Vietnam that is being called into question. This time Kerry may finally be forced to answer for the events that launched his public career, one that made him an anti-war hero for many American liberals and a turncoat for millions of Vietnam veterans.

The lawsuit challenges the basis, the factual accuracy of then Lt. (j.g.) Kerry’s acrimonious testimony before the U.S. Senate Foreign Relations Committee in 1971. It was there Kerry’s public career was catapulted with his now ubiquitous portrayal of American soldiers as murderers, rapists and torturers "who ravaged the countryside of South Vietnam . . . [and] razed villages in a fashion reminiscent of Genghis Khan."

For the anti-war, anti-American protesters, the American soldiers are the "terrorists," and the enemies are the victims of a barbaric U.S. military which tortures and murders defenseless civilians.

That false premise, one of the most vicious and enduring smears spawned by Kerry 35 years ago, will also be put to the test once Kerry’s true "Band of Brothers" are put under oath in a Philadelphia courtroom.

The background to this lawsuit is long and complex, but even a condensed version is rich in irony and poetic justice.

It had it roots in 2004 with the documentary Stolen Honor: Wounds that Never Heal. Many may recall the film, although it is probably best known for not being seen, suppressed after Sinclair Broadcasting Company courageously announced it was going to air the documentary in its entirety. Thanks to Kerry and his liberal colleagues in the Senate and their enablers in the mainstream media, Sinclair was browbeaten into withdrawing the film, its broadcast license threatened by a Kerry campaign manager in 2004. The film’s producer, Carlton Sherwood, a Pulitzer Prize and Peabody Award-winning investigative reporter, interviewed former POWs for the documentary.

I was among those whom Sherwood, a decorated Marine combat veteran himself, asked to participate in Stolen Honor. I was a POW for nearly six years, held in North Vietnam prison camps, including the notorious Hanoi Hilton, a place of unimaginable horrors — torture, beatings, starvation and mind-numbing isolation. When Kerry branded us "war criminals," he handed our captors all the justification they needed to carry out their threats to execute us. Thanks to Kerry, Jane Fonda and their comrades in the anti-war movement, our captivity was prolonged by years. The communists in Hanoi and Moscow couldn’t have had a better press agent to spread their anti-American propaganda.

To guarantee Stolen Honor would never be seen by anyone — not even theatre-goers — the producer was slapped with a libel and defamation lawsuit.

That lawsuit was filed by a long-time anti-war disciple of the Massachusetts Senator. He was one of Kerry's key war crimes "witnesses," one of several on whom Kerry claims he based his Senate testimony.

The lawsuit put a unique spin on the definition of defamation, claiming that Stolen Honor had damaged the public reputations of himself, Kerry and others by simply quoting their own words and criticisms of America during the Vietnam war!

The POWs and the wives of POWs who participated in Stolen Honor refused to abandon the facts conveyed in the film. For some of us, it was the first time since our release by the Communists in 1973 that we were able to have our voices publicly heard, to tell our stories about the consequences of Kerry’s treachery. In 2005, we formed a nonprofit organization, the Vietnam Veterans Legacy Foundation (VVLF), to gather records, documents and other materials to form a fact-based, educational repository for students and scholars of Vietnam history and to tell the true story of the American soldiers in Vietnam. The VVLF’s mission is "to set the record straight, factually, about Vietnam and those who fought there."

For our efforts, we were promptly sued by two long-time anti-war Kerry followers and VVAW members. It was clear that Kerry not only wanted to punish us for Stolen Honor; he intended to use surrogates to sue us into permanent silence and financial ruin.

Forced to spend huge sums to defend ourselves from these frivolous lawsuits, we have filed a countersuit against these Kerry surrogates and intend to reveal the truth about the lawsuits and their sponsors. We believe that we can prove that the purpose of nearly two years of litigation was to protect John Kerry, to drain us financially and spiritually, and to prevent us from setting the record straight.

You can help our cause — JUST GO HERE NOW!

At stake is ultimately nothing less than the integrity of the American military in Vietnam, the honor of the men who served their country, the nobility of those who gave their lives, and the truth of America’s history in Vietnam. Until or unless we do correct the existing record, the American military may never be free of the myths and smears of Vietnam, its honor and integrity cleansed as it fights to defend freedom at home and around the world.

Our mission is hardly over. We hope you will join us in fighting this battle . . . for our soldiers, then and now. For more information about Vietnam, the foregoing litigation, or to make a donation, please access the VVLF website now — Go Here Now.

Col. George E. "Bud" Day
Director and President,
Vietnam Veterans Legacy Foundation

Col. George E. "Bud" Day, USAF (Ret.,) was a POW in North Vietnam for five years, seven months and 13 days. He served in three wars (WWII, Korea, and Vietnam) and earned the Medal of Honor. He is the Air Force’s most decorated living veteran. He is the Director and President of the Vietnam Veterans Legacy Foundation, Inc., an organization created to better educate and inform the public about the Vietnam War, its events, its history, and the men and women who sacrificed to serve their country.

Result number: 117

Message Number 214537

Re: Drs Wander, answers to your questions. View Thread
Posted by kconnell on 10/29/06 at 23:17

Dr. Wander,
I am having a tibial nerve decompression, (for tts) I am not looking for spacifics about recovery time. I am just trying to get a feel for an average recovery time. Nothing specific just a general idea of what I might be facing.kconnell

Result number: 118

Message Number 214335

Can a shoe be like an orthotic? View Thread
Posted by Amberk on 10/26/06 at 15:38

Are there shoes out there that are like wearing an orhtotic, but you don't have to wear an orthotic just the shoe? I am looking for a shoe that has cushioning but still provides support with arch support. The arch support can't be extreme, since it irritates my foot. I have fallen arches, and find high arches cause irritation..

Any recommendations would be great..

Result number: 119

Message Number 214130

Re: Scare a Liberal for Halloween View Thread
Posted by marie on 10/24/06 at 06:05

like I said before. No substance to your politics. Just gotcha Free Republic junk. zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Result number: 120

Message Number 213269

Re: Help Doctors! Unresolved Chronic Plantar Fasciitis - Cryosurgery??? View Thread
Posted by GregK on 10/14/06 at 16:01

Thanks for the response Dr. Z. I do have some pain upon getting up in the morning. That's why I use the golf ball massage in the mornings. The morning pain that I do have doesn't seem to be as severe as a lot of people describe on this site, but that may be because I wear the night splints. My podiatrist seemed pretty thorough in his examination and I also got a second opinion from another podiatrist that also diagnosed me with PF. My pain first developed in a karate class after we were doing some plyometric jumping exercises on a hard floor with no shoes. I don't know if that helps or not.

How is the presentation of PF different from nerve entrapment, neuropathy, or TTS?

I really appreciate the help!

Result number: 121

Message Number 212846

For everyone's consideration....sm View Thread
Posted by Auntie on 10/10/06 at 12:38

A Middle East expert and best-selling author says the new military alliance between Russia and Iran could be the sign that an ancient Old Testament prophecy may be fulfilled in the current generation's lifetime.

Joel Rosenberg, a Messianic Jew and Mideast scholar, recently released a book called Epicenter: Why the Current Rumblings in the Middle East Will Change Your Future (Tyndale House). He believes the recent arms pact between Tehran and Moscow is a dangerous development, with Russia clearly joining Iran in the "axis of evil."

Rosenberg believes this new military alliance may have biblical implications. "The ancient Hebrew prophet Ezekiel, writing 2,500 years ago, described an alliance between Russia, Iran, and a group of other Middle Eastern countries that would encircle Israel in the last days and try to destroy her," he notes.

"Now the strange thing about that prophecy," the author points out, "is that there has never been a Russian-Iranian military alliance since the prophecy was written, until now.” However, he is quick to add, "Now, does that mean that the prophecy’s imminent, in terms of coming true? I would be hesitant to draw that conclusion yet."

But, even though he is not prepared to state that what Ezekiel 38 and 39 foretold is on the verge of fulfillment, Rosenberg says, "I’ve got to tell you, it’s certainly worth noting, because this is a relationship that has never existed." Never, in the 25 centuries since the ancient prophecy was written, has a military alliance existed between Russia and Iran.

"Now it does," the Middle East expert says, "and you have to start to wonder, 'My goodness, is it possible for this major cataclysmic Bible prophecy to literally come true in our lifetime?’



On a side note - I am so tired of hearing Pres. Bush (and other prominent people) saying "nucular"! (not really politically important, but it gets on my nerves...sounds hick-ish.)

Result number: 122

Message Number 212668

Re: Is Power steps effective enough for VERy FLAT FEET View Thread
Posted by Dr. Z on 10/08/06 at 20:53

GloboTec, Jr.
http://www.langerbiomechanics.com/contours/index.html
I use the globotec Jr. orthosis in children with excessive pronation. I can't be sure if this is what your son needs due not watching him walk but this is a pretty good pre-fab orthosis for excessive pronation for children. I will still have a podiatrist watch him walk to determine exactly what the deformity is and if ANY orthosis will work

Result number: 123

Message Number 210763

Dems on The Sidelines??? View Thread
Posted by marie on 9/20/06 at 17:03

Or so they say but several are working with Republicans to get the job done. Don't know if it will get done before recess making it a lame duck session. I think it will happen in the Senate but it will have to have some of the wording changed and additional legal research done. In the House the wording changed giving legal status to Bush's domestic surveillance program only after an attackto granting the administration's plea to allow wiretapping against Americans without warrants when it is believed a terrorist attack is imminent. A new provision was added requiring the president to share ALL evidence with Congress before proceding. That was the concession Bush had to make. But hey REAL politics happenes when people communicate......not DEMAND. Aside from that I don't think Republicans or Democrats want to give the president a blank check on it. Bush isn't going to be president much longer and I'm sure Republicans would not like to give up all control either.
The notification must:

_Be submitted within five days of the president's authorization of the surveillance.

_Name the entity or entities responsible for the threat.

_State the reason for believing the attack is imminent.

_Describe the foreign intelligence expected to be obtained through the surveillance and the means of the surveillance.

http://news.yahoo.com/s/ap/20060920/ap_on_go_co/congress_terrorism;_ylt=AsmFk.4qMGZyId9c2dfC5oOyFz4D;_ylu=X3oDMTA0cDJlYmhvBHNlYwM-

Will see how it shakes out in the Senate. My feeling is the maverick Republicans will get most of what they want.

Result number: 124

Message Number 210524

Re: I'm sorry, I wasn't very clear...see my post above about my Powersteps not working anymore. nm View Thread
Posted by Jeremy L on 9/17/06 at 16:35

Well, you mentioned the Crocs styles, but nothing a whole lot more specific than your shoes being a Sketchers model. If you can jot down the model name, it may help shed a bit more light on the subject.

Beyond that, there are some things with Crocs (and Waldies) that directly address the arthritic condition you described. One is that both provide a modest amount of lateral and medial arch support. They also both do a good job of absorbing shock. Most importantly, they have a very distinct heel spring (a curvature at the back of the sole). This more than anything else reduces impact to your arthritic joints, as well as accelerates your gait. Keeping this in mind, as well as the last shape present in most Sketchers, it's reasonable to figure that Keen shoes would be worth a close look for you. They are doing some cute styles now, too. www.keenfootwear.com for more info.

Result number: 125

Message Number 210492

Re: Maybe someone here can explain to me why people try to keep running..... View Thread
Posted by R. Parker, DPM on 9/17/06 at 09:11

Obviously, in a situation such as yours, if you could continue to run without really noticing pain or increased symptoms, either during or afterward, it is reasonable to assume that you would have done no further harm. But, in my opinion, knowing only the facts which you have offered, I think that your doctor may have been inappropriately cajoled into allowing YOU a likely prejudiced decision as to whether or not you a are doing damage, and accordingly, seemingly either gave you inappropriate advice, or, as often happens with patients, you heard what wanted to hear. Unless one make his living at his/her activity, as do professional sports players, playing through pain is most often just plain counterproductive if not out and out stupid. That is not to say that the infliction of controlled pain as a side effect of treatment, such as with physical therapy, in the recuperative process is unnecessary. But I assume that your running was totally voluntary and a doctor should not allow him/herself to be pressured against his/her better judgement.

Result number: 126
Searching file 20

Message Number 209885

Re: TV marketing LED View Thread
Posted by Ralph on 9/10/06 at 13:57

I saw my first ad for LED therapy today on TV. It was an hand held item that was shaped like a medium size magnifing glass with a handle. Where the glass would be located if it were a magnifing glass one side had the LED lights on it and the other was plastic just like the handle.

The advertisement said it temperarly helped pain. It had a strap that could be used to hold it in position on an arm or hand but not large enough to go round a leg or waist.

Cost $189.00 plus shipping. No information about strength was provided. They mentioned how long it should be use but I was interupted and missed hearing that part. Couldn't listen to two people at the same time.

With the research you are putting into your product Scott it may work far better then others on the market.

Result number: 127

Message Number 208182

Re: DRX9000 worsened my condition!! Help! View Thread
Posted by Curious on 8/23/06 at 01:58

The DRX 9000 treatments have made my condition worse. I'm 57 years old with pages of conditions from the cervical down through the lumbar. I'll only give you some of the lumbar conditions, since that was the area of decompression treatment.
I did have the qualifying flexion-extension x-ray. There was "Grade I spondylolisthesis of L4-5. Didn't appear to increase with flexion or extension. There is a small amount of excursion with flexion and extension. There is reactive sclerosis surrounding both sacroiliac joints. Levoscoliosis of lumbar spoine with a slight rotary comnponeent. Grade I anterolisthesis of L4 on L5. Anterior spurring all the lumbar levels. Extensive scoliosis, especially on the right." etc. etc.
MRI: Advanced degenerative disc disease, advanced degenerative joint disease with retrolisthesis, anterolisthesis, disc dessication bilateral facet arthrosis, foraminal stenosis, bulging and herniated discs, spurring, disc dessication, etc. etc.
After my 17th treatment, when the table finished in an upright postion, my back couldn't support my body and I gasped with pain barely being able to breathe. I had never experienced such a pain before. Ice and electirc stim allowed me to walk very gingerly out of the office. I cancelled the next appointment since I was having recurring similar pain episodes. I tried the 18th treatment with not as severe reaction, but my 19th treatment again brought the previous immediate flood of tears and the inability to stand and breathe due to the pain. I cancelled the 20th appointment. A month and a half later, I still have those sharp gasping nerve pains which I've never had before! What happened??
I've been trying to read as much as possible about the DRX. I can no longer find the article I read regarding the angle of the pelvic tllt harness when concentrating on L5-S1. Would you know where I could find that information?
I also was wondering about the use of an arthrostimulator on my back prior to each DRX treatment. (It was used to arrest the curvature of my recent adult scoliosis) Wouldn't that disrupt the delicate disc healing the DRX was designed to do? Thanks for your help. Curious

Result number: 128

Message Number 207879

Re: RSD!!! Ralph, Dorothy View Thread
Posted by Ralph on 8/19/06 at 20:02

Hi Hope,
Never thought about scar tissue. My problem began with an adjustment
to my back. The doctor that did the adjustment tore all the ligaments in the area of the Sciatic Joint and did a partial dislocation. All the muscles from my neck down to my hips immediately went into really bad spasms. The SI joint was so unstable that any time I moved it would slide out of location. Surgical repairs are not often done because they are not successful and cause major problems with the sacrum and spine. It would be a last ditch effort. Getting someone to diagnose the problem was even difficult because most Orthos. don't think the SI joint can move that much but I showed them.

It was finally decided that Botox injections to certain deeper muscles would help but you pay a price because the muscle becomes useless until the stuff wears off. It was a trade off, but I wasn't going anywhere anyway so we tried it.

The lumbar spine came into play because of the adjustment it's pull on the SI and sacrum and the muscles pulling on it. The story goes on and the problem hasn't been resolved.

I've not climbed a single step in over a year. Nor do I go down any.

I went to formal P.T. 3 times a week for nine months and then joined their performance program. That meant the P.T. would watch how I did my program but my doctor would set it. She would also make certain that I was aligned correctly before I started the exercises and afterwards because my SI would up slip causing the sacrum to rotate upsetting the disks. A real treat.

I've been in performance for 5 months. After my recent flair up the doctor decided to put me into a formal P.T. program again. I've been working with the same woman for all of this time. He knows her and luckily they are close to my home.

The area doesn't get red or hot although it sometimes feels warm. Heat is my enemy because it causes inflammation. Ice is my friend but it spasms the muscles so I play a touchy game of applying ice just long enough to help stop swelling but not long enought to tighten the muscles. Everyday is different.

After I had the month long set back he put me back into a formal P.T. program thinking he might be able to get me over this hump. When I add weights to strength the area it flairs up and I end up 3 steps backward sometimes 5.

I can sit for longer periods of time now but still cannot lay flat on my back or on my left side. Needless to day it's been an interesting year. Oh and I forgot to mention the P.T. which rest hasn't helped.
I'm well rested.

Never heard of that cream but will ask about it. I was given a 20%
steroid cream to use, the same patches you use, Fentanyl patch in the beginning since has been switched to other pain meds. Tried several different anti-inflammatories and keep injectable Toradol on hand for emergency injections. My wife does the injections.

I'll bring up scar tissue because there must be loads inside. At first I thought I might have RSD but my symptoms come and go. Very different from what you experience even in the early stages.

I would bring it up and the doctor would shoot it down. Finally as I said I saw the guy who treats only RSD patients and when he said NO
I stopped thinking about it.

Can they massage your back because the RSD is in the foot area? What about moving the lead again. Any risk for that to happen? They would never massage your foot would they?

Hey did you get any idea how long you will need to wear the brace yet?
How about your fluid intake? Getting better? Do you think the med he gave you for your stomach is working?
Ralph

Result number: 129

Message Number 206883

Re: Exercise for Fallen Arches View Thread
Posted by SA on 8/10/06 at 10:17

Hi David,
I'm using the FootTrainers too, so I thought I'd answer your question. In short, they seem to work well combined with Julie's yoga and any other stretches you may be doing. They don't provide a "direct" arch exercise like the "arch bridge" in Julie's yoga. But, there are a sequence of exercises that make you focus on the toes as "levers", as well as your shin and calf muscles, and making the toes and ankle tendons work seems to stretch the arch in different ways (I can feel it in the arch even if I'm moving the toes, etc). It's a nice complementary set of exercises. Some, like ankle circles and foot flexes, mimic Julie's fairly closely, but you can provide a little more resistance. You could probably make a device similar to the Foottrainer yourself (it's overpriced in my opinion)-all you need is a long rod with a "T" at the end. The "T" shape allows you to provide guidance or resistance to your foot as it moves through the exercises. If you are interested, you can email me directly and I can try to describe the sequence of exercises for you-they take about 10-15 minutes (aytur at email.unc.edu). You've been so helpful to everyone on this board that I'd be happy to share anything that might help you.

Result number: 130

Message Number 206618

plantar fasciosis??? View Thread
Posted by Jen on 8/07/06 at 19:09

What is the difference from plantar fasciosis and plantar fasciitis. If I'm correct with what I'm reading, plantar fasciosis is a degenerative syndrome of the plantar fascia.

"The word 'fasciitis' assumes inflammation is an inherent component of this condition. However, recent research suggests that some presentations of PF manifest non-inflammatory, degenerative processes and should more aptly be termed 'plantar fasciosis.'"
found in: http://www.findarticles.com/p/articles/mi_m0FDN/is_2_10/ai_n14731867


and according to http://www.merck.com/mrkshared/mmg/sec7/ch56/ch56c.jsp, "Diagnosis is confirmed if firm thumb pressure applied to the calcaneus when the foot is dorsiflexed elicits pain. Tenderness along the plantar medial border of the fascia also supports the diagnosis."


My symptoms include pain when I lightly palpate over where my plantar fascia meets the end of my arch (where my arch and heel meet, or basically the end of the curve of my arch that meets my heel).

Do I have plantar fasciosis? I was diagnosed with plantar fasciitis and now I'm not so sure. I've had this pain for about 3-4 months and I'm in my early twenties. I don't have localized tenderness, and usually don't have "first step morning pain."

Does this mean I have a degenerative disease? Meaning it's just going to constantly get worse? Not better? Please help me... Thanks.

Result number: 131

Message Number 206382

Re: RSD!!! Ralph, View Thread
Posted by Ralph on 8/05/06 at 12:23

Hi Hope,
Sorry not to have responded faster to your last post. I totally missed it and am very grateful that Dorothy responded quickly. She's so good about that. She's always available to help everyone.

Just want you to know we will all have our fingers crossed and prayers on our lips that your surgery on Tues. goes well and the outcome is beautiful. It's certainly unfortunate that you have to have a repeat surgery but both you and I know that if they are trying to secure the best outcome in pain relief it has to be done. A lead that isn't position correctly probably isn't doing any good at all.

Off topic a bit, I was sent to a heart specialist for a pre surgical check up a few years ago. Of course the nurse came in and did an EKG before the doctor came in. I noticed I was flat lining on a couple of the lines on the screen and became worried that something was really wrong. I knew I wasn't dead. Finally I questioned the nurse and she said the cable was broken and the new one had not arrive yet.

"Now come on" I thought you mean this doc is going to approve my surgery using a broken cable. He did but I went to another doc just to be certain everything was ok.

The only reason I mention this is because your doctor already knows that the cables need to be properly placed and he's not providing the best outcome for you if they are not. So unlike the guy who told me my heart was just fine your docs really care.

We'll all be pulling for you and remember crying is a wonderful way to release tension and frustration so never ashamed. Much better then hitting the doc up side of his head:*

Listen when anyone has RSD as far as I'm concerned they are entitled to complain any time and as much as they want. We both know it's a very painful condition that doesn't let up. The pain itself causes anger, sadness, frustration and depression which are only a few of the feelings that patients get. You can't afford to keep it all bottled up inside. Come here and vent anytime.

Good luck on Tuesday and don't forget to tell us how things went.
We're all pulling for you and here to listen and provide encouragement at the drop of a post.

Result number: 132

Message Number 205503

post surgery Achilles pain View Thread
Posted by Cheryl M on 7/27/06 at 15:24

I have posted before re shoe/insert recommendations.My orhtotics adjusted 3 times no good still and I developed pain in my surgery heel (partial pf release 3/06) last week after doing a wall stretch shown to me by a trainer, it worsened so I contacted a podiatrist to have it checked as I knew getting my surgeon (orthopedic) would be a wait. This doc bent back my foot , sent me to the moon, did xrays, said I should have had the bone spur removed at the time of the surgery that it needs removed, to put warm compress on the tendon area, he cut some inserts for my heels,
and said the tendoinits part should be better in two weeks. He is an older pod with over 30 years experience. He also said I should never have been told to stretch after the surgery or at all. Most of this is all contrary to most stuff I have read and been told. He said I read too much.
What should I do for this tendon thing and how do I find a doc who will spend some time with me to determine what the best course is?

Everyone here is so helpful butI am beginning to lose faith. I know you cannot diagnose via posts etc just need some direction I guess and THANKS.

Result number: 133

Message Number 205281

Specter Readies bill to sue Bush....... View Thread
Posted by marie on 7/25/06 at 16:06

I guess I haven't paid much attention to this issue because I wasn't sure there was anything the Senate could do to prevent Bush from making "signing statements". This will be interesting to see how it unfolds. Arlen Specter is one of the Republican Senators I like and I trust his integrity. I don't think he would do this on a whim.

http://news.yahoo.com/s/ap/20060725/ap_on_go_co/signing_statements;_ylt=Arqtfcu.Qv4c2ZFBwugwKAayFz4D;_ylu=X3oDMTA0cDJlYmhvBHNlYwM-
Specter's announcement came the same day that an American Bar Association task force concluded that by attaching conditions to legislation, the president has sidestepped his constitutional duty to either sign a bill, veto it, or take no action.

Bush has issued at least 750 signing statements during his presidency, reserving the right to revise, interpret or disregard laws on national security and constitutional grounds.

"That non-veto hamstrings Congress because Congress cannot respond to a signing statement," said ABA president Michael Greco. The practice, he added "is harming the separation of powers."

Result number: 134

Message Number 203283

Re: DRX9000 View Thread
Posted by Dr Mike G on 7/07/06 at 14:31

I don't utilize the DRX9000. I use the SpineMED therapy table. I have had it for only a few months and have helped agrand total of 6 poeple so far. Out of the 6, one was problematic due to a fusion of the sacro-iliac joint away from the side of the disc herniation. This caused him to walk unevenly both before and after treatment. The first 5 had pain reduction from 7-9 down to 1-2. I have not been treating for 6 months, so I cannot give you any more data.
I have not had anyone worse off so far. I think its the pre-screening process and exams I do. I have told more people that they are not candidates for care than those actually received care.
Remember, decompression is not a magic bullet. It is for specific conditions. Also age, weight and whether or not the patient is a smoker needs to be taken into account.

And whoever was being obnoxious, please don't bash chiropractors. I am a very good one.

If you want to read up or see some other testimonials, you can go to spinemedtherapy.com, the makers of spipnemed. Or try spinecare.ws, this is a website for a doctor in eastchester ny from whom I learned about decompression therapy, and finally there is my website nyspinemed.com. As I stated before, there is much more information in peer reviewed journals that I posted above a few days ago.

hope this all helps

Result number: 135

Message Number 202931

Re: Code of Conduct View Thread
Posted by marie on 7/03/06 at 23:01

Thanks John. It's important to remind everyone that our troops are both Democrats and Republicans. No party has ownership of our military and our national security. 9/11 happened to all of us.

Here are a few words from our Fighting Dems. I wonder if our conservatives here will take the time to thank them. I hope so if not their silence speaks volumes, mega volumes and it's that silence that will continue to divide us!

Charlie Brown: http://www.brown4congress.org/
His son is currently serving in Iraq.
Audio: Troops Censored In Iraq


Richard Sexton: http://richsextonforcongress.com/
Audio: Why A Democrat and Kitchen Table Issues


Patrick Murphy: http://www.murphy06.com/
Audio: What's Going On In Iraq


Jim Brandt: http://www.friends4brandt.com/
Audio: Vietnam War Marine Veteren


Charlie Thompson:http://www.charliethompson.org/
Audio: Jobs Going Overseas


Lee Ballinger: http://www.voteballenger.com/
Audio: Manufacturing Base In the South Flying Out The Window


Jeff Latas: http://www.jefflatas.com/
Son served in Iraq.
Audio: Securing Our Borders & Iraq

Joe Sestak:http://www.sestakforcongress.com/
Audio: Health Security and Job Security

James H. Webb: http://www.webbforsenate.com/
Audio: Strategic Blunder & Empowering Iran

Bill Falzett:http://www.falzett.org/
Airforce. Son is currently serving.
Audio: Jobs? Income? Iraq? Conservation vs. Employment?

Rev. Jim Nelson: http://www.electjimnelson.com/
Audio: Reterning Veterens

Result number: 136

Message Number 202907

Code of Conduct View Thread
Posted by john h on 7/03/06 at 19:40



Code of Conduct: (excerpt from Warrior Culture of the U.S. Marines, copyright 2001 Marion F. Sturkey)

During the Korean War in the early 1950s, the Chinese Army and North Korean Army captured some American military men. These American prisoners then faced a deadly new enemy, the Eastern World's POW environment.

For the American prisoners, brutal torture, random genocide, lack of food, absence of medical aid, and subhuman treatment became a daily way of life. Many of the Americans found that their training had not prepared them for this new battlefield.

After the war the American armed forces jointly developed a Code of Conduct. The President of the United States approved this written code in 1955. The six articles of the code create a comprehensive guide for all American military forces in time of war, and in time of peace. The articles of the code embrace (1) general statements of dedication to the United States and to the cause of freedom, (2) conduct on the battlefield, and (3) conduct as a prisoner of war.

The new Code of Conduct is not a part of the Uniform Code of Military Justice (UCMJ). Instead, the Code of Conduct is a personal conduct mandate for members of the American armed forces throughout the world.

Article I: I am an American, fighting in the armed forces which guard my country and our way of life. I am prepared to give my life in their defense.

Article II: I will never surrender of my own free will. If in command I will never surrender the members of my command while they still have the means to resist.

Article III: If I am captured, I will continue to resist by all means available. I will make every effort to escape and aid others to escape. I will accept neither parole nor special favors from the enemy.

Article IV: If I become a prisoner of war, I will keep faith with my fellow prisoners. I will give no information nor take part in any action which might be harmful to my comrades. If I am senior, I will take command. If not, I will obey the lawful orders of those appointed over me and will back them up in every way.

Article V: When questioned, should I become a prisoner of war, I am required to give name, rank, service, number, and date of birth. I will evade answering further questions to the utmost of my ability. I will make no oral or written statements disloyal to my country and its allies or harmful to their cause.

Article VI: I will never forget that I am an American, responsible for my actions, and dedicated to the principles which made my country free. I will trust in my God and in the United States of America.

Home

Result number: 137

Message Number 202627

Re: Ultra sound View Thread
Posted by Kathy G on 7/01/06 at 08:52


Bonnie,

Have fun on the cruise! Do you wear Birkenstocks? So many people here have such success with them. You could wear them on a cruise but don't attempt to buy them and break them in quickly, as it takes a long time and has to be done gradually.

I had ultrasound and found it to be useless.

As for the shots, the only cortisone shots I had were for a Morton's Neuroma and I would not suggest having one close to a cruise. I also have had several shots in the CMC joint of my hand and also some in my cervical vertabrae for arthritis. So based on my shot experience, I can tell you that usually they help but sometimes they cause up to a week's worth of pain. I wouldn't chance it right before a vacation.

If you haven't read Scott's Heel Pain Book or Julie's Yoga stretches, I would recommend them both. The book is fantastic and Julie's stretches are easy to do and very effective. And don't forget to ask for extra buckets of ice so you can ice your feet while on board. If you go someplace one day, spend the next one swimming and relaxing and resting those feet.

Have fun!

Result number: 138

Message Number 202558

Re: Ultra sound View Thread
Posted by john h on 6/30/06 at 11:33

I have had a number of them but no help. Will not try again.

I will consider trying Cold Laser treatments. My Doc just got the equipment and said he will do them for free as he has not tried it on PF. Not a lot of downside as it has few side effects. It is designed to increase bloodflow in a given area. This is also part of what ESWT is designed to do so who knows?

Result number: 139

Message Number 202480

Re: Dr. Z - Need your advice on Arthroscopic Ankle Surgery View Thread
Posted by Dr. Z on 6/29/06 at 17:43

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[Arthroscopic therapy of osteochondrosis dissecans of the talus--follow-up with a new "Ankle Score"]

[Article in German]

Lahm A, Erggelet C, Steinwachs M, Reichelt A.

Orthopadische Abteilung, Albert-Ludwigs-Universitat, Freiburg.

INTRODUCTION: Since the advent of operative ankle arthroscopy specific treatment of osteochondritis dissecans of the talus underwent rapid progress. Besides optimizing well-known methods as drilling, spongeous plastic, curettage or refixation of dissecates new trends go to transplantation of cultivated cartilage and osteochondral allografts. Previous follow-up examinations suffer on the one hand from partially small numbers of cases, on the other hand comparisons are difficult because so far no rating system of the function of the upper ankle does exist. MATERIAL AND METHODS: Within three years 34 patients underwent arthroscopic treatment of osteochondritis dissecans of the talus, 16 with percutaneous drilling, 12 spongeous plastics, three refixations and three curettages. The average age of the 22 men and 12 women was 25 years (11-48 years). A newly developed score system and a follow up MRI was used in a follow-up of 29 of the patients. Up to 100 points are given in the categories pain, stability/insecurity, efficiency/painfree walking distance, gait, differences in circumference, motility and power. RESULTS: 27 of the 34 patients had a trauma history. 20 lesions were localized at the lateral talus, they all had a trauma history. In 7 of the 14 lesions at the medial part of the talus there was no evidence of trauma. The 29 patients in the follow-up achieved an average of 87 points, the 16 patients after K-wire drilling 85 points and the 12 patients after spongeous plastic 90 points. Deductions were noted likewise in the subjective and objective parameters. 100 points were reached by 4 patients. DISCUSSION: Cultured chondrozytes and osteochondral grafts are new trends in treatment of osteochondritis dissecans while arthroscopically controlled spongeous plastic after curettage and K-wire drilling represent the main component of early stages with intact or partially fractured cartilage surface. Results of K-wire drilling are negligible worse than those of spongeous plastic, which is attributed to a generous perforation of the sclerosis. This is contributed to an improved preoperative diagnosis with MRI.

PMID: 9842677 [PubMed - indexed for MEDLINE]

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Jun 28 2006 06:42:17

Result number: 140

Message Number 201671

Re: Update on Surgery View Thread
Posted by Kathy G on 6/21/06 at 10:06


Meg,

this response will be typed one handed as my other hand was just operated on on monday morning. i have checked the boards to see how you're doing as was so pleased to see your update. i'm sorry that the surgery took longer but glad to hear you're making good progress. as ralpf said, it's wonderful that you have such a strong support base as that can make all the difference in the world.

may your dangling periods get longer and longer until you graduate to crutches!

my surery for replacement of the cmc joint on my thumb also took longer than expected but nothing like yours. it was three hours instead of an hour and a half or less because my joint had deteriorated far more than the doctor thought and it took him a long time to remove all the osteophytes even after he removed the joint entirely. or maybe he removed the oteophytes first - i don't know. all i know is that the first day post surgery was great but the pain started yesterday afternoon and continues with a vengeance. i spoke to his nurse and she thinks it's because the damage was so severe but i'm not looking forward to another day of severe pain. maybe today will be the turning point, who knows?

in the meantime, may the post-surgical fairies sprinkle us with their magical healing dust! and please keep us posted. despite the fact that fewer post to the social boards, it seems that many still come back to see how fellow pfers are doing.

you know, i learned how to type when i was in eighth grade. i took a course called prsonal use typing. this hunt and peck method is for the birds! it took me about three times longer than it would have taken if i could have used all ny fingers.

keep on healing!!

Result number: 141

Message Number 201208

Re: Cryoanalgesia: Outcomes for heel pain & Morton's Neuroma View Thread
Posted by Ralph on 6/15/06 at 12:25

Dr. Nordyke,
The point is as readers we are told only half of the story.
Double blind studies CAN be done for Cryo and is really no different than many other similar study done in the medical field. It's only through asking questions that we come know all the facts.

That 4th year Podiatry student pointed out in his paper the lack of prospective studies being performed happens with great regularity in the field of Podiatry Medicine.

Basicly he's saying to his collegues and fellow graduates get up, get going. The field of Podiatry cannot continue to demand equality and respect if those in this field are not willing to put the time in to academic commitment.

He goes on to say "in the last 5 years only 1% of the articles found in podiatric journals were based on meta-analyses or randomized controlled trials".

Not an impressive record for any field of medicine.

Clearly the use of the words "study" and "publication" become important in these discussions. These words lead the reader to believe that a prospective medical study is underway for publication in a clinically recognized Medical Journal.

Little does the reader know that the writer has given different meaning to the true essence of these two words.

Result number: 142
Searching file 19

Message Number 199515

Re: Sandal recommendation View Thread
Posted by Jeremy L on 5/20/06 at 08:46

Okay, I'm trying not to make this too complicated, beacuse there are all sorts of movements that occur within the foot during the gait cycle. Just from heel strike to stance phase (weight equally distributed throughout the foot) there are over 100 unique sequential elements!

There are two major joints in the midfoot, the Choparts Joint (with it, including the TN joint) and the Lisfranc Joint (with it's medial border starting at the medial cuneiform and base of the first metatarsal bone). Older custom orthotic designs tended to elevate and activate the Lisfranc. Studies now find that this is most critical in patients who suffer midfoot injuries in auto crashes. Most notibly, those who fracture their foot while it's depressed on the brake pedal. For most other functional designs, the practioner wants to support and activate the Choparts Joint (where the TN is located). So having the support mechanism located farther back towards the heel is most desired. This is not suitable for all patients and all injury types; however, research dictates that it is favorable in the majority of classic PF conditions.

On the next topic, your chiropractor is on the right track with that kind of modification for you. It doesn't necessarily enhance dorsiflexion of the big toe, but it does protect the two small bones beneath the ball of the foot from sustaining injury. You can find research from Doug Ritchie DPM which emphasizes this.

That webpage is pretty interesting, although extremely rudimentary. Although there is a lot of good, factual information, the images describing motion of the Subtalar and Choparts joints are a bit misleading. The Subtalar works on tri-planar motion, meaning it not only everts/inverts (as the page describes) it also adducts/abducts and dorsiflexes/plantarflexes. It also provides most of the foot's abduction; not the Choparts joint as illustrated on that site. Although this joint is also tri-planar, most of it's range is in inversion/eversion, part of the foot's complex mechanism to both absorb shock and adapt to uneven surfaces.

I get the feeling I just went against my word in my attempts to make this sound simple. The truth of the matter is that foot biomechanics is extremely complex. This complexity doesn't single itself with the bones and joints, it encompasses every nuance in hard and soft tissue.

To review, I am a pretty big believer in Chaco's product innovations. They relate well to current biomechanical theory, and fit a wide range of foot types. They most notibly work well with those having higher arches and needing support in the midfoot to relieve heel pain. There are no sandals which truly mold to the wearer's foot and still allow for it's intended support. Some people are best served by placing a custom molded functional orthotic into a sandal which allows it's footbed to be replaced.

Result number: 143

Message Number 199461

Re: DO I NEED CRYO HOW DOES ONE TELL???? View Thread
Posted by RAY on 5/19/06 at 14:55

i was also told it could be imflamation from surgery still healind IT THIER A TEST TOCHECK FOR SCARE TISSUE I KNOW ITS NOT A MAJOR NERVE SO NCT WOUNT SHOW NOTHING PLEASE DOC JUST ANSWER THIS ONE QUESTION

Result number: 144

Message Number 198931

Re: 4 days Follow up post op appt. View Thread
Posted by Monica K on 5/11/06 at 17:27

Thank you for sharing. I like all of the input and to hear that I am not alone. I am such a weenie. LOL. I did call my doc just to let him know and he thinks it is fine and normal for now. so we will see. Does anybody else have these same issues?
Monica

Result number: 145

Message Number 198757

New potentially great brand View Thread
Posted by Jeremy L on 5/08/06 at 18:43

Hey everyone. While in Florida for my boards I decided to explore one of the better outdoor sports stores in the country (Bill Jackson's), and see what's happening in that industry. They had the usual sandal suspects of Chaco and Keen, but also had an interesting new brand ... MiOn.

First of all, you can't miss them. They looked like extras from a sci fi movie. Having tried on a few models, they have a similar fit to Keen; however, they fit longer in comparison. They also feel a bit less stiff/supportive, but have enhanced cushioning. Their uppers are made of foam reinforced with nylon climbing cord, allowing the wearer to sense some level of auto-adjustability.

Now for the part look for; where does the shoe excell, and for whom should I prescribe it. The best attributes are in this brand's ability to acurately guide the foot down a neutral gait path. With having flexible STJ/Choparts joints but a firm Lisfranc joint, all too often I get a jarring sensation at heel strike. Not only did these have more than adequate shock absorption, but they have an ideal heel spring. The foot just rolls effortlessly forward following impact. It also has a soft but stable feel in the forefoot during the propulsive stage. Immediately, I thought what a great shoe for rheumatoid arthritis patients, especially children suffering this disease. With it's diminished medial support (especially in comparison to Keen), it's probably not the best choice for those having serious over-pronation issues.

With a little extra research today I found that the designer for MiOn is the same person responsible for the launch of Keen. One of his benchmarks is in creating shoes that guide the foot down a natural path and possess an instrinsic metatarsal bar. This was certainly identifiable in my time walking in these sandals. They just launched into stores a few weeks ago. I hope they create other upper patterns in order to attract other consumers who could benefot from their technology (notibly my senior citizen RA patients).

A dealer search and more info can be seen at http://www.mionfootwear.com

Result number: 146

Message Number 195116

Re: Amy View Thread
Posted by Kathy G on 3/08/06 at 10:17


Well, thank you, Dorothy. My computer didn't get up and running again until Sunday. As for how I'm doing, I'll know better this afternoon. Going through some rough times, physically. A nocturnal cough I've had since Thanksgiving and which I was treating with mints and water got much worse so I went to the doctor. It's not unusual for me to cough at night because I have allergies but it hasn't happened since I started a steroidal nose spray about ten years ago.

Well, I have nocturnal asthma and am on Singulair, Advair and Albuterol. Still no sleep. But it could be due to GERD, although it's not a GERD cough. That is an acid-like cough and this one is a high squeaky cough. The best news for my family? I have almost no voice! It's like a holiday!

But I am so very tired. I think my next step would be to go see an ENT but will see what my PCP, who's as smart as any doctor I've ever met, thinks I should do. I honestly trust him more than some of the specialists I've met over the years. Keep in mind that my experience with doctors goes back to when I was fifteen and took over care of my mother. I've been dealing with doctors for a long time.

On the OA front, I have an appointment with the surgeon because my Rheumatologist says he won't give me any more cortisone shots. I went for a shot in February and I'd last seen him in November. He said he'd never seen a joint deteriorate in three months the way my CMC joint has. (the base of the thumb, down near the wrist.) He says I have to have surgery done. I'm still on the fence. They have to take a tendon from my arm, remove the joint, and sew in the tendon to take the place of the joint. It takes one full year to get back to normal and that's after six months of OT. Some say the pain is god-awful; others say it's not that bad. What kind of scares me is that I have this odd, yet beautiful :) body, that responds to everything in unusual ways. Muscle spasm is my middle name. I don't mind the pain if it's going to lead to no pain down the line. I just have concerns that I'll have problems where they remove the tendon.

All surgery is on hold, of course, until they figure out what is going on with this cough.

Now, aren't you sorry you asked how I am? I was going to delete this whole post but I took the time to write it so I'll post it. I do sound like a hypochondriac but I'm really not. Just don't have a great body!

As with everything I have, I could be so much worse off. The surgeon, if I have the surgery done, trained under the man who perfected this type of surgery and now spends most of his time lecturing on it. The guru lecturer is in Boston but the surgeon I'd go to is only a half hour away from me. What luck!

And the robins are back and it's getting milder. I have a great husband who doesn't complain about the fact that I seem to be sick all the time and despite my dismay at my drug and medical bills, he reassures me that all is well. God bless him. He's a great guy.

So, it's just one more minor thing to deal with, and I'm sure they'll get to the bottom of it. I look at Christopher and Dana Reeve and I know my problems are nothing. What a sad story and what an inspiration they both were.

Result number: 147

Message Number 194635

Re: Shoe type-Foot Type View Thread
Posted by Jeremy L on 3/02/06 at 20:44

Hi Jan ...

Well, there's not a simple answer to this. The foot in gait operates on three planes. Research also shows that the foot goes through over 100 unique, sequential events from heel strike to midstance during every stride. There are a several things which can be examined to help identify the type of shoe construction offering the choices for a consumer. This list will be far from complete, and is meant solely as a small example.

1. Check for range of motion (ROM) in the subtalar joint, as well as the degrees of pronation from neutral. In those with 10 degrees or more of pronation a shoes with an extremely supportive heel counter is mandatory.

2. Look at the person from behind to determine a their neutral position in stance and in motion. Excessive, immediate rolling in could indicate that the person needs a shoe with medial control starting right after heel strike.

3. Evaluate ROM at the big toe joint, along the first metatarsal, and the lisfranc joint. Also check ROM for plantar and dorsiflexion. These tests can help determine whether a shoe with support placed in the midfoot area (instead of the heel) is more appropriate.

4. In stance phase, can the person roll their arches up or stand on their tip toes. Tjose who can't almost universally need therapy beyond footwear (foot orthotics, bracing, etc).

5. Check wear of present shoes both on the outsole and the insert to see possible patterns. Those with severe wear on the inside part of the sole more time than not need a shoe with good medial control.

6. Look at the back of the shoe on a flat surface, and see if there's any excessive wear showing. If the heel is tilted over towards the inside of the shoe, it again demonstrates that some sort of stability of motion control would be benefitial.

7. perhaps take a pressure analysis with a Harris mat or some type of electronic scanning device. Dark (or on electrical readouts, red) spots indicate places of excessive pressure, and can help guide the fitter to the right shoe choice.

Like I said, this is an abbreviated list. And in no way am I recommending that you find a practitioner who does all these tests (and more) for each and every patient/consumer. Most of the time, a couple tests like these are adequate in helping steer you into a shoe which better matches your needs. For further reference, the pedorthic Footwear Association has a couple books which goes more into specifics. They offer these publicatinos to laymen as well as professionals. You can visit their site at http://www.pedorthics.org

Good luck shopping, and get happy feet!

Jeremy Long
Smoky Mountain Foot Clinic
Waynesville, NC

Result number: 148

Message Number 194251

Re: ART after ESWT View Thread
Posted by Robert J. Sanfilippo, DC, CCSP, ART on 2/26/06 at 19:48

Hi Dr. Z, the only guys I know are Marc Jaffe, Summit, NJ and Bill Bonsall, Westfield, NJ. I tried the site, www.activerelease.com, and I couldn't find anyone in the Philly area. You may want to go to the site and enter a specific zip code to locate someone. If you are able to do so run the name by me if you like. Good luck with your search and thank you...

Result number: 149

Message Number 192811

Doc making me wear a boot/walking cast for TTS ?? View Thread
Posted by JK on 2/03/06 at 17:44

I was diagnosed with TTS (after it previously was mistaken for PF, undergoing all types of icing, stretching, excercises, inserts that failed). The doctor that diagnosed the TTS had me get an MRI, EMG, and also injections. The injections helped for a few days before all my pain came back. My doc just moved and transferred me to his colleague. The first thing she wants me to do is wear a boot/walking cast for 4-6 weeks. Is this a waste of my time? And also, wearing SNEAKERS hurt my foot, this boot is ten times more restrictive and makes my foot throb. Could it make it worse or just instigate the pain? Its been two years, and I don't want my impatience to cloud my view.

Result number: 150

Message Number 192776

Re: New Info about CROCS View Thread
Posted by AmberK on 2/03/06 at 11:16

I found the Crocs comfortable the first 4-5 days and then started to find that they lacked support too much. My foot would not be stable and the whole foot would start hurting. Somedays it radiates to the ankle. They are still good to wear for shorter periods of time. I went back to my orthotic just two days ago (custom made) but then again my pain is mainly in the arch.
The shoes felt good on the heel though..so it could work better for someone who has more heel pain.

Also I don't own a pair of Powersteps and have never tried them before. I was going to order them but after reading some testimonials I probably won't since I heard they have an aggresive arch and I actually had to get my orthotic arch adjusted lower as it would irritate my arch.

Amber

Result number: 151

Message Number 192774

Re: For Nick View Thread
Posted by Dr. David S. Wander on 2/03/06 at 11:09

Nick, Scott's book on this website if filled with an amazing amount of great information, and Scott has done a fantastic job of putting together the information. However, Scott is not a doctor and has never treated a patient. I'm offering you my opinion based on 20 years of practice and treating thousands of patients with heel pain. In my opinion, I would NEVER recommend those exercises for anyone with plantar fascia pain. I would only recommend those exercises for people that are incorporating a stretching program into their exercise programs, but do not have any history of heel pain or plantar fascia pain. Therefore, it is only productive to perform those exercises if you are simply stretching as part of an overall health program and are stretching other areas of your body and do NOT have any heel symptoms. If you have ANY heel symptoms these types of exercises are counter-productive. Once again, that's only based on my 20 years of treating this problem.

Result number: 152

Message Number 191986

Re: HAPPY BIRTHDAY DR. GOLDSTEIN View Thread
Posted by Ralph on 1/23/06 at 20:22

Dr. Goldstein,
I never disputed your knowledge, education or training on Cryosurgery. The items I voice my opinions about and that you call sarcastic doesn't require a medical degree just common sense.

It stands to reason that no doctor would offer to have any potential patient call one of his former patients who had a bad out come from any procedure that he had performed on them or one that is suing him for malpractice. More than likely patients would not even hear about these patients accept by word of mouth or paying for a search.

I still feel that there isn't much to gain from talking to another patient as far a learning what patient X's outcome will be from the same procedure performed on them unless the patient called can predict the future.

Everyone hopes for the best outcome but there isn't any guarantee in any part of the medical field when it comes to procedures and outcomes. That's why patients sign medical treatment forms that list in black and white all and any potential risks that can occur prior to having the procedure done. If all outcomes were guaranteed to be wonderful hospitals and doctors could do away with these forms but they still exist and used today as common practice.

When it comes to publishing articles Dr. Goldstein it's one thing to tell ones own office experience with a procedure and have it published in a magazine in letter form to other colleagues and quite another to have run scientific studies at multiple institutions, submit an abstract of the findings to a reviewing board, have it accepted to be presented at a medical convention and then published in a noted and well respected medical journal.

I've had many articles published as I'm certain others on this board have had something published from time to time somewhere, maybe in a newspaper. Children having entered a coloring contest have their pictures published and Pastors have their articles from the alter published.

The word "published" can be interpreted in many ways like those I've suggested above so the word itself or the fact that something was published isn't as important as the content delivered by it's author and in the case the scientific contribution it makes to the entire medical world.

P.S. In 1995 I completed and had published a 106 page book on our family history tracing it's roots back to invasions in Europe and subsequently the enduring hardships on Great Grandparents, Grand Parents and other relatives as they presued their freedom in America. I had the book published and am proud to say that each and every living relative now has a relatively complete history of their heritage.

Scientific journal material no, but certainly a rich and rewarding project greatly appreciated by everyone that received a published copy.

Result number: 153

Message Number 191529

to Magpie re: $5600 View Thread
Posted by non-beleiver on 1/16/06 at 08:06

It was no mistake- you always get an EOB from your insurance bandits. The high fee is the reason Healthtronics is no longer in the orthopedic ESWT business, at least under their original company name. Docs get a group together and open an ASC just for the purpose of getting rich on the income they rip off from your insurance company for site fees. They bill for the gloves, the towel they wipe up your blood with, for anything they can think of and could possibly be used for your procedure. If they pull it from inventory they bill it even if it's not used. If you ever saw the routing sheet for your procedure at an ASC it looks like a hospital shopping list. I know of some orthopods who opened an ASC and got back 100% of their investment in the first 3 months of operation. In an ASC in order to use the facility you must bring a certain number of cases to the facility. You can now see why there are so many uneeded surgeries performed. Docs love ASC- they are money machines for them and a major reason your insurance bills are so high. Example- medicare will give an ASC or hospital $1000 for an ESWT procedure but pay nothing for the machine in a docs office. Now I want to hear any doc here tell me this is not a rip-off. Medical ethics and business honesty in the medical profession do not exist.There is only a false perception of the medical profession really being concerned about our well being- All they want is $$$$$$$$$- They don't want us to be healthy- they need us to be sick- healthy people don't buy them BMWs & Benzs- it doesn't get them 6000sq/ftmes and fancy vacations. MD degrees come with inflated egos and pompous attitudes.

Result number: 154

Message Number 191527

Re: cost for eswt View Thread
Posted by non-beleiver on 1/16/06 at 07:53

It was no mistake- you always get an EOB from you insurance bandits. The high fee is the reason Healthtronics is no longer in the orthopedic ESWT business, at least under theiroriginal company name. Docs get a group together and open an ASC just for the purpose of getting rich on the income they rip off from your insurance company for site fees. They bill for the gloves, the towel they wipe up your blood with, for anything they can think of and could possibly be used for your procedure. If they pull it from inventory they bill it even if it's not used. If you ever saw the routing sheet for your procedure at an ASC it looks like a hospital shopping list. I know of some orthopod who opened an ASC and got back 100% of their investment in the first 3 months of operation. In an ASC in order to use the facility you must bring a certain number of cases to the facility. You can now see why there are so many uneeded surgeries performed. Docs love ASC- they are money machines for them and a major reason your insurance bills are so high. Example- medicare will give an ASC or hospital $1000 for an ESWT procedure but pay nothing for the machine in a docs office. Now I want to hear any doc here tell me this is not a rip-off.

Result number: 155

Message Number 191262

Re: 94% I don't think so View Thread
Posted by Ed Davis, DPM on 1/11/06 at 10:53

It is an independent study published in the Nov/Dec JAPMA article. The primary researcher is Bruce Werber, DPM of Providence, RI with a fairly large sample size. Kim Eickmeier, DPM is the third author annd practices in Chicago. Dr. Norris is a urologist by trade and is affiliated with United Shockwave although they did not fund the study to the best of my knowledge. Abstracts of articles are generally available at no charge from the National Library of Medicine although they do charge for the full article. Since it is a fairly significant study, perhaps we could ask ScottR to reference it here on this site.

I think that the studies in the US which are based on patient samples are important but you may want to focus more on the tissue level studies (Rompe, J. R.) on the www.ismst.com website as one can measure an objective change in the thickness of the plantar fascia objectively. I think that is a more objective way to view ESWT effects as it looks at the tissue level, does not rely on subjective pain scores and is based on the physicologic effect on potentially all ligaments and tissues to which shock waves are applied as opposed ot a specific ligament such as the plantar fascia.
Dr. Ed
Dr. Ed

Result number: 156
Searching file 18

Message Number 189789

Re: The issue of controversy View Thread
Posted by Ed Davis, dPM on 12/16/05 at 18:34

Ralph:

For purposes of the US, it means anything that has not been part of "mainstream" medical treatment for about 10 or so years. It is hard to define sometimes because, ESWT, for example has been proven and accepted in Europe and Canada long before the US. Cryotherapy has been around for a long time but the current usage is new. Another issue to consider is if a newer treatment is displacing another one. For example ESWT certainly displaces surgical treatment for plantar fasciitis. If their was no ESWT Board and we just perform surgery, much of the controversy you have seen there simply would not exist. Of course, the surgery board is filled with concerns of patients who have had poor outcomes from the surgery.

Keep in mind that a "new" treatment carries some burden of proof. The flip side is that we have had some come to the board to announce the latest miracle cure, gadget or otherwise. PF treatment does involve attention to numerous issues ( see the treatment triad ) so there really are no "magic bullets." Sometimes the "announcer" of the miracle cure is followed by a "group" of individuals who provide testimonials to the "cure" but since they are anonymous, it is hard to tell if the testimonials are genuine.

Again, this goes back to our basic job as healthcare providers who are obligated to study the research, talk to colleagues and try to find out what works and what does not and reach the best conclusions we can -- we are basically paid to provide that expertise in our offices and we attempt to provide advice with a similar standard to the extent that is possible when queried here online. We can only endorse treatment plans we believe will help plantar fasciitis sufferers but conversely need to honestly answer when there is a need to question the efficacy of a proposed treatment. We would do so in our offices but not be subject to counterpoints raised by anonymous individuals.

Sometimes the internet has allowed a different set of standards to occur due to the bias toward freedom of expression. We must not forget that with any attempt to give a person advice comes some responsibility for the outcome of that advice. Such issues of responsibility which are fairly clear in face to face communications are often ill defined on the internet. Imagine, an unknown person walking up to you on the street after watching you limp and giving you advice on what to do. Your first question would be, "Who are you, why are you giving me this advice and how do you know what you are talking about." That is essentially what happens in many an online forum. Imagine that same stranger following you in to your doctors office with your permission and debating the advice your doctor gives you. Your doctor's first response would be to ask who that individual is and waht is the basis for his position. Obviously, it would be irresponsible for a healthcare provider on an online forum not to attempt to challenge "advice" that was not accurate. If someone wants a scientific debate on the nature of the advice, that is welcome. If someone simply wants to contradict the information provided and argue without presenting valid counterpoints then an argument will occur. Some sites have moderators that control such situations very tightly. For example, you will not have an argument, let alone a debate on Healthboards sponsored by Web MD. This site allows substantially more latitude.
Dr. Ed

Result number: 157

Message Number 189178

Re: surgery for heel spur View Thread
Posted by J AND J on 12/07/05 at 17:50

I have the same condition, also this last Podiatrist, and the fourth Dr. I have seen for this condition indicates to leave the heel spur alone. Do you have a cyst, I do....

What kind of Dr. are you seeing? I am on short term disability and concerned about ever being able to do my mechanic job again. LETS STAY IN TOUCH...

THANKS
JJ

Result number: 158

Message Number 188995

Re: Dream Lines - Happens before your eyes View Thread
Posted by marie on 12/05/05 at 21:00

The Christmas light video has been in the msn all day today. It's a home in cincinatti. It took the owner 3 years to orchestrate it all. He's an electrical engineer. Now here is the coolest part about it. The music does not play out side the house. He has it set up so that you can tune it in on the radio. How's that for wild? Very creative I thought.

http://www.solaas.com.ar/

This is the link to the front page explaining what dreamlines is and what it does. If you have dialup it doesn't work as well.

www.solaas.com.ar

Dreamlines
Format: Processing, PHP
Duration: undefined
Size: 110 Kb
Requirements: Java plugin
Date: April 2005
Dreamlines is a non-linear, interactive visual experience. The user enters one or more words that define the subject of a dream he would like to dream. The system looks in the Web for images related to those words, and takes them as input to generate an ambiguous painting, in perpetual change, where elements fuse into one another, in a process analogous to memory and free association.


IRIS


SUNSET


APPLE

If you see something you like and want to capture the image do this..........

This is a nice little trick if you want to preserve a screen in time for documentation. This can be very helpful when documenting something that may get changed later.......like dreamlines.

Have you ever pressed the print screen key on your Windows keyboard and wondered why it was there since it never seemed to do anything? Well, it does do something! It places an image of your screen on the clipboard, ready to paste into any graphics program. These steps show you how to use it along with Windows' standard image editor, Microsoft Paint, to save an image of your screen.


1. Run WordPad or Word and leave the document window blank.
You can launch WordPad by going to Start/All Programs/Accessories/WordPad.
2. Minimize WordPad to get it out of the way
3. Start your program.
4. Go to the screen that you want to save.
5. Press the ALT + Print Screen key.
6. Click inside the WordPad document window and press Ctrl-V to paste the screen image into the document window. (You can also use the "Edit/Paste" menu to do this.)
If you want to save more than one screens, then repeat the step 4 to 6.
Add each screen with a brief summary of what I should be looking for.
7. Save the WordPad document. If you wish you can also zip this file.

Of course you can upload this to your fav photo host for the net!

To email it do the following.

Open your email program and attach the WordPad document.

If you have Photoshop or another photo editor paste it directly into Photoshop, crop it, mess with it and save as a jpeg. I upload to Flikr my account: http://www.flickr.com/photos/96204267 at N00/ so I can post a link in here for ya'll to see. Not everyone has Photoshop so the instructions above works well for those who don't have PS.

Result number: 159

Message Number 188419

PLANTAR FACIITITIS STILL TRYING TO GET BETTER View Thread
Posted by J AND J on 11/29/05 at 13:57

Dear Scott:

I have a heel spur and plantar fasciitis in my right foot. A stress fracture was noted but is unconfirmed. Having a mechanic job where I am on my feet 12 or more hours a day, and also lift more then 100 pounds at times. I decided to have EWST to hopefully get better. This was the third week in June 2005. This was done by a podiatrist and very painful despite some local injections. I do notice less pain, however, I feel it is mainly because I am no longer on my feet all day with no breaks at all.

I have been on short term disability since that time. I also had several weeks of physical therapy and do at home therapy. I am now seeing an orthopedic surgeon who is very conservative and hesitant to do invasive surgery.

I am about to go on long term disability as the short term ends in three weeks. I am worried about not working and when I can go back. I am concerned about losing my job.

I had three Cortisone injections last year and had one shot about a month ago.

I wondered what other alternative therapy you may recommend, ultrasound, whirlpool and what you felt about short term "casting" that my doctor mentioned. What is the long term recovery of this condition?

Thanks, J

Result number: 160

Message Number 188116

Re: Falling apart View Thread
Posted by John on 11/23/05 at 21:53

I am in Elgin IL....my latest doc just referred me to a neurologist but my lawyer said I may as well just go back to work and accept the pain and live with it....but it hurts too much I cant walk 4 blocks without being in tears and I am a courier for DHL so I bust my butt at work....I know if I return in my condition I will be fired shortly after I return cause I wont be able to do my job....and docs act like I am lying about my pain

Result number: 161

Message Number 187381

Re: Dr. Goldstein View Thread
Posted by Dr. Goldstein on 11/14/05 at 19:13

I am sorry you feel that way as i can read whether something is capitalized or not. As far as writing goes i go straight to the point. have written numerous articles in major podiatric journals all of which have been published without editorial correction I respond to hundreds of patients from all over the country on a weekly basis and they do not seem to have trouble with what I say .
Simply I suggest you do not read my posts or find another doctor that suits your verbal needs just a thought!

Result number: 162

Message Number 187363

Re: Three Questions on TTS - Hypothyroid, Twitching, Orthotics View Thread
Posted by JG on 11/14/05 at 18:27

That's a good question, Everett. It probably should be listed as a symptom. A lot of us have had those electric jolts to our feet. Some jolts are easy to take and others are just plain nasty.

Result number: 163

Message Number 186966

Enthesopathy View Thread
Posted by messed up foot on 11/08/05 at 13:27

I finally saw the rheumatologist who does not think it is ankylosing spondylitis but said that is could be some other type of enthesopathy. More MRIs on tap today to view the sacroiliac joint just to be sure.

So if this is enthesopathy and it is bilateral in my ankles/feet, does this sentence me to the "icky" medications or are there other treatments? After all my surgeries, my pf and other ankle pain in the one foot has reduced from and 8/10 on a pain scale to usually only a 1 or 2. I consider the surgeries well worth the pain reduction even if there is residual numbness and stiffness. The "good" (ha!) foot is at least as painful as the bad one and the orthopod is clearly scared off at doing any type of surgical interventions for the tendinitis.

What is your experience? Am I now a bad surgical risk?

Result number: 164

Message Number 186573

pain patches View Thread
Posted by Debbie on 11/02/05 at 14:09

My doc just today prescribed pain patches for me. He said these were the big guns for pain. I have tried neurontin, ultram, salsalate, lyrica with no help. My job requires me to be on my feet 9 hrs a day, with no sitting at all except during breaks. I do alot of walking also. Has anyone ever used these patches? They are not the lidocaine ones, I used those, these you change every 72 hrs and applied to any where on the body. I think they are called duragestic patches. Any input would be appreciated. I am to the point of feeling like I am going insane with pain. I have been dx'd with neuropathy and tarsal tunnel. I have diabetes. Anyone got any suggestions? I am scared of this strong medication.

Result number: 165

Message Number 186198

Re: antibiotic (quinolone) and tendons View Thread
Posted by d fuller on 10/30/05 at 01:19

This is a list of citations begining in 1965 to date that deal with this "rare" adverse event. I present this not as an argumentative rebuttal but as proofs regarding my previous post. One would think if indeed this was a rare occurence we would not read medical journal articles concerning it each and every year for forty years. Nor does this list inlcude all such citations, only those readily available to the average person. Of special interest is the statements made at the 62 Meeting of the Anti-Infective Drugs Advisory Committee (circa 1994)where quinolone induced joint destruction (requiring complete joint replacement) is discussed as well as irreversible tendon and ligament damage. You will find that towards the end of this response. We find the same documentation when it comes to peripherial neuropathy as well which was first reported in association with Nalidixic Acid in the mid sixties.

1965

1. DE VRIES AC.
[SPONTANEOUS RUPTURE OF THE ACHILLES TENDON]
Ned Tijdschr Geneeskd. 1965 Jan 2;109:59-60. Dutch. No abstract available.
PMID: 14284979 [PubMed - OLDMEDLINE for Pre1966]

2. CROZZOLI NR, MANCA M.
[SUBCUTANEOUS RUPTURE OF THE ACHILLES TENDON. CONSIDERATIONS ON OUR CASE
HISTORIES]
Minerva Ortop. 1965 Jan-Feb;16:21-9. Italian. No abstract available.
PMID: 14303636 [PubMed - OLDMEDLINE for Pre1966]

3. VON GRAFFENRIED, ENGELER V, HEIM U.
[SUBCUTANEOUS RUPTURE OF THE ACHILLES TENDON]
Helv Chir Acta. 1965 Jan;32:253-6. German. No abstract available.
PMID: 14290218 [PubMed - OLDMEDLINE for Pre1966]


1969

1. Rosolleck H.
[Subcutaneous achilles tendon rupture]
Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed. 1969 Dec;72(12):544-7.
German. No abstract available.
PMID: 4248859 [PubMed - indexed for MEDLINE]


1971

1. Auquier L, Siaud JR.
[Nodular tendinitis of the Achilles tendon]
Rev Rhum Mal Osteoartic. 1971 May;38(5):373-81. French. No abstract available.
PMID: 5092370 [PubMed - indexed for MEDLINE]

2. Krahl H, Langhoff J.
[Degenerative tendon changes following local application of corticoids]
Z Orthop Ihre Grenzgeb. 1971 Jul;109(3):501-11. German. No abstract available.
PMID: 4254811 [PubMed - indexed for MEDLINE]


1972

1. Nalidixic Acid arthralgia
Bailey et al (CMA Journal 1972; 107 601-605)

2. Dupuis PR, Uhthoff HK.
In vivo study of the effects of a synthetic steroid, betamethasone (16B methyl-9X fluoroprednisolone) on the calcaneal tendon in rabbits Union Med Can. 1972 Sep;101(9):1763-7. French. No abstract available.
PMID: 5075006 [PubMed - indexed for MEDLINE]


1976

1. Jouirland JP Les ruptures tendineusues. Le tendon normal et patholoqique
Seminar de Monte Carlo 13-14 February 1976


1980

1. Mason JO, Meagher DJ, Sheehan B, O'Doherty CK.
The management of supraspinatus tendinitis in general practice.
Ir Med J. 1980 Jan;73(1):23-40. No abstract available.
PMID: 7380640 [PubMed - indexed for MEDLINE]


1981

1. Jensen KE.
[Bilateral rupture of the Achilles tendon]
Ugeskr Laeger. 1981 Jul 6;143(28):1768. Danish. No abstract available.
PMID: 7292758 [PubMed - indexed for MEDLINE]


1982

1. Fink RJ, Corn RC.
Fracture of an ossified Achilles tendon.
Clin Orthop. 1982 Sep;(169):148-50. No abstract available.
PMID: 6809391 [PubMed - indexed for MEDLINE]

2. Cetti R, Christensen SE.
[Rupture of the Achilles tendon after local steroid injection]
Ugeskr Laeger. 1982 May 10;144(19):1392. Danish. No abstract available.
PMID: 7135524 [PubMed - indexed for MEDLINE]

3. Chechick A, Amit Y, Israeli A, Horoszowski H.
Recurrent rupture of the achilles tendon induced by corticosteroid injection.
Br J Sports Med. 1982 Jun;16(2):89-90. No abstract available.
PMID: 7104562 [PubMed - indexed for MEDLINE]

4. Newmark H 3rd, Olken SM, Mellon WS Jr, Malhotra AK, Halls J
A new finding in the radiographic diagnosis of achilles tendon rupture.
Skeletal Radiol. 1982;8(3):223-4. No abstract available.
PMID: 7112151 [PubMed - indexed for MEDLINE]


1983

1. Norfloxacin induced rheumatic disease
Bailey et al (NZ Med J 1983; 96; 590)

2. Kleinman M, Gross AE.
Achilles tendon rupture following steroid injection. Report of three cases.
J Bone Joint Surg Am. 1983 Dec;65(9):1345-7. No abstract available.
PMID: 6197416 [PubMed - indexed for MEDLINE]


1984

1. Chamot AM, Gobelet C.
[Achilles tendinitis: a pathology of confines]
Rev Med Suisse Romande. 1984 Oct;104(10):783-7. French. No abstract available.
PMID: 6515224 [PubMed - indexed for MEDLINE]


1985

1. Between 1985 and July 1992 100 cases of tendon disorders had been identified in France
Kessler et al (HRG Publication 1399, August 1. 1996)

2. Jones JG.
Achilles tendon rupture following steroid injection.
J Bone Joint Surg Am. 1985 Jan;67(1):170. No abstract available.
PMID: 3968099 [PubMed - indexed for MEDLINE]

3. 100 reported tendinopathies 1985-1992 France
In France, between 1985 and 1992, 100 patients who were being managed with fluoroquinolones had tendon disorders, which included thirty-one ruptures (Royer, R. J.; Pierfitte, C.; and Netter, P.: Features of tendon disorders with fluoroquinolones. Therapie, 49: 75-76, 1994.)
http://www.studiomedico.it/allegati/achille.pdf


1987

1. Ciprofloxacin an update on clinical experience
Areieri et al (Am J of Med 1987 82 381-386)

2. 93 ruptures, 103 tendinopathies, 20 tenasynovitis, 1987-1997
Source: http://www.sma.org/smj1999/junesmj99/harrell.pdf


1988

1. McEwan SR, Davey PG. Ciprofloxacin and tenosynovitis. Lancet 1988; 2: 900.

2. Adverse effects of fluoroquinolones
Halkin et al (Rev Infect Dis 1988 10 258-261)

3. Ciprofloxacin and tenosynovitis
McEwan et al ( Lancet 1988 15 900)

4. Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages


1989

1. Adverse reactions during clinical trials and post marketing surveillance
Janknegt et al (Pharm Weekbl Sci 1989 11(4) 124-127)

2. Arthritis induced by norfloxacin
Jeandel et al (J Rheumatol 1989 16 560-561)

3. Schumacher HR Jr, Michaels R.
Recurrent tendinitis and achilles tendon nodule with positively birefringent crystals in a patient with hyperlipoproteinemia.
J Rheumatol. 1989 Oct;16(10):1387-9.
PMID: 2810266 [PubMed - indexed for MEDLINE]


1990

1. Histologic and Histochemical Changes in Articular Cartilages of Immature Beagle Dogs Dosed with Difloxacin, a Fluoroquinolone
J.E. Kurkhardt et al (Vet Pathol 27;162-170, 1990)


1991

1. Rheumatolgical side effects of quinolones
Ribard et al (Baillere’s Clin Rheumatol 1991 5 175-191)

2. Perrot S, Ziza JM, De Bourran-Cauet G, Desplaces N, Lachand AT.
[A new complication related to quinolones: rupture of Achilles tendon]
Presse Med. 1991 Jul 6-13;20(26):1234. French. No abstract available.
PMID: 1831902 [PubMed - indexed for MEDLINE]


1992

1. Seven Achilles tendinitis including three complicated by rupture during fluoroquinolone therapy
Ribard et al (J Rheumatol 1992; 19; 1479-1481)

2. 704 achilles tendinitis, 38 ruptures 1992-1998 Netherlands
Fluoroquinolone use and the change in incidence of tendon rupture in the Netherlands
Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)
The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture
source: http://bmj.com/cgi/content/full/324/7349/1306

3. 100 reported tendinopathies 1985-1992 France
In France, between 1985 and 1992, 100 patients who were being managed with fluoroquinolones had tendon disorders, which included thirty-one ruptures (Royer, R. J.; Pierfitte, C.; and Netter, P.: Features of tendon disorders with fluoroquinolones. Therapie, 49: 75-76, 1994.)
http://www.studiomedico.it/allegati/achille.pdf

4. Ribard P, Audisio F, Kahn MF, De Bandt M, Jorgensen C, Hayem G, Meyer O, Palazzo E.
Seven Achilles tendinitis including 3 complicated by rupture during fluoroquinolone therapy.
J Rheumatol. 1992 Sep;19(9):1479-81.
PMID: 1433021 [PubMed - indexed for MEDLINE]

5. Perrot S, Kaplan G, Ziza JM.
[3 cases of Achilles tendinitis caused by pefloxacin, 2 of them with tendon rupture]
Rev Rhum Mal Osteoartic. 1992 Feb;59(2):162. French. No abstract available.
PMID: 1604233 [PubMed - indexed for MEDLINE]

6. Lee WT, Collins JF.
Ciprofloxacin associated bilateral achilles tendon rupture.
Aust N Z J Med. 1992 Oct;22(5):500. No abstract available.
PMID: 1445042 [PubMed - indexed for MEDLINE]

7. Blanche P, Sereni D, Sicard D, Christoforov B.
[Achilles tendinitis induced by pefloxacin. Apropos of 2 cases]
Ann Med Interne (Paris). 1992;143(5):348. French. No abstract available.
PMID: 1482040 [PubMed - indexed for MEDLINE]

8. Olivieri I, Padula A, Lisanti ME, Braccini G.
Longstanding HLA-B27 associated Achilles tendinitis.
Ann Rheum Dis. 1992 Nov;51(11):1265. No abstract available.
PMID: 1466609 [PubMed - indexed for MEDLINE]


1993

1. Spontaneous bilateral rupture of the Achille’s tendon in a renal transplant recipient
Mainard et al (Nephron 1993;65- 491-492)

2. Boulay I, Farge D, Haddad A, Bourrier P, Chanu B, Rouffy J
[Tendinopathy caused by ciprofloxacin with possible partial rupture of Achilles tendon]
Ann Med Interne (Paris). 1993;144(7):493-4. French. No abstract available.
PMID: 8141519 [PubMed - indexed for MEDLINE]


1994

1. Royer RJ, Pierfitte C, Netter P.
Features of tendon disorders with fluoroquinolones.
Therapie. 1994 Jan-Feb;49(1):75-6. No abstract available.
PMID: 8091374 [PubMed - indexed for MEDLINE]

2. Armengol S, Moreno JA, Xirgu J, Torrabadella P, Tomas R.
[Ciprofloxacin as a cause of a behavior disorder in a patient admitted into intensive care]
Enferm Infecc Microbiol Clin. 1994 May;12(5):271-2. Spanish. No abstract available.
PMID: 8049295 [PubMed - indexed for MEDLINE]

3. Donck JB, Segaert MF, Vanrenterghem YF.
Fluoroquinolones and Achilles tendinopathy in renal transplant recipients.
Transplantation. 1994 Sep 27;58(6):736-7. No abstract available.
PMID: 7940700 [PubMed - indexed for MEDLINE]

4. Onieal ME.
Achilles injuries.
J Am Acad Nurse Pract. 1994 Mar;6(3):125-6. No abstract available.
PMID: 8003362 [PubMed - indexed for MEDLINE]

5. Scioli MW.
Achilles tendinitis.
Orthop Clin North Am. 1994 Jan;25(1):177-82. Review.
PMID: 8290227 [PubMed - indexed for MEDLINE]

6. Hernandez MV, Peris P, Sierra J, Collado A, Munoz-Gomez J.
[Tendinitis due to fluoroquinolones. Description of 2 cases]
Med Clin (Barc). 1994 Sep 10;103(7):264-6. Review. Spanish.
PMID: 7934295 [PubMed - indexed for MEDLINE]

7. Achilles tenditinis and tendon rupture due to fluoroquinolone therapy
Huston et al (New England Journal of Medicene 1994 331 748)

8. Royer, R. J.; Pierfitte, C.; and Netter, P.: Features of tendon disorders with fluoroquinolones. Therapie, 49: 75-76, 1994.)

9. Dekens-Konter JA, Knol A, Olsson S, Meyboom RH, de Koning GH.
[Tendinitis of the Achilles tendon caused by pefloxacin and other
fluoroquinolone derivatives]
Ned Tijdschr Geneeskd. 1994 Mar 5;138(10):528-31. Dutch.
PMID: 8139714 [PubMed - indexed for MEDLINE]

10. Prantera C, Kohn A, Zannoni F, Spimpolo N, Bonfa M.
Metronidazole plus ciprofloxacin in the treatment of active, refractory Crohn's disease: results of an open study.
J Clin Gastroenterol. 1994 Jul;19(1):79-80. No abstract available.
PMID: 7930441 [PubMed - indexed for MEDLINE]

11. Van Linthoudt D, D'Oro A, Ott H.
[What is your diagnosis? Bilateral Achilles tendinitis associated with
quinolone treatment]
Schweiz Rundsch Med Prax. 1994 Feb 22;83(8):201-2. German. No abstract available.
PMID: 8134743 [PubMed - indexed for MEDLINE]

12. Kawada A, Hiruma M, Morimoto K, Ishibashi A, Banba H.
Fixed drug eruption induced by ciprofloxacin followed by ofloxacin.
Contact Dermatitis. 1994 Sep;31(3):182-3. No abstract available.
PMID: 7821014 [PubMed - indexed for MEDLINE]

13. Guharoy SR.
Serum sickness secondary to ciprofloxacin use.
Vet Hum Toxicol. 1994 Dec;36(6):540-1.
PMID: 7900274 [PubMed - indexed for MEDLINE]


1995

1. Hernandez Rodriguez I, Allegue F.
Achilles and suprapatellar tendinitis due to isotretinoin.
J Rheumatol. 1995 Oct;22(10):2009-10. No abstract available.
PMID: 8992016 [PubMed - indexed for MEDLINE]

2. Szarfman A, Chen M, Blum MD. More on fluoroquinolone antibiotics and tendon rupture. N Engl J Med 1995; 332: 193[Free Full Text].

3. Magnesium Deficiency Induces Joint Cartilage Lesions in Juvenile Rats which are Identical to Quinolone Induced Arthropathy
Stahlmann et al (Antimicrobial Agents and Chemotherapy, Sept., 1995 pg 2013-2018)

4. Crowder SW, Jaffey LH.
Sarcoidosis presenting as Achilles tendinitis.
J R Soc Med. 1995 Jun;88(6):335-6.
PMID: 7629765 [PubMed - indexed for MEDLINE]

5. Pierfitte C, Gillet P, Royer RJ
More on fluoroquinolone antibiotics and tendon rupture.
N Engl J Med. 1995 Jan 19;332(3):193. No abstract available.
PMID: 7800022 [PubMed - indexed for MEDLINE]

6. Szarfman A, Chen M, Blum MD.
More on fluoroquinolone antibiotics and tendon rupture.
N Engl J Med. 1995 Jan 19;332(3):193. No abstract available.
PMID: 7800023 [PubMed - indexed for MEDLINE]

7. Norfloxacin induced arthalgia
Terry et al ( J Rheumatol 1995 22 793-794)

8. Fluoroquinolone Induced Tenosynovitis of the Wrist mimicking de Quervain’s Disease
Gillet et al (British Journal of Rheumatology vol 34 no 6 pg 583-584, Feb 1995)

9. Mirovsky Y, Pollack L, Arlazoroff A, Halperin N.
[Ciprofloxacin-associated bilateral acute achilles tendinitis]
Harefuah. 1995 Dec 1;129(11):470-2, 535. Hebrew.
PMID: 8846955 [PubMed - indexed for MEDLINE]



1996

1. McGarvey WC, Singh D, Trevino SG. Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review. Foot Ankle Int 1996; 17: 496-498[ISI][Medline].

2. Pierfitte C, Royer RJ.
Tendon disorders with fluoroquinolones.
Therapie. 1996 Jul-Aug;51(4):419-20. No abstract available.
PMID: 8953821 [PubMed - indexed for MEDLINE]

3. Hugo-Persson M.
[Rupture of the Achilles tendon after ciproxine therapy]
Lakartidningen. 1996 Apr 17;93(16):1520. Swedish. No abstract available.
PMID: 8667750 [PubMed - indexed for MEDLINE]

4. Therapie 1996; 51: 419-420 Tendon disorders with fluoroquinolones 421 cases have been collected by the Centre de Pharmacovigilance, 340 of tendinitis and 81 cases of tendon rupture.

5. McGarvey WC, Singh D, Trevino SG.
Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a
case report and literature review.
Foot Ankle Int. 1996 Aug;17(8):496-8. Review.
PMID: 8863030 [PubMed - indexed for MEDLINE]

6. Skovgaard D, Feldt-Rasmussen BF, Nimb L, Hede A, Kjaer M.
[Bilateral Achilles tendon rupture in individuals with renal transplantation]
Ugeskr Laeger. 1996 Dec 30;159(1):57-8. Danish.
PMID: 9012076 [PubMed - indexed for MEDLINE]

7. Jagose JT, McGregor DR, Nind GR, Bailey RR.
Achilles tendon rupture due to ciprofloxacin.
N Z Med J. 1996 Dec 13;109(1035):471-2. No abstract available.
PMID: 9006634 [PubMed - indexed for MEDLINE]

8, Ottosson L.
[An unexpected verdict by the HSAN in a case of Achilles tendon rupture]
Lakartidningen. 1996 Dec 18;93(51-52):4712, 4715. Swedish. No abstract available.
PMID: 9011717 [PubMed - indexed for MEDLINE]

9. Castagnola C, Suhler A.
[Tendinopathy and fluoroquinolones]
Ann Urol (Paris). 1996;30(3):129-30. French.
PMID: 8766149 [PubMed - indexed for MEDLINE]

10. Foot Ankle Int. 1996 Aug;17(8):496-8.
Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review.

11. Fluoroquinolone induced arthralgia and Magnetic Resonance Imaging
Loeuille et al (The Journal of Rheumatology volume 23 no 7 , July 1996)

12. Fluoroquinolone Induced Tendinopathy; Report of Six Cases
Zabraniedkl et al (The Journal of Rhuematology 1996; 23; 3)

13. Quinolone induced cartilage lesions are not reversible in rats
Forster et al (Arch Toxicol (1996) 70; 474-481)

14. Maki T, Heinasmaki T, Riutta J, Tikkanen T, Laasonen L, Eklund K.
[Bilateral Achilles tendon rupture caused by oral fluoroquinolones]
Duodecim. 1996;112(19):1818-20. Finnish. No abstract available.
PMID: 10596182 [PubMed - indexed for MEDLINE

15. ENGLAND
130 reported tendon inflammation or rupture (England, France and Belgium, 1996)
The group cited 130 reports of tendon inflammation or rupture in people who used the prescription drug in England, France and Belgium. The FDA has received at least 52 reports of patients in the U.S. who have suffered tendon damage
(from public citizens 1996 petition)
Szarfman et al. recommended that the labeling on packaging for fluoroquinolone be up-dated to include a warning about the possibility of tendon rupture. In its recommendations on the use of
this class of antibiotics, the British National Formulary
suggested that "at the first sign of pain or inflammation, patients should discontinue the treatment and rest the affected limb until the tendon symptoms have resolved."
British National Formulary. No. 32, p. 259. London, British Medical Association, Royal Pharmaceutical Society of Great Britain, 1996.
{Notice how this labeling change has not be altered since 1996 and appears to have been copied word for word in every monograph.}

16. FRANCE
921 reported tendon disorders France
340 reported tendonitis, 81 tendon ruptures 1996, WHO
Adverse drug reactions with fluoroquinolones The French system of drug surveillance has analyzed the reports of adverse drug reactions (ADRs) to fluoroquinolones since they were launched. The frequency of reactions ranges from 1/15000 to 1/208000 case per days of treatment. Cutaneous disorders and tendon disorders dominate in France, whereas cutaneous effects and neuropsychiatric disorders are predominant in the UK; tendon disorders take up only the 5th position. Among the most unexpected ADRs are the following: 1- Shock 2- Acure renal failure Tendon ruptures represent 81 cases for 921 reports of tendon disorders which are related in decreasing order to pefloxacin 1/23130 case per days of treatment, ofloxin, norfloxacin and ciprofloxacin 1/779600 case per days of treatment. Age and corticosteroids increase the risk of tendon rupture. Therapie 1996; 51; 419-420 Tendon disorders with fluoroquinolones 421 cases have been collected by the Centre de Pharmacovigilance: 340 of tendinitis and 81 of tendon rupture. These cases were attributed to Peflacine, Oflocet, Noroxine, Ciflox. Tendinitis was characterized by a bilateral malleolar oedema associated with a sudden pain. Sometimes this oedema evoked phlebitis. The tendon rupture was generally preceded by a tendinitis but in half of the cases it occurred without warning.
Source: http://www.who-umc.org/newsletter/newsltr97_1.html (sic)


1997

1. Australia. The Adverse Drug Reactions Advisory Committee first reported tendinitis in association with fluoroquinolone antibiotics in 1997. The Committee has continued to monitor this adverse reaction, and has now received 60 reports of tendinitis, tensosynovitis and/or tendon rupture in association with these drugs. Ciprofloxacin was most frequently cited (55 reports), as well as norfloxacin (4) and enoxacin (1).
Forty-five reports described tendinitis alone, one report described tensosynovitis, and 14 reports documented tendon tear or rupture. Fifty-five of the 60 reports specified the Achilles tendon, including 20 which described bilateral Achilles tendon damage. All 14 reports of tendon rupture involved the Achilles tendon. The 58 patients ranged in age from 38 to 91 years (median: 69), with no significant difference between those with tendinitis and those with tendon rupture.
The daily doses of ciprofloxacin ranged from 500 mg to 2250 mg, with 46% of patients taking 1500 mg and 46% of patients taking 1000 mg daily. For those who developed tendon rupture, 57% were taking 1500 mg daily. Time to onset varied from within 24 hours after the drug was commenced to 3 months after starting, but the majority of cases of tendinitis occurred within the first week. Time to rupture was longer with a median time of 2-3 weeks. Known risk factors for these reactions include old age, renal dysfunction and concomitant corticosteroid therapy. In the cases reported to the ADRAC, 29 reports documented concomitant corticosteroid use, and in 21 of the other 31 reports the patients were aged 69 years or older. In the reports of tendon rupture, 12 of the 14 described either concomitant steroid use (9) or old age (9).
Prescribers are reminded to be alert for this reaction and to withdraw the fluoroquinolone immediately when symptoms of tendinitis appear in order to reduce the risk of tendon rupture.
[See also Pharmaceuticals Newsletter Nos. 7&8, July&August 1997.]
Tendinitis associated with Fluoroquinolone therapy
(Pharmaceuticals Newsletters Nos 7&8 July & August 1997)
Australia

2. 93 ruptures, 103 tendinopathies, 20 tenasynovitis, 1987-1997
Source: http://www.sma.org/smj1999/junesmj99/harrell.pdf

3. Danesh-Meyer MJ.
Complicated management of a patient with rapidly progressive periodontitis: a case report.
J N Z Soc Periodontol. 1997;(82):25-9. No abstract available.
PMID: 10483437 [PubMed - indexed for MEDLINE]

4. Poon CC, Sundaram NA.
Spontaneous bilateral Achilles tendon rupture associated with ciprofloxacin.
Med J Aust. 1997 Jun 16;166(12):665. No abstract available.
PMID: 9216589 [PubMed - indexed for MEDLINE]

5. Shinohara YT, Tasker SA, Wallace MR, Couch KE, Olson PE.
What is the risk of Achilles tendon rupture with ciprofloxacin?
J Rheumatol. 1997 Jan;24(1):238-9. No abstract available.
PMID: 9002057 [PubMed - indexed for MEDLINE]

6. Movin T, Gad A, Guntner P, Foldhazy Z, Rolf C.
Pathology of the Achilles tendon in association with ciprofloxacin treatment.
Foot Ankle Int. 1997 May;18(5):297-9.
PMID: 9167931 [PubMed - indexed for MEDLINE]

7. Tendons and Fluoroquinolones; Unresolved issues
Kahn et al (Rev Rhum [Engl. Ed.] 1997 64(7-9) 437-439)
(Rev Rhum [Ed. Fr.] 1997 64(7-9) 511-513

8. Fluoroquinolones tendinitis update Australia
Tendinitis associated with Fluoroquinolone therapy
(Pharmaceuticals Newsletters Nos 7&8 July & August 1997)

9. Toxic effects of quinolone antibacterial agents on the musculoskeletal system in juvenile rats
Yoko Kashida et al (Toxicologic Pathology vol 25 number 6 pages 635-643 1997)

10. Tendinitis and tendon rupture with fluoroquinolones
ADRAC (The Achilles heel of fluoroquinolones Aust Adv Drug React Bull 1997;16;7, Szarfman et al)

11. Effects of Ciprofloxacin and Ofloxacin on adult human cartilage in vitro
(Antimicrob Agents Chemother 1997, Vol 41; issue 11; pages 2562-2565)

12. Repeated rupture of the extensor tendons of the hand due to fluoroquinolones, Apropos of a case
Levadoux et al (Ann Chir Main Memb Super 1997, vol 16, issue 2, pgs 130-133)

13. Benizeau I, Cambon-Michot C, Daragon A, Voisin L, Mejjad O, Thomine JM, Le Loet X.
Tendinitis of the tibialis anterior with histologic documentation in a patient under fluoroquinolone therapy.
Rev Rhum Engl Ed. 1997 Jun;64(6):432-3. No abstract available.
PMID: 9513620 [PubMed - indexed for MEDLINE]


1998

1. Khan KM, Cook JL, Bonar SF, Harcourt PR.
Subcutaneous rupture of the Achilles tendon.
Br J Sports Med. 1998 Jun;32(2):184-5. No abstract available.
PMID: 9631234 [PubMed - indexed for MEDLINE]

2. Stafford L, Bertouch J.
Reactive arthritis and ruptured Achilles tendon.
Ann Rheum Dis. 1998 Jan;57(1):61. No abstract available.
PMID: 9536827 [PubMed - indexed for MEDLINE]

3. Kahn MF.
Achilles tendinitis and ruptures.
Br J Sports Med. 1998 Sep;32(3):266. No abstract available.
PMID: 9773187 [PubMed - indexed for MEDLINE]

4. van der Linden PD, van Puijenbroek EP, Feenstra J, Veld BA, Sturkenboom MC, Herings RM, Leufkens HG, Stricker BH.
Tendon disorders attributed to fluoroquinolones: a study on 42 spontaneous reports in the period 1988 to 1998. Arthritis Rheum. 2001 Jun;45(3):235-9.
PMID: 11409663 [PubMed - indexed for MEDLINE]

5. Blanco Andres C, Bravo Toledo R.
[Bilateral tendinitis caused by ciprofloxacin]
Aten Primaria. 1998 Feb 28;21(3):184-5. Spanish. No abstract available.
PMID: 9607242 [PubMed - indexed for MEDLINE]

6. Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages 235-239)

7. Petersen W, Laprell H
[Insidious rupture of the Achilles tendon after ciprofloxacin-induced tendopathy. A case report]
Unfallchirurg. 1998 Sep;101(9):731-4. German.
PMID: 9816984 [PubMed - indexed for MEDLINE]

8. Voorn R.
Case report: can sacroiliac joint dysfunction cause chronic Achilles
tendinitis?
J Orthop Sports Phys Ther. 1998 Jun;27(6):436-43.
PMID: 9617730 [PubMed - indexed for MEDLINE]

9. West MB, Gow P.
Ciprofloxacin, bilateral Achilles tendonitis and unilateral tendon rupture--a case report.
N Z Med J. 1998 Jan 23;111(1058):18-9. No abstract available.
PMID: 9484431 [PubMed - indexed for MEDLINE]

10. Gabutti L, Stoller R, Marti HP.
[Fluoroquinolones as etiology of tendinopathy]
Ther Umsch. 1998 Sep;55(9):558-61. German.
PMID: 9789471 [PubMed - indexed for MEDLINE]

11. NETHERLANDS
704 achilles tendinitis, 38 ruptures 1992-1998 Netherlands
Fluoroquinolone use and the change in incidence of tendon rupture in the Netherlands
Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)
The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture
source: http://bmj.com/cgi/content/full/324/7349/1306

12. 42 spontaneous reports 1988-1998
Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages 235-239) June 2001
http://www.rheumatology.org/arhp/acnr/2001/0106.html


1999

1. Eriksson E.
In vivo microdialysis of painful achilles tendinosis.
Knee Surg Sports Traumatol Arthrosc. 1999;7(6):339. No abstract available.
PMID: 10639649 [PubMed - indexed for MEDLINE]

2. Mousa A, Jones S, Toft A, Perros P.
Spontaneous rupture of Achilles tendon: missed presentation of Cushing's syndrome.
BMJ. 1999 Aug 28;319(7209):560-1. No abstract available.
PMID: 10463901 [PubMed - indexed for MEDLINE]

3. Harrell RM.
Fluoroquinolone-induced tendinopathy: what do we know?
South Med J. 1999 Jun;92(6):622-5. Review.
PMID: 10372859 [PubMed - indexed for MEDLINE]

4. Gibbon WW, Cooper JR, Radcliffe GS.
Sonographic incidence of tendon microtears in athletes with chronic Achilles tendinosis.
Br J Sports Med. 1999 Apr;33(2):129-30.
PMID: 10205697 [PubMed - indexed for MEDLINE]

5. Lewis JR, Gums JG, Dickensheets DL.
Levofloxacin-induced bilateral Achilles tendonitis.
Ann Pharmacother. 1999 Jul-Aug;33(7-8):792-5.
PMID: 10466906 [PubMed - indexed for MEDLINE]

6. Zambanini A, Padley S, Cox A, Feher M.
Achilles tendonitis: an unusual complication of amlodipine therapy.
J Hum Hypertens. 1999 Aug;13(8):565-6. No abstract available.
PMID: 10455480 [PubMed - indexed for MEDLINE]

7. van der Linden PD, van de Lei J, Nab HW, Knol A, Stricker BH.
Achilles tendinitis associated with fluoroquinolones.
Br J Clin Pharmacol. 1999 Sep;48(3):433-7.
PMID: 10510157 [PubMed - indexed for MEDLINE]

8. Van der Linden PD, van de Lei J, Nab HW, Knol A, Stricker BHCh. Achilles tendinitis associated with fluoroquinolones. Br J Clin Pharmacol 1999; 48: 433-437[CrossRef][ISI][Medline].

9. 60 reported tendonitis August 1999
Fluoroquinolones tendinitis update Australia
Tendinitis associated with Fluoroquinolone therapy
(Pharmaceuticals Newsletters Nos 7&8 July & August 1997)
Australia
ADRAC Bulletin, vol 18, No 3, August 1999
Tendinitis and tendon rupture with
fluoroquinolones
The Adverse Drug Reactions Advisory Committee (ADRAC) first reported tendinitis in association with the fluoroquinolone antibiotics in 1997. The Committee has continued to monitor this adverse
reaction, and has now received 60 reports of tendinitis, tenosynovitis and/or tendon rupture in association with these drugs. Most involved was ciprofloxacin (55), but there were also reports with norfloxacin (4) and enoxacin (1). Fortyfive reports described tendinitis alone, one report described tenosynovitis, and 14 reports documented tendon tear or rupture. Fifty five of the 60 reports specified the Achilles tendon, including 20 which described bilateral
Achilles tendon damage. All 14 reports of tendon rupture
involved the Achilles tendon.
Source: http://www.who.int/medicines/library/pnewslet/pndec99.html

10. 421 reported tendon disorders and 81 tendon ruptures 1999
Therapie 1996; 51: 419-420 Tendon disorders with fluoroquinolones 421 cases have been collected by the Centre de Pharmacovigilance, 340 of tendinitis and 81 cases of tendon rupture.

11. Rev Rhum Engl Ed. 1999 Jul-Sep;66(7-9):419-21.
Suspected role of ofloxacin in a case of arthalgia, myalgia, and multiple tendinopathy.

12. Levofloxacin-induced bilateral Achilles tendonitis
Lewis JR, JG Gums, and DL Dickensheets 1999

13. Inhibition of fibroblast metabolism by a fluoroquinolone antibiotic
Williams et al (American Academy of Orthopedic Surgeons, 1999 Annual meeting, paper number 118, Geb 5, 1999)

14. Levofloxacin induced bilateral achilles tendinitis
Lewis et al (The Annals of Pharmacotherapy 1999 July/August, volume 33 pages 792-795)

15. Fluoroquinolone induced tendinopathy; what do we know?
Harrell et al (South Med J 92(6) 622-625 1999)

16. Ann Pharmacother. 1999 Jul-Aug;33(7-8):792-5.
Levofloxacin-induced bilateral Achilles tendonitis.

17. Schwald N, Debray-Meignan S.
Suspected role of ofloxacin in a case of arthalgia, myalgia, and multiple tendinopathy.
Rev Rhum Engl Ed. 1999 Jul-Sep;66(7-9):419-21.
PMID: 10526383 [PubMed - indexed for MEDLINE]


2000

1. Fluoroquinolone induced tendinopathy; also occurring with levofloxacin
Fleisch et al (Infection 28 2000 no 4 pages 256-257)

2. Infection. 2000 Jul-Aug;28(4):256-7.
Fluoroquinolone-induced tendinopathy: also occurring with levofloxacin.

3. Quinolone and Tendon Ruptures
Casperian et al (Southern Medical Journal May 2000 vol 93 no 5 pages 488-491)

4. Evaluation of toxicokinetic variables and arthropathic changes in juvenile rabbits after oral administration of an ivestigational fluoroquinolone, pd 117596
Johnson et al (AJVR vol 61 no 11, pages, 1396-1402, November 2000)

5. Rupture of the patellar ligament one month after treatment with fluoroquinolone
Rev Chir Orthop Reparatrice Appar Mot. 2000 Sep;86(5):495-7.

6. FINLAND
42 reported tendinopathies 2000
Finland:
Register of adverse drug reactions in 2000

7. The majority of ADR reports received among antibacterials concerned levofloxacin, which is a fluoroquinolone antibiotic. Fourteen of the reports were on tendinitis or rupture of the Achilles tendon. Tendinitis caused by fluoroquinolones was discussed in TABU for the first time in 1996. Since then the ADR register has received a total of 42 reports on tendinopathies caused by
fluoroquinolones, over a third of which were ruptures of the tendon.
The use of fluoroquinolones has in-creased by about 75% since 1996. Levofloxacin is responsible for the major part of this increase. It has been marketed in Finland since mid 1998.
source: www.nam.fi/uploads/english/Publications/Tabu/tabu22001_eng.pdf

8. Casado Burgos E, Vinas Ponce G, Lauzurica Valdemoros R, Olive Marques A.
[Levofloxacin-induced tendinitis]
Med Clin (Barc). 2000 Mar 4;114(8):319. Spanish. No abstract available.
PMID: 10774524 [PubMed - indexed for MEDLINE]

9. Casparian JM, Luchi M, Moffat RE, Hinthorn D.
Quinolones and tendon ruptures.
South Med J. 2000 May;93(5):488-91. Review.
PMID: 10832946 [PubMed - indexed for MEDLINE]

10. Gravlee JR, Hatch RL, Galea AM.
Achilles tendon rupture: a challenging diagnosis.
J Am Board Fam Pract. 2000 Sep-Oct;13(5):371-3. No abstract available.
PMID: 11001009 [PubMed - indexed for MEDLINE]

11. Kouvalchouk JF, Hassan E
[Achilles tendon disorders]
Tunis Med. 2000 Jun-Jul;78(6-7):462-7. Review. French. No abstract available.
PMID: 11043038 [PubMed - indexed for MEDLINE]

12. Ortiz V, Holgado S, Olive A, Fite E.
Ach illes tendinitis as the presentation form of Lofgren's syndrome.
Clin Rheumatol. 2000;19(2):169-70.
PMID: 10791635 [PubMed - indexed for MEDLINE]

13. Vavra-Hadziahmetovic N, Hadziahmetovic Z, Smajlovic F.
Phy sical therapy in conservative (functional) treatment of acute achilles tendon rupture.
Med Arh. 2000;54(2):121-2.
PMID: 10934845 [PubMed - indexed for MEDLINE]

14. Martinelli B.
Rupture of the Achilles tendon.
J Bone Joint Surg Am. 2000 Dec;82-A(12):1804. No abstract available.
PMID: 11130653 [PubMed - indexed for MEDLINE]


2001

1. Rev Clin Esp. 2001 Sep;201(9):539-40.
Achilles pain and functional impotence in a patient with chronic obstructive pulmonary disease with pneumonia. Tendon rupture caused by levofloxacin

2. Pharm World Sci. 2001 Jun;23(3):89-92.
Fluoroquinolone use and the change in incidence of tendon ruptures in the Netherlands.
van der Linden PD, Nab HW, Simonian S, Stricker BH, Leufkens HG, Herings RM.

3. Mennecier D, Thiolet C, Bredin C, Potier V, Vergeau B, Farret O.
[Acute pancreatitis after treatment by levofloxacin and methylprednisolone]
Gastroenterol Clin Biol. 2001 Oct;25(10):921-2. French. No abstract available.
PMID: 11852403 [PubMed - indexed for MEDLINE]

4. Csizy M, Hintermann B.
[Rupture of the Achilles tendon after local steroid injection. Case reports and consequences for treatment]
Swiss Surg. 2001;7(4):184-9. German.
PMID: 11515194 [PubMed - indexed for MEDLINE]

5. Adverse reactions to fluoroquinolones an overview on mechanistic aspects
De Sarro et al (Current Medicinal Chemistry 2001, 8, 371-384)

6. Fluoroquinolone use and the change in incidence of tendon rupture in the Netherlands
Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)

7. Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages 235-239)

8. 1847 reported tendinopathies December 2001
Tabelle 7
Pharmacovigilance: Meldungen von Tendinopathien im Vergleich zu allen gemeldeten unerwünschten Arzneimittelwirkungen (UAW), Stand 17. Dezember 2001.

9. Meldungen Schweiz (IKS-Datenbank) Welt (WHO-Datenbank)
Tendinopathie alle UAW Tendinopathie alle UAW
Ciprofloxacin 8 (5%) 155 649(2,2%) 29 090
Fleroxacin 9 (1,2 %) 754
Norfloxacin 1 (1%) 91 163 (2,1%) 7536
Ofloxacin 2 (6%) 34 432 (1,8%) 23 990
Levofloxacin 32 (41%) 79 576 (7,8%) 7432
Moxifloxacin 18 (4,5 %) 4030
Source: http://www.saez.ch/pdf/2003/2003-02/2003-02-694.PDF
http://www.saez.ch/pdf/2003/2003-02/2003-02-694.PDF

10. U.S. ARMED FORCES
Spontaneous Ruptures of the Achilles Tendon, US Armed Forces, 1998-2001
Methods. The Defense Medical Surveillance System was searched to identify all incident ambulatory visits of active duty servicemembers with a primary diagnosis of non-traumatic rupture of the achilles tendon (ICD-9- CM code 727.67) and other tendon ruptures (ICD-9- CM codes 727.60-727.66, 727.68-727.69) between January 1998 and May 2001.
The most striking finding of this analysis is the sudden and significant increase in rates of achilles tendon ruptures beginning in calendar year 2000. The increase was manifested across all Services and in most demographic subgroups (table 1). Rates
of non-traumatic ruptures of several other tendons also increased during the period; and increases in ruptures of the rotator cuff were comparable to those of the achilles tendon.
Source: http://amsa.army.mil/1Msmr/2002/v08_n01.pdf

11. Nuno Mateo FJ, Noval Menendez J, Suarez M, Guinea O.
[Achilles pain and functional impotence in a patient with chronic obstructive pulmonary disease with pneumonia. Tendon rupture caused by levofloxacin]
Rev Clin Esp. 2001 Sep;201(9):539-40. Spanish. No abstract available.
PMID: 11692412 [PubMed - indexed for MEDLINE]

12. Malaguti M, Triolo L, Biagini M.
Ciprofloxacin-associated Achilles tendon rupture in a hemodialysis patient.
J Nephrol. 2001 Sep-Oct;14(5):431-2. No abstract available.
PMID: 11730281 [PubMed - indexed for MEDLINE]

13. Butler MW, Griffin JF, Quinlan WR, McDonnell TJ.
Quinolone-associated tendonitis: a potential problem in COPD?
Ir J Med Sci. 2001 Jul-Sep;170(3):198-9.
PMID: 12120977 [PubMed - indexed for MEDLINE]

14. Bharani A, Kumar H.
Drug points: Diabetes inspidus induced by ofloxacin.
BMJ. 2001 Sep 8;323(7312):547. No abstract available.
PMID: 11546701 [PubMed - indexed for MEDLINE]

15. Toverud EL, Landaas S, Hellebostad M.
Repeated achilles tendinitis after high dose methotrexate.
Med Pediatr Oncol. 2001 Aug;37(2):156. No abstract available.
PMID: 11496361 [PubMed - indexed for MEDLINE]

16. Oatridge A, Herlihy AH, Thomas RW, Wallace AL, Curati WL, Hajnal JV, Bydder GM.
Magnetic resonance: magic angle imaging of the Achilles tendon.
Lancet. 2001 Nov 10;358(9293):1610-1.
PMID: 11716890 [PubMed - indexed for MEDLINE]

17. Fletcher MD, Warren PJ.
Sural nerve injury associated with neglected tendo Achilles ruptures.
Br J Sports Med. 2001 Apr;35(2):131-2.
PMID: 11273977 [PubMed - indexed for MEDLINE]

18. Humble RN, Nugent LL.
Achilles' tendonitis. An overview and reconditioning model.
Clin Podiatr Med Surg. 2001 Apr;18(2):233-54. Review.
PMID: 11417153 [PubMed - indexed for MEDLINE]

19. Eriksson E.
Achilles tendon surgery and wound healing.
Knee Surg Sports Traumatol Arthrosc. 2001 Jul;9(4):193. No abstract available.
PMID: 11522072 [PubMed - indexed for MEDLINE]

20. Speed CA.
Fortnightly review: Corticosteroid injections in tendon lesions.
BMJ. 2001 Aug 18;323(7309):382-6. No abstract available.
PMID: 11509432 [PubMed - indexed for MEDLINE]

21. Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)
The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture
source: http://bmj.com/cgi/content/full/324/7349/1306


2002

1. Ulreich N, Kainberger F, Huber W, Nehrer S.
[Achilles tendon and sports]
Radiologe. 2002 Oct;42(10):811-7. German.
PMID: 12402109 [PubMed - indexed for MEDLINE]

2. Doral MN, Tetik O, Atay OA, Leblebicioglu G, Oznur A.
[Achilles tendon diseases and its management]
Acta Orthop Traumatol Turc. 2002;36 Suppl 1:42-6. Review. Turkish. No abstract available.
PMID: 12510123 [PubMed - indexed for MEDLINE]

3. Hersh BL, Heath NS.
Achilles tendon rupture as a result of oral steroid therapy.
J Am Podiatr Med Assoc. 2002 Jun;92(6):355-8.
PMID: 12070236 [PubMed - indexed for MEDLINE]

4. [No authors listed]
Side effects of levofloxacin.
Prescrire Int. 2002 Aug;11(60):116-7. No abstract available.
PMID: 12199267 [PubMed - indexed for MEDLINE]

5. Hatori M, Matsuda M, Kokubun S.
Ossification of Achilles tendon--report of three cases.
Arch Orthop Trauma Surg. 2002 Sep;122(7):414-7. Epub 2002 May 03.
PMID: 12228804 [PubMed - indexed for MEDLINE]

6. Pouzaud F, Rat P, Cambourieu C, Nourry H, Warnet JM.
[Tenotoxic potential of fluoroquinolones in the choice of surgical antibiotic prophylaxis in ophthalmology]
J Fr Ophtalmol. 2002 Nov;25(9):921-6. French.
PMID: 12515937 [PubMed - indexed for MEDLINE]

7. Sobel E, Giorgini R, Hilfer J, Rostkowski T.
Ossification of a ruptured achilles tendon: a case report in a diabetic patient.
J Foot Ankle Surg. 2002 Sep-Oct;41(5):330-4.
PMID: 12400718 [PubMed - indexed for MEDLINE]

8. Lohrer H, Scholl J, Arentz S.
[Achilles tendinopathy and patellar tendinopathy. Results of radial shockwave therapy in patients with unsuccessfully treated tendinoses] Sportverletz Sportschaden. 2002 Sep;16(3):108-14. German. No abstract available.
PMID: 12382183 [PubMed - indexed for MEDLINE]

9. Eriksen HA, Pajala A, Leppilahti J, Risteli J.
Increased content of type III collagen at the rupture site of human Achilles tendon.
J Orthop Res. 2002 Nov;20(6):1352-7.
PMID: 12472252 [PubMed - indexed for MEDLINE]

10. Kannus P, Paavola M, Paakkala T, Parkkari J, Jarvinen T, Jarvinen M.
[Pathophysiology of overuse tendon injury]
Radiologe. 2002 Oct;42(10):766-70. German.
PMID: 12402104 [PubMed - indexed for MEDLINE]

11. Summers JB.
Importance of an accurate diagnosis for Achilles rupture.
Am Fam Physician. 2002 Nov 15;66(10):1836. No abstract available.
PMID: 12469956 [PubMed - indexed for MEDLINE]

12. Ulreich N, Huber W, Nehrer S, Kainberger F.
[High resolution magnetic resonance tomography and ultrasound imaging of the Achilles tendon]
Wien Med Wochenschr Suppl. 2002;(113):39-40. German.
PMID: 12621837 [PubMed - indexed for MEDLINE]

13. Dwornik L, Lomasney LM, Demos TC, Lavery LA.
Radiologic case study. Acute Achilles tendon rupture.
Orthopedics. 2002 Nov;25(11):1239, 1318-20. No abstract available.
PMID: 12452339 [PubMed - indexed for MEDLINE]

14. Wood ML, Schlessinger S.
Levaquin induced acute tubulointerstitial nephritis--two case reports.
J Miss State Med Assoc. 2002 Apr;43(4):116-7. No abstract available.
PMID: 11989200 [PubMed - indexed for MEDLINE]

15. McClelland D, Maffulli N.
Percutaneous repair of ruptured Achilles tendon.
J R Coll Surg Edinb. 2002 Aug;47(4):613-8. Review.
PMID: 12363186 [PubMed - indexed for MEDLINE]

16. Eriksson E.
Tendinosis of the patellar and achilles tendon.
Knee Surg Sports Traumatol Arthrosc. 2002 Jan;10(1):1. Epub 2001 Dec 18. No abstract available.
PMID: 11819012 [PubMed - indexed for MEDLINE]

17. Bleakney RR, Tallon C, Wong JK, Lim KP, Maffulli N.
Long-term ultrasonographic features of the Achilles tendon after rupture.
Clin J Sport Med. 2002 Sep;12(5):273-8.
PMID: 12394198 [PubMed - indexed for MEDLINE]

18. Majewski M, Widmer KH, Steinbruck K.
[Achilles tendon ruptures: 25 year's experience in sport-orthopedic treatment]
Sportverletz Sportschaden. 2002 Dec;16(4):167-73. German.
PMID: 12563559 [PubMed - indexed for MEDLINE]

19. Cook JL, Khan KM, Purdam C.
Achilles tendinopathy.
Man Ther. 2002 Aug;7(3):121-30. Review.
PMID: 12372309 [PubMed - indexed for MEDLINE]

20. Shukla DD.
Bilateral spontaneous rupture of achilles tendon secondary to limb ischemia: a case report.
J Foot Ankle Surg. 2002 Sep-Oct;41(5):328-9.
PMID: 12400717 [PubMed - indexed for MEDLINE]

21. Grechenig W, Clement H, Bratschitsch G, Fankhauser F, Peicha G.
[Ultrasound diagnosis of the Achilles tendon]
Orthopade. 2002 Mar;31(3):319-25. German.
PMID: 12017866 [PubMed - indexed for MEDLINE]

22. Mazzone MF, McCue T.
Common conditions of the achilles tendon.
Am Fam Physician. 2002 May 1;65(9):1805-10. Review.
PMID: 12018803 [PubMed - indexed for MEDLINE]

23. Schepsis AA, Jones H, Haas AL.
Achilles tendon disorders in athletes.
Am J Sports Med. 2002 Mar-Apr;30(2):287-305. Review.
PMID: 11912103 [PubMed - indexed for MEDLINE]

24. Fluoroquinolones and risk of Achilles tendon disorders: case-control study BMJ 2002;324:1306-1307 ( 1 June ) P D van der Linden, researcher a, M C J M Sturkenboom, assistant professor a, R M C Herings, associate professor b, H G M Leufkens, professor b, B H Ch Stricker, professor a.
a Pharmaco-epidemiology Unit, Department of Epidemiology & Biostatistics and Internal Medicine, Erasmus Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands, b Department of Pharmaco-epidemiology and Pharmacotherapy, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands

25. Pai VS, Patel N.
Atypical coronal or sagittal Z ruptures of the achilles tendon: a report of four cases.
J Foot Ankle Surg. 2002 May-Jun;41(3):183-5.
PMID: 12075907 [PubMed - indexed for MEDLINE]

26. van der Linden PD, Sturkenboom MC, Herings RM, Leufkens HG, Stricker BH.
Fluoroquinolones and risk of Achilles tendon disorders: case-control study.
BMJ. 2002 Jun 1;324(7349):1306-7. No abstract available.
PMID: 12039823 [PubMed - indexed for MEDLINE]

27. Tiling T.
[Is an Achilles tendon rupture without degeneration possible?]
Dtsch Med Wochenschr. 2002 Jun 21;127(25-26):1401. German. No abstract available.
PMID: 12075502 [PubMed - indexed for MEDLINE]

28. Med Clin (Barc). 2003 Jan 25;120(2):78-9.
Comment on: Med Clin (Barc). 2002 Jun 8;119(1):38-9.
Levofloxacin and bilateral spontaneous Achilles tendon rupture

29. 4 cases of levaquin induced tendintis (orign spansih)
Mica magazine of Chile Issn0034-9887 versi printed
Rev. m. Chilev.130n.11Santiagonov.2002
Rev Méd Chile 2002; 130: 1277-1281
Associated aquiliana Tendinitis to the levofloxacino use:
communication of four cases
Claudius Hoops And, Claudius Flowers W, Sergio Mezzano A.
Levofloxacin associated Achilles

29. Pedros A, Emilio Gomez J, Angel Navarro L, Tomas A.
[Levofloxacin and acute confusional syndrome]
Med Clin (Barc). 2002 Jun 8;119(1):38-9. Spanish. No abstract available.
PMID: 12062009 [PubMed - indexed for MEDLINE]

30. Maffulli N, Kader D.
Tendinopathy of tendo achillis.
J Bone Joint Surg Br. 2002 Jan;84(1):1-8. Review. No abstract available.
PMID: 11837811 [PubMed - indexed for MEDLINE]

31. Sidorenko SV, Krivitskaia NS
[Use of ciprofloxacin in sequential antibiotic therapy]
Antibiot Khimioter. 2002;47(7):25-30. Review. Russian. No abstract available.
PMID: 12516193 [PubMed - indexed for MEDLINE]

32. Paavola M, Kannus P, Jarvinen TA, Khan K, Jozsa L, Jarvinen M.
Achilles tendinopathy.
J Bone Joint Surg Am. 2002 Nov;84-A(11):2062-76. Review. No abstract available.
PMID: 12429771 [PubMed - indexed for MEDLINE]

33. Roberts C, Deliss L.:
Acute rupture of tendo Achillis.
J Bone Joint Surg Br. 2002 May;84(4):620; author reply 620. No abstract available.
PMID: 12043793 [PubMed - indexed for MEDLINE]

34. Tumia N, Kader D, Arena B, Maffulli N
Achilles tendinopathy during pregnancy.
Clin J Sport Med. 2002 Jan;12(1):43-5. No abstract available.
PMID: 11854590 [PubMed - indexed for MEDLINE]

35. Paffey MD, Faraj AA.
Acute rupture of tendo Achillis.
J Bone Joint Surg Br. 2002 May;84(4):620-1; author reply 621. No abstract available.
PMID: 12043792 [PubMed - indexed for MEDLINE]

36. Chhajed PN, Plit ML, Hopkins PM, Malouf MA, Glanville AR.
Achilles tendon disease in lung transplant recipients: association with ciprofloxacin.
Eur Respir J. 2002 Mar;19(3):469-71.
PMID: 11936524 [PubMed - indexed for MEDLINE]

37. Greene BL.Physical therapist management of fluoroquinolone-induced Achilles tendinopathy.
Phys Ther. 2002 Dec;82(12):1224-31.
PMID: 12444881 [PubMed - indexed for MEDLINE]

38. Breck RW.
"Ciprofloxacin: a warning for clinicians".
Conn Med. 2002 Oct;66(10):635. No abstract available.
PMID: 12448217 [PubMed - indexed for MEDLINE]

39. Hufner T, Wohifarth K, Fink M, Thermann H, Rollnik JD.
EMG monitoring during functional non-surgical therapy of Achilles tendon rupture.
Foot Ankle Int. 2002 Jul;23(7):614-8.
PMID: 12146771 [PubMed - indexed for MEDLINE]

40. Khurana R, Torzillo PJ, Horsley M, Mahoney J.
Spontaneous bilateral rupture of the Achilles tendon in a patient with chronic obstructive pulmonary disease.
Respirology. 2002 Jun;7(2):161-3.
PMID: 11985741 [PubMed - indexed for MEDLINE]

41. Mert G.
Rupture of the Achilles tendon in athletes: do synthetic grass fields play a part?
J Bone Joint Surg Am. 2002 Feb;84-A(2):320-1. No abstract available.
PMID: 11861742 [PubMed - indexed for MEDLINE]

42. Lynch RM
Management of Achilles tendon ruptures.
Am J Sports Med. 2002 Nov-Dec;30(6):917; author reply 917-8. No abstract
available.
PMID: 12435663 [PubMed - indexed for MEDLINE]

43. Amendola N.
Surgical treatment of acute rupture of the tendo Achillis led to fewer
reruptures and better patient-generated ratings than did nonsurgical treatment.
J Bone Joint Surg Am. 2002 Feb;84-A(2):324. No abstract available.
PMID: 11861747 [PubMed - indexed for MEDLINE]

44. Zwar RB.
Utility of musculoskeletal ultrasound.
Aust Fam Physician. 2002 Jun;31(6):559, 561.
PMID: 12154604 [PubMed - indexed for MEDLINE]

45. Cottrell WC, Pearsall AW 4th, Hollis MJ.
Simultaneous tears of the Achilles tendon and medial head of the gastrocnemius muscle.
Orthopedics. 2002 Jun;25(6):685-7. No abstract available.
PMID: 12083581 [PubMed - indexed for MEDLINE]


2003

1. Journal of Antimicrobial Chemotherapy (2003) 51, 747–748
DOI: 10.1093/jac/dkg081
Advance Access publication 28 January 2003
Correspondence
Spontaneous Achilles tendon rupture in patients
treated with levofloxacin
L. J. Haddow, M. Chandra Sekhar, V. Hajela and
G. Gopal Rao

2. Manoj Kumar RV, Rajasekaran S.
Spontaneous tendon ruptures in alkaptonuria.
J Bone Joint Surg Br. 2003 Aug;85(6):883-6.
PMID: 12931812 [PubMed - indexed for MEDLINE]

3. Harris RD, Nindl G, Balcavage WX, Weiner W, Johnson MT.
Use of proteomics methodology to evaluate inflammatory protein expression in tendinitis.
Biomed Sci Instrum. 2003;39:493-9.
PMID: 12724941 [PubMed - indexed for MEDLINE]

4. Milgrom C, Finestone A, Zin D, Mandel D, Novack V.
Cold weather training: a risk factor for Achilles paratendinitis among
recruits.
Foot Ankle Int. 2003 May;24(5):398-401.
PMID: 12801195 [PubMed - indexed for MEDLINE]

5. Schwalm JD, Lee CH.
Acute hepatitis associated with oral levofloxacin therapy in a hemodialysis patient.
CMAJ. 2003 Apr 1;168(7):847-8.
PMID: 12668542 [PubMed - indexed for MEDLINE]

6. Oh YR, Carr-Lopez SM, Probasco JM, Crawley PG.
Levofloxacin-induced autoimmune hemolytic anemia.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1010-3.
PMID: 12841809 [PubMed - indexed for MEDLINE]

7. Bardin L.
Comments on 'Achilles tendinopathy'.
Man Ther. 2003 Aug;8(3):189; author reply 190-1. No abstract available.
PMID: 12909446 [PubMed - indexed for MEDLINE]

8. Ackermann PW, Li J, Lundeberg T, Kreicbergs A.
Neuronal plasticity in relation to nociception and healing of rat achilles tendon.
J Orthop Res. 2003 May;21(3):432-41.
PMID: 12706015 [PubMed - indexed for MEDLINE]

9. Gotoh M, Higuchi F, Suzuki R, Yamanaka K.
Progression from calcifying tendinitis to rotator cuff tear.
Skeletal Radiol. 2003 Feb;32(2):86-9. Epub 2002 Apr 05.
PMID: 12589487 [PubMed - indexed for MEDLINE]

10. Dalal RB, Zenios M.
The flexor hallucis longus tendon transfer for chronic tendo-achilles ruptures revisited. Ann R Coll Surg Engl. 2003 Jul;85(4):283. No abstract available.
PMID: 12908473 [PubMed - indexed for MEDLINE]

11. Joseph TA, Defranco MJ, Weiker GG.
Delayed repair of a pectoralis major tendon rupture with allograft: A case report.
J Shoulder Elbow Surg. 2003 Jan-Feb;12(1):101-4. No abstract available.
PMID: 12610495 [PubMed - indexed for MEDLINE]

12. [No authors listed]
Tendon abnormalities and hypersensitivity of levofloxacin.
Prescrire Int. 2003 Feb;12(63):20. No abstract available.
PMID: 12602391 [PubMed - indexed for MEDLINE]

13. Magnusson SP, Beyer N, Abrahamsen H, Aagaard P, Neergaard K, Kjaer M.
Increased cross-sectional area and reduced tensile stress of the Achilles tendon in elderly compared with young women.
J Gerontol A Biol Sci Med Sci. 2003 Feb;58(2):123-7.
PMID: 12586849 [PubMed - indexed for MEDLINE]

14. Khan KM, Forster BB, Robinson J, Cheong Y, Louis L, Maclean L, Taunton JE.
Are ultrasound and magnetic resonance imaging of value in assessment of Achilles tendon disorders? A two year prospective study.
Br J Sports Med. 2003 Apr;37(2):149-53.
PMID: 12663358 [PubMed - indexed for MEDLINE]

15. DY, Song JC, Wang CC.
Anaphylactoid reaction to ciprofloxacin.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1018-23.
PMID: 12841811 [PubMed - indexed for MEDLINE]

16. Ying M, Yeung E, Li B, Li W, Lui M, Tsoi CW.
Sonographic evaluation of the size of Achilles tendon: the effect of exercise and dominance of the ankle.
Ultrasound Med Biol. 2003 May;29(5):637-42.
PMID: 12754062 [PubMed - indexed for MEDLINE]

17. Cook J, Khan K.
The treatment of resistant, painful tendinopathies results in frustration for athletes and health professionals alike.
Am J Sports Med. 2003 Mar-Apr;31(2):327-8; author reply 328. No abstract available.
PMID: 12642274 [PubMed - indexed for MEDLINE]

18. [No authors listed]
Fluoroquinolones in ambulatory ENT and respiratory tract infections: rarely appropriate.
Prescrire Int. 2003 Feb;12(63):26-7.
PMID: 12602405 [PubMed - indexed for MEDLINE]

19. Matsumoto F, Trudel G, Uhthoff HK, Backman DS.
Mechanical effects of immobilization on the Achilles' tendon.
Arch Phys Med Rehabil. 2003 May;84(5):662-7.
PMID: 12736878 [PubMed - indexed for MEDLINE]

20. Maffulli N, Kenward MG, Testa V, Capasso G, Regine R, King JB.
Clinical diagnosis of Achilles tendinopathy with tendinosis.
Clin J Sport Med. 2003 Jan;13(1):11-5.
PMID: 12544158 [PubMed - indexed for MEDLINE]

21. Forslund C.
BMP treatment for improving tendon repair. Studies on rat and rabbit Achilles tendons.
Acta Orthop Scand Suppl. 2003 Feb;74(308):I, 1-30. No abstract available.
PMID: 12640969 [PubMed - indexed for MEDLINE]

22. Cetti R, Junge J, Vyberg M.
Spontaneous rupture of the Achilles tendon is preceded by widespread and bilateral tendon damage and ipsilateral inflammation: a clinical and histopathologic study of 60 patients.
Acta Orthop Scand. 2003 Feb;74(1):78-84.
PMID: 12635798 [PubMed - indexed for MEDLINE]

23. Mulvaney S.
Calf muscle therapy for Achilles tendinosis.
Am Fam Physician. 2003 Mar 1;67(5):939; author reply 939-40. No abstract available.
PMID: 12643353 [PubMed - indexed for MEDLINE]

24. Khaliq Y, Zhanel GG.
Fluoroquinolone-associated tendinopathy: a critical review of the literature.
Clin Infect Dis. 2003 Jun 1;36(11):1404-10. Epub 2003 May 20. Review.
PMID: 12766835 [PubMed - indexed for MEDLINE]

25. Prasad S, Lee A, Clarnette R, Faull R.
Spontaneous, bilateral patellar tendon rupture in a woman with previous Achilles tendon rupture and systemic lupus erythematosus.
Rheumatology (Oxford). 2003 Jul;42(7):905-6. No abstract available.
PMID: 12826711 [PubMed - indexed for MEDLINE]

26. Gold L, Igra H.
Levofloxacin-induced tendon rupture: a case report and review of the literature.
J Am Board Fam Pract. 2003 Sep-Oct;16(5):458-60. Review. No abstract available.
PMID: 14645337 [PubMed - indexed for MEDLINE]

27. Schindler C, Pittrow D, Kirch W.
Reoccurrence of levofloxacin-induced tendinitis by phenoxymethylpenicillin therapy after 6 months: a rare complication of fluoroquinolone therapy?
Chemotherapy. 2003 May;49(1-2):90-1. No abstract available.
PMID: 12756981 [PubMed - indexed for MEDLINE]

28. de La Red G, Mejia JC, Cervera R, Llado A, Mensa J, Font J.
Bilateral Achilles tendinitis with spontaneous rupture induced by levofloxacin in a patient with systemic sclerosis.
Clin Rheumatol. 2003 Oct;22(4-5):367-8. No abstract available.
PMID: 14579169 [PubMed - indexed for MEDLINE]

29. Tomas ME, Perez Carreras M, Morillasa JD, Castellano G, Solis JA.
[Rupture of the Achilles' tendon secondary to levofloxacin]
Gastroenterol Hepatol. 2003 Jan;26(1):53-4. Spanish. No abstract available.
PMID: 12525331 [PubMed - indexed for MEDLINE]

30. Mathis AS, Chan V, Gryszkiewicz M, Adamson RT, Friedman GS.
Levofloxacin-associated Achilles tendon rupture.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1014-7.
PMID: 12841810 [PubMed - indexed for MEDLINE]

31. Aros C, Flores C, Mezzano S.[Achilles tendinitis associated to levofloxacin: report of 4 cases]
Rev Med Chil. 2002 Nov;130(11):1277-81. Spanish.
PMID: 12587511 [PubMed - indexed for MEDLINE]

32. Shah P.[Do tendon lesions occur during quinolone administration?]
Dtsch Med Wochenschr. 2003 Oct 17;128(42):2214. German. No abstract available.
PMID: 14562223 [PubMed - indexed for MEDLINE]

33. Melhus A, Apelqvist J, Larsson J, Eneroth M.
Levofloxacin-associated Achilles tendon rupture and tendinopathy.
Scand J Infect Dis. 2003;35(10):768-70.
PMID: 14606622 [PubMed - indexed for MEDLINE]

34. Cebrian P, Manjon P, Caba P.
Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to
levofloxacin.
Foot Ankle Int. 2003 Feb;24(2):122-4.
PMID: 12627618 [PubMed - indexed for MEDLINE]

35. Bernacer L, Artigues A, Serrano A.
[Levofloxacin and bilateral spontaneous Achilles tendon rupture]
Med Clin (Barc). 2003 Jan 25;120(2):78-9. Spanish. No abstract available.
PMID: 12570920 [PubMed - indexed for MEDLINE]

36. Haddow LJ, Chandra Sekhar M, Hajela V, Gopal Rao G.
Spontaneous Achilles tendon rupture in patients treated with levofloxacin.
J Antimicrob Chemother. 2003 Mar;51(3):747-8. No abstract available.
PMID: 12615887 [PubMed - indexed for MEDLINE]

37. Othmani S, Battikh R, Ben Abdallah N.
[The myo-tendinopathy caused by levofloxacin]
Therapie. 2003 Sep-Oct;58(5):463-5. French. No abstract available.
PMID: 14682197 [PubMed - indexed for MEDLINE]

38. Gutierrez E, Morales E, Garcia Rubiales MA, Valentin MO.
[Levofloxacin and Achilles tendon involvement in hemodialysis patients]
Nefrologia. 2003 Nov-Dec;23(6):558-9. Spanish. No abstract available.
PMID: 15002793 [PubMed - indexed for MEDLINE]

40. Spontaneous Achilles tendon rupture in patients treated with levofloxacin
L. J. Haddow, M. Chandra Sekhar, V. Hajela and G. Gopal Rao*
Department of Microbiology, University Hospital Lewisham, Lewisham High Street, London SE13 6LH, UK 2003 The British Society for Antimicrobial Chemotherapy

41. Clinical Infectious Diseases 2003;36:1404-1410
2003 by the Infectious Diseases Society of America. All rights reserved.
Fluoroquinolone-Associated Tendinopathy: A Critical Review of the Literature
Yasmin Khaliq1 and George G. Zhanel2

42. J Am Podiatr Med Assoc. 2003 Jul-Aug;93(4):333-5.
Fluoroquinolone therapy and Achilles tendon rupture.
Vanek D, Saxena A, Boggs JM.

43. Clin Rheumatol. 2003 Dec;22(6):500-1. Epub 2003 Oct 18.
Ciprofloxacin and Achilles' tendon rupture: a causal relationship.

44. Aten Primaria. 2003 Sep 15;32(4):256
Bilateral Achilles tendinitis as adverse reaction to levofloxacine.

45. Therapie. 2003 Sep-Oct;58(5):463-5.
The myo-tendinopathy caused by levofloxacin

46. Reumatismo. 2003 Oct-Dec;55(4):267-9.
Levofloxacin-induced bilateral rupture of the Achilles tendon: clinical and sonographic findings

47. Gastroenterol Hepatol. 2003 Jan;26(1):53-4.
Rupture of the Achilles' tendon secondary to levofloxacin

48. J Antimicrob Chemother. 2003 Mar;51(3):747-8.
Spontaneous Achilles tendon rupture in patients treated with levofloxacin.

49. Foot Ankle Int. 2003 Feb;24(2):122-4.
Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin.

50. Chemotherapy. 2003 May;49(1-2):90-1.
Reoccurrence of levofloxacin-induced tendinitis by phenoxymethylpenicillin therapy after 6 months: a rare complication of fluoroquinolone therapy?

51. rupture of the Achilles tendon: clinical and sonographic findings]
Reumatismo. 2003 Oct-Dec;55(4):267-9. Italian.
PMID: 14872227 [PubMed - indexed for MEDLINE]

52. Ann Pharmacother. 2003 Jul-Aug;37(7-8):1014-7.
Levofloxacin-associated Achilles tendon rupture.

53. Clin Rheumatol. 2003 Oct;22(4-5):367-8.
Bilateral Achilles tendinitis with spontaneous rupture induced by levofloxacin in a patient with systemic sclerosis.

54. Scand J Infect Dis. 2003;35(10):768-70.
Levofloxacin-associated Achilles tendon rupture and tendinopathy.

55. Levofloxacin-associated Achilles tendon rupture and tendinopathy. Scand J Infect Dis 2003;35(10):768-70 (ISSN: 0036-5548) Melhus A; Apelqvist J; Larsson J; Eneroth M Department of Medical Microbiology, Malmo University Hospital, Malmo, Sweden. asa.melhus at mikrobiol.mas.lu.se.

56. Levofloxacin and trovafloxacin inhibition of experimental fracture-healing. Clin Orthop 2003 Sep;(414):95-100 (ISSN: 0009-921X) Perry AC; Prpa B; Rouse MS; Piper KE; Hanssen AD; Steckelberg JM; Patel R Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.

57. Levofloxacin-associated Achilles tendon rupture. Ann Pharmacother 2003 Jul-Aug;37(7-8):1014-7 (ISSN: 1060-0280) Mathis AS; Chan V; Gryszkiewicz M; Adamson RT; Friedman GS Department of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, NJ, USA. smathis at sbhcs.com.

58. Richardson LC, Reitman R, Wilson M.
Achilles tendon ruptures: functional outcome of surgical repair with a "pull-out" wire.
Foot Ankle Int. 2003 May;24(5):439-43.
PMID: 12801203 [PubMed - indexed for MEDLINE]

59. Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin. Foot Ankle Int 2003 Feb;24(2):122-4 (ISSN: 1071-1007) Cebrian P; Manjon P; Caba P Departamento de Radiodiagnostico, Hospital Universitario 12 de Octubre, Madrid, Spain. pcvbb at yahoo.es.

60. J Am Board Fam Pract. 2003 Sep-Oct;16(5):458-60.
Levofloxacin-induced tendon rupture: a case report and review of the literature.


2004

1. Mehra A, Maheshwari R, Case R, Croucher C.
Bilateral simultaneous spontaneous rupture of the Achilles tendon.
Hosp Med. 2004 May;65(5):308-9. No abstract available.
PMID: 15176150 [PubMed - indexed for MEDLINE]

2. Vergara Fernandez I.
[Muscle and tendon problems as a side-effect of levofloxacine: review of a case]
Aten Primaria. 2004 Mar 15;33(4):214. Spanish. No abstract available.
PMID: 15023326 [PubMed - indexed for MEDLINE]

3. McKinley BT, Oglesby RJ.
A 57-year-old male retired colonel with acute ankle swelling.
Mil Med. 2004 Mar;169(3):254-6. No abstract available.
PMID: 15080249 [PubMed - indexed for MEDLINE]

4. Fama U, Irace S, Frati R, de Gado F, Scuderi N.
Is it a real risk to take ciprofloxacin?
Plast Reconstr Surg. 2004 Jul;114(1):267. No abstract available.
PMID: 15220615 [PubMed - indexed for MEDLINE]

5. Kahn F, Christensson B.
[A rapid development of Achilles tendon rupture following quinolone treatment]
Lakartidningen. 2004 Jan 15;101(3):190-1. Swedish. No abstract available.
PMID: 14763088 [PubMed - indexed for MEDLINE]

6. Long term outcome after Fluoroquinolones tendinopathies
13/01/2004 14:11:07 P-0077
C Guy (1); Y Murat (1); MN Beyens (1); M Ratrema (1); G Mounier (1); M Ollagnier (1); (1) Centre de Pharmacovigilance, Hôpital Bellevue - CHU St-Etienne, Sant-Etienne

7. Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature. J Orthop Sci 2004;9(2):186-90 (ISSN: 0949-2658) Kowatari K; Nakashima K; Ono A; Yoshihara M; Amano M; Toh S Department of Orthopaedic Surgery, Aomori Rosai Hospital, 1 Minamigaoka, Shirogane-machi, Hachinohe 031-8551, Japan.

8. Pharmacol Exp Ther. 2004 Jan;308(1):394-402. Epub 2003 Oct 20. In vitro discrimination of fluoroquinolones toxicity on tendon cells: involvement of oxidative stress.

9. Hosp Med. 2004 May;65(5):308-9.
Bilateral simultaneous spontaneous rupture of the Achilles tendon.
Mehra A, Maheshwari R, Case R, Croucher C.

10. Therapie. 2004 Nov-Dec;59(6):653-5.
Ofloxacin-induced achilles tendinitis in the absence of a predisposition

11. An Med Interna. 2004 Mar;21(3):154.
Achilles bilateral tendonitis and levofloxacin

12. J Orthop Sci. 2004;9(2):186-90.
Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.

13. Scand J Infect Dis. 2004;36(4):315-6.
Recurrent tendinitis after treatment with two different fluoroquinolones.

14. Joint Bone Spine. 2004 Nov;71(6):586-7. Related Articles, Links
Rupture of multiple tendons after levofloxacin therapy.
Braun D, Petitpain N, Cosserat F, Loeuille D, Bitar S, Gillet P, Trechot P.
Pneumology Department, Maillot Hospital, 54150 Briey, France.

15. Aten Primaria. 2004 Mar 15;33(4):214.
Muscle and tendon problems as a side-effect of levofloxacine: review of a case

16. Kowatari K, Nakashima K, Ono A, Yoshihara M, Amano M, Toh S.
Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.
J Orthop Sci. 2004;9(2):186-90. Review.
PMID: 15045551 [PubMed - indexed for MEDLINE]

17. Gomez Rodriguez N, Ibanez Ruan J, Gonzalez Perez M.
[Achilles bilateral tendonitis and levofloxacin]
An Med Interna. 2004 Mar;21(3):154. Spanish. No abstract available.
PMID: 15043504 [PubMed - indexed for MEDLINE]

18. Filippucci E, Farina A, Bartolucci F, Spallacci C, Busilacchi P, Grassi W.[Levofloxacin-induced bilateral

19. Burkhardt O, Kohnlein T, Pap T, Welte T.
Recurrent tendinitis after treatment with two different fluoroquinolones.
Scand J Infect Dis. 2004;36(4):315-6.
PMID: 15198194 [PubMed - indexed for MEDLINE]


2005

1. Toxicology. 2005 May 9
Fluoroquinolones cause changes in extracellular matrix, signalling proteins, metalloproteinases and caspase-3 in cultured human tendon cells.
Sendzik J, Shakibaei M, Schafer-Korting M, Stahlmann R.

2. Arch Orthop Trauma Surg. 2005 Mar;125(2):124-6. Epub 2005 Jan 12.
Missed Achilles tendon rupture due to oral levofloxacin: surgical treatment and result.

3. An Med Interna. 2005 Jan;22(1):28-30.
Partial bilateral rupture of the Achilles tendon associated to levofloxacin

4. Expert Opin Drug Saf. 2005 Mar;4(2):299-309.
Fluoroquinolones and tendon disorders.
Melhus A.

5. Toxicology. 2005 May 9
Fluoroquinolones cause changes in extracellular matrix, signalling proteins, metalloproteinases and caspase-3 in cultured human tendon cells.
Sendzik J, Shakibaei M, Schafer-Korting M, Stahlmann R.
Institute of Clinical Pharmacology and Toxicology, Department of Toxicology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Garystr. 5, 14195 Berlin, Germany; Institute of Anatomy, Department of Cell and Neurobiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Konigin-Luise-Str. 15, 14195 Berlin, Germany; Musculoskeletal Research Group, Institute of Anatomy, Ludwig-Maximilian-Universitat Munich, Pettenkoferstr. 11, 80336 Munich, Germany.

Additional references:

AUSTRALIA
THE ACHILLES HEEL OF FLUOROQUINOLONES
One of the more unusual adverse reactions known to be associated with the fluoroquinolone antibiotics is the occurrence of tendinitis. This is a serious effect since it may progress to tendon rupture with many weeks of disability as a result. Over 200 cases have been reported in the literature with the majority from France. Most members of the class including ciprofloxacin, enoxacin, ofloxacin, and norfloxacin have been implicated. The Achilles tendon is most often involved.
In Australia, there have been 25 reports of tendinitis in association with fluoroquinolones. Most (22) have been with ciprofloxacin and the other three with norfloxacin. The majority of the patients involved were elderly, ranging in age from 46 to 91 (median 69) years and the sex distribution was equal. For ciprofloxacin, daily dosages ranged from 750 mg to 2250 mg although most (13) patients were taking 1000 mg daily. For norfloxacin, all three patients were taking the usual dose of 800 mg daily. Time to onset ranged from the same day that the drug was commenced (in two patients) to two months although in 13 of the 24 reports which provided the information, the reaction occurred within the first week. Almost all (23) of the reports specified the Achilles tendon as the site of the tendinitis. Tendinitis was described as bilateral in 11 cases. Only 8 patients had recovered at the time the report was submitted and the other patients were being treated with rest and/or physiotherapy. There have been no reports of tendon rupture in Australia although in one severe case, the patient required a plaster cast up to the mid thigh.
A number of risk factors have been identified with regard to this adverse reaction. These include old age, renal dysfunction, and concomitant corticosteroid therapy. Of the patients reported to ADRAC, 72% were older than 60 years. Nine of these patients were taking corticosteroids as were three of the younger patients.
Prescribers are reminded that tendinitis, especially involving the Achilles tendon, is a rare adverse effect of the fluoroquinolones. It is more likely to occur in association with the risk factors referred to above. The antibiotic should be withdrawn immediately to reduce the risk of tendon rupture.


DUTCH
Fluoroquinolones have been associated with tendon disorders, usually during the first month of treatment,1-5 but the epidemiological evidence is scanty. We did a nested case-control study among users of fluoroquinolones in a large UK general practice database to study the association with Achilles tendon disorders.

Participants, methods, and results

We obtained data from the IMS Health database (UK MediPlus), which contains data from general practice on consultations, morbidity, prescriptions, and other interventions in a source population of 1-2 million inhabitants. The base cohort consisted of all patients aged 18 years or over who had received a fluoroquinolone. We excluded people with a history of Achilles tendon disorders, cancer, AIDS, illicit drug use, or alcohol misuse. We identified potential cases by reviewing patient profiles and clinical data and excluded tendon disorders due to direct trauma. We randomly sampled a group of 10 000 control patients from the study cohort.

We defined four categories of exposure to fluoroquinolones: current use, recent use, past use, and no use. We defined current use as when the tendon disorder occurred in the period between the start of the fluoroquinolone treatment and the calculated end date plus 30 days, recent use as when the calculated end date was between 30 and 90 days before the occurrence of the disorder, and past use as when the calculated end date was more than 90 days before the occurrence of the disorder. We used unconditional logistic regression analysis to calculate adjusted relative risks and 95% confidence intervals for Achilles tendon disorders, using the no use group as the reference. We adjusted for age, sex, number of visits to the general practitioner, use of corticosteroid, calendar year, obesity, and history of musculoskeletal disorders.

The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture. Four hundred and fifty three (61%) of the cases were women, and the mean age was 56 years. Cases visited the general practitioner significantly more often than did controls (mean 20 v 17). Cases and controls were similar with respect to indications for use of fluoroquinolone. Age, number of visits to the general practitioner in the previous 18 months, gout, obesity, and use of corticosteroid were determinants of Achilles tendon disorders. The adjusted relative risk of Achilles tendon disorders with current use of fluoroquinolones was 1.9 (95% confidence interval 1.3 to 2.6). The risk for recent and past use was similar to that for no use. The relative risk with current use was 3.2 (2.1 to 4.9) among patients aged 60 and over and 0.9 (0.5 to 1.6) among patients aged under 60 (table). In patients aged 60 or over, concurrent use of corticosteroids and fluoroquinolones increased the risk to 6.2 (3.0 to 12.8).

Relative risk of Achilles tendon disorders associated with use of fluoroquinolones according to age
Current exposure to fluoroquinolones increases the risk of Achilles tendon disorders. This finding is in agreement with a smaller study, in which we found an association between tendinitis and fluoroquinolones.5 Our results indicate that this adverse effect is relatively rare, with an overall excess risk of 3.2 cases per 1000 patient years. The effect seems to be restricted to people aged 60 or over, and within this group concomitant use of corticosteroids increased the risk substantially. The proportion of Achilles tendon disorders among patients with both risk factors that is attributable to their interaction was 87%. Although the mechanism is unknown, the sudden onset of some tendinopathies, occasionally after a single dose of a fluoroquinolone, suggests a direct toxic effect on collagen fibres. Prescribers should be aware of this risk, especially in elderly people taking corticosteroids.

Acknowledgments
We acknowledge the cooperation of IMS Health United Kingdom.
Contributors: PDvdL, MCJMS, and BHChS formulated the design of the study. PDvdL carried out the analyses. PDvdL, MCJMS, and BHChS wrote the paper, and RMCH and HGML edited it. BHChS and HGML are guarantors for the paper.

Funding:
Dutch Inspectorate for Health Care.

Competing interests:
MCJMS is a consultant for Lundbeck (France) and Beaufour (UK) and has previously been a consultant for Pfizer (USA), Roche (Switzerland), and Novartis Consumerhealth (Switzerland). MCJMS is responsible for research conducted with the integrated primary care information database in the Netherlands, which is supported by project specific grants from GlaxoSmithKline, AstraZeneca, Merck Sharp & Dohme, Pharmacia & Upjohn, Bristol-Myers Squibb, Eli Lilly, Wyeth, and Yamanouchi. MCJMS has conducted research projects on use of antibiotics for Merck & Co (USA) and Bayer (Italy).

This is far from being an all inclusive list of such medical journal entries and other such main stream documentation. Starting in 1965 and ending in 2005, almost forty years worth of such reports and the treating physician as well as the patient have no prior knowledge concerning such events. This defies logic but sadly enough this is the true state of affairs. In spite of the overwhelming evidence presented at that 62 Meeting of the Anti-Infective Drugs Advisory Committee that the fluoroquinolones cause irreversible joint damage in the pediatric population the FDA has recently added the use of Ciprofloxacin in the pediatric population, treating children as young as one years of age.

Numerous studies have indicated that such use in a pediatric patient runs the risk of crippling the child for life. Yet additional clinical trials continue aided and abetted by the FDA, for other drugs in this class other than Ciprofloxacin. A disaster that is detailed within the 62nd meeting of the Anti-Infective Drugs Advisory Committee where it was so eloquently stated:

"…when we talk about the issue of arthropathy that potentially includes a number of things, ranging from simple effusion, for instance, of a knee joint, which might rapidly resolve after the conclusion of therapy, to a more permanent disability. .." (sic)

"…in September of 1997 there is now a ciprofloxacin suspension which is available, and although it continues to have the same warning statements about arthropathy in juvenile animals and the potential concern in pediatric populations, obviously, the issue of off label use will extend over to pediatric populations in this formulation…."(sic)

"…An important safety question is, what adverse events should be monitored, and Doctor Goldberger alluded to this earlier. This is some of the examples I present. One is permanent lameness, reversible lameness, joint effusion, joint pain, and even latent articular disease or damage that may occur months or years following drug exposure, and there may be others…."(sic)

"…And, data submitted to the Agency, as well as data from the scientific literature, indicate that these lesions don't appear to be reversible…"(sic)

"…Doctor Stahlmann in Berlin is working on an idea that it may be an effect between the endocrines, the magnesium and the matrix and the quinolone. And that data is just coming out now. But as to the exact mechanism, I think you're right. I don't think we have a handle, as far as I know, on the exact mechanism. If there's anybody else that does, I'd sure like to hear it…"(sic)

"… Relating your personal experience, I was wondering about the potential for a delayed effect that in fact one might have a patient who had some histologic changes that would not be manifest clinically for many years. Is that a potential?" (sic)

"… I think it is a potential…"(sic)

"… In trying to assess toxicity with a very sensitive assay, obviously you've got tissue that you can look at in your animal models. There is some human data that were collected by Doctor Urs Schaad using MRI scanning in children and I'm wondering if you can correlate some of your histopathologic findings with MR in the animal model to give us an idea of how sensitive it would be sort of as a follow-up to Doctor Klein's question is the MR something that will be able to predict long-term outcomes, even if there are no clinical symptoms during therapy…."(sic)

"… That I don't know. I'll just be perfectly frank. I don't know. But on the slides I've seen from the animals from the chronic study, the repaired articular cartilage that is there is principally fibrocartilage yet it will provide the same joint margin and it has a calcified base and when we stain it with safrain O screen there's no proteoglycans there so it's going to make it an extremely chondromalaistic area and beyond the one year I can't tell you what the results will be…"(sic)

"…Anyway, it was by a group in Vienna where they looked at the articular cartilage of postmortem specimens of articular cartilage from kids with cystic fibrosis that had been on quinolones for a period of time and they found that there was damage in the chondrocytes…."(sic)

"…There were no deaths reported in U.S. pediatric zero to 18 year old cases where a flouroquinolone was reported as the suspect drug. However, there are eight deaths in the whole cohort of suspect and concomitant flouroquinolone drug reports in the system. Five of these deaths reported ciprofloxacin as a concomitant drug and not the suspect drug. These five were U.S. cases with ages ranging from seven months to six years. The remaining three deaths were all foreign, all 18 year old patients with either ofloxacin or norfloxacin reported as the suspect drug…."(sic)

"…There are 14 reports of arthropathy or arthralgia in the pediatric zero to 18 year old flouroquinolone reports. One report of a 14 year old girl had both ofloxacin and lomefloxacin as the suspect drug so there is an extra count because of the two flouroquinolones on this one report. This particular report indicates that a pediatric orthopedic surgeon diagnosed femoral anteversion as the cause for the girl's arthralgia, therefore you see it listed twice, and not the flouroquinolones. Most of the reports indicated that either an involved knee or elbow with or without other joints was involved…."(sic)

"…One interesting case which is not included on this slide for arthralgias was a 15 year old boy who received ofloxacin IV for an emergency appendectomy and had not grown more than his 70 inches in height over the last year. The 15th percentile for height for a 15 year old boy however is 66.5 inches and the expected growth rate is about two inches per year…"(sic)

"…Three patients had their seizure after the first dose of flouroquinolone, one on ciprofloxacin and the other two on ofloxacin, one of which had received ofloxacin several months earlier…"(sic)

"…The 15 psychiatric reports are a loose grouping of reports which include events ranging from euphoria to psychosis. The ages range from five to 18 years with the median at 15 years. There were two suicide attempts, one on ofloxacin and the other on norfloxacin, three reports of hallucination, one each on ciprofloxacin, ofloxacin and norfloxacin, and one report of aggressive behavior with confusion in a patient who had a psychiatric history and was on norfloxacin. The seven cases of photosensitivity were reported with lomefloxacin with one case on ciprofloxacin and two cases on ofloxacin. …"(sic)

"…I will mention that there were 152 U.S. cases aged zero to 18 years in the U.S. AERS system suspect flouroquinolones in the WHO line listing. The country with the most pediatric reports in the WHO foreign reports is the United Kingdom with 177 reports followed by Germany with 72 and France with 71. The rest of the countries had 20 or fewer reports…."(sic)

"…And with regards to muscular-skeletal events, 21 percent of the patients had an event in ciprofloxacin…"(sic)

"…We have focused our analysis on joint disorders and pefloxacin. 79 cases were reported and consist mainly of arthralgia. I don't know the pronunciation of hydrarthrosis -- 49 persons. It involved the knee in 52 cases, the wrist in 20 cases, the elbow in 20 cases, the shoulder in 6 cases, the ankle in 5 cases, and the hip once. It is associated with a functional discomfort in all cases, and when the duration of this discomfort is known, it can persist more than one month in 61 percent of these cases. But the outcome was favorable in 58 cases without discontinuation in two cases. …"(sic)

"…There have been sequelae in three cases with knee effusions persisting one year later in one case with discomfort following 8 months later in the second case. The third case is articular. It is a 17-year-old patient who experienced arthropathy and the drug was not suspected and the treatment was continued two following months. It leads to destructive arthropathy of the knees and the hip and prothesis was performed three years later. He was treated for a cerebral abscess. The outcome was unknown in 18 cases. In 9 cases, there was no follow-up. In the 9 last cases, we had a follow-up three months later and patients were not -- were still with disabilities and after we have no evolution…." (sic)

"… It is my understanding that one of the children had a joint replacement, is that correct?"

" Pardon me?"

" One of the children with the complications had an artificial joint replacement?"

"Yes."

"…If an irreversible cartilaginous lesion can occur, it is very likely that is going to cause problems down the line and we can't even anticipate what they are like…" (sic)


Again I state that this is for your reference & review and being made in support of my oppossing opinion that such occurences are not rare. I also take exception to the statement made that there is some kind of obligation to report such events. There is not. Such reports are done strictly on a voluntary basis and no law mandates that this be done by the treating physician. The medwatch program is voluntary and less that 3% of such events are ever reported to the FDA. A full 97% of such events never make it to the FDA. When reviewing the medwatch data base for the fluoroquinolones, joint, tendon and cartilage damage are all the top three events being reported, more so than any other adr.

In addition when a physician fails to recognize such an event it is doubtful that it would be reported. The NUMBER ONE complaint of those who have suffered such an event is the fact that the treating physician DENIES that it could possibly be the result of fluoroquinolone therapy. Any number of the tens of thousands of such victims I have discussed this issue with have reported that their physician REFUSED to make such a report, REFUSED to review the citations brought to them by their patients, and instructed their patients to stay off the internet. Even when such documentation was presented to the drug reps via pharmacafe those posting such information were ridiculed and harassed. This is not a situation I find condusive to accurate reporting of such events. It is a situation that results in false and misleading information being available to both the patient and the physician, while the true state of affairs is swept under the carpet.

Result number: 166

Message Number 186135

Re: First Post View Thread
Posted by Dr. Z on 10/29/05 at 11:59

Steve,
Are there any specific journals, abstracts that you can direct me to, that
details the lack of motor function involvement/destruction with the Cryotherapy thaw cycle in lab rats.
It may even be nice to start an article section for this site.
thanks Dr. Z

Result number: 167

Message Number 186127

Re: First Post View Thread
Posted by Dr. Z on 10/29/05 at 11:59

Steve,
Are there any specific journals, abstracts that you can direct me to, that
details the lack of motor function involvement/destruction with the Cryotherapy thaw cycle in lab rats.
It may even be nice to start an article section for this site.
thanks Dr. Z

Result number: 168

Message Number 186126

Re: First Post View Thread
Posted by Dr. Z on 10/29/05 at 11:59

Steve,
Are there any specific journals, abstracts that you can direct me to, that
details the lack of motor function involvement/destruction with the Cryotherapy thaw cycle in lab rats.
It may even be nice to start an article section for this site.
thanks Dr. Z

Result number: 169

Message Number 186125

Re: First Post View Thread
Posted by Dr. Z on 10/29/05 at 11:58

Steve,
Are there any specific journals, abstracts that you can direct me to, that
details the lack of motor function involvement/destruction with the Cryotherapy thaw cycle in lab rats.
It may even be nice to start an article section for this site.
thanks Dr. Z

Result number: 170

Message Number 185601

Re: hurting after surgery and tingling in my legs.-dr.z View Thread
Posted by Robert J. Sanfilippo, DC, CCSP, ART on 10/24/05 at 13:22

Denise, it sounds like you are impinging the sciatic nerve. The sciatic nerve can be entrapped at the piriformis muscles which is under your gluteus maximus. It can also be entrapped at your hamstrings. The sacroiliac joint can be irritated and refer pain down the back of your leg as well.

Result number: 171

Message Number 182315

Re: Bush Is One of Several Who DId Not Do Their Jobs As Well As Possible. Face It. View Thread
Posted by John H on 9/08/05 at 09:45

No! rape and murder and looting other than for food and water you can be shot and killed on the spot. Most states have laws that allow for the looting of food and water when your life is in jeopardy for the lack of food or water. Generally this would only be justified in such a situation as NOLA. Civil disobedience such as this cannot be allowed else we have anarchy. People left to their own devices can turn nasty in situations where law and order break down. I am totally amazed that 500 Policemen quit or disappeared in NOLA. In the military we call that "deserting" and you are subject to being court-martialed and shot. Deserters in fact have been shot. As a military person I would never leave my unit under fire and go to Los Vegas for a week which is what the Mayor is doing. All those people wallowing around in the toxic water are probably wondering when their trip to Vegas is coming. This Mayor seems to be making and has made some strange decisions. The one who seems to be making some sense in the area is the three star Cajun(?) General. He sort of reminds me of General Patton.

Result number: 172

Message Number 182011

Re: Military seems to now be in charge View Thread
Posted by john h on 9/05/05 at 10:48

I have been impressed with the General who is Commander of the LA national guard. This is a no nonsense guy who tells it like it is and who you know is a take charge guy. He looks like a real down home Cajun or he at least talks like one. He could be African American but in any even the guy is a leader. You learn to recognize them. He is the kind of guy you would charge up the mountain with.

Result number: 173

Message Number 181814

Re: More for thought View Thread
Posted by Shari R on 9/03/05 at 09:28

LTC Joseph C Myers got it right on the nose. Why didn't the Pres., Gov. Mayor etc. DEMAND evacuation. We all knew up North 2 days before, that New Orleons was going to be a fish bow. There are people there that have no money, cars, etc. and really didn't think that it would be that bad. But we knew........They should have had buses picking up people days ahead of time that didn't have the means or insight to get out of there. I've NEVER been so dissapointed in our Goverment than I have been this week. OK, mr. president went and hugged a couple of poor people....whoopie. His butt should have been in New Orleons in that big, filfty Dome. Where is the Governor hiding! Ok , I'm done venting.

Result number: 174

Message Number 181778

More for thought View Thread
Posted by john h on 9/02/05 at 22:37


LTC Joseph C. Myers
Senior Army Advisor




While no doubt DoD is responding in way not yet seen or understood the
anarchy we are witnessing in New Orleans should give all local, state
and national
level planners pause given that we had 48hrs warning for this hurricane...
the terrorists will not give us a 48 hr warning in a nuke strike.

Because we have a federal political system, the President and national
agencies are going to work in support of state and local officials-not
usurp them
or "take over." However certain crises are so severe that local and state
officials are overwhelmed...in the case of New Orleans and Louisiana we are
seeing that. Our federal system ordinarily requires appropriate state
authorities to request specific support...but where states are reluctant
to admit
failure for reason of pride or politics, I assume the President has his own
authorities and New Orleans appears to be a collapsing environment.

Northcom has the lead for coordinating DoD activities and military support
to civil authorities for crisis management and consequence management;
the new
Joint Pub 3-26 for Homeland Security just published this month makes that
clear. Northcom has liaison staffs now in each of the affected states.
I understand there is a command post set up at Camp Shelby, the Navy is
steaming from Norwalk with disaster relief supplies, so it does look
like there
was some leaning forward since the weekend-given those ships were unlikely
loaded for that last Friday....I also know that AMC is running crisis
response
activities now.

But New Orleans just showed us the following [even though the FEMA director
has said that New Orleans was their number catastrophic planning scenario
over the last several years...]

1. The US is incapable of evacuating more than 50% of even a medium
size city with 48 hours notice. Evacuation plans do not take into
consideration
those who cannot evacuate because of no cars, no money, etc. Also the
evacuation was voluntary-if you're not forced to leave under a 'mandatory
evacuation notice'-it's voluntary. Why weren't school buses and other
public
transportation assets mobilized to evacuate the city? [Note: It appears
the City
and State leadership was unprepared and not ready for this emergency].

2. The "shelters" are nothing more than disasters waiting to happen,
ie
SuperDome. 12 hours after power went out at the SuperDome, the people were
on the verge of rioting. Sanitation has collapsed there. The roof has
open
holes in it. No A/C. People are being allowed to go out of the Dome for
fresh air. Now - imagine a disaster where fresh air is not an option.
There
is no information being given to the people. No satellite system for Public
Information. No chemical toilets/porta-potties brought in, given
anticipated
electrical failures. Bottom-line the Superdome was not well planned for
as a
"shelter" [The City and State leadership was unprepared, not ready].

3. You have to have plans in place and materials ready to be pushed
forward or be pre-positioned and New Orleans shows that a lot of that
preparation was not done with 48 hrs to get ready. Compare that to the
readiness of
Houston to house refugees in the Astrodome, with the same 48 hrs
warning-they
will have upwards of 15k cots, medical care, nurseries and heavy security
along with back-up systems [granted they have electrical power but any
facility
designated for shelter should have alternate power sources.] [The City and
State leadership was unprepared, not ready] .

4. I do not understand why the Corps of Engineers is now trying to
determine how to plug a breached levy in New Orleans under duress when "New
Orleans was the number 1 catastrophe for FEMA planning"? That would
have to have
been an 'exercise' scenario. I also do not understand why the levies were
not continuously improved over time. Some fingers are being pointed at the
Administration on that already and that will be a major political issue.

5. Our transportation infrastructure has serious vulnerabilities -
i.e.bridges, tunnels, etc. Major arteries in and out of New Orleans are
down and
the city is largely cut off by land from the rest of the country. New
Orleans isn't the only city with those problems - imagine tunnels and
bridges
around NYC. Not a pretty thought. Cities that can be cut off by water
need to
IMMEDIATELY make sure that any disaster plans include use of boats etc for
transport in and out of the city after a disaster.

6. If martial law is imposed you have to be ready to use lethal force
or you don't have martial law; they are not doing it and the anarchy has
now
impacted rescue and recovery.

7. I am surprised that the state did not mobilize police resources
from
other locations and have them ready to go into New Orleans as soon as the
hurricane lifted and flooding was seen; local law enforcement there is not
mission capable...and should not have been expected to be. However,
doing this
non-standard law enforcement mission requires extraordinary planning which
given what we are witnessing was not done, consequently, ...

8. I am more shocked that state National Guard forces were not ready
to
air assault ground troops along with early entry command posts and
sustainment items...given that one could assume that ground
transportation routes
would be disrupted. I understand that 60% of LA guard is in
Iraq...given that
fact Guard commanders have to report their 'other missions' readiness
status
across a range of assigned missions and the impacts of deployments and
current
operations to respond to those other tasks-such as supporting state
emergencies...Either the LA guard is not ready for this mission, did not
fully plan
contingencies or they did not push up their shortcomings to their
governor and
the DoD level. They are not on the ground there yet.

9. Likewise, the active military components have immediate response
forces in the event of national emergencies across the various FEMA
departments
around the United States. The use and release authority for military
support
to civil law enforcement agencies [MSCLEA] have to come from the President
and SecDef through Northcom... at this point I am surprised that
decision has
not been made to deploy those assets to support local law enforcement given
what we are seeing on TV. Either the state has not requested it, or is
refusing it, or the President has elected not to use his own national
emergency
authorities.

10. I have seen Hollywood movies that show more organization than this
real world crisis.

Do not doubt that the global jihadists are watching this and making their
own notes on our response capabilities and planning shortcomings... We will
need to review this calamity of planning rapidly; four years after 9-11
we STILL
have SERIOUS communications, readiness and planning deficiencies.

Also the federal government through the Homeland Security Department is
going to have to take a more active oversight, inspection, compliance and
readiness role over the states for a full range of disasters.

LTC Joseph C. Myers
Senior Army Advisor
Air Command and Staff College
Maxwell AFB Montgomery, AL
DSN 493-2226
Comm. 334-953-2226


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Result number: 175

Message Number 181728

Partial list of disaster relief agencies........ View Thread
Posted by Ed Davis, DPM on 9/02/05 at 15:02

Disaster Relief Update

September 1, 2005

“Who can say, but that you have been chosen for such as time as this" (Esther 4:14b).

Hurricane Katrina Response

Donations

Southern Baptist Disaster Relief Fund
Toll-Free: 1 888 571-5895
Mail: PO Box 116543, Atlanta, GA 30368-6543 (make checks payable to North American Mission Board)
Online: www.namb.net/disasterrelief

Louisiana Disaster Relief Fund
c/o Louisiana Baptist Convention
PO Box 311
Alexandria, LA 71309

Mississippi Disaster Relief Fund
c/o Mississippi Baptist Convention Board
515 Mississippi St.
PO Box 530
Jackson, MS 39205-0530

Alabama Disaster Relief Fund
Alabama Baptist State Board of Missions
2001 East South Blvd.
Montgomery, AL 36116

At this time, in-kind donations (e.g. food, clothing, etc.) are not being received due to logistical issues. Please continue to check back, as we are working on a process to accommodate your donations.



--------------------------------------------------------------------------------
Feeding Units Activated in Partnership with American Red Cross and Salvation Army
Louisiana

Baton Rouge
Rolling Hills unit (LA), Oak Crest Baptist Church
TN state unit, Jefferson Baptist Church
OK state unit, Florida Blvd. Baptist Church
TX, SBCT unit, site undetermined
Alexandria
Top of Texas, Horseshoe Drive Baptist Church
Lafayette
Texas state unit, Cajun Dome
Bogalusa
Illinois state unit, FBC Bogalusa
Covington
Louisiana state and Taminy unit, FBC Covington
Spirit of America, Taminy Parrish Fairgrounds
Hammond
Texas Tarrant unit, Woodland Park Church
Prairieville
Arkansas Forrest City unit, Fellowship Baptist Church
Kenner
Arkansas Independence, Veterans Parkway

Mississippi

Biloxi
Mississippi state unit, FBC Biloxi
Pascagoula
Georgia 11F unit, FBC Pascagoula
Hattiesburg
Florida state unit, Main Street Baptist Church
Kentucky unit, site undetermined
McComb
Missouri state unit, FBC McComb
Meridian
North Carolina state unit, FBC Meridian
Clinton (Jackson)
Kentucky state unit, Camp Garraway
Laurel
Arkansas state unit, FBC Laurel
Lucedale
Georgia 9, FBC Lucedale
Columbia
South Carolina unit, FBC Columbia
Tylertown
Michigan unit, FBC Tylertown
Picayune
VBMB unit, FBC Picayune
Columbia
South Carolina unit, FBC Columbia
Prentiss
SBCV unit, FBC Prentiss
Wiggins
Henry's Kitchen

Alabama

Mobile—Alabama state unit, Moffett Baptist Church

Georgia

Carrollton—Georgia associational unit

There are approximately 110 Southern Baptist units (feeding, recovery, shower, communication) activated at this time.



--------------------------------------------------------------------------------
American Red Cross Report, 9/1/2005
As of Thursday morning, September 1st, the American Red Cross is continuing to absorb the full impact of this event and mobilizing human and material resources in mass to support relief operations.

As authorities clear the affected areas and rescue stranded citizens, Red Cross efforts are focused on sheltering and feeding thousands of evacuees. Efforts to evacuate the New Orleans Superdome, moving residents to the Astrodome in Houston, were suspended due to reports of violence and guns fired at emergency crews attempting to help with the evacuation.

Relief efforts have further been hampered by massive infrastructure failure as roadways are damaged or blocked, and electricity is expected to remain out for several weeks.

In Louisiana, Entergy reports as of 6:30 AM that 643,146 customers remain without electrical service.

Mississippi Power reports, after assessing three-fourths of the company's 8,000 miles of transmission and distribution lines, that approximately 70 percent will need to be rebuilt or repaired. They estimate it may be as long as four weeks to restore service in the worst hit areas to all customers who can receive it.

(SOURCES: The Weather Channel/National Weather Service/CNN/ Houston Chronicle/DOT)



--------------------------------------------------------------------------------
National Leadership
There are two incident command

Result number: 176

Message Number 180881

Re: San Diego Update View Thread
Posted by elvis on 8/20/05 at 18:54

JOHN H.........I agree there is a place for COX-2 inhibitors. You miss my oint of the last post. It is pretty darned clear that the drug companies and the FDA knew many years ago about the gastro and caridac side effects of this calss of drugs. The COX-2 inhibitors were hailed as the "ulcer free" NSAIDs. That apparently is not true and I don;t know to this day of the FDA has acknowledged this fact. That was my point.

Now don't get me started on the whole theory of medicine in the use of NSAIDs for chronic conditions like arthritis or chronic ingestion to decrease polyps in the colon. It's an insane methodology!! NSAIDs basically inhibit or shut down prostaglandin synthesis. Prostaglindins are intracellular hormones that reluate many bodily funcions (inflammation, anti-inflammation, increased blood presure, decreased blood pressure, immune responses, etc). For many effects of prostaglandins they have anequal and oposite effect. Inflammation and anti-inflammatory responses are the typical example of this. When you take NSAIDs you shut down prostaglandin synthesis that produces inflammation. That's how you get relief. This repsonse is general in nature and not specific to arthritic joints. The problem is that NSAIDs also shut down prostaglandin synthesis for all other functions. This is not a real probel for acute episodes of inflammation (tooth ache, sprains, injuries, etc). For chronic conditions its insane to put people on these types of medications chronically. Looks what has happened....heart attacks, ulcers, kidney toxicity for cetain patients, etc.

Are you with me John H? How about if you could effect the prostaglandin synthesis for the "good" anti-inflammatory prostaglandins by taking a substance that increases those anti-inflammatory prostaglandins? Now that makes sense doesn't it? Duh!!! Omega-3 fatty acids (fish oil, DHA, EPA) and the omega-6 fatty acid gamma linolenic acid (borage oil, oil of evening primrose) are fatty acids that produce such an effect. Omega-3s are essential fatty acids. I take both fish oil and borage oil daily. I avoid NSAIDs and Tylenol. I will take them for an acute episode of inflammation (headache, sprain, toot ache) but that's all. My analogy to NSAIDs is its like hitting a mosquito on your forehead with a sledgehammer. Quite effective if you hit the darned mosquito but can do some reall damage to other parts of the body. That's why the whole theory of thaking NSAIDs chronically for anything is INSANE!! It's just not a good thing to do.

John H if you have arthritis I suggest you do some reading up on the subject. First your diet probably contributes most to your arthritis. there are much more responsible ways to treat it than relying on NSAIDs.

Knowledge is power. Now go get some.

Result number: 177
Searching file 17

Message Number 179603

Consequences/Risks with continued physical force/efforts/strain on the injury View Thread
Posted by C.J. van Oosten on 8/01/05 at 04:56

Goodday,

I've seen a lot of very helpfull information on this website, but what I would like to know is the following:

What are the consequences when you continue to sport at serious level with an injury like this?

I play soccer (sorry, I'm European you know), and the pain is there and it is very annoying but I can't afford not to play at the moment. Is there any serious damage risk?

Thanks for any reaction!

C.J.

Result number: 178

Message Number 178719

fable View Thread
Posted by Susan on 7/20/05 at 14:17

NewsTarget.com printable article
Tuesday, July 19, 2005

Welcome to the town of Allopath

There once was a town called Allopath. It had many people, streets
and cars, but due to budget limitations, there were no stop signs or
traffic lights anywhere in Allopath.

Not surprisingly, traffic accidents were common. Cars would crash
into each other at nearly every intersection. But business was
booming for the auto repair shops and local hospitals, which
dominated the economy of Allopath.

As the population of Allopath grew, traffic accidents increased to an
alarming level. Out of desperation, the city council hired Doctor
West, a doctor of the Motor Division (M.D.) to find a solution.

Dr. West spent days examining traffic accidents. He carried an
assortment of technical gear -- microscopes, chemical analysis
equipment, lab gear -- and put them all to work as part of his
investigation. The townspeople of Allopath watched on with great
curiosity while Dr. West went about his work, meticulously
documenting and analyzing each traffic accident, and they awaited his
final report with great interest.

After weeks of investigation, Dr. West called the people of Allopath
to a town meeting for the release of his report. There, in front of
the city council and most of the residents of Allopath, he announced
his findings: "Traffic accidents are caused by skid marks."

As Dr. West explained, he found and documented a near-100%
correlation between traffic accidents and skid marks. "Wherever we
find these cars colliding," he explained, "we also find these skid
marks."

The town had "Skid Marks Disease," the doctor explained, and the
answer to the town's epidemic of traffic accidents would, "...require
nothing more than treating Skid Marks Disease by making the streets
skid-proof," Dr. West exclaimed, to great applause from the
townspeople.

The city paid Dr. West his consulting fee, then asked the good doctor
to propose a method for treating this Skid Marks Disease. As chance
would have it, Dr. West had recently been on a trip to Hawaii paid
for by a chemical company that manufactured roadaceuticals: special
chemicals used to treat roads for situations just like this one. He
recommended a particular chemical coating to the city council:
teflon.

"We can treat this Skid Marks Disease by coating the roads with
teflon," Dr. West explained. "The streets will then be skid-proof,
and all the traffic accidents will cease!" He went on to describe the
physical properties of teflon and how its near-frictionless coating
would deter nearly all vehicle skids.

The city council heartily agreed with Dr. West, and they issued new
public bonds to raise the money required to buy enough teflon to coat
all the city's streets. Within weeks, the streets were completely
coated, and the skid marks all but disappeared.

The city council paid Dr. West another consulting fee and thanked him
for his expertise. The problem of traffic accidents in Allopath was
solved, they thought. Although the cure was expensive, they were
convinced it was worth it.

But things weren't well in Allopath. Traffic accidents quadrupled.
Hospital beds were overflowing with injured residents. Auto repair
businesses were booming so much that most of the city council members
decided to either open their own car repair shops or invest in
existing ones.

Week after week, more and more residents of Allopath were injured,
and their cars were repeatedly damaged. Money piled into the pockets
of the car repair shops, hospitals, tow truck companies and car parts
retailers.

The town economic advisor, observing this sharp increase in economic
activity, announced that Allopath was booming. Its economy was
healthier than ever, and Allopath could look forward to a great year
of economic prosperity!

There were jobs to be had at the car repair shops. There were more
nurses needed at the hospital. "Help wanted" signs appeared all over
town at the paramedic station, the tow truck shops, and the auto
glass businesses. Unemployment dropped to near zero.

But the traffic accidents continued to increase. And yet there were
no skid marks.

The city council was baffled. They thought they had solved this
problem. Skid Marks Disease had been eradicated by the teflon
treatment. Why were traffic accidents still happening?

They called a town meeting to discuss the problem, and following a
short discussion of the problem, an old hermit, who lived in the
forest just outside of Allopath, addressed the townspeople. "There is
no such thing as Skid Marks Disease," he explained. "This disease was
invented by the roadaceuticals company to sell you teflon coatings."

The townspeople were horrified to hear such a statement. They knew
Skid Marks Disease existed. The doctor had told them so. How could
this hermit, who had no Motor Division (M.D.) degree, dare tell them
otherwise? How could he question their collective town wisdom in such
a way?

"This is a simple problem," the hermit continued. "All we need to do
is build stop signs and traffic lights. Then the traffic accidents
will cease."

Without pause, one city council member remarked, "But how can we
afford stop signs? We've spent all our money on teflon treatments!"

The townspeople agreed. They had no money to buy stop signs.

Another council member added, "And how can we stop anyway? The
streets are all coated with teflon. If we build stop signs, we'll
waste all the money we've spent on teflon!"

The townspeople agreed, again. What use were stop signs if they
couldn't stop their cars anyway?

The hermit replied, "But the stop signs will eliminate the need for
teflon. People will be able to stop their cars, and accidents will
cease. The solution is simple."

But what might happen if stop signs actually worked, the townspeople
wondered. How would it affect the booming economy of Allopath?
Realizing the consequences, a burly old man who owned a local repair
shop jumped to his feet and said, "If we build these stop signs, and
traffic accidents go down, I'll have to fire most of my workers!"

It was at that moment that most of the townspeople realized there own
jobs were at stake. If stop signs were built, nearly everyone would
be unemployed. They all had jobs in emergency response services, car
repair shops, hospitals and teflon coating maintenance. Some were now
sales representatives of the roadaceuticals company. Others were
importers of glass, tires, steel and other parts for cars. A few
clever people were making a fortune selling wheelchairs and crutches
to accident victims.

One enterprising young gentleman started a scientific journal that
published research papers describing all the different kind of Skid
Marks Diseases that had been observed and documented. Another person,
a fitness enthusiast, organized an annual run to raise funds to find
the cure for Skid Marks Disease. It was a popular event, and all the
townspeople participated as best they could: jogging, walking, or
just pushing themselves along in their wheelchairs.

One way or another, nearly everyone in Allopath was economically tied
to Skid Marks Disease.

Out of fear of losing this economic prosperity, the townspeople voted
to create a new public safety agency: the Frequent Drivers
Association (FDA). This FDA would be responsible for approving or
rejecting all signage, technology and chemical coatings related to
the town's roads.

The FDA's board members were chosen from among the business leaders
of the community: the owner of the car shop, the owner of the
ambulance company, and of course, Dr. West.

Soon after its inception, the FDA announced that Skid Marks Disease
was, indeed, very real, as it had been carefully documented by a
doctor and recently published in the town Skid Marks Disease journal.
Since there were no studies whatsoever showing stop signs to be
effective for reducing traffic accidents, the FDA announced that stop
signs were to be outlawed, and that any person attempting to sell
stop signs would be charged with fraud and locked up in the town
jail.

This pleased the townspeople of Allopath. With the FDA, they knew
their jobs were safe. They could go on living their lives of economic
prosperity, with secure jobs, knowing that the FDA would outlaw any
attempt to take away their livelihood. They still had a lot of
traffic accidents, but at least their jobs were secure.

And so life continued in Allopath. For a short while, at least. As
traffic accidents continued at a devastating rate, more and more
residents of Allopath were injured or killed. Many were left bed-
ridden, unable to work, due to their injuries.

In time, the population dwindled. The once-booming town of Allopath
eventually became little more than a ghost town. The hospital closed
its doors, the FDA was disbanded, and the Skid Marks Disease journal
stopped printing.

The few residents remaining eventually realized nothing good had come
of Skid Marks Disease, the teflon coatings and the FDA. No one was
any better off, as all the town's money had been spent on the
disease: the teflon coatings, car parts and emergency services. No
one was any healthier, or happier, or longer-lived. Most, in fact,
had lost their entire families to Skid Marks Disease.

And the hermit? He continued to live just outside of town, at the end
of a winding country road, where he lived a simple life with no cars,
no roads, no teflon coatings and no FDA.

He outlived every single resident of Allopath. He gardened, took long
walks through the forest, and gathered roots, leaves and berries to
feed himself. In his spare time, he constructed stop signs, waiting
for the next population to come along, and hoping they might listen
to an old hermit with a crazy idea:

...that prevention is the answer, not the treatment of symptoms.

This fable was authored by Mike Adams, the Health Ranger. You may
reprint or repost, as long as appropriate credit is given to Mike
Adams at www.NewsTarget.com

Result number: 179

Message Number 177829

Supply all sorts of herb extracts View Thread
Posted by Anthony Tian on 7/05/05 at 02:39

Acanthopanax 4:1 五加皮提取物 92.00 Achyranthes 10% olc Achyranthes bidentata 牛膝 USD36.00/kg aconite Aconite 4:1 Aconitum carnichaeli 附子 USD37.00/kg Actinidia P.E. 25:1 猕猴桃 Adenophora 10:1 Phospholipids 南沙参 290 FOB GZ by Air Adenophora P. E. 7:1 Phospholipids 南沙参 Adonophora 8:1* Phospholipids 南沙参 200.00 Adsuki Bean 4:1* 绿豆皮 115.00 Adsuki Bean P.E. 15:1 绿豆 148 Agnus Castus Kaempferol Vitex agnus castus 穗花牡荆 USD46.00/kg Agrimony Agrimonia pilosa 仙鹤草 USD35.00/kg Agrimory 12:1 Agrimonins 仙鹤草 190 Agrimory P. E. 4:1 Agrimonins 仙鹤草 Agrimory Powder Agrimonins 仙鹤草生粉 Aiye Leaf 4:1 艾叶 100 Aiye Leaf Powder 艾叶生粉 Akebia Caulis 10:1 木通 248 Alfalfa Powder Medicago sativa 紫花苜蓿 16 Alfalfa 5% Total Flavonoids (HPLC) Medicago sativa 紫花苜蓿 230 Alfalfa 2:1 Medicago sativa 紫花苜蓿 45 Alfalfa 4:1* Medicago sativa 紫苜蓿提取物 45.00 Alfalfa 5:1 Medicago sativa 紫花苜蓿 100 Alfalfa 7:1 Medicago sativa 紫苜蓿 88.00 Alfalfa 8:1 Medicago sativa 紫苜蓿 90.00 Alfalfa 8:1* Medicago sativa 紫苜蓿 125.00 Alfalfa Dicoumarol & 10:1 Medicago sativa 紫花苜蓿 USD38.00/kg Alfalfa P. E. 6:1 Medicago sativa 苜蓿 Alisma Alisma orientali 泽泻生粉 12.00 Alisma 4:1 Alisma orientali 泽泻 95 Alisma 10:1 Alisma orientalis 泽泻 USD38.00/kg Alisma 20:1 Alisma orientali 泽泻 245 Alisma P. E. 1.5% Alisma orientali 泽泻 All Heal 10:1 Prunella vulgaris 夏枯草 USD43.00/kg Almond 4:1 杏仁 180 Almond 15:1 杏仁 350.00 Almond Powder 杏仁生粉 Aloe 2:1 芦荟 Aloe A Vera 4:1 芦荟 130.00 Althaea Rosae Root 4:1 蜀葵 82.00 Althaea Rosae Root 7:1 蜀葵 210.00 270 Amla 30% Tannins 酸藤子 / Amomum 4:1 Amomum villosum 砂仁 USD83.00/kg Amomum P.E. 50:1 沙仁 Amomum P.E. 20:1 砂仁 Amomum Powder 砂仁生粉 Amur Corktree Bark 12:1 黄柏 An leaf summer Podwer 一叶秋 An leaf summer 10:1 一叶秋 Andrographis paniculata P. E. 3% Andrographolide 穿心莲 Andrographis paniculata powder Andrographolide 穿心莲生粉 Andrographis Paniculate 4% Andrographolide 穿心莲 180 Andrographis Paniculate 50% Andrographolide 穿心莲 1800 Andrographis Paniculate 5% Andrographolide 穿心莲 200 Andrographis Paniculate 10% Andrographolide 穿心莲 350 Andrographis Paniculate 95% Andrographolide 穿心莲 3900 Andrographis Paniculate P.E. 7:1 Andrographolide 穿心莲 Andrographis Paniculate P.E. 10:1 Andrographolide 穿心莲 Andrographolide Andrographis paniculata Chuan Xin Lian穿心莲内酯 USD530.00/kg Anemarhenae Asphodeliodes 4:1 知母 145 Anemarhenae sphodeliodes P. E. 3% 知母 Anemarhenae sphodeliodes P. E. 5% 知母 Anemarhenae sphodeliodes P. E. 50% 知母 Anemarhenae sphodeliodes P. E. 95% 知母 Anemarhenae sphodeliodes P. E. 6:1 知母 Angelica/Dong Quai 1%x (HPLC - USA Methods ) Ligustilides 当归 225 (Amax: 177) Angelica/Dong Quai 4:1 当归Just for Amax: 78.00 85 Angelica/Dong Quai 7:1 当归Just for Amax: 85.00 125 Angelicae (Dangguai) Powder 当归生粉 Annual artemisia 8:1* 黄花蒿 112.00 Antifebrile dichroa Dichroine & 10:1 Dichroa febrifuga Chang Shan常山 USD42.00 Apricot 10:1 Prunus armeniaca Ku Xing Ren苦杏仁 USD44.00/kg Aristolochia 7:1 Aristolochia contororta Ma Dou Ling马兜铃 USD33.00/kg Armillarella mrllea 蜜环菌粉 Arnebia (Shikonin) Arnebia euchroma Zi Cao紫草 USD2450.00/kg Asari/Wild Ginger 4:1 Asarum heterotropoides 细辛 136.00 195 Asari/Wild Ginger 10:1(Essential Oils) Asarum heterotropoides 细辛 370 Asari/WildGinger 10:1 细辛 Asari/WildGinger Powder 细辛生粉 Ashwagandha (Zui Qie) 1.5% /1.7% Alkaloids/ Withanolides 南非醉茄 Asparagus Root 4% (HPLC) Asparagosides 天门冬 200 Asparagus Root 10% Asparagosides 天门冬 360 Asparagus Root 4:1 Asparagosides 天门冬 145 Asparagus Root P.E. 18:1 Asparagosides 天门冬 Asparpgua Root 10:1 天门冬提取物 250.00 Asparpgua Root 20:1* 天门冬提取物 440.00 Aster 10:1 Aster tataricus Zi Wan紫菀 USD39.00/kg Astragalus 5:1 Astragalus Membranaceus Huang Qi黄芪 USD42.00/kgUSD27.00/kg Astragalus / Bay Chi 16% (UV-VIS) Polysacchrides 黄芪 150 Astragalus / Bay Chi 70% (UV-VIS) Polysacchrides 黄芪 350 Astragalus / Bay Chi 0.2%/16% Flavone &/ Polysacchrides 黄芪 155 Astragalus / Bay Chi 0.4%/16% Flavone &/ Polysacchrides 黄芪 240 Astragalus / Bay Chi 4:1 Flavone &/ Polysacchrides 黄芪 75 Astragalus / Bay Chi 10:1 Flavone &/ Polysacchrides 黄芪 150 Astraglus Powder Flavone &/ Polysacchrides 黄芪生粉 Atractyhodes 4:1 苍术 94.00 Atractyhodes 15:1 苍术 175.00 Baijiang 4:1 Scabiosides 败酱草 65.00 Baijiang P.E. 12:1 Scabiosides 败酱草 Baijiang Powder Scabiosides 败酱草生粉 Bamboo shavings Powder 竹茹生粉 Barley Grass Juice 16% 麦苗精 Barley Grass Juice 70% 麦苗精 Barley Grass Juice 0.2% 麦苗精 Barley Grass Juice 0.4% 麦苗精 Barley Grass Juice 4:1 麦苗精 Barley Grass Juice 8:1 麦苗精 Barley Grass Juice 20:1 麦苗精 220 Barley Grass Juice Powder 麦苗精生粉 Basil Herb 10:1 Ocimum basilicum Luo Le罗勒 USD48.00/kg Basket fern 10:1 Dryoathyrium crostichoides Guan Zhong贯众 USD38.00/kg Bayberry Root Bark 30:1 Myrica cerifera Yang Mei杨梅 USD62.00/kg Be Mu 4:1 贝母 Bee Pollen Apis mellifica Feng Hua Fen蜂花粉 USD6.80/kg Bee Propolis Apis mellifica Feng Jiao蜂胶   Belamcanda 10:1 Belamcanda chinensis She Gan射干 USD44.00/kg Beta Vulgars P. E. 10:1 恭菜根 Bian Hao 12:1 扁蒿 Bilberry 10%, 25% Athocyanidins Vaccinium Myrtillus Yue Ju越桔 USD290.00/kg Bilberry 10% 越橘 1450 Bilberry 15% 越橘 1900 Bilberry 25% (UV-VIS) Anthocyanidins 越橘 3000 Bilberry 4:1 越橘 120 Bilberry 5:1 越橘 130 Bilberry 12:1 越橘 200.00 230 Bilberry 20:1 越橘 500 Bilberry P. E. 32% 越橘 Bilberry P. E. 10:1 越橘 Bistort 10:1 Polygonum bistorta Quan Shen拳参 USD49.00/kg Bitter cardamon 10:1 Alpinia Oxyphylla Yi Zhi Ren益智仁 USD94.00/kg Bitter Melon 30:1 苦瓜 210 Bitter Melon 25:1 苦瓜提取物 110.00 Bitter Melon 20:1 HPLC Charantin 苦瓜 155 Bitter Melon P. E. 10% Charantin 苦瓜 Bitter Melon P. E. 25% Charantin 苦瓜 Bitter Melon P. E. 12:1 Charantin 苦瓜 Bitter Sophora Root 20% Matrines & Oxymatrine 苦参 220 Bitter Sophora Root 90% Matrines & Oxymatrine 苦参 650 Bitter Sophora Root 4:1* Matrines & Oxymatrine 苦参提取物 40.00 Bitter Sophora Root 5:1 Matrines & Oxymatrine 苦参 100 Bitter Sophora Root 8:1 Matrines & Oxymatrine 苦参 Bitter Sophora Root 20:1 Matrines & Oxymatrine 苦参 Bitter Sophora Root Powde Matrines & Oxymatrine 苦参生粉 Black Bean 15:1 Isoflavones 黑豆 200 Black Bean P. E. 20% Isoflavones 黑豆 Black Bean P. E. 90% Isoflavones 黑豆 Black Bean P. E. 4:1 Isoflavones 黑豆/柿子蒂 158 Black Bean P. E. 5:1 Isoflavones 黑豆 Black Bean P. E. 8:1 Isoflavones 黑豆 Black Bean P. E. 15:1 Isoflavones 黑豆 Black Bean Powder Isoflavones 黑豆生粉 Black Cohosh 1.5% Triterpenes 黑升麻 150 Black Cohosh 2.5% (HPLC) Triterpenes 黑升麻 240 Black Cohosh (7:1 & 4:1) Cimicifuga racemosa Sheng Ma黑升麻 USD35.00/kgUSD21.00/kg Black Cohosh 4:1* Triterpenes 黑升麻 108.00 110 Black Cohosh 4:1 Triterpenes 黑升麻提取物 65.00 Black Cohosh 15:1 Triterpenes 黑升麻 292.00 Black Cohosh P. E. 2:1 Triterpenes 黑升麻 Black Cohosh P. E. 15:1 Triterpenes 黑升麻 Black Cohosh Powder Triterpenes 黑升麻生粉 Black Elder 10:1 Sambucus nigra Jie Gu Mu接骨木 USD52.00/kg Black Seumum 25:1* 黑芝麻 350.00 Black Tea 30%~40% (China UV-VIS) polyphenols 红茶 90 Black Tea P. E. 30% Polyphenols 红茶/功夫茶 Black Tea P. E. 50% Polyphenols 红茶 Black Tea P. E. 15% Polyphenols 红茶(麦芽) Black Tea P. E. 2.5% Polyphenols 红茶 Black Tea P. E. 4:1 Polyphenols 红茶 Black Tea P. E. 10:1 Polyphenols 红茶 Black Tea P. E. 15:1 Polyphenols 红茶 Black Walnut Null 4:1* 核桃提取物 96.00 BlackTea Pohyphenols 90% 红茶多酚 Bladderwrack 10:1 Fucus versiculosus Hai Zao海藻 USD37.00/kg Bletilla Tuber 4:1 白芨 Bletilla tuber 10:1 白芨 Bletilla Tuber Powder 白芨生粉 Blue Flag 10:1 Iris versicolor (tectorum) Yuan Wei鸢尾 USD58.00/kg Boewellia Sorrata 65% Boewellie Acids 乳香树 200 Boneset, Herb 10:1 Eupatorium perfoliatum Pei Lan佩兰 USD38.00/kg Boewellia Serrata 60% Boewellie Acids 乳香提取物 126.00 Broom cypress 10:1 Kochia scoparia Di Fu Zi地肤子 USD38.00/kg Buchu Leaf 4:1 / BuffaloHorn P.E 10:1 水牛角 BuffaloHorn P.E 20:1 水牛角 Bupleurum 5% (UV-VIS) Bupleurum falcatum 柴胡 300 Bupleurum 5:1 Bupleurum falcatum 柴胡 138.00 180 Bupleurum 12:1* Bupleurum falcatum 柴胡 260.00 Bupleurum P. E. 30% Bupleurum falcatum 柴胡 Bupleurum P. E. 10:1 Bupleurum falcatum 柴胡 Bupleurum Powder Bupleurum falcatum 柴胡生粉 Burdock Root 4:1* 牛蒡根提取物 65.00 150 Burdock Root 4:1 Arctiin & Arctigenin 牛蒡子 105.00 Burdock Root 10:1 牛蒡根 135.00 Burdock Root P. E. 5% 牛蒡根 Burdock root P. E. 10:1 Arctium lappa Niu Bang Gen牛蒡根 USD45.00/kg Burdock Root Powder 牛蒡根生粉 Burdock Seed 40% Arctiin & Arctigenin 牛蒡籽 280 Burdock Seed 4:1 牛蒡籽 140 Butcher's Broom Root 2.5% Ruscus aculeata Jia Ye Shu假叶树   Caffeine 30% 咖啡因 Caffeine 40% 咖啡因 Caffeine 70% 咖啡因 Caffeine 80% 咖啡因 Calendula Flower 10:1 Calendula officinalis Jin Zhan Hua金盏花 USD88.00/kg Camellia Oleifera 7:1* 油茶树 65.00 Camphor 8:1 樟芽 Camptothecine 90%, 98% Xi Shu Jian喜树碱 USD15500/kg Capillaris 20:1* 因陈蒿 120.00 Capillary wormwood 10:1 Artemisia scoparia Yin Chen茵陈 USD38.00/kg Carrot Juice 20:1 Carrotenoids 胡萝卜汁 140 Carrot Juice Powder 25:1* Carrotenoids 胡罗卜 72.00 Carrot Juice Powder Carrotenoids 胡萝卜汁粉 Carrot Juice Powder 40% Carrotenoids 胡萝卜精 Carrot Juice Powder 4:1 Carrotenoids 胡萝卜精 Carthamus 10:1* 红花 290.00 Cascara Sagrada Bark Cascara Sagrada Shu Li鼠李 USD48.00/kg Cassia Fistula 1.5% Anthraquinones 婆罗门皂荚 240 Cassia Seed 5% Cassia tora 决明子 Cassia Seed 15:1* Cassia tora 决明子 150.00 Cassia Tora / Juemingzi 10:1 Cassia tora 决明子 160 Cat Nut 7% 荆芥 70.00 Cat Nut 4:1 荆芥 130 Cat Nut 8:1 荆芥 Cat Nut P. E. 20:1 荆芥 Cat Nut Powder 荆芥生粉 Cat’s Claw 4% Alkaloids 钩藤 260 Cat’s Claw 4:1 钩藤 110 Catnip 10:1 Nepeta cataria Jing Jie心叶荆芥 USD42.00/kg Cat's Claw 猫爪草 Cat's Claw 4:1,& 3% Alk. Uncaria rhynchphilla 钩藤/猫爪草 USD39.00/kg Cayenne P. E. 辣椒 Cayenne P. E. 12:1 辣椒 Celandine 2% Chelldonine 白屈菜 170 Celandine 4:1 Chelldonine 白屈菜 85.00 Celandine 12:1* Chelldonine 白屈菜 180.00 Celandine P. E. 2% Chelldonine 白屈菜 Celandine P. E. 8:1 Chelldonine 白屈菜 Celery Seed P. E. 欧芹籽 Centipede Powder 蜈蚣生粉 Chaenomeles 8:1 木瓜 115.00 Chain fern 10:1 Cibotium barometz Gou Ji狗脊 USD38.00/kg Chamomile 1.2%/0.5% HPLC Apigenin/ Essential Oil 母菊 260 Chamomile 4:1 母菊 150 Chasteberry 5% (HPLC) Vitexin 蔓荆子 420 Chasteberry 4:1 Vitexin 蔓荆子 200 Chasteberry 10:1 Vitexin 蔓荆子 390 Chastetree fruit 5:1 Vitex trifolia L. Man Jing Zi蔓荆子 USD62.00/kg Cherokee rose fruit 10:1 Rosa laevigata Michx Jing Ying Zi金樱子 USD34.00/kg Chickweed Herb 10:1 Stellaria media Fan Lv繁缕 USD39.00/kg Chicory Inulin: 90% Cichorium iintybus Ju Ju菊苣 USD77.00/kg Chinese Anemone 12:1* 白头翁提取物 180.00 ChineseAnemone Powder 白头翁生粉 Chinese Mosla Herb 10:1 香芋草 Chondroitin Sulfate (Bovine) 90% Chondroitin Sulfate 硫酸软骨素(牛骨) / Chondroitin Sulfate (Bovine) 95% Chondroitin Sulfate 硫酸软骨素(牛骨) / Chondroitin Sulfate (Bovine) 98% Chondroitin Sulfate 硫酸软骨素(牛骨) / Chrysanthemum 12:1 Parthenolide 菊花 270.00 300 Chrysanthemum P. E. 2% Parthenolide 菊花 Chrysanthemum P. E. 4:1 Parthenolide 菊花 Chrysanthemum Powder Parthenolide 菊花生粉 Cinnamon 15:1* 肉桂 280.00 Cinnamon Bark 20:1 桂皮 300 Cinnamon Bark P. E. 4:1 桂皮 Cinnamon Bark P. E. 12:1 桂皮 Cinnamon Bark Powder 肉桂生粉 Cinnamon P. E. 40:1 Cinnamaldehyde 肉桂 Cistanche, 5% alk. & 5:1 Cistanche deserticola Rou Cong Rong肉苁蓉 USD68.00/kg Citrus Aurantinum 4% (HPLC) Synepherin 枳实 130 Citrus Aurantinum 30% Synepherin 枳实 1300 Citrus Aurantinum 6% Synepherin 枳实 175 Citrus Aurantinum 8% Synepherin 枳实 220 Citrus Aurantinum 10% Synepherin 枳实 315 Citrus Aurantinum 20% Synepherin 枳实 800 Citrus Aurantinum 30:1 Synepherin 枳实 Citrus Aurantinum Powder 枳实生粉 Classial Cassia 4:1 草决明 Cleaver Herb 10:1 Galium aparine Zhu Yang Yang猪殃殃 USD37.00/kg Clematis root Clematis chinensis Wei Ling Xian威灵仙 USD42.00/kg Cloves 4:1 丁香 150.00 200 Cloves P. E. 4% 丁香 Cloves P. E. 6% 丁香 Cloves P. E. 8% 丁香 Cloves P. E. 20:1 丁香 Cloves Powder 丁香生粉 Club Moss P. E. Huperzine A 千层塔 Club Moss P. E. 4:1 Huperzine A 千层塔 115.00 Club Moss P. E. 10:1 Huperzine A 千层塔 210.00 Cnidium fruit 10:1 Cnidium monieri She Chuang Zi蛇床子 USD38.00/kg Cochinchina momordica 10:1 木鳖子 Codonopsis 10:1 Codonopsis Pilosula Dang Shen党参 USD49.00/kg Codonopsis Root 4:1 Codonopsis Pilosula 党参 190 Codonopsis Root P. E. 20:1 Codonopsis Pilosula 党参 Codonopsis Root Powder Codonopsis Pilosula 党参根生粉 Coix Seed 薏苡仁生粉 Coloed mistletoe herb 2:1 槲寄生 Coltsfoot, leaf 10:1 Tussilago farfara Kuan Dong Hua款冬花 USD46.00/kg Combined Spicebush Root 20% 乌药 Combined Spicebush Root 8:1* 乌药 132.00 Commen Hong Fennel Root 前胡 Common Curcaligo Rhizome 4:1 仙茅 100.00 Common Lophatherum Herb 12:1 淡竹叶 Cooked Rehmannia P.E. 6:1 熟地 Cooked Rehmannia Powder 熟地生粉 Coptis Root 10% Berberine Copitids Chinensis 黄连根 560 Coptis Root 8:1* Copitids Chinensis 黄连提取物 300.00 Coptis Root 98% Berberine & 10:1 Copitids Chinensis Huang Lian黄连 USD148.00/kg Coptis Root 10:1 Copitids Chinensis 黄连根 800 Coptis Root P. E. 10% Copitids Chinensis 黄连 Coptis Root P. E. 3:1 Copitids Chinensis 黄连 Coptis Root P. E. 4:1 Copitids Chinensis 黄连 Coptis Root Powder Copitids Chinensis 黄连生粉 Cordyceps Sinensis 冬虫夏草菌 Cordyceps Sinensis 4:1 冬虫夏草菌丝体 510.00 Cordycops 4:1 兔丝子提取物 120.00 Cordycops 16:1 兔丝子 294.00 Cordycops 20:1 兔丝子 535.00 Cordycops 20:1* 兔丝子 570.00 Coriolus Mushroom 20% Polysaccharides 云芝 360 Coriolus Mushroom 10:1 Polysaccharides 云芝提取物 140.00 Coriolus Mushroom 12:1 Polysaccharides 云芝 200.00 Coriolus Mushroom 20:1 Polysaccharides 云芝 260.00 320 Coriolus ushroom (Yunzhi) 4:1 Polysaccharides 云芝 Coriolus ushroom (Yunzhi) 10:1 Polysaccharides 云芝 Coriolus Versicolor Polysaccharides 云芝菌粉 Corn Silk 15% Zea mays Yu Mi Xu玉米须 USD37.00/kg Cornsilk 4:1 玉米须 140 Cornsilk P. E. 20:1 玉米须 Cornsilk Powder 玉米须生粉 Corus OfficinalisP. E. 3% 茱萸 Corus OfficinalisP. E. 4:1 茱萸 150.00 200 Corus Officinalis Powder 山茱萸生粉 Corus Officinals 5:1 山茱萸 340.00 Corydaila 25:1 Bio-Akloids 延胡索 540.00 Corydaila Powder 延胡索生粉 Corydalis Rhizome 5:1 Corydalis decumbens Xia Tian Wu夏天无 USD52.00/kg Corydalis Yanhusuo W. T. Wang 80% (HPLC) Total Alkaloids 延胡索 6400 Corydalis Yanhusuo W. T. Wang 25:1 Total Alkaloids 延胡索 750 Corydalis, 5% alk.& 10:1 Cordalis bungeana Ku Di Ding苦地丁 USD38.00/kg Costustoot 8:1 8:1 木香 Cranberry 10:1 蔓越桔 200 Cranesbill 4:1 Geranium maculatum 老鹤草 90 Cranesbill 10:1 Geranium maculatum Lao Guan Cao老鹳草 USD38.00/kg Cranesbill P. E. 25:1 Geranium maculatum 老鹤草 Cranesbill Powder Geranium maculatum 老鹤草生粉 Creeper 7:1 Quisqualis indica Shi Jun Zi使君子 USD39.00/kg Cubeb Berry 10:1 Piper cubeba Bi Cheng Qie荜澄茄 USD68.00/kg Curculigo 5:1 Curculigo orchioides Xian Mao仙茅 USD38.00/kg Curcumae 2:1 Curcujinoids 姜黄/郁金 158.00 Curcumae 12:1 Curcujinoids 姜黄/郁金 220 Curcumae Powder Curcujinoids 郁金生粉 Curcumin 95% x Curcuminoids 姜黄素 1350 Cushaw seed 4:1 南瓜子 Cyathula Root 4:1 川牛膝 115.00 Cyperus tuber 10:1 Cyperus rotundus Xiang Fu香附 USD40.00/kg Dahurian Angelica Root 4:1 白芷 Dahurian Angelica Root 12:1 白芷 Dahurian Rhododenron Leaf 50% Proanthocyanidins 映山红 650 Dahurian Rhodoendron Leaf 70% Proanthocyanidins 满山红 850 Damiana Leaf 4:1 Proanthocyanidins 满山红 48.00 / Dandelion 3% (HPLC) Flavonoids 蒲公英 150 Dandelion 2:1* Flavonoids 蒲公英提取物 38.00 Dandelion 4:1 Flavonoids 蒲公英 75 Dandelion 7:1* Flavonoids 蒲公英提取物 65.00 Dandelion 8:1 Flavonoids 蒲公英 120 Dandelion 14:1 Flavonoids 蒲公英根 155.00 Dandelion Herb P. E. 10:1 Flavonoids 蒲公英 Dandelion Powder Flavonoids 蒲公英生粉 Dark Plumfruit 4:1 乌梅 Dark Plumfruit 8:1 乌梅 158.00 Decumbent Corydalis Tuber 20:1 夏天无 Devil’s Claw Root 3% (HPLC) Harpagosides 钩果草 300 Devil’s Claw Root 4:1 钩果草 170 Devil's Club, root bark 1.5-5% Harpagosides Ci Shen刺参   Diospyros kaki P.E. 4:1 柿子蒂 60 Diospyros kaki Powder 柿子蒂生粉 Dipscus 5% alk & 10:1 Dipsacus asperoides Xu Duan续断 USD42.00 Dogbane powder 西番莲 Dogwood Fruit, 20% cornin & 7:1 Cornus officinals Shan Zhu Yu山茱萸 USD460.00/kg Angelica/Dong Kuai 1% & 7:1 Ligustilide Dang Gui当归 USD28.00/KG Dong Ling 5:1 冬凌草 Angelica/Dong Kuai 2:1 当归提取物 5.00 Angelica/Dong Kuai 1% Ligustilide 当归 Angelica/Dong Kuai 0.1% Ligustilide 当归 Angelica/Dong Kuai 4:1 Ligustilide 当归 Angelica/Dong Kuai 7:1 Ligustilide 当归 Angelica/Dong Kuai 12:1 Ligustilide 当归 Dragon Blood 4:1 血竭 92.00 Drug solomonseal 10:1 Polygonatum oddratum Yu Zhu玉竹 USD45.00/kg Drynaria 10:1 Drynaria fortunei Gu Sui Bu骨碎补 USD38.00/kg Drynaria Root 4:1 Drynaria fortunei 骨碎补 95.00 Drynaria Root 15:1 Drynaria fortunei 骨碎补 140.00 Dryopteris 15:1 贯众 200 Dryopteris P. E 3% 贯众 Dryopteris Powder 贯众生粉 Dwarf lilyturf tuber 10:1 麦冬 Dwarf lilyturf tuber 20:1 麦冬 East Asian Tree Ferm Rhizome 4:1 狗脊 East Asian Tree Ferm Rhizome 12:1 狗脊 Echinacea P.E. 4:1 hinacea angustifolia 紫锥菊 175 Echinacea Purpurea Herb 4% Phenolic Compounds 紫锥菊 200 Eclipta 10% Eclipta prostrata Han Lian Cao旱莲草 USD46.00/kg Elderberry 5% (UV-VIS) Anthocyanidins 蒴藋 700 Elderberry 5:1 Anthocyanidins 蒴藋 160 Elderberry P. E. 10:1 Anthocyanidins 蒴瞿 Elderberry P. E. 15:1 Anthocyanidins 蒴瞿 Elderberry Powder Anthocyanidins 蒴瞿生粉 Elecampane 7:1 Inula helenium Tu Mu Xiang土木香 USD38.00/kg Elecampane Flower 10% 旋复花 Elecampane Flower 40% 旋复花 Elecampane Flower 5% 旋复花 Elecampane Flower 2:1* 旋复花 38.00 Elecampane Flower 4:1 旋复花 140 Elecampane Flower 5:1 旋复花 Elecampane Powder 旋复花生粉 Emblic Leafflower Fruit 佘甘子 Eordythia P. E. 10:1 连翘 Eordythia P. E. 20:1 连翘 Eordythia Powder 连翘生粉 Ephedra 6% Ephedra Sinica Stapf Ma Huang麻黄   Ephedra P.E. 20% Ephedrines 麻黄 Epigeal srephaia root 80% 地不容 Epigeal srephaia root 4:1 地不容 Epimedium 5% Flavonoids 淫羊藿 200 Epimedium 8% 淫羊藿 250 Epimedium 1:1 淫羊藿生粉 10.00 Epimedium 10:1 淫羊藿 108.00 Epimedium 20:1 淫羊藿提取物 170.00 Epimedium P.E. 3% Epimedioside 淫羊藿 Eucommia Bark 10:1 Eucommia ulmoides Du Zhong杜仲 USD58.00/kg Eucommia Bark 20:1 杜仲皮 500 Eucommia Bark P. E. 4:1 杜仲皮 Eucommia Leaf Powder 杜仲叶生粉 Eucommia Leaves 2:1 杜仲叶 45.00 Eucommia Leaves 7:1 杜仲叶 120 Europe Chrysanthemum 0.1% 欧小菊 European Verbena 4:1 马鞭草 100.00 European Verbena 5:1 马鞭草 110.00 Evening-Primrose Oil(EPO) 10% Oenothera biennis Yue Jian Cao月见草油 USD5.20/KG Evodia 20:1 吴茱萸 800 Evodia fruit 4:1 Evodia lepta Wu Zhu Yu吴茱萸 USD53.00/kg Evodia P.E. 20:1 Bio-akloids 吴茱萸 Evodia Powder 吴茱萸生粉 Eyebright Herb 4:1 Euphrasia officinalis 小米草 200 Fannel Foeniculum vulgare Xiao Hui Xiang小茴香   Fennel Seed Powder 小茴香 32 Fennel Seed 4:1 小茴香 115 Fennel Seed 12:1* 小茴香 130.00 Fennel Seed 15:1 小茴香 158.00 240 Fennel Seed P. E. 7:1 小茴香 Fenugreek 25:1 葫芦巴 255 Fenugreek 4:1 葫芦巴 115 Fenugreek 10:1 葫芦巴提取物 150.00 Fenuguek 20:1 葫芦芭 Feverfew 欧菊花 Feverfew 0.1% (HPLC) Parthenolide 欧甘菊 Feverfew 0.8% 欧甘菊 / Feverfew 4:1 欧甘菊 Feverfew P.E. 0.1% Parthenolide 菊花 Fevervine Herb 18:1 鸡血藤 Fig, fruit 7:1 Ficus carica Wu Hua Guo无花果 USD43.00/kg Figwort root 玄参 Figwort root 5% 玄参 Figwort root 6:1 玄参 Figwort root 10:1 玄参 Figwortflower Picrohiza Rhizom 3:1 胡黄连 172.00 Figwortflower Picrohiza Rhizom 4:1* 胡黄连 220.00 Figwortflower Picrohiza Rhizom 5:1 胡黄莲 Figwortflower Picrohiza Rhizom 8:1* 胡黄连 410.00 Finger citron 4:1 Citrus medica sarcodactylis Fo Shou佛手 USD87.00/kg Flammulina Velutipes 金针菇菌粉 Fo Ti P.E 2:1 何首乌提取物 42.00 Fo Ti P.E 8:1 何首乌提取物 116.00 Fo Ti P.E 10:1 何首乌提取物 116.00 Fo Ti P.E 14:1 何首乌提取物 210.00 Fo Ti Powder Phosphatide 何首乌生粉 Fo Ti / Ho Shou Wu 2% Phosphatide 何首乌 165 Fo Ti / Ho Shou Wu 4:1 何首乌 80 Fo Ti / Ho Shou Wu 12:1 Phosphatide 何首乌 160 Fragrant Solomonseal Rhizome 4:1 玉竹 Frankincense 三代 乳香 Frankincense 60% 乳香 Fu Ling 40% Poris Cocos Fu Ling茯苓 USD35.00/kg Fufang1302 复方1302 Fufang-4 10:1 复方4 Fufang-A 复方A Fufang-kangbing 抗病毒复方 Fumitory 10:1 Fumaria officinalis Zi Jin紫堇 USD44.00/kg Galangal 10:1 Alpinia officinarum Gao Liang Jiang高良姜 USD28.00/kg Galange resurrectionlily 5:1 Kaempferia galanga Shan Nai山奈 USD36.00/kg Gan Lan 4:1 甘蓝 Ganoderma Lucidum 灵芝菌粉 Ganoderma Lucidum Karst 60% Polyose 赤芝 3800 Garcinia (potassiun) 10% 麻黄 Garcinia (potassiun) 6% 麻黄 Garcinia (potassiun) 8% 麻黄 Garcinia Cambogia Fruit/ Gamboge 65% Garcinia hanburgy Teng Huang藤黄   Garcinia Cambogia Fruit/ Gamboge 50% Hydroxycitric Acid 藤黄 / Garden Euphorbia Herb 4:1 大飞扬草 Gardenia 10:1 Gardenia Jasminoides Zhi Zi栀子 USD35.00/kg Gardenia Fruit P. E. 8:1 栀子 Garlic 2% Allicin 大蒜 / Garlic 1% (HPLC) Allicin 大蒜 120 Garlic 4:1 Allicin 大蒜 80.00 Garlic P. E. 25:1 Allicin 大蒜 Gastrodia Rhizoma 4:1 天麻 350.00 Gastrodia Rhizoma 20:1 天麻 2,100.00 2000 Gastrodia Rhizoma Powder 天麻生粉 Gastrodia Tuber 5:1 Gastrodia eleta Tian Ma天麻 USD128.00/kg Gecko P.E. 10:1 壁虎 Gecko Powder 壁虎生粉 Gentain 龙胆草生粉 38.00 Gentian P. E. 5:1 Gentianine 龙胆草 Gentian Root 5% Gentiopicroside 龙胆草 180 Gentian Root 10% 龙胆草 280 Gentian Root 4:1 龙胆草 150 Giant Knotweed P. E. 50% 虎杖 Giant Knotweed P. E. 15% 虎杖 Giant Knotweed P. E. 20% 虎杖 Giant Knotweed P. E. 4% 虎杖 Giant Knotweed P. E. 20:1 虎杖 Giant Knotweed P.E. 80% 虎杖 254 Giant Knotweed Powder 虎杖生粉 Ginger 4:1 Gingerols 生姜 105.00 Ginger 5:1 Gingerols 生姜 120.00 Ginger P. E. 2% Gingerols 生姜 Ginger P. E. 5% Gingerols 生姜 250 Ginger P. E. 8:1 Gingerols 生姜 200 Ginger P. E. 12:1 Gingerols 生姜 Ginger Powder 生姜生粉 Gingko Biloba 24% 6% Gingko Biloba Ying Xing银杏 USD92.00/kg Ginkgo Biloba Leaf 24% (HPLC)6% (HPLC) Ginkgoflavoglycosides/ Terpene Lactories 银杏叶 320 Ginkgo Biloba Leaf 1:1 银杏叶生粉 8.50 Ginkgo Biloba Leaf 4:1 银杏叶 90.00 Ginkgo Biloba Leaf 7:1 银杏叶 90.00 Ginkgo Biloba Leaf, <5 ppm 24% (HPLC)6% (HPLC) Ginkgoflavoglycosides/Terpene Lactories/<5ppm 银杏叶 600 Ginnamon Bark 4:1* 桂皮 62.00 Ginseng C.A. 80% Saponin 人参 680 Ginseng Leaf P. E. 20% 人参叶 Ginseng Leaf P. E. 7:1 人参叶 Ginseng Leaf Powder 人参叶生粉 Ginseng Root 10%(UV-VIS) Ginsenosides 人参 260 Ginseng Root 20% 人参 500 Ginseng Root 30% 人参 650 Ginseng Root 80% 人参 900 Ginseng Root ( American ) 25%(UV-VIS) Ginsenosides 人参 / Ginseng Root P. E. 15% 人参 Ginseng Root P. E. 90% 人参 Glehnia Root 7:1 Glehnia littoralis Bei Sha Shen北沙参 USD31.00/kg Globethistle root 10:1 Rhaponticum uniflourum Lou Lu漏芦 USD39.00/kg Glucosamine HCL 90% Glucosamine 葡萄糖 / Golden Rod 5% (HPLC) Flavonoids 一支黄花 210 Golden Rod 一枝黄花生粉 9.50 Golden Rod 4:1 一枝黄花 90.00 Golden rod 6:1 Solidago virgaurea Yi Zhi Huang Hua一枝黄花 USD27.00/kg Golden Rod P. E. 5% 一枝黄花 Golden Rod P. E. 8:1 一枝黄花 Golden Rod P. E. 10:1 一枝黄花 Golden Seal Root 5% Total Akloids 北美黄连提取物 270.00 380 Golden Seal Root P. E. 10% 北美黄连 Golden Seal Root P. E. 35% Hydrastis canadensis 北美黄连 Golden Seal Root P. E. 4:1 北美黄连 Golden Seal Root P. E. 8:1 北美黄连 Gordon euryale seed 5:1 Euryale ferox Qian Shi芡实 USD32.00/kg Gotu Kola 10:1 积雪草 135.00 Gotu Kola Herb 10% Triterpenes (HPLC) 积雪草 230 Gotu Kola Herb 20% 积雪草 450 Gotu Kola Herb 4:1 积雪草 120 Gotu Kola Herb 8:1 积雪草 200 Gotu Kola P. E. 90% Centella asiatica 积雪草 Gotu Kola P. E. 7:1 积雪草 Gotu Kola P.E. 80% Triterpenes 积雪草 Gotu Kola Powder 积雪草生粉 Grape leaf P.E. 葡萄叶 Grape Seed 95% (UV-VIS) Proantocyanidins 葡萄籽 1250 Grape Seed P. E. 20:1 葡萄籽 Grape Seed Powder 葡萄籽生粉 Grape Skim Extract 20:1 葡萄皮提取物 225.00 Grape Skin 20% (UV-VIS) Polyphenols 葡萄皮 200 Grape Skin 30% 葡萄皮 270 Grape Skin P. E. 20% Proanthocyanidins 葡萄皮 Grape Skin Powder 葡萄皮生粉 Grassleaf Sweetflag ASarone & 10:1 Acorus gramineus Shi Chang Pu石菖蒲 USD42.00/kg Grassy Privet 20% trit. & 10:1 Ligustrum lucidum Nv Zhen Zi女贞子 USD42.00/kg Gravel Root 10:1 Eupatorium purpureum Pei Lan佩兰 USD38.00/kg Green Tea 绿茶 Green Tea Caffeine 30% 儿茶素 115 Green Tea Caffeine 40% 儿茶素 250 Green Tea Caffeine 50% 儿茶素 350 Green Tea Caffeine 60% 儿茶素 450 Green Tea Caffeine 70% 儿茶素 550 Green Tea Caffeine 80% 儿茶素 700 Green Tea Caffeine 10% 茶天然咖啡因 100 Green Tea Caffeine 20% 茶天然咖啡因 160 Green Tea Caffeine 40% 茶天然咖啡因 280 Green Tea Caffeine 50% Green Tea (HPLC) Natural Caffeine 茶天然咖啡因 380 Green Tea Caffeine 30% / <0.5% 儿茶素 200 Green Tea Caffeine 50% / <0.5% 儿茶素 450 Green Tea Caffeine 60% / <0.5% 儿茶素 550 Green Tea Caffeine 70% / <0.5% 儿茶素 650 Green Tea Caffeine 80% / <0.5% 儿茶素 900 Green Tea Caffeine 85% / <0.5% 儿茶素 950 Green Tea Catechins 20% (HPLC) Catechins / Caffeine 儿茶素 75 Green Tea EGCg 10% (HPLC) EGCg 儿茶素EGCg 100 Green Tea EGCg 60% EGCg 儿茶素EGCg 1000 Green Tea EGCg 95% EGCg 儿茶素EGCg 1200/g Green Tea EGCg 20% EGCg 儿茶素EGCg 300 Green Tea EGCg 30% EGCg 儿茶素EGCg 500 Green Tea EGCg 97% Polyphenols / 65%Catechins / 38%EGCg / <4% Caffeine EGCg 儿茶素EGCg 550 Green Tea EGCg 50% EGCg 儿茶素EGCg 900 Green Tea EGCg 97% / 65% /38% /<0.5% EGCg 儿茶素EGCg 600 Green Tea Polyphenols 50% 茶多酚 100 Green Tea Polyphenols 60% 茶多酚 200 Green Tea Polyphenols 70% 茶多酚 300 Green Tea Polyphenols 80% 茶多酚 400 Green Tea Polyphenols 90% 茶多酚 500 Green Tea Polyphenols 98% 茶多酚 650 Green Tea Polyphenols 40% 茶多酚 90 Green Tea Polyphenols 50% / <0.5% 茶多酚 250 Green Tea Polyphenols 98% / 80% / 45% EGCg / <0.5% 茶多酚 Green Tea Polyphenols 98% / 80% / <1.0% 茶多酚 Green Tea Polyphenols 30% / 20% /<1.0% 茶多酚 Green Tea Polyphenols 40% / 25-30% / <1.0% 茶多酚 Green Tea Polyphenols 50% / 35-40% / <1.0% 茶多酚 Green Tea Polyphenols 60% / 45% / <1.0% 茶多酚 Green Tea Polyphenols 70% / 50-55% / <1.0% 茶多酚 Green Tea Polyphenols 80% / 60% / <1.0% 茶多酚 Green Tea Polyphenols 90% / 70% / <1.0% 茶多酚 Green Tea Polyphenols 95% / 75-80% / <1.0% 茶多酚 Green Tea Polyphenols 40% / 25-30% /7-10% 茶多酚 Green Tea Polyphenols 50% / 35-40% / 7-10% 茶多酚 Green Tea Polyphenols 60% / 45% / 7-10% 茶多酚 Green Tea Polyphenols 70% / 50-55% /7-10% 茶多酚 Green Tea Polyphenols 80% / 60% / 7-10% 茶多酚 Green Tea Polyphenols 90% / 70% / 7-10% 茶多酚 Green Tea Polyphenols 95% / 75-80% / 7-10% 茶多酚 Greenbrier 10% Z & E Sterones & 10:1 Smilax glabra Tu Fu Ling土茯苓 USD40.00/kg Griffonia Seed 99% 1-5- Hydroxyiryninphan 5-HTP Grosvener siraitia 罗汉果 Grosvener siraitia 4:1 罗汉果 Guarana Seed 10% Caffeine / Guarana Seed 22% / Guggul 4% / Guggul 2.5% Guggulsterones / Gunostemma 7:1;20% 绞股兰 95.00 Gymnema 25% Gymnemic Acids 武靴藤 310 Gymnema flower 4:1 武靴藤 Gymnema flower 5:1 武靴藤 Gymnema flower 8:1 武靴藤 Gymnema flower 18:1 武靴藤 Gynostemma 20% (HPLC) Gypenosides 绞股蓝 240 Gynostemma 40% 绞股蓝 400 Gynostemma 80% 绞股蓝 700 Gynostemma 90% 绞股蓝 800 Gynostemma P. E. 7:1 绞股兰 Gynostemma P.E. 95% Gypenosides 绞股兰 Gynostemma Powder 绞股兰生粉 Hairy Antler Powder 鹿茸生粉 Hawthorn Berry 2% Vitexins (HPLC) Cretaegus Laevigata 山楂果 / Hawthorn Berry 4% Cretaegus Laevigata 山楂果 / Hawthorn Berry 4:1 Cretaegus Laevigata 山楂果 75 Hawthorn Berry 7:1 Cretaegus Laevigata 山楂果 110 Hawthorn Berry P. E. 5% Cretaegus Laevigata 山楂 Hawthorn Berry P. E. 10:1 Cretaegus Laevigata 山楂 Hawthorn Leaves 2% Hyperosides (HPLC) 山楂叶 240 Hawthorn Leaves P. E 山楂生粉 8.50 Hedyotis diffusa 12:1 白花舌蛇草 300 Hedyotis P. E 12:1 牛白藤. Heitao 4:1 核桃 Hemidesmus indicus 20% Saponins / Henbane 10:1 & Hyoscyamine Hyoscyamus niger Tian Xian Zi天仙子 USD69.00/kg Hericium Hericium erinaceus Hou Tou Mo猴头蘑 USD35.00/kg Hericium Caputmedusas 猴头菌粉 Herrate Clubomoss 1% & 5% Huper Cinum-A Huperezia Serrata Qian Cheng Ta千层塔 1%:USD1320.00/KG5%:USD2780.00/KG Hibiscus Flower 1% (UV-VIS) Anthocyanidins 木芙蓉花/玫瑰茄 185 Hibiscus Flower 玫瑰茄/玫瑰茄生粉 36.00 Hibiscus Flower P. E. 4:1 木芙蓉花/玫瑰茄 Honey Suckle Flower 4:1 金银花 Honey Suckle Flower 7:1 金银花 200 Honey Suckle Flower Powde 金银花生粉 Honey Suckle Stem 10:1 忍冬藤 120 Honey suckle Stem Powder 忍冬藤生粉 Hops Girardinia cuspidata She Ma Cao蛇麻草 Hops Flower 0.35% (HPLC) Flavonoids as Rutosid 啤酒花 220 Hops Flower 4:1 啤酒花 68.00 Hops Flower P. E. 0.35% 啤酒花 Horehound Marrubium vulgare Xia Zhi Cao夏至草 Horse Chest Nut 20% Aesbin (UV-VIS) 娑罗子 315 Horse Chest Nut P. E. 12:1 娑罗子 Horse Chest Nut Powder 娑罗子生粉 Horse Ohestt Nut 18:1 娑罗子 540.00 Horsetail Organic Silica:7%, 10% Equiseti Arvensis Wen Jing问荆 7%:USD18.00/KG;10%: USD27.00/KG Horsetail 2% Silica (Atomic Absorption) Silica 问荆 120 Horsetail 7% Silica 问荆 160 Horsetail 4:1 Silica 问荆 68.00 Horsetail 4:1* Silica 问荆 102.00 Horsetail 7:1 Silica 问荆 85.00 Horsetail 10:1 Silica 问荆提取物 77.00 Horsetail 12:1* Silica 问荆提取物 85.00 Horsetail Powder 问荆生粉 Houttuynia 10:1 鱼腥草 150 Houttuynia Powder 鱼腥草生粉 Huperzia Serrata 1% Huperzine A (HPLC) 石杉碱 11000 Huperzia Serrata 99% 石杉碱 3300/g Huperzia Serrata 5% 石杉碱 55000 Hydrangea Root 4:1 常山 74.00 130 Hydrangeu Root 15:1 土常山 150.00 Hypoglauca yam 10:1 Dioscorea gracillima Bi Xie萆解 USD39.00/kg Indigowoad Leaf 2:1 大青叶 28.00 Indigowoad Leaf 5:1 大青叶 Indigowoad Leaf 7:1 大青叶 78.00 Indigowoad Leaf 7:1* 大青叶 112.00 Inkberry, root 10:1 Phytolacca americana Shang Lu商陆 USD42.00/kg Inmortal, root 5:1 Asclepias asperula Xu Chang Qing徐长卿 USD43.00/kg Inula Helehium 4:1 土木香 80.00 Inula Helehium 8:1 土木香 120.00 Inula racemosa 0.2% Alkaloids 土木香 200 Isatis indigotica fort 60% Indirum 板蓝根 8000 Isatis indigotica fort 7:1 板蓝根 Isatis indigotica fort 12:1 板蓝根 Isatis Root 10:1* 板兰根 100.00 Island Moss 依兰苔 Jackbean Flower 20:1 豆蔻/瞿麦 Jackbean flower Powder 豆蔻生粉 Jasmine Tea 40% Plyphenols (UV-VIS) 茉莉花茶 130 Jasmine tea 4:1 茉莉花 Java brucea, fruit 10:1 Brucea javanica Ya Dan Zi鸦胆子 USD42.00/kg Ji Long Corydalis P.E. 25:1 夏天无 Ji Long Corydalis Powder 夏天无生粉 Juniper Berries 7:1 Juniperus communis Ci Bai刺柏 USD46.00/kg Kamboo Leaf 2:1 淡竹叶 120.00 Kansui root 5:1 Euphorbia kansui Gan Sui甘遂 USD72.00/kg Karela 3% Bitters / Kava Kava 30% (HPLC) Kavalactones 卡瓦根 750 Kelp P.E. 50:1 海带 340.00 Kelp P.E. 50:1* 海带 380.00 Kelp P.E. 1:1* 海带生粉 12.00 Kelp P.E. 20:1 海带 185.00 Kiwi Mogrosides 80%, 90% Siraitia grosvenoril Luo Han Guo罗汉果 Knotweed Herb 8:1 火炭母 Kola Nut 10% Caffeine 可可 / Kola Nut 12% 可可 / Kola Nut 20% 可可 / Korean Ginseng 高丽参 Kudzu Root 4:1* 葛根 42.00 Kudzu Root (Puerara) P. E 40% 葛根 Kudzu Root (Puerara) P. E 60% 葛根 Kudzu Root (Puerara) P. E 10:1 葛根 L-5HTP 99% L-5- Hydroxytryptophan Largeleaf Gentian Root 12:1 秦艽 Lemop Balm 4:1* 滇荆芥 65.00 Lentinus Edodes 香菇菌粉 Licorice P. E. 26% 甘草 Licorice P. E. 4:1 甘草 96.00 Licorice P. E. 10:1 甘草 Licorice P. E. 12:1 甘草 Licorice P.E. 12% Glycyrrhizic Acid 甘草 Licorice Powder 甘草生粉 Licorice Root 20% 甘草 100 Licorice Root 10% (HPLC, 100% Natual Extract) Glycyrrhizic Acid 甘草 85 Liferoot 10:1 Senecio aureus Qian Li Guang千里光 USD46.00/kg Ligusticum 5:1* 蒿本 180.00 Ligusticum 10:1 篙本 170 Ligusticum P. E. 4:1 藁本 Ligusticum P.E. 7:1 蒿本 Ligustrum 4:1 Triterpenes 女贞子 56.00 Ligustrum 10:1 Triterpenes 女贞子 138.00 200 Ligustrum 12:1 Triterpenes 女贞子 120.00 Ligustrum P. E. 50% Triterpenes 女贞子 Ligustrum Powder Triterpenes 女贞子生粉 Lindera aggregata 10:1 Lindera aggregata Wu Yao乌药 USD38.00/kg Lobelia Intiata 4:1 半边莲 180 Lobelia Intlata Powder 半边莲生粉 Long Pepper Piper longum Bi Ba荜茇 USD38.00/kg Longan Aril 4:1 龙眼 435 Longan Aril P. E. 4:1 龙眼肉 390 Longan Aril Powder 龙眼肉生粉 Lonicera P.E. 7:1 Chlirogenic acid 金银花 Loquat Leaves 4:1 枇杷叶 120 Loquat Leaves P. E. 8:1 枇杷叶 Loquat Leaves Powder 枇杷叶生粉 Lotus Leaf Powder 荷叶生粉 Lous Leaf 20:1 荷叶提取物 158.00 Lovage 15:1 川芎 320 Lovage P. E. 10:1 川芎 Lovage Powder 川芎生粉 Luffa Luffa 10:1 Luffa cylindrica Si Gua Luo丝瓜络 USD39.00/kg Lurmeria 10:1 Curcuma longa Jiang Huang姜黄 USD32.00/kg Luttuce 4:1* 野莴茞 75.00 Lycium 1:1 枸杞生粉 25.00 Lycium 8:1 枸杞子 150 Lycium P. E. 2:1 枸杞子 Lycium P. E. 3:1 枸杞子 Lycium P. E. 4:1 枸杞子 Lycium Powder 枸杞生粉 Lycium Powder 6:1 枸杞 Lycoris radiata Herb 80% Alkaloids 石蒜 1300 Lysimachia 10:1 Lysimachia christinae Jin Qian Cao金钱草 USD36.00/kg Ma Huang 6% Total Alkaloids 麻黄草 / Ma Huang 8% Total Alkaloids 麻黄草 52.0 / Ma Huang 10% Total Alkaloids 麻黄草 92.0 / Ma Huang 4:1* 麻黄 Madder root 10:1 Rubia cordifolia QIan Cao茜草 USD36.00/kg Magnolia Bark Magnoliae Offcinalis Hou Pu厚朴 USD47.00/kg Magnolia Bark 30:1 厚朴提取物 360.00 Magnolia Bark P.E. 10:1 Magnolol 厚朴 Magnolia Bark Powder 厚朴生粉 Magnolia Bark Powder 4:1 厚朴 Maiitake Mushroom P.E. 20% Polysaccharides 灰树花 Maitake Mushroom 15% (UV-VIS) Polysaccharides 灰树花 1700 Maitake Mushroom 20% Polysaccharides 灰树花 1900 Maitake Mushroom 7:1 灰树花提取物 650.00 Mallow Blossom 钱葵 Malva Verticillata 4:1 冬葵子 175 Malva Verticillata Powder 冬葵子生粉 Marsh Mallow 药葵 Marshmallow Althaea officinalis Shu Kui蜀葵 USD52.00/kg Medicago 10% Coumestrol 苜蓿 280 Melatonin 99% N-Acetyl-5-Methoxy-Tryptamine 褪黑激素 / Melia Toosendan 4:1 川楝皮提取物 58.00 Melia Toosendan P.E. 10:1 Toosendanin 苦楝皮 Melia Toosendan Powder 苦楝皮生粉 Menganthus Tritoliata 4:1* 睡菜提取物 95.00 Milk Thistle 80% (HPLC) Silymarin 水飞蓟 285 Milk Thistle 85% Silymarin 水飞蓟 290 Milk Thistle 15:1 Silymarin 水飞蓟 280.00 Milk Thistle P. E. 70% Silymarin 水飞蓟 Momordica, 10% Charantin & 1% esc. Momordica charantia Ku Gua苦瓜 USD45.00/kg Monkshood 7:1 Aconitum carmichaeli Chuan Wu川乌 USD31.00/kg Morinda Radix Powder 巴戟天生粉 Morinda Root 4:1 Polysaccharides 巴戟天 152.00 210 Morinda Root 5:1 Polysaccharides 巴戟天 200.00 Morinda Root 7:1 柏子仁 158.00 Morinda, 2% mer. & 4:1 Morinda officinalis Ba Ji Tian巴戟天 USD45.00/kg Motherwort 2:1 益母草提取物 35.00 Motherwort 4:1 益母草提取物 54.00 Motherwort 5:1 益母草 85 Motherwort 8:1 益母草 120 Motherwort 20% alk. & 10:1 Leonurus sibiricus Yi Mu Cao益母草 USD39.00/kg Motherwort Powder 益母草生粉 Moutan Baek 14:1 Paeonol 丹皮 280.00 Moutan Baek P. E. 4:1 Paeonol 丹皮 Moutan Black 20:1 Paeonol 丹皮 520 Moutan Powder Paeonol 丹皮生粉 Mucuna 10% L-Dopa 油麻藤 240 Mucuna 15% 油麻藤 320 Mugwort 10:1 Artemisia vulgaris Ai Ye艾叶 USD38.00/kg Mulberry 4:1 桑椹 80.0 110 Mulberry Bark 5:1 桑树皮 75.00 Mulberry Leaf 4:1 桑叶 48.00 Mulberry Mistletoe P. E. 12:1 桑寄生 110 Mulberry Mistletoe Powder 桑寄生生粉 Mulberry Mistletos 4:1 桑寄生 65.00 Mulberry Mistletos 4:1* 桑寄生 95.00 Mulberry Mistletos 8:1 桑椹子 120.00 Mulberry Mistletos 10:1 桑寄生 115.00 Mulberry Mistletos 10:1* 桑寄生 150.00 Mustard Seed 5% 白芥子 200 Mustard Seed 4:1 白芥子 70.00 Mustard Seed 4:1* 白芥子 110.00 Mustard Seed 14:1 白芥子 200.00 Mustard Seed 20:1 白芥子 330 Mustard Seed P. E. 20:1 白芥子 Myrrha P.E. 4:1 没药 Nardostachytis 12:1 甘松 240 Nardostachytis P. E. 10:1 甘松 Nardostachytis Powder 甘松生粉 Nasturtium Officinale 4:1 水田芥 Netoginseng Flower Powder 田七花生粉 Netoginseng Flower Powder 4:1 田三七 420.00 Netoginseng Leaf Powder 田七叶生粉 Nettle Leaf / Root 1% 寻麻 Nettle Leaf / Root 1.5% 寻麻 Nettle Leaf / Root 10:1 荨麻 150.00 Nettle Powder 荨麻生粉 Nettle Root / Leaf 4:1 寻麻 95 Nippon yam rhizome 16% 穿地龙 Nippon yam rhizome 4:1 穿地龙 No.16 Compound 10:1 16号复方 Notoginsemg Root 10% Panax notoginseng 三七根 Notoginseng Flower Powder Panax notoginseng 三七花生粉 Notoginseng Flower. 4:1 Panax notoginseng 三七花 620 Notoginseng Leaf P. E. 7:1 Netoginsenosides 三七叶 105.00 Notoginseng Root 10% (HPLC) Notoginsenosides 三七根 560 Notoginseng Root 4:1 三七根 480 Notopterygium Root 4:1 羌活 108.00 Notopterygium Root 4:1* 羌活 148.00 Notopterygium root 7:1 Notopterygium incisum Qing Huo羌活 USD39.00/kg Notopterygium Root 10:1* 羌活 220.00 Notopterygium Root 12:1 羌活 330 Notopterygium Root P.E. 13:1 羌活 332 Notopterygium Root Powder 羌活生粉 Nuphar Pumilum Root 12:1 萍蓬草 210 Nutgrass 4:1 香附 105 Nutgrass Powder 香附生粉 Nutmeg 2:1 肉豆蔻 Nutmeg 4:1 肉丛蓉 198.00 Nutmeg, 60% Myristica fragans Rou Dou Kou肉豆蔻 USD120.00/kg Oat Straw 4:1* 野燕麦 70.00 Oat Straw 10:1 燕麦草 150 Oat Straw 12:1* 燕麦草 132.00 Oat Straw P. E. 燕麦草生粉 Ocimum sanctum 0.2% (HPLC) Alkaloids 罗勒 200 Oldenlandia P. E. 12:1 白花蛇舌草 Oldenlandia Powder 白花蛇舌草 Olive Leaf P.E. 20% 橄榄叶 Olive Leaf P.E. 6% 橄榄叶 Olive Leaf Powder 橄榄叶生粉 Olive Powder 20% 橄榄 Oolong Tea 30% (UV-VIS) Polyphenols 乌龙茶 140 Ophipogon Root. 7:1 Opehiopogon japonicus Mai Dong麦冬 USD39.00/kg Orthosiphi Herb 4:1* 猫须草 80.00 Osha Root 10:1 Ligusticum sinense Gao Ben藁本 USD39.00/kg Ovate 20:1 梓白皮 330 Ovate Atractyodes Root 5:1 Atractylodes macrocephala Bai Zhu白术 USD32.00/kg Oxytropis Psammocharis Hance 4:1 沙棘汁 Pacliaxel Zi Shan Chun紫杉醇 98% :USD220.00/G99%: USD235.00/G Paeonia Lactiflora 10:1 Paeonia Lactiflora Bai Shao白芍 USD38.00/kg Paeonia lactiflora Pall 80% Glycoside 芍药(白芍) Palygala Root 4:1 Polygala tenuifolia Yuan Zhi远志 USD52.00/kg Parley (Celery Juice) 20:1* 芹菜(鲜品) 95.00 Passion Flower 4% Passiflora coerulea Xi Pan Lian西番莲 USD35.00/kg Passion Flower 4:1 西番莲 200 Peony Root 10:1 Paenia obovata Chi Shao赤芍 USD42.00/kg Pepper P.E. 80:1 Piperine 胡椒 Pepper P.E. 20:1 Piperine 胡椒 Pepper Powder 胡椒生粉 Peppergrass Lepidium apetalum Ting Li Zi葶苈子 USD38.00/kg Peppermint 4:1 薄荷叶 55.00 Peppermint 7:1 薄荷叶 70.00 Peppermint 8:1 薄荷 160 Peppermint Powder 薄荷生粉 Perilla Leaf P.E. 7:1 紫苏叶 70.00 Perilla Seed P.E. 4:1 紫苏子 65.00 Perilla Seed P.E. 4:1* 紫苏子 100.00 Phaseolas Vulgaris L. 4:1 白饭豆 65.00 Phaseolas Vulgaris L. 7:1 白饭豆 80.00 Phaseolas Vulgaris L. 10:1 白饭豆 Phelloden Dron 12:1* 黄柏 158.00 Phoenix Tree 8:1 草梧桐 Phyllanthus niruri 3% Bitters 珍珠草 280 Picrorhiza Rhizome 7% 黄莲 Picrorhiza Rhizome 5:1 黄莲 Picrorhiza Rhizome 8:1 黄莲 Pig extract 猪胰复方 Pimellia Tuber 7:1 半夏 Pine Bark OPC 95% Pinus massoniana Song Shu Pi松树皮 USD225.00/KG Pine Bark 95% (UV-VIS) Proanthocyanidins 松树皮 1200 Pine Bark P. E. 4:1 松树皮 Pine Rhizoma 4:1 油麻藤 Pine Root 10:1 松树根 Pinellia 5:1 Pinellia ternata Han Ban Xia旱半夏 USD46.00/kg Pipe Fish P.E. 12:1 海龙 Pipe Fish P.E. 15:1* 海龙 4,200.00 Piper nigrum 10% Piperine 胡椒 290 Plantago Herb 4:1 车前草 120 Plantago Herb 8:1 车前草 80.00 Plantago Herb P. E. 9:1 车前草 Plantago Herb P. E. 15:1 车前草 Plantago Powder 车前子生粉 Plantago Seed 4:1 Aucubin 车前子 200.00 260 Plantago Seed 15:1 Aucubin 车前子 320.00 Plantago Seed P. E. 5:1 Aucubin 车前子 Plantago Seed P. E. 12:1 Aucubin 车前子 Platycladi Seed 7:1 柏子仁 Pleasealus Vulgaris 4:1 白饭豆提取物 82.00 Pohygonati 10:1 Polygonatum sibiricum Huang Jing黄精 USD39.00/kg Pomeg Bark 4:1 石榴皮 78.00 Pomeg Bark 12:1 石榴皮 135.00 Pomeg Rinate 10:1* 石榴 150.00 Pomeg Rinate 10:1 石榴子 115.00 Pomegranate seed P.E. 4:1 石榴籽 Poncirus 10:1 枸桔 170 Poncirus P.E. 4:1 枸橘 Poria 12:1 Pachyman 茯苓提取物 132.00 Poria Cocos 6:1 Pachyman 茯苓 140 Poria P. E. 2% Pachyman 茯苓 Poria P. E. 20:1 茯苓 Poria Powder 茯苓生粉 Pricklyash peel P.E. 花椒生粉 19.00 Pricklyash peel P.E. 1:1 花椒枝叶 300.00 Pricklyash peel P.E. 7:1 花椒枝叶 Propolis P.E. 60% 蜂胶粉 Psoralea fruit Psoralea corylifolia Bu Gu Zhi补骨脂 USD42.00/kg Pu Er Tea P.E. 5:1 普洱茶 Pu Er Tea P.E. 10:1 普洱茶 Pu Erh Tea 30% 普洱茶 155 Pu Erh Tea 15% (UV-VIS) Polyphenols 普洱茶 85 Puerara P.E. 10:1 Puerarin 葛根 Puerara Powder 葛根生粉 Pueraria/Kudzu 40% Isoflavones (HPLC) 葛根 335 Pueraria/Kudzu 60% 葛根 450 Pueraria/Kudzu 80% 葛根 550 Pueraria/Kudzu 95% 葛根 700 Pumpkin Seed 4:1 南瓜子 76.00 115 Pumpkin Seed 5:1 南瓜子 145 Pumpkin seed 10:1 & 25:1   Nan Gua Zi南瓜子 USD42.00/kg Purple willow bark 20:1 紫柳皮 Purslane 10:1 Portulaca oleracea 马齿苋提取物 126.00 Purslane Powder 马齿苋生粉 Pygeum Africanum 25% Phytosterols / Pyrola herb P.E. 12:1 鹿衔草 Qiao Mai 10:1 荞麦 Rabdosia 2.5% & 99% Rubescenin A & B Rabdosia rubescens Dong Ling Cao冬凌草 USD120.00/kg Rabdosia japonica Hara 60% Diterpene 香茶菜 2400 Raphanus Sativus 莱菔子生粉 18.00 Raphanus Sativus 4:1* 莱菔子 65.00 Raphanus Sativus 15:1 莱菔子 158.00 Raspberry 10:1 Rubus idaeus Fu Pen Zi覆盆子 USD52.00/kg Raspberry 12:1 Anthocyanidin 覆盆子 550 Raspberry 14:1 Anthocyanidin 复盆子 470.00 Raspberry P. E. 4:1 Anthocyanidin 复盆子 Raspberry Powder 复盆子生 Rauwolfia serpentina 4:1 萝芙木 150 Red Clover 20% (HPLC) Isoflavones 红车轴草 1000 Red Clover 1% & B (HPLC) Biochanin A 红车轴草 155 Red Clover 40% (HPLC) 红车轴草 2000 Red Clover 8% (HPLC) Isoflavones 红车轴草 650 Red Clover 8% Biochanin A & B 红车轴草 750 Red Clover 4:1 Flavonoids 红车轴草 150 Red clover 8.0% ISOFLAVONES Trifolium pratense Hong Che Zhou Cao红车轴草 USD88.00/kg Red Clover 14:1* 红车轴草提取物 215.00 Red Clover Powder 红车轴生粉 Red Gensing P.E. 红参生粉 Red Peony 12:1 赤勺 205 Red Peony P. E. 20% 赤芍 Red Peony P. E. 4:1 赤芍 Red Poony 14:1 赤芍 210.00 Red Rice Yeast 红曲生粉 Red Rice Yeast 0.5% (HPLC) Lovastatin 红曲 215 Red Rice Yeast 4:1 红曲 145 Red Rice Yeast 11:1 红曲 205.00 Red Rice Yeast 16:1 红曲 205.00 Red Williow Bark 20:1 红柳皮 Red-Rooted Salia Tanshinone 10% & 10:1 Salvia Miltiorrhiza Dan Shen丹参 USD54.00/kg Rehmannia 10% ico Rehmannia glutinosa Sheng Di生地 USD37.00/kg Rehmannia (Cooked) P. E. 6:1 熟地 Rehmannia(Cooked) 6:1 熟地黄 115 Reishi Mushroom 10% & 25% Lucid Polysaccharide. Ganoderma Lucidum Ling Zhi灵芝 USD210.00/kg Reishi Mushroom 60% Polysacchrides 灵芝 3200 Reishi Mushroom 10% /4% Polysacchrides/Triterpenoids 灵芝 680 Reishi Mushroom 4:1 灵芝提取物 95.00 Reishi Mushroom P. E. 4% 灵芝 Reishi Mushroom P. E. 40% 灵芝 Reishi Mushroom P. E. 8:1 灵芝 Reishi Mushroom P. E. 12:1 灵芝 Reishi Mushroom P. E. 16:1 灵芝 Reishi Mushroom P.E. 10% 灵芝 Rhadiola 2% sali. Rhadiola rosea Hong Jing Tian红景天 USD72.00/kg Rhadiola 3% sali. Rhadiola rosea Hong Jing Tian红景天 USD72.00/kg Rhadiola 4% sali. Rhadiola rosea Hong Jing Tian红景天 USD72.00/kg Rhadiola 1% sali. Rhadiola rosea Hong Jing Tian红景天 USD72.00/kg Rhizoma Drynaria 10:1 槲蕨 140 Rhodiola 40%, 1% Polyphenols/ Salisorosides 红景天 300 Rhodiola 12:1 红景天提取物 225.00 Rhodiola P. E. 40% 红景天 Rhodiola P. E. 8:1 红景天 Rhodiola P. E. 10:1 红景天 Rhubarb Rhaponticin & 10:1 Rheum officinale Da Huang大黄 USD41.00/kg Rhubarb Root 4:1 大黄提取物 75.00 Rhubarb Powder 大黄生粉 Rhubarb Root 9% Anthaquivone 大黄 240 Rhubarb Root 10:1 大黄 200 Ribwort 蓖大叶子 Rosehips 5% Ascorbic Acid 金樱子 200 Rosehips 4:1 金樱子 105 Rosehips 5:1 金樱子 120 Rosehips P. E. 8:1 金樱子 Rosehips P. E. 15:1 金樱子 Rosehips Powder 金樱子生粉 Rosemary 3% Rosmaricine. Rosmarinus officinalis Mi Die Xiang迷迭香 Rosemary Herb 4:1 迷迭香 / Rosemary Herb 5:1 迷迭香 / Royal Jelly P.E. 皇浆粉 Royal Jelly Powder ( F/D ) 6% 10-HDA 蜂王浆干粉 420 Rue Rutamarin Ruta graveolens Yun Xiang芸香 Rydrangea Root P. E. 4:1 常山 Rydrangea Root P. E. 20:1 常山 Rydrangea Root Powder 常山生粉 Safflower 10% saf. & 10:1 Carthamus tinctorius Hong Hua红花 USD67.00/kg Safflower P.E. 5:1 红花 Sage 洋苏草 Sanquisorba root 10:1 sanguisorba officinalis Di Yu地榆 USD38.00/kg Sanssurea 4:1 木香 80.00 Saponion 80% 薯蓣皂甙 Saposhnikovia 10:1 Saposhnikovia divaricata Fang Feng防风 USD84.00/kg Sarrsaparilla Diosgenin 1:1 菝葜生粉 10.00 Sarrsaparilla Diosgenin 20:1 菝葜 180.00 Sarsaparilla Root 4:1 菝契 130 Saullea Vaginate 5% Triterpene Glycosides 丹参 / Saullea Vaginate 2.5% Triterpene Glycosides 丹参 / Saw Palmetto Berry 25% Fatty Acids & Sterols 锯齿棕榈 220 Saw Palmetto Berry 90% Fatty Acids & Sterols 锯齿棕榈 800 Saw Palmetto Berry 4:1 Fatty Acids & Sterols 锯齿棕榈 200 Saw Palmetto Fruit P. E. 欧蒲葵 Schisandra 8:1 Schsandrines 五味子 110.00 Schisandra Berry 2% (HPLC) Schsandrines 五味子 190 Schisandra Berry 5% Schsandrines 五味子 330 Schisandra Berry 9% Schsandrines 五味子 800 Schisandra Berry 4:1 Schsandrines 五味子 52.00 110 Schisandra Berry 10:1 Schsandrines 五味子 114.00 190 Schisandra Powder 五味子生粉 Scubellaria 4:1 半枝连 90.00 Scubellaria P. E. 8:1 半枝莲 Scubellaria Powder 半枝莲生粉 Scullcap 98% Baicalin & 10:1 Scutellaria baicalensis Huang Qin黄芩 USD57.00/kg Sculltellarla Root P.E. 8:1 黄芩 135 Sculltellarla Root Powder 黄芩生粉 Scultellaria Root 4:1 黄芩 90.00 Scultellaria Root P. E. 2:1 黄芩 Scutellaria baicalensis Grorgi. 80% Flavonoids 黄芩 400 Sdomon'sseal 15:1 玉竹 410.00 Seaweed 4:1 海藻 Seaweed 12:1 海澡 Semen Coicis 4:1 薏苡仁提取物 95.00 Semen Coicis P. E. 13:1 薏苡仁 Semen Coicis P. E. 15:1 薏苡仁 Semen Coicis Powder 薏苡仁生粉 Semen Nelumbinis P.E. 4:1 莲子 Semiaquilegia root 5:1 Semiaquilegia adoxoides Tian Kui Zi天葵子 USD44.00/kg Senna Leaf 4% Sennosides 番泻叶 200 Senna Leaf 8% 番泻叶 300 Senna Leaf 4:1 番泻叶 130 Senna Leaf 4:1 番泻叶 82.00 Senna Leaf 8:1 番泻叶 180.00 Senna Leaf (5% Sennosides) & 10:1 Cassia senna &Cassiaangustifolia Pan Xie Ye蕃泻叶 USD35.00/kg Senna Leaf P. E. 5:1 潘泻叶 Senna Leaf P. E. 7:1 潘泻叶 Senna Leaf Powder 番泻叶生粉 Shave Grass Powder 木贼生粉 Shavegrass 2% Silica 木贼 155 Shiitake Mushroom 8% Polysaccriarides (UV-VIS) Polysaccharides 香菇 600 Shilake Mushroom 3:1 香菇提取物 120.00 Shilake Mushroom 4:1 香菇提取物 95.00 Shilake Mushroom 6:1 Polysaccharides 香菇提取物 128.00 Shilake Mushroom 20:1 香菇提取物 500.00 Shitake Mushroom P. E. 6% Polysaccharides 香菇 Shitake Mushroom Powder 香菇生粉 Siberian caklour fruit 4:1 苍耳子 Siberian Ginseng 1% Eleutherosides B + E (HPLC) 刺五加 130 Siberian Ginseng 50~60% 刺五加浸膏 52.00 Siberian Ginseng 0.8% / 28:1 刺五加 120 Siberian Ginseng Eleutheroside B&E: 0.8% , 1.0% Eleutherococcus senticose Ci Wu Jia刺五加 USD16.00/kg Siberian Ginseng 1:1 刺五加生粉 12.00 Siberian Ginseng P. E. 8:1 刺五加 Siberian Ginseng Powder 刺五加生粉 Siberian Milkwort 4:1 远志 170 Siberian Milkwort P. E 5% 远志 Siberian Milkwort Powder 远志生粉 Siberian Solomonsel 10:1 黄精 140.00 Siberian Solomonsel Powde 黄精生粉 Sida cordifolia 1.7% Alkaloids 心叶黄花捻 195 Siler 4:1 防风 190 Siler 12:1 防风 300 Siler Powder 防风生粉 Silktree Albizzia Bark 10:1 合欢皮 115.00 Silktree Albizzia Bark 15:1 合欢皮 Silktree albizzia Flower 4:1 合欢花 Snake Shere Glass Powder 蛇舌草生粉 Snake Shere Glass Powder 20:1 蛇舌草 Snakegourd Root 7:1 Trichosanthes kirilowii Tian Hua Fen天花粉 USD33.00/kg Sorophulariae Nigpoensis 4:1 玄参 102.00 Sorophulariae Nigpoensis 12:1 玄参提取物 170.00 Soybean 3% Soy Isoflavones 大豆蛋白 Soybean 20% Soy Isoflavones 大豆异黄酮 1200 Soybean 40% Soy Isoflavones 大豆异黄酮 2400 Soybean 10% (HPLC) Soy Isoflavones 大豆异黄酮 600 Srvertia Psedochinensis 8:1 獐牙菜 125.00 St. John s Wort 贯叶连翘生粉 17.20 St. John’s Wort 0.3% Hypericins (UV-VIS) 贯叶连翘 110 St. John’s Wort 0.3% Hypericins (HPLC) 贯叶连翘 150 St. John's Wort P. E. 0.1% 贯叶连翘 St. John's Wort P. E. 0.5% 贯叶连翘 St.John's Wort 贯叶莲翘切 Star Anis 东洋茴香 Stenona root 10:1 Stemona sessilifolia &Stemona japonica Bai Bu百部 USD34.00/kg Stephania cepharantha Hayata 80% Total Alkaloids 白药子 2600 Stevia 85% 甜菊甙 125 Stevia 95% 甜菊甙 135 Stevia 80% Steviosides (No Bitter Taste) 甜菊甙 195 Stevia P. E. 90% 甜菊糖 Sui Lian 4:1 睡莲 Suicao 4:1 睡草 Suizaojiao 10:1 水皂角 Summa Root 4:1 / Sunflower 5:1 (100% Water Soluble) 向日葵 100 Swordlink atractylodes rhizome 4:1 苍术 Szechwan lovage 10:1 Ligusticum chuanxiong Chuan Xiong川芎 USD64.00/kg Tangerine Peel 陈皮生粉 8.50 Tangerine Peel 4:1 陈皮提取物 46.00 Tangerine Peel 10:1 Pericarpim Citri Reticulatae Chen Pi陈皮 USD38.00/kg Tangerine peel 12:1 陈皮 Tatarian Aster Root 10:1 紫苑 Tea EGCG 茶皂素 Teasel Root 8:1 续断 155 Teasel root 10:1 Dipsacus asperoides Xu Duan续断 USD38.00/kg Teasel Root P. E. 4:1 续断 Teasel Root P. E. 12:1 续断 Teasel Root Powder 续断生粉 Terminalia bellerica 60% Tannins 毛诃子 150 Terminalia chebula 40% Tannins 诃子 130 Termiralia Cheloulda Fruit 4:1 诃子提取物 60.00 Thunbery Fritillary Bulb 4:1 浙贝 Thunbery Fritillary Bulb 20:1 浙贝 400.00 Thyme 4:1 麝香草 98.00 125 Thyme 4:1* 麝香草 130.00 Tokay Powder 蛤蚧生粉 750.00 Tokay Powder 4:1 蛤蚧 2,340.00 Tomato 30:1* 西红柿(鲜品) 126.00 Tonkin sophora Root 10:1 Sophorae Tonkinensis Shan Dou Gen山豆根 USD38.00/kg Toosendan fruit 10:1 Melia toosendan Chuan Lian Zi川楝子 USD38.00/kg Tremella Fuciformis Powder 2:1 白木耳 70.00 Tribulus Ferrertris P. E. 12:1 Protodioscin 白蒺藜 Tribulus Ferrertris Powde 白蒺藜生粉 Tribulus Ferretris Fruit 20:1 白蒺藜 225.00 Tribulus Ferretris Fruit P. E. 45% 白蒺藜 Tribulus Terrestris 20% (HPLC & UV) Tribulus Saponins 白蒺藜 160 Tribulus Terrestris 40% Tribulus Saponins 白蒺藜 270 Trichosanthes Kirilow 5:1* 栝蒌提取物 165.00 Triperygium wilfordii Alkaloids: 4% & 10% Triperygium wilfordii  Lei Gong Teng雷公藤 USD52.00/kg Triphala 40% Tannins / Tsaoko 5:1 Amomum tsao-ko Cao Guo草果 USD46.00/kg Tu shi Zhi 4:1 菟丝子 Tu Shi Zhi 20:1 菟丝子 Tuber Fleeceflower Stem 10:1 夜交藤 Tuber Onion Powder 韭菜生粉 Tuniu Xi P. E. 12:1 土牛膝 180 Tuniu Xi Powder 土牛膝生粉 Turmeric 10:1 姜黄提取物 180.00 Turmeric P.E. 12:1 Curcumin 姜黄 Turmeric Powder 姜黄生粉 Turmeric Root 95% Curcuminoids 姜黄/郁金 1350 Turmeric Root 3% Curcuminoids 姜黄/郁金 165 Uva Ursi Leaf (Xiong Guo) 20% Arbutine 熊果 / Uva Ursi Leaf (Xiong Guo) 4:1 熊果 / Valerian Root 缬草生粉 12.00 Valerian Root 0.8% Valerianic Acid 缬草根 / Valerian Root 4:1 缬草提取物 60.00 Valerian Root 5:1 缬草根 120 Valerian Root 10:1 (Grain Powder, Deodorized) 缬草根 260 Valerian Root P. E. 0.5% 缬草 Valerian Root Powder 缬草生粉 Viola 10:1 Viola philippica 紫花地丁 USD53.00/kg Virgate Wormwood Herb 20:1 菌陈蒿 Vitex (Chasteberry) 2:1 蔓荆提取物 60.00 Vitex (Chasteberry) 4:1 蔓荆提取物 98.00 Vitex (Chasteberry) 4:1* 蔓荆提取物 138.00 Vitex (Chasteberry) 5:1 蔓荆提取物 150.00 Vitex (Chasteberry) 12:1 蔓荆提取物 280.00 Vitex/Chasteberry 5% Vitexin (HPLC) 蔓荆子 / Vitex/Chasteberry 10:1 蔓荆子 420 Wateroress 4:1* 水田芥提取物 60.00 Wheat Grass 4:1 小麦草 140 White Atractrylodes 4:1 白术提取物 76.00 White Atractrylodes 15:1 白术 175.00 230 White Atractrylodes P. E. 6:1 白术 White Atractrylodes P. E. 10:1 白术 White Atractrylodes P. E. 15:1 白术 White Atractrylodes Powde 白术生粉 White Peony 80% (HPLC) Glycosides 白芍 1250 White Peony 1.5% (HPLC) Albasides 白芍 280 White Peony 4:1 Albasides 白芍 95.00 White Peony 4:1* Albasides 白芍 135.00 White Peony 12:1* Albasides 白芍提取物颗粒 170.00 White Peony P. E. 20% Albasides 白芍 White Peony P. E. 10:1 Albasides 白芍 White Peony Powder 白芍生粉 White swallowwort 10:1 Cynanchum stauntonii Bai Qian白前 USD30.00/kg White Willow Bark 12% (HPLC) Sallcin 白柳皮 330 White Willow Bark 15% 白柳皮 390 White Willow Bark 4:1 白柳皮 100 White willow bark 15:1 白柳皮 235.00 White willow bark 20:1 白柳皮 Wild Jujube 2% juj. & 20:1 Zizyphi Spinosae Suan Zao Ren酸枣仁 USD105.00/kg Wild Yam Powder 山药 13 Wild Yam 8% Saponin on Diosgenin (HPLC) 山药 170 Wild Yam 16% 山药 230 Wild Yam 4:1 山药 58.00 Wild Yam 10:1 山药 150 Wild Yam P. E. 6% 山药 Wild Yam P. E. 20:1 山药 Wildcelery Herb P.E. 10:1 芹菜 Williams Eider Twig 20:1 接骨木 Wolfberry Fruit 15% bet. & 10:1 Lycium Barbarum & Lycium chinensis Gou Qi枸杞 USD46.00/kg Wolfberry Root-bark 12:1 地骨皮 Woolly Grass-white Powder 白茅 Wormrwood 4:1 青蒿提取物 65.00 Wormrwood 8:1 青蒿提取物 70.00 Wormwood 7:1 青篙 160 Wormwood P. E. 10:1 青蒿 Wormwood Powder 青蒿生粉 Wrinkled Gianthyssop Herb 8:1 藿香 Xanthij Fructus 4:1* 苍耳子 70.00 Xanthij Fructus 4:1* 苍耳子 110.00 Yangheye P.E. 10% 羊合叶 Yangheye P.E. 20% 羊合叶 Yangheye P.E. 羊合叶生粉 Yangheye P.E. 10:1 羊合叶 Yellow Dock P. E. 4:1 羊蹄 Yellow Dock Root 4:1* 羊蹄草提取物 80.00 Yewoju Leaf 4:1 野莴苣叶 Yohimbe 育享屏 Yohimbe Bark 1% - 7% Yohimbines 育亨宾 / Yohimbe Bark 4:1 育亨宾 / Youcha leaf 7:1 油茶树叶 Yucca Root 4:1 / Ziziphi Powder 6:1 酸枣仁



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Result number: 180

Message Number 177661

To Elyse View Thread
Posted by Ralph on 7/01/05 at 14:43

Good for you Elyse by now you recognize the fork in the path and which one not to go down.

I'm not an expert in ESWT but it's my understanding that the only machine FDA approved to treat Chronic Lateral Epicondylatis, which is commonly called tennis elbow, is the Ossation Machine.

Here is an article that states this. I just surfed the web and found it.

HealthTronics OssaTron Receives FDA Approval to Treat Chronic Lateral Epicondylitis - Tennis
2003-03-18 HealthTronics Surgical Services, Inc. announced that the US Food and Drug Administration has approved its high energy OssaTron(R) orthopaedic shock wave device for the treatment of chronic lateral epicondylitis (also known as tennis elbow).

The OssaTron is the only high-energy orthopaedic shock wave device approved for one time treatment of epicondylitis. The OssaTron already is approved for treatment of plantar fasciitis (heel pain) and now becomes the only such device approved for multiple indications.

The FDA approved the device based on the results of a 225 patient multi-center, randomized, placebo-controlled, double-blinded study. The comparison of results between active treatment patients and placebo-treated patients was highly significant according to the statistical analyses. In fact, 90% of treated patients received a benefit from the treatment and 64% had an excellent or good outcome.

Epicondylitis is most often associated with overuse of the arm in a wide variety of activities associated with work and play. Traditionally, the only alternative for patients who did not respond to conservative non-surgical treatment was an invasive surgical procedure. These procedures typically have extended recovery times and may be associated with significant complications and poor outcomes.

Now my interpetation(guess) of how a Podiatrist could provide treatment for this condition. Under current law in the U.S. I don't think that they can provide treatment unless under the supervision of an M.D. or D.O. who is licensed to treatment that part of the skelton. In addition they must be trained and certified to do so, but picture this. Say the Podiatrist is also a certified ESWT Tech. He/she is wearing two hats and working two jobs , one of a Podiatrist, the other of a certified ESWT Tech or simply a Pod that was trained in how to do ESWT on the Ossatron and happens to be an ESWT tech at the surgical center when he has time. I don't know of many Pods that have spare time, but picture that. Any Podiatrist certified to use the Ossatron would be considered a certified ESWT Tech.

Situation at hand, Ortho Doc. A has a patient with tennis elbow and wants that patient to have ESWT. Ortho Doc. A has two choices. He can send his patient to the Outpatient Surgical Center that has the Ossatron and he and the tech work together along with an anaestheologist if one is required provide the patients treatment, or if that center accepts the fact that the ESWT tech they employ has the necessary training to do the entire procedure themselves Ortho Doc A's patient could be treated at the center by the Tech alone with of course the anaestheologist if needed for this procedure.

My guess and it's strickly a guess is that Ortho Doc A is going to be on the scene for the treatment. At the cost of malpractice insurance I bet he shows up at the surgical center. Heck he want to be paid even if the tech administers the treatment.

Now imagine the Tech at that OutPatient Surgical Center just happens to be a Podiatrist. Bingo one could say that a Podiatrist is treating the elbow, but in reality that isn't how it would be seen. The tech who happens to also be a Pod in this case I think would more than likely be under the supervision of the attending Ortho Doc just an any other tech would be. I think how the treatment is delivered depends on the Ortho Doc, the Surgical Center's requirements and the certification of the tech and of course the help of anaesthologist if one is required.

I think what Dr. Zuckerman is imagineing for the future are centers where the more portable Dornier machines are set up or even the use of mobile units like his and Ortho doctors send their patients to these sites for their treatment or the mobile unit rolls up to the Orthos office. The ortho does the diagnosis and the "ESWT center's tech" provides the treatment using the Dornier machine in "off label usage".

Doctors are permitted to use the machine to provide treatment that they think is beneficial to other areas of the body even though the machine may not have been FDA approved to treat that area. Pods must stick to treating the area of the body they are licensed by their state to treat. Right now I don't think they can legally treat an elbow or shoulder in any state in off label usage unless under the supervision of an Ortho, but I'm not certain. You'd have to check with the state. An Ortho on the other hand could use the machine off label to treat any part of the skeleton. They are not restricted to ankles and feet.

With law restrictions I think you'll find docs don't take chances when providing treatments. No one wants to risk their licenses.

Personally I think Doc's just want to treat patients. They want to make their pains go away. Each tries his/her best to do so with the training, medicine and machines available.

I think it's best to live in the present, not worry about the past, plan for the future, but don't fixate on problems that haven't happen yet.

Result number: 181

Message Number 177643

So now my daughter's rental car got sideswiped....... View Thread
Posted by Kathy G on 7/01/05 at 10:54


yesterday evening, while she was sitting in a traffic jam. The car behind decided to pull out into oncoming traffic in order to move up in line. Turns out it was a doctor who was on her way to deiver a baby. She was going to give my daughter her credit card number and be on her way but my daughter insisted they exchange proper documents. Then the woman took off. She was driving an Infinity and it got scratched all along the side.

The city was in the midst of a festival and the police told my daughter that if there was no bodily injury involved, she'd have to come to the station to make out an accident report. It took a long time. Her rental car sustained some damage to the bumper and she had twenty-four hours to turn it in to another Hertz office. The only one open last night was the one at Logan Airport and that was clear across the city so she has to do it today.

I'm not superstitious but I am worried sick about her having to drive all the way to NJ on Sunday and back home on the Fourth. This is for my daughter-in-law's sister's wedding and I just want her to stay home. No way I can afford the $800 for her and her boyfriend to fly down. I am beside myself but my husband thinks it's no big deal. I guess that's the difference between mothers and fathers.

Her boyfriend is a terrible driver and she won't drive with him. Another good reason not to marry the guy but I digress. It won't be a restful holiday for me, that's for sure.

Result number: 182

Message Number 176794

Re: NOTHING IS HELPING!! View Thread
Posted by frustrated on 6/14/05 at 21:24

i am 37 and started having pain in oct of 03 and started trng for the 39.3 mile avon walk in mar/apr. i thought i'd been heeled when i found shoes that seemed to help more than the orthodics (and they didn't make my "good" foot hurt like the orthodics did). i trained hard for the walk--up to 25 miles at a shot. my feet have not been the same since. i strictly wore my birkenstocks from the day after the walk jun 04 until apr 05 when my new podiatrist insisted that i wear my orthodics, ice and stretch. i've been very good about wearing the orthodics and icing/rolling my foot on frozen bottle of water BUT have been very bad at doing additional stretching. planned to start trng in apr 05 and the podiatrist made me take 2 months off--no extracurricular walking. i've had two shots--very painful, usually take at least one day not to hurt so bad, and i don't think they do much good (and they are expensive--1st one $200, 2nd one $600--still working on why 2nd one was $600). have been doing a lot of walking this past few weeks and am having lots of problems.

to do the breast cancer walk or not? hmmmmmm. i've never had a more powerful experience in my whole life. on the other hand, my feet have never been the same. it REALLY is a tough call. i feel your pain--in many ways.

this year i worked registration for the walk and enjoyed it immensely. was great to encourage the walkers, be able to answer some of their questions (since i did the walk last year), etc.

as a woman and a cancer survivor, in remission for 6 years and 3 months, i want to say thank you for doing such a terrific job at fundraising for this worthwhile cause.

Result number: 183

Message Number 176456

Re: tarsal tunnel + painful numbness View Thread
Posted by messed up foot on 6/10/05 at 12:15

Oops, forgot about the neurontin - I only take it at night because it makes me so forgetful (really - not a joke). Voltaren can make you dizzy but I don't notice that. I don't know if the neurontin helps all the much or not but I'm not willing to face the electric jolts from my ankle all night long. I see the neurologist soon and I'll ask about quitting the neurontin.

Result number: 184

Message Number 176259

Re: Osteoarthritis in metatarsal joints View Thread
Posted by Ed Davis, DPM on 6/07/05 at 17:07

Susan:
The first question is WHY is the osteoarthitis isolated to those two joints? Often, the 3nd and 4rd metatarsal heads can be "dropped" down taking too much pressure. I would not expect orthodics to help much but often can expect a lot of help from orhtotics. The orthotics must be made in the follwoing fashion: the midtarsal joint must be maximally pronated when the casts are made, a metatarsal raise placed behind the metatarsal heads and a depression made for the 3rd and 4th metatarsal heads. That will usually help, but the presciption must be correct. Yes, surgery can, at times be the treatment of choice for badly arthtritic joints with occasional use of joint implants to ensure a smooth range of motion. There is a lot of misunderstanding about the use of such implants but only among those who are not well informed in their use (in other words, if anyone criticizes them, ask them how many they know of or how many they put in if they are a doctor).
Ed

Result number: 185

Message Number 176040

footwear View Thread
Posted by janicej on 6/02/05 at 09:52

what type of footwear is recomended

Result number: 186

Message Number 175852

Re: chronic plantar fasciitis View Thread
Posted by Ralph on 5/28/05 at 19:06

I found these sits on Scott's list.

Location ID #6 . . .
Machine: SIEMENS Sonocur . . . Installed: July 1, 2003
several
PainFree ESWT Clinic
1263 Wilson Avenue, Suite 300
Toronto, Ontario, Canada . . . 1-866-444-3798 tollfree, or 905-569-0399 . . . info@painfree-eswt.com
Treatment for chronic Joint Tendonitis, Plantar Fasciitis and Peyronie’s Disease using ESWT in combination with LIPT (low intensity photon treatment). In-line ultrasound on the equipment ensures localization of the pain area during treatment. Our treatment protocol is highly successful and we are committed to provide quality service at a reasonable cost. To our knowledge, we are the only clinic in North America providing ESWT treatment for Peyronie’s Disease.
We are located in Toronto, Ontario (Canada), 30 minutes from Toronto International Airport. For further details please visit our website http://www.painfree-eswt.com ,
or send us an email:
For general information and questions about tendonitis and heelspur: info@painfree-eswt.com

--------------------------------------------------------------------------------
Location ID #8 . . .
Machine: SIEMENS Sonocur . . . Installed: November 1999
Grant Lum
Sonorex Therapy Center - Toronto
2401 Yonge Street, Suite LL10
Toronto, Ontario, Canada . . . Toll Free 1 (877) 766-6287 . . . info@sonorex.com
Sonocur therapy is a highly effective ESWT device that does NOT require the use of anesthesia. Success rates range from 75-90%.
For more information, visit: http://www.sonorex.com

--------------------------------------------------------------------------------
Location ID #13 . . .
Machine: HMT OssaTron . . . Installed: 11/10/98
Rob Gordon
Institute of Sports Medicine
185 The West Mall, Suite 110
Etobicoke, Ontario, Canada . . . 416-545-1166 . . . gordon@shockwavedoc.com
Near Toronto
Inexpensive FDA-approved OssaTron treatments.
See our website http://www.shockwavedoc.com

Result number: 187

Message Number 175298

Re: TOENAIL-FOOT FUNGAS View Thread
Posted by Ed Davis, DPM on 5/18/05 at 21:36

Suzanne:

Onychmycosis can be cosmetic but can also be painful if the nails thicken too much. The vast majority of insurance companies I deal with cover Lamisil if they are made aware that the Lamisil is not being prescribed for cosmetic reasons. It is not true that the onychomycosis will come back and it does not cost $800 at toenail -- your family doc just did not want to prescribe it.

Here is how to use it cost effectively. First, the insurer must be aware that the Lamisil is not being used for cosmetic reasons. Use 3 weeks of Lamisil, take one week off, then continue for 3 weeks. You have now cleared the germinal matrix of fungus as well as the nail bed and used about $240 worth of Lamisil. The remaining fungus resides in the nail plate itself which can be greound very thin with by a podiatrist with a simple nail grinder. One then applies a topical antifungal such as Penlac which will work because the nail is thin enough to allow penetration and the Penlac need not penetrate to the nail bed nor germinal matrix which is clear. Continue applying the Penlac (completely non-toxic) once a day until the nail is perfectly clear (about 2 to 3 months) then apply the Penlac, which is a clear polish containing a concentrated antifungal, once a week to ensure that reinfection of the nail or re-occurrence does not occur. That is the end of onychomycosis.
Ed

Result number: 188

Message Number 174666

Re: good news for patients with arthritic ankles View Thread
Posted by Kathy G on 5/10/05 at 19:56


So far, the arthritis in my ankles is minor but I am definitely going to make a note about this, Ed. I wonder if they can use it in the CMC joint of hands? I have decided against the surgery for now. I need to find a surgeon who will discuss other options with me. I left a message to see if one of the surgeons I saw would call me to discuss options and via his secretary he said he would do only the type of surgery he discussed with me. He never gave me a chance to air my concerns about how the surgery on the left hand would impact the OA in the right hand. Surgeons don't get the reputation of suffering from a God complex without reason!

What I'm hoping is that it will just abate for a while and maybe they will come up with something similar to what you're talking about, only for the hands.

Thanks for the information!

Result number: 189

Message Number 174623

GOOD NEWS FOR PATIENTS WITH ARTHRITIC ANKLES View Thread
Posted by Ed Davis, DPM on 5/09/05 at 22:24

good news for patients with arthritic ankles

Good news for patients with arthritic ankles
Posted by Ed Davis, DPM on 5/09/05 at 22:14 View Thread
Patents with arthritic knees have had, for some time, the option of injections with sodium hyaluronate (Synvisc or Hyalgan) which is basically a synthetic joint fluid. For some reason, when the effect of the hydraulic pressure created by the injection wears off, the body is somehow stimulated to create nw joint fluid on its own. this has been a means of stalling or preventing knee joint replacement surgery for years.

Several years ago, a group of podiatrists including myself started injecting Hyalgan into arthritic ankles as an off label treatment. The dilemna was that since the Hyalgan was "off label" no insurance company would pay for it. Patients had to pay out of pocket for the injection. It involved a series of 3 injections of 20 mg. of Hyalgan, one per week for 3 weeks per ankle. The results have been excellent. John Marty, DPM of Pittsburgh, PA is in the process of writing up a research project for this in order to try to get FDA approval.

The good news is that a third player has just entered the market, Supartz brand sodium hyaluronate, manufacutred by Smith and Nephew and presumably equal in chemical composition to Hyalgan. Supartz is considerably less expensive than Hyalgan which is less expensive than Synviisc.

The introduction of Supartz should make treatment of arthritic ankles more available to patients and offer good relief and as probable surgery prevention in many cases. This took a bit of investigating because Smith and Nephew cannot detail Supartz for ankles due to FDA restrictions.
Ed

Result number: 190

Message Number 174622

good news for patients with arthritic ankles View Thread
Posted by Ed Davis, DPM on 5/09/05 at 22:20

Good news for patients with arthritic ankles
Posted by Ed Davis, DPM on 5/09/05 at 22:14 View Thread
Paitent with arthritic knees have had, for some time, the otion of injections with sodium hyaluronate (Synvisc or Hyalgan) which is basically a synthetic joint fluid. For some reason, when the effect of the hydraulic pressure created by the injection wears off, the body is somehow stimulated to create nw joint fluid on its own. this has been a means of stalling or preventing knee joint replacement surgery for years.

Several years ago, a group of podiatrists including myself started injecting Hyalgan into arthritic ankles as an off label treatment. The dilemna was that since the Hyalgan was "off label" no insurance company would pay for it. Patients had to pay out of pocket for the injection. It involved a series of 3 injections of 20 mg. of Hyalgan, one per week for 3 weeks per ankle. The results have been excellent. John Marty, DPM of Pittsburgh, PA is in the process of writing up a research project for this in order to try to get FDA approval.

The good news is that a third player has just entered the market, Supartz brand sodium hyaluronate, manufacutred by Smith and Nephew and presumably equal in chemical composition to Hyalgan. Supartz is considerably less expensive than Hyalgan which is less expensive than Synviisc.

The introduction of Supartz should make treatment of arthritic ankles more available to patients and offer good relief and as probable surgery prevention in mamy cases. This took a bit of investigating because Smith and Nephew cannot detail Supartz for ankles due to FDA restrictions.
Ed

Result number: 191

Message Number 174621

Good news for patients with arthritic ankles View Thread
Posted by Ed Davis, DPM on 5/09/05 at 22:14

Paitent with arthritic knees have had, for some time, the otion of injections with sodium hyaluronate (Synvisc or Hyalgan) which is basically a synthetic joint fluid. For some reason, when the effect of the hydraulic pressure created by the injection wears off, the body is somehow stimulated to create nw joint fluid on its own. this has been a means of stalling or preventing knee joint replacement surgery for years.

Several years ago, a group of podiatrists including myself started injecting Hyalgan into arthritic ankles as an off label treatment. The dilemna was that since the Hyalgan was "off label" no insurance company would pay for it. Patients had to pay out of pocket for the injection. It invilved a series of 3 injections of 20 mg. of Hyalgan, one per week for 3 weeks per ankle. The results have been excellent. John Marty, DPM of Pittsburh, PA is in the process of writing up a research project for this in order to try to get FDA approval.

The good news is that a third player has just entered the market, Supartz brand sodium hyaluronate, manufacutred by Smith and Nephew and presumably equal in chemical composition to Hyalgan. Supartz is considerably less expensive than Hyalgan which is less expensive than Synviisc.

The introduction of Supartz should make treatment of arthritic ankles more available to patients and offer good relief and was as probable surgery prevention in amny cases. This took a bit of investigating because Smith and Nephew cannot detail Supartz for ankles due to FDA restrictions.
Ed

Result number: 192

Message Number 173756

Re: Larry-some suggestions View Thread
Posted by Kathy G on 4/26/05 at 09:42


Larry,

Yesterday, I posted a reply to your first posting. I don't know where it went but it's not there! It doesn't matter because everyone has done a terrific job at giving you advice and encouragement. I'd just like to join them and at the same time, wish you a belated happy birthday and congratulations on the weight loss. Losing weight with PF is a real challenge, as many of us have found.

Don't give up; many of us who are not cured are a whole lot better than we were when we found this website. As for people not understanding, it's just human nature. Foot problems don't mean a thing until one experiences them. I don't know why - maybe because it's not visible. I, like John, seldom say anything about my feet to anyone because it's just not worth the bland dismissal.

Welcome and may you find some relief soon!

Result number: 193

Message Number 173432

Re: hips being out of balance causing PF View Thread
Posted by Robert J. Sanfilippo, DC, CCSP, ART on 4/19/05 at 21:39

Hello Ginamarie,

I was given this site by a patient of mine who is suffering from plantar fascitis. I've had very good results in the treatment of PF but this one patient has proven to be difficult and now I will be using a McConnell taping method. But to answer your question regarding hip dysfunction causing PF I believe it could be a causative factor. Hip dysfunction, usually along with Sacroiliac joint dysfunction, will cause the hamstrings to contract which will in turn cause contracture of the gastrocnemius (calf) thus causing undue tension on the achilles and then the plantar fascia. When you are diagnosed with plantar fascitis, the doctor must assess the biomechanics of the entire lower limb and pelvis. Many times the cause isn't even the plantar fascia but just a symptom caused by dysfunction somewhere else. Hope this adds clarity to your question. Hope you feel better soon.

Dr. Rob

Result number: 194

Message Number 173199

Re: more thoughts on the female-PF connection View Thread
Posted by Scott R on 4/14/05 at 14:28

That's the first reference i have ever heard of that claimed it was more common in men. It's from a european chiropractic journal that's not listed in medline. In any event I am only concerned about the visitors to heelspurs.com and my survey of 5,000 clearly indicates it's more common in women than men, and more common in overweight women than overweight men. In the BMI 15-20 group, women were 4.4 times more likely to have PF. In the BMI 20-25 group, women were 2.3 times more likely. In the BMI 25-30 group, women were 1.55 times more likely. In the BMI 30-35 women were 3.6 times more likely. In the BMI 35-40 range women were 5.3 times more likely. In the 40-45 group, women were 6.9 times more likely. To plot this:

15-20) xxxx-
20-25) xx
25-30) x-
30-35) xxx-
35-40) xxxxx
40-45) xxxxxxx

Now, some meaning is lost if we don't also know the weight distribution of men and women in the general (control) population. But I'm sure more women than men are in the 15-25 range which could help account for why more women than men in that range have PF. But in the higher weight categories, I think men are at least as likely as women to have a high BMI, so it's striking that women in the 35-45 range are 6 times more likely than men in the same BMI range to answer our survey and therefore presumably be representative of the general PF population. With 5,000 respondents, statistical significance is no problem. I don't think there is any other "study" of PF that is so large. One could argue things like "maybe overweight women are just 6 times more likely than overweight men to find and answer the survey", but i think that's getting a little absurd.

Elliott's first possible explanation is the same as my previous explanation: that center of mass is lower and places more stress on the plantar fascia.

Definitely the hormone theory is possible: weight increases estrogen. I don't believe the "high heels" theory since that theoretically decreases tension on the fascia and there has not been any research confirming that heels cause PF. Besides, high heels are more likely to be worn by thin women which contradicts the evidence. But difference in footwear is definitely possible, but do overwieght women and men really wear shoes that are that much different? The last possibility mentioned was by elliott: that overweight women are more likely than overweight men to seek treatment (or fill out the survey). If this is true, then i would suggest that it could also be caused by hormones triggered by weight since average weight women and men are more equally likely to seek treatment (if elliott's theory is correct). But i think the lower center of gravity theory has by far the most merit. It proposes a simple and direct mode of action without having to resort to accusing people of having different mental states or behavior. Occam's razor is still useful in science.

Result number: 195

Message Number 173072

Do any of you know someone with arthritis of the basal joint of their thumb? View Thread
Posted by Kathy G on 4/12/05 at 17:02


I'm looking for people who had the CMC joint replaced in their thumb. Here's a link to show you what I mean. Dont read it; just look at the bottom picture. I am talking about the joint all the way over to the left. http://www.sofc.com/news.html

I have been to two hand surgeons; both considered to be the best and brightest in the field. They both recommend surgery where they take a tendon out of the wrist, remove the CMC joint and graft the tendon to take its place. My problem is that it involves about ten weeks of limited use of the thumb, six months of physical therapy and about a year for complete recovery. Since I have OA in the right thumb as well, I would be favoring that hand and fear that at the end of the period, I would have to have to have the same procedure done on the right thumb. I also have bad OA in my left elbow and the other joints in the left thumb, as well as my left shoulder. I wonder if those areas would get worse from lack of normal use.

If I could find someone who's had the surgery done, it would help me immensely. I tried on the OA board I go to occasionally but the only message I got was from a woman who had just had it done and said she was in worse pain than ever. But she was just a week or so out from the surgery.

My rheumatologist, who tends to be very conservative, says I could have it fused or have a piece of silicone put in to take the place of the missing cartilage, thus cutting down on the rubbing of the two bones together.

I'm trying to decide if I should go the conservative route or the graft route. I'm got a call into the second surgeon who works out of the hospital with which I am most comfortable. When I saw him, we never discussed other options. Neither did the other surgeon and that's my fault but they were just gung ho on this relatively new procedure. I guess it's because I'm of my age. It's nice to know they think 55 is young!:) All I know is that today I shopped and drove my husband's car which is a bit bigger than mine and has a larger turn radius and my hand is killing me. I have to do something.

Do any of you have friends or relatives who have had any surgical procedure for OA in their hands? I know this is a foot board but this is a "social" question.

Thanks and sorry for being such a bore.

Result number: 196

Message Number 171894

cryosurgery revisited View Thread
Posted by elliott on 3/24/05 at 14:13


Since it keeps getting mentioned, I did a little internet searching on cryosurgery. The link below says a study found the success rate for cryosurgery for neuroma to be 65%:

http://www.myfootshop.com/detail.asp?Condition=Morton's%20Neuroma

The following link,

http://www.acfas.org/pressreleases/prfreezeneuromas.html

does not give that figure (why not?), but says the same study showed that 83% of the patients in the study said the cryosurgery gave them significant pain relief ("significant" apparently is not the same as success) and 39 percent said they were pain-free (I guess that means 61% were not). It also says that more than 20% of neurectomies are failures (matching numerous orthopedic journal stats); in contrast, numerous docs on these boards have claimed the failure rate is more like 5%. I wish we could agree on a consistent set of numbers. And it might help to know exactly how success is defined throughout.

Anyway, the link below,

http://www.brentlrubinassoc.com/

(click on "Cryosurgery" appearing at top), suggests cryosurgery is not only cheaper, but superior to ESWT for PF. Not only that, but it claims it is effective even for TTS!

The link below has the exact same text as the one above; just insert different doc name:

http://www.footfreezer.com/1_cryo.php

Well, given the text apparently was pre-fed to numerous doctors, how much weight do lines like "The most common ailments I see in my practice are..." and "I have found that the Cryostar can be used to treat many other foot problems..." carry now?

Yet another site I found starts with the same text shell (albeit substituting the word “Cryotherapy”), but carefully edits out the "I"s ("The most common ailments seen are…"), removes the claims about TTS, etc.

Result number: 197

Message Number 170794

Calcium or Ezorb for heel spur relief View Thread
Posted by C.J. on 3/09/05 at 13:03

Has anyone tried either of these with any success?

Result number: 198

Message Number 170374

What is the true success rate for neuroma surgery? View Thread
Posted by elliott on 3/03/05 at 14:39


Please offer your thoughts after reading the following, including all links.

We see a lot of neuroma surgery failures come to these boards, making one wonder what the true success rate (supposedly very high) really is, or perhaps whether this board is prone to draw in failures, skewing our perception. My impression is that the podiatrists here seem to think it's at least 95%, maybe even more like 99%. Not long ago I spoke to a recently retired podiatrist who is an acquaintance of mine and he claims, similarly, that in his thirty years of practice he had only one neuroma case that wasn't completely resolved by surgery, and even then he believes even that one worked out after forwarding the patient to a bigtime surgeon for a re-do.

In the orthopedic literature, success rates seem to be more like only 80-85%. (BTW, what is the definition of success?) Revision surgery and its potential pitfalls are a hot topic nowadays. Upon reading the literature, one also gets the impression that the basic surgery itself is far from standardized, e.g., as to location of incision, what to do with that ligament thingy, where to bury the stump, etc.

Anyway, I offer several sources on success rates. Here's one, by the legendary Baxter,

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8734796

where he claims that simultaneous adjacent interdigital excision has the same success rate as for a single neuroma (this is of some interest to me since I just had a nonsimultaneous adjacent interdigital excision).

Success rates of any sort weren't obvious to these researchers:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15266472

Do you find the following results reaassuring?

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14600717

Check out these results, also lower (and they also claim that success is less likely the *smaller* the neuroma is, contrary to a claim made on these boards recently):

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=10509684

A year or so ago, as an enticement to subscribe, Foot an Ankle Clinics, a premier orthopedic journal, gave the public access to several years' articles online, including the current year at the time. That generosity has now ended, but I printed everything in sight of interest to me, including an article on neuromas from the March 03 issue. Here's the abstract:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12760574

It claims the failure rate is "15-20%, even in the best of series." The link appearing at the bottom of my hard copy of the full article still works! Hope it works for you too. Here it is; enjoy!

http://www.foot.theclinics.com/article/PIIS1083751503000044/fulltext

{}

Result number: 199

Message Number 170338

Re: A Poll View Thread
Posted by Elyse B on 3/03/05 at 07:22

TIRADE NO. 1



Message Number 146252
Re: Heelspurs View Thread
Posted by Dorothy on 3/06/04 at 16:16

Marie ~ No need to wait until Monday to hear from me. The others you challenged can speak for themselves. I think your posts reveal your motives: you are protecting Eddie Davis and your website and are willing to hurt others here to do so. I have directly addressed Eddie myself and the posts of those creeps who have attacked me. What is your reason for now joining the attack against me - while saying "I love Dorothy" for some odd reason. Please, I ask you: love me a little less and be honest.
Do you really not get this, marie, or are you being facetious or are you being sarcastic or simply disingenuous - since much of what has been happening has some relationship to your website, or at least ostensibly it does. Some of the people you have aligned yourself with on your website bear this website and many of the people who frequent it - with the fascinating exception of you, of course - serious ill will. I wonder why none of the malicious, obscene, disruptive posters and posts do their dirty work on your website? What do you think? Is your website so extraordinary that no foul-minded creep has those impulses there? Do the alleged “trolls” respect the wonder of your website too much? Or do the foul-minded creeps have some other agenda?
Who do you think is the main culprit here? The webmaster? Dr.Ed or the 'man of 1,000 signatures'? That creepiest of the creeps Peter R. whom you have actually said you "like"? Interestingly, Dr. Z. said just recently that Peter R. IS here again! Why aren't the deranged over at your place? Or are they? Why are the proud "owners" and promoters of your website at this website, and not there? I have looked at your site and there is none of the obscenity and moronic junk that gets deposited here. Is that because your site is better than this one? What do you think, marie? Or is it to sully and disrupt this website so that people want to leave it for the "clean,calm, peaceful, harmonious, lovely – oh, yes, and not to forget: respectful” one that you own? If you really are not aware of what has been happening, that is even more disturbing, since a fair amount of it is done, allegedly, in support and promotion of your website - although it is clear that the real agenda is the disruption or destruction of this one. Why? What difference does it make to the "members" of your website that this website exists, happy and intact? These people who are doing this clearly have no understanding of why ordinary people use this website. Is the purpose of the websites to display your artwork? To serve as a place for Eddie Davis to dominate in all spheres? You have said it is no contest - but your podiatrist ( and please, can't you keep him at home!) has made it a contest. What if posters here came to your website and tried to destroy it and hurt people? I think the people who want to live at your website should do so and stop coming to heelspurs and throwing rotten eggs. If their neighborhood is so great, why do they keep leaving it? Through all of the, albeit too short, time that Dr. Ed and his followers and minions were at your website and not at this one, peace and calm reigned here. Not related to my “return” as you so insidiously implied, but to his – which followed shortly after mine and also accompanied his invitations to me to e-mail him and/or to go to your/his website. You say you’re a stat person which you also say is unusual for an artist (?), well, do a graph: the more that he increased his posting here, the more that trouble increased. Do the same graph when he was here before. And then even earlier, when I had never heard of this place or of you or of him.
The correlative graph is for the increase in obscene and mean posts, many of them directed at my name, that also accompany the increase in Dr. Ed’s postings here. During the first of the troubles last year, when I was a new visitor here and politics were discussed, I didn’t think Eddie was as much to blame as others were claiming. Since then, however, I recognize that he is a very disruptive force, for a variety of observable and some speculative reasons. He insinuates himself into everything; he skews things; he manipulates and ever so subtly distorts – and then he pulls the saintly innocence routine.

You have implied – without naming – that trouble began when those who were away “returned”. Since, to my knowledge, I am the only one who was away and returned, you must be referring to me, although why you didn’t just direct this at “Dorothy”, I don’t know. There has been no inhibition of posts directed at that name. Notice to you and to everyone: do a search here under “Dorothy” and tell me what you see that has provoked the kind of invective against me that has occurred. Notice the kinds of posts that have been directed at me for quite a while. What I did was decline Dr. ed’s invitation to e-mail him. What has happened ever since his posts increased here along with his notes directed at me is a concomitant increase in the wicked posts to me – and for what exactly, Marie? To what end? I post pretty banal information about shoes, insoles, where to buy them – whatever I can share that might be useful; if it isn’t, they can ignore it. I rarely talk about ME unless something that I have tried with regard to foot or back trouble might possibly be useful to someone else. I have to accept that Eddie Davis is a podiatrist, but I will continue to ask how a podiatrist with patients, a private practice, family and all other activities that he reports he has, has the time to post with the frequency that he does here and at your website? This predated his reported “new computer” and by the way, the “troubles” associated with him predated my ever even knowing about the existence of this website.
Eddie Davis, in my opinion, is a very weird duck and the things that happen around him are very weird. When he posts here, these creepy posts increase, even if not under his name. There is something bizarrely coincidental about that. It was true during the “troubles” before and it is true again in this recent debacle. And now he is implying that some of his PATIENTS are responsible! If my speculations sound bizarre to you, they do to me, as well and they have developed because I – as a human being who has a need to have things make sense – have been unable to explain the really horrid things that have been said to me and about me here – and they always accompany Eddie Davis’ presence here.

As to the pornographic x-rays that were posted indirectly to me in the midst of increasing hostility to me, I have also been baffled and have recently wondered: who has access to a series of unrelated x-rays? Medical professionals, that’s who. You and Eddie like to characterize this as “carrying a grudge”, but what it is, like much of the other garbage that has accompanied him to my name, is a puzzle to me – something that makes no sane sense. And I like for things to make sense. I speculate that Eddie has thinly disguised resentment for Judy, Pauline, perhaps Julie, and me because we see through him.

As to your posts to Suzanne and Julie about e-mails and all of that – that is pretty low. What in the world are you thinking? I think this does point out the risks that are inherent to these private discussions with you or Eddie Davis, however. I think it also points out that your motives may not be so innocent. The fact that you want to disparage others’ who hold opinions of him – and perhaps now of you, – by saying “can’t wait to hear from Pauline, Julie, Dorothy, Judy….” doesn’t make your disparagement valid. I no longer understand why you and Eddie Davis post here at all; you have a website. It does not just deal with political issues. It deals with the very same issues as this website. For you to try to distance yourself from the active damage done here – in the name of your website - and not by me! – does not hold water. I congratulated you on your website and told you that I admired your skill at developing a website. That I preferred the format – that’s all, just the format – of this website seemed to irritate you, but why my opinion one way or another would make any difference to you is beyond me. I’m just one poster with foot problems and occasionally some back problems. I don’t come here just to “yak” as you put it. I rarely just “yak”. I don’t talk about my dog or cats or house or children or recipes or whatever, with the exception of the occasional conversation with Suzanne about Kentucky. Do not twist my words! – I enjoy reading others’ social posts about their interests and doings – but that is not why I visit here. I visit here because it has been a comfort-line for me and a source of useful information and things to try in hope of being a fully moving human being again. I wear Brooks shoes – thank goodness! – because I learned about them here. I do Julie’s foot stretches because I learned about them here. I use other products and methods because I learned about them here. I have tried to give people specific, clear information in return about sources for products, studies I have read and so on, where a sale is occurring, etc. so that I am not just a ‘taker’ but also a ‘giver’, although I have little to give as far as helpful information.

You say your mother was diagnosed with schizophrenia in 1971 and you say that her illness was very disruptive to your family. I had a long, successful – if such can be used to describe such – career as a clinician. One field I know is mental health. Maybe that training does lead me to look at behavior and motives and issues more than some people, but that does not negate the fact that some personalities (“disordered” or not) cause disruption and havoc, while they then step back and see what they have wrought, while others are cleaning up the mess. I have not only been a clinician. I have also been and done many other things in life so a clinical perspective is not all that colors my view of people and their actions. You keep using the term “cut and run”; I have not cut and run in the past, nor am I “cutting and running” now. I am leaving, not “cutting and running.” I am sick of the filthy words directed at my name – and some of it done in promotion of your website, but I do not think you had nothing to do with that directly – and I don’t want to be exposed to it anymore. I am sick of statements being twisted and distorted and skewed. It makes me feel rotten to see that stuff. I want to feel better, not worse. It’s pretty simple. That you call leaving “cut and run” does not make it so. I have posted several more times AFTER saying I was leaving (guess that makes you right, Pauline!) because 1.) I did not want to let some misapprehensions stand that apparently involved my name and 2.) admittedly, it does take me a little time to wean myself away from the habit of visiting here. I am weaning myself away and will wean myself away, but it is a habit and takes time to change it. For you or anyone else to say or imply that I was the source, cause, genesis or in any other way responsible for any of this garbage is false and you know it. You are apparently blaming me, Eddie is trying to blame me and some select other posters and now, add to the list, some of his patients – PULEEEZE!! For you or your associates to try to leech from this website for the benefit of your own is wrong. That is for you and the webmaster here to hash out. I don’t care – until it involves my name as it has done. I have said this before but I will say it again, “Dorothy” is not my real name; I use it as a poster name here and is the name of someone I care about very much and who referred me to this site. I am glad that I have not used my real name, but I have posted consistently under the name of Dorothy and not under any other name ever, not once. Now, I THINK I may be done here. I hope my feet and everybody’s feet get well.
Suzanne: bless your heart. Don't let turkeys get you down!



TIRADE NO. 2

GREAT SUCESS WITH WATER PT FOR PF
Posted by JEANNIE B on 9/28/04 at 09:31 View Thread

JUST WANTED TO THROW THIS OUT TO ALL YOU SUFFERING FROM PF. MY DR. SUGGESTED I WEAR OVER THE COUNTER HEEL SUPPORTS, TO CORRECT A PROBLEM FROM A FRACTURE TO MY LEFT FOOT, UNTIL I COULD GET MY ORTHONICS MADE, WITHIN A FEW HOURS I DEVELOPED SUCH SEVERE PAIN IN BOTH ARCHES THAT NEVER WENT AWAY. THAT WAS OVER A YEAR AGO. WENT THE GAMIT. THEY TELL ME THAT THE SUPPORTS CAN'T CAUSE THAT, I SAY "BULL". ANYWAY, PT, PAIN MEDS, ICE, STRETCHING, JUST PLAY CRYING, WHINNING, SOME RELIEF FROM ACID BATH, COULD NOT WEAR ANY KIND OF SHOE WITH AN ARCH, FLAT SANDLE OR BARE FOOTED SEEMED THE LEAST PAINFUL. STARTED WATER PT FOR THE FRACTURE AND TORN LIGAMENTS AND LOW AND BEHOLD WHILE IT HAS NOT DONE MUCH FOR THAT PROBLEM, AFTER THE FIRST TREATMENT THE PAIN IN THE ARCH WAS SOOOO MUCH IMPORVED I THOUGH IT WAS A COINCIDENCE BUT IT HAS CONTINUED TO GET BETTER UNTIL I WOULD SAY IT IS 90% GONE AND I NO LONGER WALK LIKE A DUCK. OF COURSE NOW I AM AWARE OF ALL THE OTHER PAIN BUT I HAVE TO TELL YOU I CAN DEAL WITH THAT (I THINK). NOW THE DR. SAY I HAVE ANOTHER CHIPPED BONE AND TT SO NEED 2 SURGERIES AND I'M THINKING "I THOUGHT ABOUT IT AND I SAY "NO"!!!! AT LEAST AT THIS POINT NO. HOPE THIS HELPS SOMEONE.
Posted in Category: Social / Support .

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Posted by Dorothy on 9/28/04 at 10:26 View Thread
Please - No "all-caps". Please. It is considered to be the electronic form of yelling and is primarily used to indicate anger, a sort of electronic screaming, and it is rude. That doesn't seem to be the message of your post which seemed to be intended to be helpful. In addition, many people find all caps to be just plain difficult to read. For these reasons and more, please - no all-caps. In the past, there have been one or two instances where people wrote in all caps and I commented to them about it and they got angry at me for doing so. I hope that you receive these comments in the spirit in which they are sent: friendly request and, possibly, informative. If my comments make you angry, that is not their intention, but so be it.

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Posted by JEANNIE B on 9/28/04 at 12:01 View Thread
I AM NOT CONCERNED WITH BEING POLITICALY ELECTORNICALY CORRECT. I DO IT BECAUSE I DO NOT SEE WELL AND I CAN READ IT MUCH BETTER AND BELIEVE PEOPLE WITH SITE PROBLEMS CAN ALSO. IT WAS POSTED TO HELP PEOPLE AND I NOTICED YOU DID NOT COMMENT ON THAT PART ONLY ON THE CAPS, SO THE CONTENT WAS OF NO IMPORTANCE TO YOU. NO OFFENCE TAKEN AND I'M SURE NONE WILL BE TAKEN BY YOU EITHER.

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Posted by april l on 9/28/04 at 13:50 View Thread
I think using all caps makes it harder to see. I agree with Dorothy.

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Posted by Pauline on 9/28/04 at 15:51 View Thread
Everyone is entitled to their opinion, but no one sees through Jeannie's eyes accept Jeannie. It may be more difficult for some to read all caps, but unless you are experiencing Jeannies eye problem/problems your post sounds a bit insensitive. I don't think her "view" of things or her special need to use ALL CAPS that provides her with visual comfort should be voted on by the rest of us.

She explained her situation. Is there anyone here not willing to accommodate her?

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Posted by Dorothy on 9/28/04 at 16:24 View Thread
Pauline -

Surely there are some medical studies or doctors that need your attention more than my post to someone else about all-caps, a matter of procedure, practice, and protocol, not of sensitivity. Are you offering lectures on sensitivity? Will your sentiments extend to the Podiatry profession?

If logic were ever to enter in, it would seem illogical that Jeannie B. says it is a vision problem that causes her to prefer all-caps, when all of the posts here that she reads are not in all-caps; it is only the posts that SHE writes for OTHERS to read that are in all-caps. It would seem that HER vision problem and remedy applies to others - whether they need it or not. So, to be fully sensitive: we must all write in all-caps.
Begin NOW.

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Posted by Pauline on 9/28/04 at 16:58 View Thread
Either you can accept her needs or you can't. May you alway be blessed with good "vision".

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Posted by april l on 9/28/04 at 20:58 View Thread
My post sounds insensitive? LOL. I have glaucoma and being that Jeannie's reason for posting in all caps is to make it easier to read, I'm simply letting her know that for me it is more difficult to read. No worries though because I'm just one person here and if it really is so helpful to the few who are having trouble reading normal text than I'm happy for them. I personally don't like seeing posts written in all caps. I think it's a complete disregard for the rules of online communication. It is considered yelling and when I read someone yelling I do not hear their message.

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Posted by Dorothy on 9/28/04 at 16:17 View Thread
Jeannie B -

I will not engage in a dispute over this with you, but I will correct two of your erroneous statements, one of which you incorrectly attributed to me and I will refute it.

You wrote: "IT WAS POSTED TO HELP PEOPLE AND I NOTICED YOU DID NOT COMMENT ON THAT PART ONLY ON THE CAPS, SO THE CONTENT WAS OF NO IMPORTANCE TO YOU." (your words, your caps)

In fact, what I ACTUALLY wrote to you was:
"That doesn't seem to be the message (referring to anger or yelling) of your post which seemed to be intended to be helpful. In addition, many people find all caps to be just plain difficult to read." Note: “…your post which seemed to be intended to be helpful.”

I did note that your intention was to help people. Furthermore, the content of your post was of importance to me and probably moreso to others. What I was trying to get you to understand was that all-caps gets in the way of whatever content you want to convey.

Many people (some here; many elsewhere) have written about all-caps in electronic communication. It MEANS something, Jeannie B. Many people, some here, have written about its being difficult to read. One of the respected posters here, Julie, wrote once of its being difficult for her to read. She has said she is in her 70s; she is a published author and she is helping people here on a daily basis. So do not take my word on this. Julie has written the same. Do not take just my or Julie's comments; many other writers, readers, and informed people say the same. It is established good form.

All-caps is MORE difficult to read, not less. It may be easier for YOU to read, but you are POSTING it in public for OTHERS to read. It's not a matter of being "politically or electronically correct", as you wrote; it is a matter of courtesy and ease of reading. If your intent is to write for yourself in a way that is easy for you to read, and you say all-caps is easier for you to read, then you have chosen the way for you to read your own material. If you want others to be able - and interested - in reading what you post, as you say you do because you are trying to be helpful, then you might consider your style, as opposed to some stubborn clinging to a false belief. All-caps has nothing to do with "political or electronic correctness", whatever that is, no more than courtesy and other standards of behavior have to do with "correctness". You can do whatever you want; it’s of no consequence to me, and it goes without saying that you can write in whatever style or language or form you want here or anywhere else. These things are not just a matter of my opinion. They are standards of practice and standards of usage. You can take my suggestions and do whatever you want, but your anger directed at me for giving you information is just as misplaced as it would have been for me to have been angry at you for giving whatever foot information you were giving to people here. In life, there is form and there is substance, and both matter. If you are at all sensitive to your environment, you will notice that other posters here do not use all-caps. It may be because they want to communicate, not "shout." If I came here and posted in Sanskrit, someone might rightly post to me: we post in English so we can all read and understand. Should I get mad and say 'well, Sanskrit is MY language and I am writing something that is meant to help others so YOU will just have to adjust to my Sanskrit!"??

Just for the record, you can adjust the size of the print you use – i.e. make it LARGER – without resorting to all-caps which has a very particular use and meaning online.

Now, please - with my blessings - go to your Caps Lock and enjoy yourself. I was trying to help someone who does not want to be helped. It happens and it's your choice. Sorry for thinking I might be helping where it was possible that the poster did not know about generally accepted practice with all-caps. Just kindly, do not yell at me again. I will not be reading your posts of that sort. I don't consider stubborness, unwillingness to learn and grow and change, any virtue. Nor do I consider arguing in defense of the indefensible anything of interest. There are some others here who enjoy arguing and conflict. I like honest and straightforward and intelligent debate, but not arguing over nonsense. All I wanted to do was tell you something that I thought you might possibly not know. You know it. You don’t care. That is your privilege. Thank you for your response. You’re welcome for my effort. We each know how the other feels on the subject of all-caps and we can, one hopes, leave it.

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Posted by Pauline on 9/28/04 at 10:54 View Thread
Jeannie,
Congratulation on your "NO" response to another immediate surgery. I think the fact that you are taking the time to think about your current condition, seeking treatment for it and taking your time and not jumping into another surgery right now is taking a positive approach to your problem. I'm not a doctor, however, jumping into snowballing surgeries have cause many posters problems. Taking time to think before you act I think will pay off big time.

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Posted by JEANNIE B on 9/28/04 at 16:14 View Thread
IT IS BECAUSE OF ALL THE INFO THAT I HAVE FOUND ON THIS SITE THAT HAS ALLOWED ME TO MAKE BETTER CHOICES, JUST KNOWING THAT OTHERS ARE HAVING THE SAME PROBLEMS AND THAT SURGERY ISN'T THE CURE ALL FOR EVERYTHING HELPS ALOT. THANKS.

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Posted by Shell D. on 9/28/04 at 15:18 View Thread
Jeannie B.
All caps are fine for me! That's NOT the issue here. The issue is that you've found something that worked for you and I'm very happy for you!
I think if more people had the success you've had, the caps would be the least of their worries too.

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Posted by JEANNIE B on 9/28/04 at 16:08 View Thread
MY THOUGHTS EXACTLY.

Result number: 200
Searching file 16

Message Number 169044

Re: Need some advice from my foot friends View Thread
Posted by Julie on 2/14/05 at 11:35


Good advice to keep your eyes closed, John.

Here's another MRI tip for anyone who might be having one. For my first MRI I was given headphones through which a medley of semi-classical music was played. I could still hear the banging and crashing of the magnets - the music just competed and clashed with it, and the total effect was confusing and disorientating and unpleasant. I thought happy thoughts. For the second MRI a few days later I accepted the headphones but refused the music. The banging on its own, dulled a bit by the headphones, was considerably less irritating than the combined banging and music.
.

Result number: 201

Over 100 records returned. Search was stopped

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