Urine Holds the Secrets of Health

Urine Holds the Secrets of Health

In the past, physicians would hold up a sample of urine to the light and declare all manner of diagnoses. As a podiatrist in training, colour became a prodigious indicator of so many aspects of medical assessment – the colour of the lips for oxygen exchange, the skin and blemishes for cancer, the colour of the nail bed for heart and lung as well as kidney disease. In every case, subtle colour changes might have played a part from the yellowing features created by jaundice and hence a sign of liver malfunction to the loss of pigment in black skin – vitiligo. When it came to body waste, it was easy to assume this had nothing to do with the podiatrist…

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Which Bones are Most at Risk from Fracture?

Which Bones are Most at Risk from Fracture?

When my wife broke a bone in her foot back in October 2021, no one was more surprised than me. During my career, I have been interested in two facts. How people walk on their feet for so long without knowing they have broken a bone. Secondly, the methods we use to make such an assessment can fail, or the diagnosis can be missed. I wanted to introduces broken bones into the discussion about foot health as part of my ongoing pain series. Officially we all know breaks as fractures. Fractures, by dictionary definition (Little Oxford dictionary, 2002), are cracks or breaks which serves my purpose well. A quick check on Wiki and the definition has not changed but our views have.

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Complex Pain as a Syndrome

Complex Pain as a Syndrome

Everyone knows about pain – it hurts, but what if that pain does not subside, or pain medication fail. In this article, I will introduce you to a pain known as the ‘sympathetic pain syndrome’.
Pain arises because of insult or injury. A process known as inflammation kicks off, and clinicians recognise redness and swelling as part of the so-called cardinal signs.

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Footwear can be tricky

Footwear can be tricky

As a child of the late fifties, I had my feet measured with loving care. It was an independent shoe outlet called Pomfret’s. As the years went by the father moved on and left it to his son John, a smart forty-something man with tight but neatly creased trousers, and sharp-pointed slip-on shoes. His haircut might have come from the days of Elvis Presley.

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Some Things You Need to Know About Bunion Surgery?

Some Things You Need to Know About Bunion Surgery?

When a colleague (HFP) sought this question, she was generous and mentioned her surgeon was busy and thought it an oversight. I am both an ex-patient and a foot surgeon, and I’m afraid I have to disagree. We often confuse nice with good, and all clinicians have a blip – but then don’t we all? So we have a patient leaving the hospital after bunion surgery. No post-operative information is apparent, so what does she do? Call a friend! This, in fact, is Facebook and jolly good it is as there is a heap of friendly advice.

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How Does Bunion Surgery Impact Our Lives?

How Does Bunion Surgery Impact Our Lives?

It may seem simple to accept a risk from surgery is low in percentage terms but in this article I explore a new phenomena to may patients and that is actual impact should a perceived low risk actually arise. A number of different complications and problems are discussed and the impact this has should it arise is highlighted with examples and supplementary papers.

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Caught Out with Cancer

Caught Out with Cancer

Cancer is something which affects any part of the body but being caught out may not always be the doctor’s fault. In this article I am using the abbreviation ‘S.M.ART’ which will be explained at the end. But how could we call be fooled by the story of my father’s sudden death from bowel cancer. Who was to blame?

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