The PODdoctors with Dr. Dauphinee and Dr. Hussain
Morton’s Neuroma…to cut or not to cut!

Morton’s Neuroma…to cut or not to cut!

January 20, 2021

In this episode of The Pod Doctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about Morton’s neuroma and other nerve-related causes of foot pain. The treatments for this problem have changed over the last two decades, and the docs discuss how this problem presents and what can be done to relieve pain.

 

“That’s what makes nerve problems so difficult because they have so many different sensations and so many different characteristics.” - Dr. Raafae Hussain [10:36]

 

“You’re like how can that silly little nerve be causing this much trouble, but it’s because of the ligaments.” -Dr. Damien Dauphinee [16:54]

 

Top Takeaways:

  • What are Morton’s neuroma and common nerve entrapments
  • What are some common nerve-related issues
  • How do the Pod Doctors determine which nerve innervates a specific area
  • Symptoms and treatment options

 

What You Will Learn:

  • [00:44] Intro
  • [01:44] What are some common nerve entrapments
  • [07:45] Why you should be careful with certain shoes / boots
  • [09:51] The POD Doctors discuss issues with nerve problems
  • [11:34] How they determine what nerve innervates what area
  • [16:11] What is “Morton’s neuroma”
  • [18:48] Some of the presenting symptoms of nerve entrapments
  • [22:13] Treatment options for interdigital neuritis (Morton’s Neuroma)
  • [32:47] The risks of taking the nerve out (nerve excision)

 

Resources:

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

The PODdoctors: COVID-19…frustrations from the sidelines

The PODdoctors: COVID-19…frustrations from the sidelines

January 13, 2021

ThePODdoctors Dr. Damien Dauphinee and Dr. Raafae Hussain discuss information presented by Epidemiologist and Harvard physician and researcher Dr. Michael Mina regarding COVID rapid antigen testing and the bottlenecks standing in the way of getting these inexpensive tests in the hands of every American, from his Time Magazine article and podcast with Lex Fridman. Dr. Dauphinee and Dr. Hussain also discuss their frustration in scope of practice bottlenecks that currently prevent qualified medical personnel from delivering the currently available COVID vaccines to high risk patient populations like diabetics whom they see in their offices every day.

 

“We’re all in this together. This is a global pandemic. This is a global problem and without data, we don’t see the trends and these trends are God awful.” -Dr. Damien Dauphinee [05:24]

 

“COVID is the third leading cause of death in the US right now. Compared to heart disease and cancer, it’s number three. We’re not fighting something that’s a minute, little problem right now. This is something that’s taken out hundreds of thousands of people without a flinch.” -Dr. Raafae Hussain [25:06]

 

Top Takeaways:

  • Why there’s a push for more rapid testing
  • The number of COVID-19 deaths in the US
  • The increase in amputations and other unintended consequences of the pandemic
  • The difference between the PCR testing and the rapid testing
  • The importance of face masks and what fabric is most helpful
  • What people can do to help stop the pandemic

 

What You Will Learn:

  • [00:44] Intro
  • [02:44] Michael Mina’s push for more rapid testing
  • [04:24] General numbers of COVID-19 deaths in the US
  • [06:31] The Pod Doctors’ request to distribute vaccines
  • [09:08] Why widespread and frequent rapid testing is the best tool to suppress outbreaks
  • [15:12] Debunking a myth about rapid tests
  • [16:56] What can help stop the pandemic
  • [20:36] What would make Dr. Damien Dauphinee more confident about the situation
  • [27:38] A reminder of the simple things to do during the pandemic
  • [28:17] The difference between the PCR testing and the rapid testing
  • [29:13] Why the type of fabric matters for face masks
  • [32:49] The unintended consequences of COVID-19
  • [39:38] Two things you can get out of this episode

 

Resources:

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

Article Mentioned: How We Can Stop the Spread of COVID-19 By Christmas by Michael Mina

The PODdoctors: Vascular Intervention

The PODdoctors: Vascular Intervention

January 6, 2021

In this episode, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Tadi Ciszak, an interventional radiologist, discuss the changes that have occurred in regards to vascular intervention. They address patients at risk of peripheral artery disease and expand on their multidisciplinary approach.

 

“The amazing thing about what we do for a living in trying to save limbs...is the multi-specialty approach that really benefits the patient and allows us to protect them, sometimes from themselves, and provide them a pathway both with diabetic shoes, with routine care, deformity correction.” - Dr. Damien Dauphinee [10:00]

 

Top Takeaways:

Learn about vascular intervention 

Learn about patients at risk for peripheral arterial disease

Learn about which patients should consider seeing a vascular specialist 

 

What You Will Learn:

[00:42] Intro

[02:16] How has the field of vascular intervention evolved?

[07:57] Addressing patients at risk of peripheral arterial disease

[09:56] Treatment: a multi-specialty approach 

[14:29] Wound care and other concerns regarding amputations 

[24:28] Outro  

Resources:

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

The PODdoctors: The Dreaded Ingrown Toenail!

The PODdoctors: The Dreaded Ingrown Toenail!

December 30, 2020

In this episode, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon talk about ingrown toenails, how common they are and what causes them. They discuss mainstream treatment approaches, prevention methods, and their surgical answer to the predicament. 

 

“Our surgical answer for this is really straightforward and works well and doesn’t have to be painful and I think we are really good at numbing up toes and that's half the battle.” - Dr. Damien Dauphinee [03:05]

 

Top Takeaways:

Learn about ingrown toenails and what causes them

Learn about common treatment options and how to prevent ingrown toenails

Learn about the surgical recommendations available for your nail problems 

 

What You Will Learn:

 

[00:44] Intro

[01:31] Addressing ingrown toenails  

[04:04] What causes an ingrown toenail?

[05:28] Common treatment approaches: bathroom surgeries, antibiotics and ingrown toenail devices 

[11:13] Surgical approaches to ingrown toenails  

[18:58] Prevention: What can I do to prevent this problem?

[23:17] The POD Doctors’ surgical recommendations to address nail issues

Resources:

 

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

The PODdoctors: My Heel is Killing Me

The PODdoctors: My Heel is Killing Me

December 23, 2020

In this episode, Dr. Damien Dauphinee, a board-certified Foot and Ankle Surgeon, and Dr. Raafae Hussain, a fellowship trained Foot and Ankle Surgeon, discuss plantar fasciitis as the most common reason for heel pain. They talk about how pain originates in the heel area, the variety of treatments that exist to treat plantar fasciitis, and methods of prevention.

 

“It's not like a cold, it isn't gonna go away completely and you'll never have to deal with it again because it's a biomechanical problem, it's a structural support problem”

Dr. Damien Dauphinee [45:19]

 

Top Takeaways:

  • Learn about heel pain and what causes it
  • Learn about plantar fasciitis as one of the most common causes of heel pain
  • Learn about how plantar fasciitis occurs and the options available to treat it.

 

What You Will Learn:

  • [00:39] Intro
  • [02:30] How common is plantar fasciitis? 
  • [03:43] Other causes of heel pain 
  • [04:43] How does plantar fasciitis occur and why do people get it? 
  • [08:49] The mechanics of stretching 
  • [10:16] Recommended treatment protocol
  • [16:17] Orthotics: what are they? And how are they a long term solution for heel pain?
  • [20:29] Night splint for plantar fasciitis
  • [22:06] Heel pain injection treatment
  • [24:14] Physical therapy treatment
  • [26:07] The effectiveness of extracorporeal shockwave therapy
  • [28:18] Surgical options for treating plantar fasciitis 
  • [32:19] Topaz Microdebridement treatment for plantar fasciitis
  • [33:15] What is the Tenex procedure?
  • [38:40] The MLS laser options for treating musculoskeletal pain
  • [41:25] What is “stem cell therapy” for plantar fasciitis?
  • [44:57] Prevention practices to fight plantar fasciitis

 

Resources:

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

The PODdoctors: Ankle Sprains

The PODdoctors: Ankle Sprains

December 16, 2020

In this episode of The Pod Doctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, discuss the mechanics behind ankle sprains, strains and other related injuries. They talk about the different treatments they use to address the injury, including physical therapy and surgery. They also discuss related injuries that can be missed on a casual exam and lead to lingering pain.

 

“The only downside of any type of tendon-, muscle-type of injury is that it takes forever… Skin takes two to three weeks to heal. Bones take six to eight weeks to heal. Tendons, muscles, ligaments take three to four months to heal and nerves can take months to years. It’s just the nature of the beast.” -Dr. Raafae Hussain [16:15]

 

Top Takeaways:

  • Learn about lateral ankle injuries
  • Learn the difference between an ligament sprain and an ankle level tendon strain
  • Learn about common ankle injuries and type of ligament tears
  • Learn what kind of treatments are used to heal the injury
  • Learn about tendon and nerve injuries related to ankle sprains

 

What You Will Learn:

  • [00:44] Intro
  • [01:47] The difference between a sprain and a strain
  • [03:55] The ligaments that make up your ankle
  • [05:46] Common ankle injuries
  • [08:03] Three most common areas you’ll feel the pain and types of tears
  • [11:01] What tests check for signs and symptoms
  • [16:01] Treatments for ankle injuries, physical therapy and how long it takes to heal
  • [21:55] How to address tendon injuries
  • [25:28] Nerve injuries and how to treat them

 

Resources:

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

The PODdoctors: Diabetic Foot Problems

The PODdoctors: Diabetic Foot Problems

December 9, 2020

In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, Fellowship trained foot and ankle surgeon, talk about the foot-related complications associated with diabetes, including diabetic foot ulcers. They also discuss the treatment options to prevent amputation and why it’s important to decrease the pressure off an ulcer to help it heal.

 

“It’s really hard to rationalize spending tens of thousands of dollars on wound healing technology, amniotic tissue, growth factors and surgeries when someone’s not going to stop smoking.” -Dr. Damien Dauphinee [05:06]

 

Top Takeaways:

  • Learn ways to prevent amputations from diabetes issues
  • Learn how smoking can raise the risk of peripheral artery disease (PAD)
  • Learn how hyperbaric medicine and vacuum-assisted closure (VAC) improve wound healing capacity
  • Learn about amniotic and stem cell therapy

 

What You Will Learn:

  • [00:44] Intro
  • [01:22] What they can do to prevent amputations and how stents have evolved
  • [04:41] How smoking can raise the risk of PAD
  • [06:05] What is hyperbaric medicine and other methods to improve wound healing
  • [09:58] What is a wound VAC
  • [12:09] How moisture balanced wound healing is the goal
  • [14:45] How are amniotic or placental tissues used in wound care
  • [18:08] Some important stats about diabetic foot problems

 

Resources:

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

The PODdoctors: Bunions - The Good, The Bad, and the Ugly

The PODdoctors: Bunions - The Good, The Bad, and the Ugly

December 2, 2020

In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, Fellowship trained foot and ankle surgeon, talk about bunions. They discuss what causes it and the conservative and surgical treatment options for this common foot problem. Listen as they share ways to slow down the progression and make the bunion more comfortable.

 

“Our general advice is to always catch it early. Fix it early because if you can catch it early, it’s usually the least likely to ever come back type of situation.” -Dr. Raafae Hussain [05:08]

 

Top Takeaways:

  • Learn what causes a bunion
  • Learn what the doctors typically see in the clinic
  • Learn how to handle the bunion to slow down the progression and when surgery is needed
  • Learn the different types of bunion surgeries and how long it takes to recover

 

What You Will Learn:

  • [00:43] Intro
  • [01:46] What is a bunion and what they typically see in the clinic
  • [04:14] What causes a bunion and tips to handle it
  • [10:20] When it’s time to fix it
  • [11:06] The different types of bunion surgeries
  • [20:13] Recovery after surgery
  • [22:06] Pre-op and post-op course
  • [26:24] When physical therapy is needed

 

Resources:

Visit our website: https://thepoddoctors.com/

The PODdoctors Podcast Premiere Episode: What is Podiatry?

The PODdoctors Podcast Premiere Episode: What is Podiatry?

November 18, 2020

In this premiere episode of the PODdoctors podcast, meet Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, Fellowship trained foot and ankle surgeon. This podcast will discuss everything from everyday complaints to complex and unusual problems in podiatric medicine and surgery and their available treatment options. 

Listen in to learn about the most common foot and ankle problems in podiatric medicine and how they can be treated effectively.  This inaugural episode will introduce you to many of the common complaints patients present with every day.

 

“We need to figure out what we can do to eliminate diabetes from the planet because it’s one of the few problems that affect so many different organ systems.”-Dr. Dauphinee [57:19]

 

Top Takeaways: 

  • Learn how podiatric medicine and surgery as a specialty is a family-friendly career path.
  • Learn how podiatric surgeons focus on conservative or non-surgical options when possible, and move to surgical options when necessary.
  • Learn how and why diabetic patients end up with wounds caused by sensory loss, which are as dangerous as colon cancer. 
  • Learn about the importance of preventing diabetic foot complications, which increase the amputation rate and the dangers that go along with it. 

 

What You Will Learn:

  • [0:43] Intro 
  • [3:02] Dr. Hussain explains podiatric surgery and where to study it, plus where the two doctors studied. 
  • [8:28] Dr. Hussain discusses the physical diagnosis training and exam that podiatric medical students have to undergo to be competent in comprehensive history and physical exams.
  • [9:47] Dr. Dauphinee explains the process he underwent during his surgical residency training.
  • [11:41] Dr. Hussain describes the experiences that were included in his fellowship program. 
  • [13:22] The POD doctors discuss many of the most common foot and ankle problems like fungal infections, sprain injuries, and many more.
  • [28:02] Dr. Dauphinee discusses his sub-specialization in peripheral nerve injuries, neuropathy, and trauma over the last 15 years, plus some of the cases he deals with.
  • [40:20] How to prevent limb amputation for diabetic patients. 
  • [57:00] The doctors continue to discuss the scourge of diabetes.

 

Resources:

Website: https://thepoddoctors.com/ 

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

https://www.amazon.com/Saving-Limbs-Lives-Amputations-Populations-ebook/dp/B07PFV1CTX 

Play this podcast on Podbean App