The PODdoctors with Dr. Dauphinee and Dr. Hussain
The PODdoctors: Haglund’s surgery

The PODdoctors: Haglund’s surgery

December 8, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, dive into one of their cases and walk through Haglund’s surgery that removes the dreaded “pump bump.”

 

“The paratenon has been argued should you dissect it free or should you not dissect it free. I’ve gone both ways and I feel in my mind that the less trauma you cause to it, the better you end up doing, so I don’t like to dissect mine free too much.” -Dr. Raafae Hussain [04:40]

 

“The dissection around those spurs is time consuming, and if you do it right and if you save as much tendon as possible, your repair is going to be much more vigorous and robust.” -Dr. Damien Dauphinee [07:01]

 

Top Takeaways:

  • A quick recap on how the “pump bump” appears
  • A walk-through of the surgery to handle this deformity
  • Recovery from surgery

 

What You Will Learn:

  • [00:40] Intro
  • [02:06] A quick recap on “pump bump”
  • [04:09] How they approach the incision
  • [06:24] The surgical procedure
  • [12:31] Inserting suture anchors
  • [19:08] Repairing superficial achilles tendon
  • [21:06] Mobilizing the patient and recovery
  • [22:49] 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: Haglund’s deformity

The PODdoctors: Haglund’s deformity

November 24, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about Haglund's deformity and the associated achilles tendonitis. They discuss the conservative and surgical treatment options.

 

“As far as surgery’s concern, there’s no conservative treatment to get rid of the bone. So when you have a golf ball in the back of your heel... so when you have that mass, that golf ball, that’s going to continue to be a source of irritation and the only way to fix that is surgery.” -Dr. Damien Dauphinee [11:14]

 

“I had plantar fasciitis. It’s cumbersome and weird. But if you put (a night splint) on and you’re watching TV, you’re computering, you’re Facebooking, YouTubing, whatever you’re doing, you watch an episode of Tiger King, bam, that’s an hour of stretch right there. Super easy.” -Dr. Raafae Hussain [08:43]

 

Top Takeaways:

  • What is Haglund's deformity and what do the Pod Doctors seen in the X-rays
  • What is Equinus
  • Conservative and surgical treatments

 

What You Will Learn:

  • [00:40] Intro
  • [01:58] What they see in the deformity
  • [03:17] What they see in the X-rays
  • [05:57] What is Equinus
  • [07:06] Conservative treatment
  • [11:04] Surgical treatment
  • [20:45] Recovery
  • [22:15] 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

Revisit our episode on Jones fracture: https://poddoctors.podbean.com/e/the-poddoctors-jones-fractures/

the PODdoctors: Jones fracture surgery

the PODdoctors: Jones fracture surgery

November 10, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, highlight a surgical technique that they use to fixate Jone fractures.

 

“I tell them if it’s good apposition and you can stay off of it, we can definitely try conservative, but more often than not, these fractures are gapped just on the mechanism of how they're pulled. Their tendon’s pulling one way. Their foot’s pulling the opposite way. There’s typically a gap there and we typically end up fixing these surgically.” - Dr. Raafae Hussain [03:51]

 

“Not only is the tendon attachment working against you, but it’s just hard to keep people to stay off their foot.” - Dr. Damien Dauphinee [04:15]

 

Top Takeaways:

  • What qualifies as a Jones fracture
  • How the Pod Doctors treat Jones fracture

 

What You Will Learn:

  • [00:40] Intro
  • [02:08] A recap of what Jones fracture
  • [05:26] How Dr. Hussain treats a patient’s Jones fracture
  • [16:52] Recovery
  • [17:37] Bad outcomes do happen
  • [20:03] 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

Revisit our episode on Jones fracture: https://poddoctors.podbean.com/e/the-poddoctors-jones-fractures/

The PODdoctors: Bunion Surgery

The PODdoctors: Bunion Surgery

October 27, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about bunion surgery. They walk through the surgical procedure and share their thought process along the way.

 

“You can see the curvature of that proximal phalanx or if they just got a lot of soft tissue pulling on that toe, you’re just going to get a better correction, you’re going to have a happier patient, if you just take that wedge out.” - Dr. Damien Dauphinee [16:36]

 

“Quick and easy. You know, your classic bunions. We’re not doing anything fancy. We’re literally going in, fixing the problem.” - Dr. Raafae Hussain [24:23]

 

Top Takeaways:

  • What they see clinically with bunions
  • The step-by-step process of bunion surgery, including incision placement, lateral release and the osteotomy procedure
  • The Pod Doctors’ thought process during the procedure
  • The recovery options

 

What You Will Learn:

  • [00:40] Intro
  • [02:27] What they see with bunions
  • [03:04] Incision placement and lateral release
  • [07:57] The osteotomy procedure
  • [15:18] The Akin osteotomy
  • [21:14] Closure technique
  • [24:47] Recovery
  • [25:24] A listener question
  • [27:16] 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: Recurrent Neuromas

The PODdoctors: Recurrent Neuromas

October 13, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about recurrent neuroma, a post-op complication from nerve entrapment removal, and the various treatment options.

 

“The issue, we believe and have believed for decades now, is that the ligament is the problem.” - Dr. Damien Dauphinee [03:11]

 

“Here’s what a classic stump neuroma looks like. You have the nerve spindles coming through and the end is blocked off, injured, whatever, so instead of growing out to where it’s supposed to provide either sensation or muscle intervention, it’s a little bundle ball of angryness.” - Dr. Raafae Hussain [08:41]

 

Top Takeaways:

  • What is a recurrent neuroma and the issue they are treating
  • The go-to treatment for stump neuroma and other treatment options
  • What is endoscopic nerve decompression
  • What a classic stump neuroma looks like

 

What You Will Learn:

  • [00:40] Intro
  • [01:42] What is Recurrent Neuroma
  • [03:34] The go-to treatment for stump neuroma
  • [05:57] What is endoscopic nerve decompression
  • [08:40] What a classic stump neuroma looks like
  • [10:05] Other treatment options
  • [19:26] Recovery
  • [20:51] 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: More Than Your Basic Bunion Procedures

The PODdoctors: More Than Your Basic Bunion Procedures

September 29, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, address a question from a subscriber on bunion treatments. They talk about basic bunion procedures as well as different incision placements and the suture button technique.

 

“If you don’t fix the boney aspect well the first time, all the soft tissue correction in the world is probably not going to make up for that.” - Dr. Damien Dauphinee [05:24]

 

“One of the big things that we’ve noticed over time is that different specialities that do foot and ankle surgery do different incision placements.” - Dr. Raafae Hussain [05:37]

 

Top Takeaways:

  • Basic bunion procedures
  • Why they do different incision placements
  • More common incisions
  • Lateral release, suture button and lengthening techniques

 

What You Will Learn:

  • [00:40] Intro
  • [02:19] A brief recap on bunions
  • [03:34] Basic bunion procedures
  • [05:44] Different incision placements
  • [10:45] The lateral release
  • [16:21] Suture button technique
  • [21:43] 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: Plantar Plate Repair

The PODdoctors: Plantar Plate Repair

September 15, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about plantar plate repair, also known as crossover toe. They discuss what happens with crossover toes and how the conservative therapy and surgery options to repair it.

 

“It’s a complex balancing act between the ligaments and the plantar plate holding that second toe where it’s supposed to be.” - Dr. Damien Dauphinee [04:36]

 

“It’s so, so hard. You have to understand. If this was your finger, we can strap that down. You’re not walking on your hand. You’re walking on these and that’s the hard part.” - Dr. Raafae Hussain [12:20]

 

Top Takeaways:

  • What happens with crossover toes
  • What is the plantar plate
  • How they look at the condition of the deformity
  • Conservative therapy and surgery options

 

What You Will Learn:

  • [00:40] Intro
  • [02:40] What is crossover toe and plantar plate
  • [06:55] How they look at the deformity
  • [11:55] Conservative therapy options
  • [14:58] Surgery options
  • [23:10] Recovery
  • [25:07] 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: Tinea Pedis

The PODdoctors: Tinea Pedis

September 1, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about the very common fungal infection: tinea pedis, also known as athlete's foot. They discuss the different types of infections and home remedies and topical solutions to treat them.

 

“A lot of this has to do with whether your immune system can fight it off. And some people don’t have that capability so they get this over, over and over.” - Dr. Damien Dauphinee [05:23]

 

“It’s a very straightforward problem and we offer very straightforward solutions.” - Dr. Raafae Hussain [17:16]

 

Top Takeaways:

  • What is athlete’s foot
  • The different types of infections
  • Home remedies and topical treatments

 

What You Will Learn:

  • [00:40] Intro
  • [01:49] What is athlete's foot
  • [04:02] Three types of athlete’s foot
  • [08:46] What happens with tinea pedis
  • [09:17] Home remedies and topical treatments
  • [17:33] 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: Ganglion Cysts

The PODdoctors: Ganglion Cysts

August 18, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about Ganglion cysts, a fairly common musculoskeletal problem. They describe what they see in the clinic, how they determine if a lesion is a Ganglion cyst and how they use aspiration surgery to treat it.

 

“One does not simply pop a Ganglion cyst.” - Dr. Damien Dauphinee [06:08]

 

“The surgery part works really well. Like you said, maybe 10-20 percent it’ll come back, but yeah, very low chance of it coming back.” - Dr. Raafae Hussain [15:59]

 

Top Takeaways:

  • What is Ganglion cysts
  • What the Pod Doctors see common see with Ganglion cysts in the clinic
  • How they determine it’s a Ganglion cyst
  • How they treat a Ganglion cyst with aspiration surgery
  • The recovery period

 

What You Will Learn:

  • [00:39] Intro
  • [01:42] Why you should get the COVID-19 vaccine
  • [05:59] What is Ganglion cysts
  • [06:28] What the Pod Doctors see clinically
  • [08:18] How they determine it’s a Ganglion cyst
  • [11:33] Treating with aspiration surgery
  • [16:41] Recovery
  • [17:43] 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: Types of Bunion Procedures

The PODdoctors: Types of Bunion Procedures

August 4, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about the different types of bunion procedures and how they decide which procedure to do.

 

“Bunion is not a bony growth.” - Dr. Raafae Hussain [03:27]

 

“When patients are saying, ‘Well Doc, when do I need to get this fixed?’ I usually say, ‘Look, once you start having internal joint pain in the great toe joint or if you start to see it deform your other toes, it’s time to get it fixed.’” - Dr. Damien Dauphinee [12:03]

 

Top Takeaways:

  • How bunions present themselves
  • How the Pod Doctors categorize the severity of the bunion
  • What they look for in imaging
  • Conservative therapy and types of ​​bunionectomy

 

What You Will Learn:

  • [00:39] Intro
  • [01:58] The different ways to fix a bunion
  • [03:12] How bunions present themselves
  • [04:58] How to categorize the severity
  • [06:39] What they’re looking at in imaging
  • [08:08] Conservative therapy
  • [13:03] Various types of bunionectomy
  • [27:22] Fixation methods and minimally invasive surgery
  • [38:09] 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

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