The PODdoctors with Dr. Dauphinee and Dr. Hussain
The PODdoctors: Ankle Scope - #45

The PODdoctors: Ankle Scope - #45

June 29, 2022

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 ankle arthroscopy, also known as ankle scope. They discuss how this underutilized technique can help with interior ankle pain, such as synovitis. They walk through the process, including portal placement, the most important part of arthroscopy.

 

“We see ankle problems. We see synovitis. We see these aches and pain. And I feel like we’re doing conservative therapy, steroid shots and all that, and we’re worried about the next step, big surgery, but that medial ground, that middle ground, that ankle scope, super underutilized.” -Dr. Raafae Hussain [02:01]

 

“It’s a great underutilized technique for lingering ankle pain.” -Dr. Damien Dauphinee [19:09]

 

Top Takeaways:

  • What is ankle arthroscopy and why it’s underutilized
  • Examples of interior ankle pain such as synovitis
  • Portal placement - the most important part of arthroscopy
  • Recovery

 

What You Will Learn:

  • [00:50] Intro
  • [01:43] What is ankle arthroscopy
  • [03:00] Interior ankle pain
  • [06:54] The portal placement process
  • [12:28] A walkthrough of a recent case
  • [18:34] Recovery
  • [20:23] 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: MEND Surgery - #44

The PODdoctors: MEND Surgery - #44

June 15, 2022

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 neuroma pain and Morton’s Endoscopic Nerve Decompression (MEND) surgery. 

 

“The downside and the risk are extremely low and the upside when it works makes this an incredibly effective procedure.” -Dr. Damien Dauphinee [11:45]

 

“If you have nerve pain in your foot, talk to your doctor about releasing that nerve rather than cutting that nerve out.” -Dr. Raafae Hussain [13:49]

 

Top Takeaways:

  • What is neuroma pain and typical symptoms
  • A walkthrough of MEND surgery

 

What You Will Learn:

  • [00:50] Intro
  • [02:23] Typical symptoms for neuroma pain
  • [04:14] Traditional treatments
  • [05:34] What is MEND surgery
  • [10:09] Recovery
  • [14:42] 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: Tendon Laceration Surgery - #43

The PODdoctors: Tendon Laceration Surgery - #43

June 1, 2022

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, walk through a recent tendon laceration surgery. They discuss the surgical procedure to repair this common injury.

 

“You want a locking type suture that will help hold the tendon.” -Dr. Raafae Hussain [03:37]

 

“If you lose a centimeter with that tendon, it’s not that big a deal. They can gain that back with physical therapy.” -Dr. Damien Dauphinee [07:42]

 

Top Takeaways:

  • A walk through of the surgical procedure 
  • The type of suture the PODdoctors use to repair the tendon
  • Why it’s important to avoid adhesions
  • The recovery period

 

What You Will Learn:

  • [00:50] Intro
  • [02:28] The exams to determine the injury
  • [03:26] How the PODdoctors repair the tendon
  • [07:51] Repairing the synovial lining
  • [11:07] How they do the hand ties
  • [16:06] Recovery
  • [16:48] 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: Gout - #42

The PODdoctors: Gout - #42

May 18, 2022

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, provides a general overview of “The Great Imposter”: gout. A crystalline disorder, Gout is caused by uric acid crystals forming inside the joint and affects 4-6% of the U.S population. The PODdoctors discuss the multifaceted problems attached to this arthritis, the stages of pain and inflammation, and the treatment options currently available. 

 

“Seven in ten people don’t know that gout is a type of arthritis. People think it is a come and go deformity. ” -Dr. Raafae Hussain [14:35]

 

“They call gout “The Great Imposter” because it could be a number of different things. The workup requires us to usually get blood work and x-rays to see what is going on.” -Dr. Damien Dauphinee [03:02]

 

Top Takeaways:

  • What is gout?
  • Gout: an indicator of other serious problems
  • Uric acid crystallization
  • Gout flares and the impacts of climate
  • PODdoctor’s surgery experiences
  • Treatment options

 

What You Will Learn:

  • [01:39] Intro
  • [02:20] Common indicators of gout
  • [06:45] Things that add to your risk of gout
  • [10:08] The two types of gout
  • [13:43] Treatment options
  • [18:18] What gout is signaling in the body
  • [22:50] Krystexxa treatment
  • [24:21] Caring for the joint

 

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 Pain - #41

The PODdoctors: Ankle Pain - #41

May 4, 2022

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, provide a general overview of common ankle pain and ankle problems. They discuss traction neuritis, posterior tibial tendon dysfunction, Os trigonum syndrome and other types of pain people will feel inside the ankle.

 

“Sprain ankle is the number one injury in sports injuries.” -Dr. Raafae Hussain [02:18]

 

“We never want to forget about the nerves. ‘Cause these will come back to bite you if you ignore them.” -Dr. Damien Dauphinee [09:40]

 

Top Takeaways:

  • What causes ankle pain and common ankle injuries
  • What is traction neuritis
  • Most common anterior ankle pathologies
  • What is posterior tibial tendon dysfunction (PTTD)
  • Other pain people will feel inside the ankle
  • What is Os trigonum syndrome
  • Treatment options

 

What You Will Learn:

  • [00:49] Intro
  • [02:34] Common ankle injuries
  • [04:28] How they determine ankle sprain from strain
  • [07:16] Treatment options
  • [09:34] What is traction neuritis
  • [12:20] Conservative management
  • [15:18] Common anterior ankle pathologies
  • [22:45] What is PTTD and treatment options
  • [26:12] Other pain inside the ankle
  • [28:30] What is Os trigonum Syndrome
  • [33:14] 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

Hallux Rigidus Surgery

Hallux Rigidus Surgery

April 20, 2022

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, walk through a recent hallux rigidus surgery. They also discuss when they decide to do surgery to address the arthritic joint pain and what type of surgery to pursue.

 

“If you’ve got a joint issue, and you’re asking a lot of that joint because of the flexibility of the shoe, you're going to make it worse and it’s gonna really hurt.” -Dr. Damien Dauphinee [02:53]

 

“When we decide to do surgery and what type of surgery we decide to do is based on the patient’s activity level and based on how much damage is done to the joint.” -Dr. Raafae Hussain [03:37]

 

Top Takeaways:

  • What is hallux rigidus
  • When the Pod Doctors decide to do surgery and what type of surgery
  • A walk through of a recent hallux rigidus surgery

 

What You Will Learn:

  • [00:50] Intro
  • [02:07] What is hallux rigidus
  • [03:37] When to do surgery and what type
  • [05:02] A walk through a recent case
  • [18:18] Recovery protocol
  • [20:41] Outro

 

Resources:

Previous episode on hallux rigidus: https://poddoctors.podbean.com/e/the-poddoctors-hallux-rigidus/

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: Nerve Basics

The PODdoctors: Nerve Basics

February 2, 2022

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, walk through peripheral nerve injury and provide a general overview of some of the different classifications of nerve injury. They discuss some of the tests they conduct for nerve injuries and treatment options.

 

“If you’ve got a motor injury, you’ve got up to a year to do something, but realistically, you have nine to ten months.” -Dr. Damien Dauphinee [12:44]

 

“So our different treatment options for all of these, they’re all different. That’s the downside of this, because every injury needs a specific type of repair.” -Dr. Raafae Hussain [24:52]

 

Top Takeaways:

  • The two major parts of the nervous system and where they meet
  • The different classification of nerve injury
  • An overview of Wallerian degeneration
  • Common types of reflect tests they conduct in office
  • Treatment options

 

What You Will Learn:

  • [00:40] Intro
  • [02:21] Two major parts of the nervous system
  • [05:59] What a nerve looks like in cross section
  • [07:44] Different classification of nerve injury
  • [12:01] An overview of Wallerian degeneration
  • [13:08] Some of the tests they do in office
  • [24:52] Treatment options
  • [30:35] 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 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/

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