The PODdoctors with Dr. Dauphinee and Dr. Hussain
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

The PODdoctors: Pediatric Flat Foot

The PODdoctors: Pediatric Flat Foot

July 21, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about pediatric flat foot, one of the more common foot problems they see among kids. They discuss what they typically see with this condition in the clinic and how they can treat it with conservative measures and surgery.

 

“So general rule of thumb, all you young docs out there, soft tissue procedures and flat foot deformities, you’re fighting an uphill battle. You got whatever hundred pounds of weight in a young child, 80 pounds of weight in a young child, whatever it might be, coming down on a specific tendon. You can’t expect that tendon, especially a tendon like that, to hold that arch up. There’s too much fighting against it. You gotta do your additional procedures behind it.” - Dr. Raafae Hussain [21:33]

 

“It’s important to note that not everybody grows out of this. That it is ok to watch it until they’re preteen age wise. You can prevent really a world of hurt as an adult if you address it early.” - Dr. Damien Dauphinee [25:46]

 

Top Takeaways:

  • The two common foot problems with kids
  • What the Pod Docs see with pediatric flat foot clinically
  • How they treat pediatric flat foot
  • Three common ways to lengthen the Achilles tendon
  • Conservative treatment and surgery

 

What You Will Learn:

  • [00:39] Intro
  • [01:44] How pediatric flat foot is a common problem
  • [03:16] What the Pod Docs see clinically
  • [06:11] How they use imaging to check the condition
  • [12:51] Conservative measures and treatment
  • [15:22] How they treat this problem with surgery
  • [25:07] Recovery
  • [26:59] 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: Charcot Reconstruction using a Frame

The PODdoctors: Charcot Reconstruction using a Frame

July 7, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, give an in depth look of charcot reconstruction. They first provide a recap of what charcot is and why it’s such an issue for diabetic patients. As they walk through the surgery procedure, they share the thinking process with each step.

 

“So just getting the heel into position is a huge part of this. So we’re really kind of yanking on that thing trying to pull it down back into at least a neutral position, if not, back to an anatomic position.” - Dr. Damien Dauphinee [06:38]

 

“It’ll be one giant platform that he’s standing on. The motion of mobility, he’s lost that. The motion of mobility has kind of led to the problem that he has, and we want to lock that up to make sure everything stays stable.” - Dr. Raafae Hussain [20:54]

 

Top Takeaways:

  • A recap of what is Charcot foot
  • An indepth look of charcot reconstruction
  • Why it’s such an issue for diabetic patients
  • Thinking process as they go through the surgery step by step

 

What You Will Learn:

  • [00:39] Intro
  • [02:18] What is Charcot foot
  • [04:29] Dissecting the ankle joint
  • [09:10] Why Dr. Dauphinee prefers the frame
  • [10:05] Dissecting the subtalar joint
  • [15:04] Working on the midfoot
  • [20:14] The working conditions
  • [22:08] Creating the frame and the stability block
  • [28:20] The before and after
  • [30:16] 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: Lateral Ankle Ligament & Peroneal Tendon Repair with Groove Deepening Surgery

The PODdoctors: Lateral Ankle Ligament & Peroneal Tendon Repair with Groove Deepening Surgery

June 23, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, discuss one of their most interesting cases in the last few weeks: lateral ankle ligament with peroneal tendon repair and groove deepening surgery. They break down this common surgery with patients who have chronic lateral ankle pain.

 

“The lack of range of emotion certainly puts people at greater risk for lateral ankle sprains.” - Dr. Damien Dauphinee [03:06]

 

“This is my all-time favorite surgery, especially because at the end of this, this tendon, it looks so beautiful.” - Dr. Raafae Hussain [09:35]

 

Top Takeaways:

  • A brief overview of the anatomy
  • How they perform surgery to repair the lateral ankle ligament, 
  • How they repair the Peroneal Tendon with groove deepening
  • The recovery process

 

What You Will Learn:

  • [00:39] Intro
  • [02:18] A brief overview of the anatomy
  • [03:13] The surgical procedure
  • [11:05] Tendon repair with groove deepening
  • [14:03] The ligament disrepair
  • [18:18] Recovery
  • [20:18] 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: Heloma Molle

The PODdoctors: Heloma Molle

June 9, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, talk about Heloma Molle, a soft but painful skin lesion. They discuss where they typically find this callus on the foot and why it’s important to address the underlying bone issue. They also talk about the conservative and surgical options to treat the problem.

 

“The worst part about them is it’s so small, but it’s so painful.” - Dr. Raafae Hussain [01:56]

 

“I think addressing this on both sides of the problem is far more effective long term. You’re hedging your bets.” - Dr. Damien Dauphinee [09:36]

 

Top Takeaways:

  • Which toes they commonly see the Heloma Molle
  • Why you must address the underlying bone issue to care for Heloma Molle
  • How they treat Heloma Molle through conservative and surgical options
  • What to expect with recovery
  • What is heterotopic bone

 

What You Will Learn:

  • [00:39] Intro
  • [02:21] Typical corns and calluses on the foot
  • [03:34] Conservative and surgical options
  • [10:00] Recovery
  • [12:50] 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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