Category: Uncategorized

Joan Rivers and outpatient surgery environment, shouldn’t be done?

The death of a comedic icon, Joan Rivers is unfortunate and has shed a spotlight on the topic surgical settings. Reality is that mortality, death, can happen even in the most minor of procedures either in the hospital , office based surgery or the ambulatory surgery outpatient setting.    The regulations in place for all […]

Foot Fractures more common during “ankle sprains.”

“Doc, I sprained my ankle and it’s been hurting for a month — the ER said it’s not broken.” We hear this constantly. The lesson we drill into our staff at FFLC is to take both ankle and foot X-rays in these cases. Why? Because most ankle sprains really are just ligament sprains — but […]

Worker’s compensation and Motor Vehicle Accidents of the Foot / Ankle

After a car accident or a work injury, foot and ankle problems are often overlooked — and that delay can cost you, both medically and in your claim. Frequently the trouble starts when a patient waits too long to seek care, or doesn’t mention every complaint to the treating doctor. Why Foot and Ankle Injuries […]

Life altering ankle sprain why you should see a doctor.

Hint: NOT AN ANKLE SPRAIN but ligaments and tendon ruptures Active tennis coach who took a wrong step and twisted his ankle on the court while teaching about 4 months ago, ankle never felt better and in fact worsened and also feels unstable on this ankle.   Pain, burning sensation noted about the outside ankle […]

Saltwater Catfish Barb injuries

While fishing Naples Pier, there are days when it seems that the only fish around are the catfish eating your precious baits.  Or in the backwater.   Few injuries have come into the office when people tried to kick the catfish off the pier or dock while wearing sandals, crocs, etc only to get a […]

Buy Shoes For Back to School, how to avoid foot pain for your child.

75 % of american buy shoes too small for themselves imagine their children? Need at least 1/2 inch or a thumb’s width between the longest toe to the end of the shoe while the child is standing Running shoes are not recommended for everyday usage for walking and activities.  Running shoes are meant to be […]

Popping Peroneal Syndrome, Ankle Popping / instability by Dr. Kevin Lam

Does your ankle pop, click, or feel like it is about to give out on the outside? That snapping sensation is often a sign of popping peroneal syndrome — peroneal tendon subluxation — in which the peroneal tendons slip out of their normal groove behind the outer ankle bone. In the video below, Dr. Kevin […]

Posterior Tibial Tendon Dysfunction Grade II

Posterior tibial tendon dysfunction (PTTD) is one of the most common causes of an adult-acquired flatfoot. The posterior tibial tendon runs along the inside of the ankle and supports the arch; when it becomes inflamed, frays, or tears, the arch gradually collapses and the foot rolls inward. Our own Dr. Ramy Fahim discusses treatment for […]

Achilles tendon ruptures fixed with PRP and casting

The Achilles is the largest and strongest tendon in the body, connecting the calf muscles to the heel bone and powering every step, jump, and push-off. When it ruptures — often during a sudden sprint or pivot in a recreational athlete — patients describe a pop and the feeling of being kicked in the back […]

Malignant Melanoma on the Leg PART 2

This is a follow-up to our earlier post about a patient whose malignant melanoma had been present on the leg for about five years. Fortunately, his was a superficial spreading melanoma that had not grown deep enough to spread beyond the local skin. A 1 cm margin of safety was excised in accordance with NIH guidelines, […]