CME OnDemand: Putting It Into Practice Part 8: Forefoot-CME OnDemand: Putting into Practice: Forefoot

Video Transcription

Video Summary

In this comprehensive webinar focused on foot and ankle care, Dr. Paul Toulousan, an orthopedic surgeon, discussed various lesser toe deformities. Starting with the treatment of bunionettes, which are small bunions on the fifth toe, he explained the classification system primarily based on X-rays. Type one presents as a bump on the foot, type two involves bony deformity with a bowing metatarsal, and type three involves an abnormal angle with the fourth metatarsal. Non-operative treatments like pads and orthotic devices are preferred initially, but surgical procedures are considered if symptoms persist.<br /><br />Dr. Toulousan also differentiated between mallet, hammer, and claw toes, discussing the causes, symptoms, and potential treatments, both non-surgical and surgical. Surgical options include tendon repairs, fusions, and minimally invasive techniques.<br /><br />Next, nurse practitioner Tracy Herrig presented on nail care, emphasizing the management of ingrown nails, nail infections, and onychomycosis, stressing the importance of fungal cultures before starting expensive treatments. She noted various approaches for dealing with nail deformities and highlighted billing and referral considerations for nail issues.<br /><br />Teresa Albert, a pedorthist, concluded with insights on designing foot orthotics, detailing different types based on patient needs, including functional, accommodative, and rigid options. She emphasized the importance of matching orthotics with appropriate footwear and demonstrated techniques for various foot conditions, including plantar fasciitis and flat feet.<br /><br />The session concluded with a Q&A, addressing surgical options for bunionettes, PRP for plantar plate issues, and handling toe deformities in diabetic patients.

Asset Subtitle

Putting It Into Practice: Forefoot

Moderator: Tracy K. Harig, DNP, APRN, FNP-C, and Richard A. Zell, MD

Faculty: Paul G. Talusan, MD; Tracy K. Harig, DNP, APRN, FNP-C; Teresa Alpert, CO, CPed, PMAC

In this course, topics include operative and non-operative treatment for bunions and lesser toe deformities, nail care, and orthotics for bunions and metatarsalgia.

At the conclusion of this webinar, you will be able to:

Identify non-operative treatment options for bunions
Recognize best practices in nail care
Explain orthotic options for treatment of bunions and lesser toe deformities

Keywords

foot and ankle care

bunionettes

lesser toe deformities

non-operative treatments

surgical procedures

mallet, hammer, and claw toes

nail care

onychomycosis

foot orthotics

plantar fasciitis

diabetic toe deformities

PRP treatment