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Lecture Series with Dr. Caitlin Madden – Part 2

Dr. Madden recently had the privilege of speaking at the Mid-Atlantic Podiatry Conference alongside many prominent names in the field. The three-day conference included lectures and workshops, and was co-sponsored by the Podiatry Institute and the Mid-Atlantic Podiatric Medical Association. Dr. Madden shared her knowledge, with a packed lecture hall of her medical colleagues, on topics including antibiotics prophylaxis, DVT (Deep Vein Thrombosis) prevention, and in-office ultrasound use. She proudly represented FASMA as a young physician and surgeon with a bright future. Part 2: Antibiotic Stewardship: When you really need them. Antibiotics Before Surgery: In Dr. Madden’s second lecture, she discussed antibiotics use in  surgery. Many surgeons routinely give their patients antibiotics before all types of surgery, often through an IV (intravenous) line, but not all surgical procedures really require or benefit from them. Procedures involving bone or implants are more likely to need pre-operative antibiotics. Often this is one dose while the patient is already sedated. It’s important in this age of bacterial resistance to remember to use our antibiotics judiciously- this is called antibiotic stewardship.

Lecture Series with Dr. Caitlin Madden – Part 1

Dr. Caitlin Madden recently had the privilege of speaking at the Mid-Atlantic Podiatry Conference alongside many prominent names in the field. The three-day conference included lectures and workshops, and was co-sponsored by the Podiatry Institute and the Mid-Atlantic Podiatric Medical Association. Dr. Madden shared her knowledge, with a packed lecture hall of her medical colleagues, on topics including antibiotics prophylaxis, DVT (Deep Vein Thrombosis) prevention, and in-office ultrasound use. She proudly represented FASMA as a young physician and surgeon with a bright future. Part 1: Facts About Ultrasound you may not know With regards to Ultrasound use in the doctors office, Dr. Madden gave a lecture about incorporating ultrasound technology into patient care. Many doctors use ultrasound to guide their injections- making them more accurate and effective-- but there’s more to it than that! It can also be used to examine injuries to tendons and ligaments, to discover small fractures, and to better locate and measure soft tissue lesions. Your doctor may use ultrasound to diagnose or evaluate conditions such as neuromas, tumors, ganglions, tendinitis, or plantar fasciitis. Ultrasound does not use radiation, and is therefore very safe.     The information on this site is provided for your assistance only; this site does not provide podiatric advice.  You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose.  Likewise, you should never determine that treatment is unnecessary based on this information.  The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional.  The information provided herein is not podiatric, medical or professional advice.  This site does not create a doctor-patient relationship. Dr. Madden and Foot and Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site.  Dr. Madden and Foot and Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use.  You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance.  In no event will Dr. Madden and Foot and Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory. This Website, and the information contained herein, is provided to you as a service for use at your sole risk.   If you are feeling ill, please call your primary care physician, or other healthcare provider.  In the case of an emergency, please go to the nearest hospital.

Don’t Let Your Ingrown Toenails Keep You From Wearing Your Favorite Fall Boots

Anyone that has suffered from an ingrown toenail knows how uncomfortable it can be. Ingrown toenails occur because the toenail, instead of growing straight, grows into the skin. This commonly occurs on the great toes but can occur on the lesser digits as well. Common causes include ill-fitting shoes where the toes are cramped within the shoe, trauma to the nail plate causing nail deformity, nail fungus that results in a thickened nail, and improper cutting of the toenail. Conservative therapies include properly fit shoes with a wider toe box, thin layers of cotton applied on the side of the nail plate to reduce skin irritation, and trimming nail edges straight across.  Oftentimes, these therapies do not permanently remedy the ingrown nail but can provide symptomatic relief until you can get to a podiatrist for professional medical treatment. I do not recommend delaying this appointment, as the ingrown nail may worsen and cause a serious infection.  Those with underlying medical issues such as diabetes or poor circulation may be at higher risk for complications. People who perform “bathroom surgery” by attempting to cut their own ingrown toenail or ask the pedicurist to “remove the ingrown” can aggravate the problem, since they are usually not able to address the entire ingrown portion or the root of the toenail. In an office setting, a skilled podiatrist can more effectively resolve the problem in a variety of ways depending on its severity. A permanent solution can be accomplished by removing the ingrown portion of the nail and the nail root or 'matrix' under local anesthesia. At the end of the procedure, you would have a small bandage on the toe and be given home care instructions. Most patients do not require any pain medications post procedure and can return to work or school the same day. The procedure itself takes a few minutes, but can save a lot of trouble for you. So please do not perform bathroom surgery or ask your pedicurist to remove your ingrown toenail--rather make an appointment with a trained podiatric physician so you can walk pain free again. Dr. Hetal Kathrotiya-Mago practices at: 3801 International Drive, Suite 204 Silver Spring, MD 20906 The information on this site is provided for your assistance only; this site does not provide podiatric advice.  You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose.  Likewise, you should never determine that treatment is unnecessary based on this information.  The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional.  The information provided herein is not podiatric, medical or professional advice.  This site does not create a doctor-patient relationship. Dr. Kathrotiya-Mago and Foot and Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site.  Dr. Kathrotiya-Mago and Foot and Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use.  You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance.  In no event will Dr. Kathrotiya-Mago and Foot and Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory. This Website, and the information contained herein, is provided to you as a service for use at your sole risk.   If you are feeling ill, please call your primary care physician, or other healthcare provider.  In the case of an emergency, please go to the nearest hospital.