My foot & ankle specialist prescribed a compounded transdermal cream for nerve pain along the outside of my foot right below the ankle from toes to heels & it helps. I’m also been using it for fibromyalgia pain. I recently tried it for varicose vein pain & have found it works for that too. Very pleased with results. I am diabetic so it also greatly helps with diabetic nerve pain in the feet. Very easy to use, mine comes in a clear plastic container that dispenses the right amount for each dose much like a lotion pump. Just need to rub it in well. No mess, no pill. I think a physician has to place the order with the pharmacy.
Clinical photograph and radiograph demonstrate Haglund's deformity and calcifications consistent with insertional Achilles tendonopathy. Failure of conservative management and loss of function are indications for surgical management. Given the large Haglund's deformity on radiograph, calcaneal exostectomy is preferable to tendon debridement alone.
Hartog et al reviewed a series of 29 cases of chronic Achilles tendinosis treated surgically including supplementation with FHL transfer. Good to excellent clinical results were reported with no major complications.
McGarvey reviewed the clinical results of 22 insertional Achilles tendonopathy treated surgically finding a clinical satisfaction rate of 82%. Hartog reports on 29 cases of FHL augmentation of chronic Achilles tendonosis finding excellent or good results in 26 of 29 and no report of functional deficit or deformity of the hallux.
Kolodziej conducted a cadaveric study to evaluate the integrity of the insertion of the Achilles tendon. The greatest margin of safety was found to be offered by a superior to inferior resection (better than medial/lateral and oblique) and that as much as 50% of the tendon could be resected without sacrificing significant strength to failure.
Our technologists have been trained in the proper use and function of the Portal Gravity System. This training was provided by David Carter Director of Operations, Portal, Inc. at Portal Medical of North Logan, Utah. Ankle Tenogram : injection technique to relieve chronic ankle pain. ( Ankle tenography is primarily a diagnostic technique to aid in diagnosing chronic ankle pain, referable to the tendons, that has been unresponsive to more conservative therapy (., immobilization, bracing and physical therapy). These can be accompanied with injection as a combination of local anesthetic and steroid. This has been shown to be useful in localizing pain and in surgical decision making.