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全部话题 - 话题: orthotics
1 (共1页)
p*******i
发帖数: 39
1
来自主题: MedicalCareer版 - 关于Prosthetic & Orthotics
有没有同志知道 Prosthetic & Orthotics 这个方向的。
先介绍下我的情况,我是运动学 kinesiology 的硕士,今年刚刚上,但是本身对搞研
究并不敢兴趣。想考一个有执照的科目作为以后发展的职业,但是由于本科跟医学没有
关系是工程类的,所以很多执照要受到很大的限制。
这个信息是上 CLINICAL GAIT ANALYSIS的时候老师有提到过,我留意的。
不知道这个就业前景如何,谢谢各位了。
g*2
发帖数: 658
2
这个要慎入。有问题,查个关键词,看看。
SPECIFIC INJURIES
Hip injuries
Overview and approach — Hip injuries are less common in runners than
injuries to the lower extremity and they can be difficult to diagnose.
Nevertheless, during jogging, the hip joint is subjected to loads up to
eight times body weight and both acute and chronic injuries can occur [55].
In runners, the differential diagnosis of hip pain includes gluteus medius
tendinopathy, piriformis syndrome, stress fracture of the femoral neck,
labral tear, a... 阅读全帖
g*2
发帖数: 658
3
Overview of running injuries of the lower extremity
Author
Lisa R Callahan, MD Section Editor
Karl B Fields, MD Deputy Editor
Jonathan Grayzel, MD, FAAEM
All topics are updated as new evidence becomes available and our peer review
process is complete.
Literature review current through: Feb 2012. | This topic last updated: Oct
20, 2011.
INTRODUCTION — Running is one of the world’s most popular forms of
exercise, with millions of regular participants. In the United States alone,
up to 40 mil... 阅读全帖
B******1
发帖数: 9094
4
Heel Pain
Plantar fasciitis
This is inflammation of the plantar fascia, a soft tissue structure on the
sole of your foot that runs from the heel to the toes and helps support your
arch. Patients often complain of:
Pain and tenderness beneath the heel that radiates into the arch of the foot.
•Stiffness and discomfort on rising in the morning or after long
periods of sitting
This condition affects 10% of the population and normally resolves within 10
months irrespective of treatment. It is ... 阅读全帖
w*****h
发帖数: 2120
5
俺不介意当打脸党。
具体日期:
ClinicalTrials.gov processed this record on February 24, 2011
=============================================================
附件:美国卫生部更新记录,再次表明继续资助肖传国的手术科研。
(注:这是摘录。对全部详情感兴趣,可用地址连接去阅读原文全文)。
Nerve Rerouting Treatment for Neurogenic Bladder in Spina Bifida
This study is not yet open for participant recruitment.
Verified by William Beaumont Hospitals, June 2010
First Received: March 23, 2010 Last Updated: June 4, 2010
ClinicalTrials.gov processed this record on February 24, 2011
[www.... 阅读全帖
i***a
发帖数: 4718
6
来自主题: Military版 - 肯尼迪比床铺强多了
http://www.nytimes.com/2016/08/02/us/politics/donald-trump-draft-record.html?_r=0
Mr. Trump has described the condition as heel spurs, which are protrusions
caused by calcium built up on the heel bone, treated through stretching,
orthotics or sometimes surgery.
Mr. Trump said that he could not recall exactly when he was no longer
bothered by the spurs, but that he had not had an operation for the problem.
“Over a period of time, it healed up,” he said.
In the 2015 biography “The Truth About Trum... 阅读全帖
x****6
发帖数: 4339
7
来自主题: Military版 - Intel 科学奖 2018 Finalists
看题目,都是学术前沿的工作,屁挨着地水平的。
以马公和千老领域为主。
Picoscale Mechanics of Atomically Engineered Materials
Optical Control of Protein Assembly and Activity in Cell-Like-Compartments
Cell Membrane-Coated Nanodevice for Anti-Virulence Therapy Against
Antibiotic Resistant Bacteria
Artemisinin as a Potential Parkinson's Disease Treatment via Alleviation of
α-Synuclein Mediated Neuronal Damage and Inflammation
Exploring Posterior Growth in D. rerio Using a Live Cell Cycle Biosensor
Modeling the Spatio-Temporal Dynami... 阅读全帖
l****z
发帖数: 29846
8
Taxpayers paid nearly $175 million for vacuum erection systems (VES),
commonly known as “penis pumps,” from 2006 to 2011, according to an
inspector general report released on Monday.
The federal government paid more than double the retail price for VES, the
Department of Health and Human Services IG found. Medicare prices for the
systems, the report said, “remain grossly excessive compared with the
amounts that non-Medicare payers pay.”
Medicare paid 473,620 VES claims during calendar years 2006... 阅读全帖
wq
发帖数: 80
9
来自主题: Medicine版 - 14岁女孩得脊柱侧弯,求助。
先声明我不是医生,你的有关医学方面的问题我回答不了。我在美国学的是矫形器(
orthotics)专业,但我只是完成了学业,还没有找到地方做一年实习(resident),
我现在在一家儿童医院(18岁以下)的假肢矫形器中心做志愿者(volunteer)。所以我只
能告诉你我所知道的。
在美国脊柱侧弯(scoliosis)要先由大夫诊断是什么引起的,然后由有执照的矫形师
(certificated orthotist)做矫形器, 然后是物理理疗师(physical therapy)辅
助病人做康复训练。矫形器的应用范围在25--45度,能恢复多少要看个人情况,女孩的
最佳矫正时间是来月经后的1年半以内。现在美国比较流行的矫形器是Boston Brace。
我不知道国内的矫形器行业是一种什么状况,在美国都是要经过一年专业培训在加上一
年的临床实习才有资格做矫形器。我觉得你朋友女儿的情况现在最好找个人做一个合适
的矫形器。
希望这些信息对你有用
t*******n
发帖数: 4445
10
Looks like 1/5 patients will develop problem with hip, knee or neck later.
Orthotics should be applied under a doctor's supervision. Make sure the
baby is closely monitored for his/her development.
Screen for heart and hearing problems. These may need to be treated ASAP.
m**********e
发帖数: 2279
11
got several key words, such as orthotics, very helpful. Thank you so much
for your response.

z******3
发帖数: 75
12
我有两个有关牙医的问题,请牙医专家来看看。谢谢。
1) 我晚上睡觉很安静。但是牙医说我可能有磨牙的习惯,因为我的牙比同龄人磨损严
重。treatment plan建议做Occlusal Guard (D9940)。今天打算去做了,可是牙医的
plan又变了,说上次code输错了,其实应该做的是Occlusal Orthotic Device (
D7880)。当下觉得非常不高兴,所以没有继续。请问这两个treatment区别在哪里?如
果放任不管我的牙会有什么问题?
2) 牙医建议我后面3个大牙做Application of Desensitizing Resin(D9911)。这项
保险是不报销的。但是同样的Application of Desensitizing Medicament(D9910)只
要一点点copay。想知道这两个treatment区别在哪里?同样如果放任不管我的牙会有什
么问题?
谢谢大家了。

发帖数: 1
13
这些常识问题不需要什么专家就可以回答。今天刚从看牙医回来,也问我要不要做
night guard. Occlusal guard是用来治磨牙(bruxism)的,以免牙齿经常空磨被破坏。
Occlusal orthotic device是矫正颌关节的,如果你的上下牙不齐,造成颌关节或肌肉
需要额外用角度和力帮你正常上下咬合,时间长了,你的颌关节和肌肉会过度疲劳,严
重的可以引起痉挛或头痛。脱敏的resin是树脂,medicament是药膏,方式不同,使用
上因人而异。不在乎酸冷疼痛不舒服,就不做呗。

发帖数: 1
14
In extreme cases, a doctor may recommend surgery for the removal of heel
bone spurs. Fortunately, this is the exception rather than the rule. Most
cases can be resolved with a combination of icing, rest, foot stretches and
supporting the foot with an orthotic shoe insert specifically designed for
this condition.
Large spurs CAN cause pain.
I have seen spurs 3 times bigger than the spur shown below.
e****j
发帖数: 42
15
谢谢!你提到的company是指insurance吗?我们这里做头盔有个专门的部门Orthotics
& Prosthetics Center,儿医把我们refer给他们了。我昨天打电话先问过他们,他们给
了我code,让我问保险公司是不是cover。他们会给做一个evaluation,不过是收费的。
a**********8
发帖数: 1393
16
I use this company.
http://www.cranialtech.com/
After I received the reference from the PED, I scheduled an appt for
evaluation which was free. If the evaluation says it's necessary for your
baby, the cranial tech company will call the insurance company for approval.
This company has insurance specialists deal with insurance company. I was
notified that the cost would be fully covered by the insurance and decided
to go for it.
My son started to wear it when he was 5 month old and the helmet work... 阅读全帖
w******i
发帖数: 1476
17
查了wageworks, 满多还是不用医生处方就能报的, 包括Bandages, Diabetic monitors
& test kits,condoms and eye drops.
FSA Eligible Medical Items
That Do NOT Require a Doctor’s Prescription
Bandages and related items (over-the-counter)
Birth control (over-the-counter)
Blood pressure monitors
Cholesterol test kits and supplies
Condoms
Contact lenses, cleaning solutions, etc.
Crutches, canes, walkers or like equipment (purchase or rental)
Dentures, bridges, etc.
Diabetic monitors, test kits, strips and supplies
Eye relate... 阅读全帖
l***i
发帖数: 64
18
Postdoc(s) Position in Neural Control of Prosthetics
UNC/NC State Joint Department of Biomedical Engineering
The Neuromuscular Rehabilitation Engineering Laboratory (NREL) within the
UNC/NC State Joint Department of Biomedical Engineering invites applications
for a Postdoctoral Research Associate to advance robotic prosthetics.
Currently, two positions are available immediately.
Required Qualifications:
• A recent Ph.D. degree in Biomedical, Electrical, or Mechanical
Engineering or rela... 阅读全帖
p*t
发帖数: 1210
19
来自主题: StartUp版 - 有人做orthotics产品吗?
想入这一行,不知水深不深
c********r
发帖数: 6013
20
【 以下文字转载自 PennySaver 讨论区 】
发信人: wuyiwuxi (无依无系), 信区: PennySaver
标 题: 其实明年不用处方还是能报很多OTC的
发信站: BBS 未名空间站 (Tue Nov 9 11:13:27 2010, 美东)
查了wageworks, 满多还是不用医生处方就能报的, 包括Bandages, Diabetic monitors
& test kits,condoms and eye drops.
FSA Eligible Medical Items
That Do NOT Require a Doctor’s Prescription
Bandages and related items (over-the-counter)
Birth control (over-the-counter)
Blood pressure monitors
Cholesterol test kits and supplies
Condoms
Contact lenses, cleaning solutions, etc.
Crutches, can... 阅读全帖
s***o
发帖数: 1189
21

;-)
i'd blame your shoes then.
Next time try one of Dr. Scholl's Orthotics cushions.
S**U
发帖数: 7025
22
来自主题: Badminton版 - 羽毛球鞋的鞋垫儿
Superfeet Peformance Green Insole
http://www.holabirdsports.com/cgi-bin/product?product=080118&group=null&selection=menu&id=null&manufact=null&&
I have tried 2 brands from Sports Mart, and Superfeet is more effective for me.
It's cheaper here but I haven't bought from them before
http://www.allegromedical.com/orthopedics-orthotics-c528/superfeet-performance-green-insoles-p190698.html
s******i
发帖数: 132
23
来自主题: loseweight版 - 降到15min/2 days,连解放前都不如了
我之前怀疑骨刺问题的时候去看足科医生 关于minimal shoes他的建议 是说barefeet
是一个trend 他个人还是支持有保护的鞋子 保守一点
另外关于 需要矫正跑姿来保护膝盖等 他说那种需要的情况 可以考虑orthotics 然后
说觉得我没必要
w*******e
发帖数: 2651
24
来自主题: Running版 - 足弓疼的问题
I'm doing it now!
Mine is over-pronation and flat feet due to injury.
I used Superfeet insole to give more arch support, but
it feels a little too hard for my foot.
I was wondering whether I need to get customized orthotics.
w*******e
发帖数: 2651
25
伤病:Posterior tibial tendon injury
症状:hurt
发现时间:Before SF Marathon in July
正在尝试的解决方法:Rest for at least 3 weeks w/o running,
and over-the-shelf orthotic insole. Fully recovered.
b***i
发帖数: 10018
26
http://www.scienceofrunning.com/2010/02/how-to-go-from-heel-strikingorthotics.html
How to go from heel striking/orthotics wearing to forefoot strike/ barefoot
running
Posted by Steve Magness
Should you train barefoot?
This concluding post on the barefoot vs. shoe debate will look at some of
the practical applications to all the research that we've discussed. In part
1, I questioned whether cushioning or pronation even mattered. In part 2, I
looked at the new study by Lieberman on barefoot runnin... 阅读全帖
w*******e
发帖数: 2651
27
来自主题: Running版 - 2010快乐的奔跑
Following yhflogan's example, I think it's a good time to do
a simple summary for the past year.
Race --------------------- Date Pace Time
CIM------------------------ 5-Dec 8:48 3:50:46
Beijing Marathon-------- 24-Oct 8:30 3:44:15
Primo's Run (half)------- 10-Oct 7:43 1:41:09
The SF Marathon-------- 25-Jul 9:39 4:13:05
Marin County Marathon 25-Apr 9:54 4:19:26
Oakland Marathon------ 28-Mar 9:45 4:15:53
KP SF Half Marathon---- 7-Feb 8:09 1:46:57
-Finished 5 marathons since my very first full in 2... 阅读全帖
g*2
发帖数: 658
28
来自主题: Running版 - ITBS 琐碎片段
emedicine上:
提到热敷在前,冰敷在后:Treatment for iliotibial band syndrome (ITBS)
usually is conservative. Conservative treatment consists of (1) relative
rest by decreasing the amount of exercise or training, (2) the use of
superficial heat and stretching prior to exercise, and (3) the use of ice
after the activity. Heat should be applied before and during stretching for
at least 5-10 minutes, and ice treatments should be employed using a cold
pack applied to the area for 10-15 minutes or using an ice mass... 阅读全帖
s**a
发帖数: 1995
29
I don't know if there are shoes for flatfeet.
But you can go to a podiatrist to get custom orthotics prescription. It
costs 300 USD, but many insurance will cover a pair in one or two years.
g*2
发帖数: 658
30
从uptodate上看到的。uptodate是给医生看的最新医学知识。
Training suggestions to reduce injury risk — Despite the dearth of high-
quality evidence to determine best practice [25], we have found the training
tips listed below to be helpful and to reduce the risk of injury for many
runners:
Beginning runners:
Inexperienced runners often progress best using a combination of running
and walking for a set time, and gradually increasing the percentage of time
spent running.
Beginning runners should start with no m... 阅读全帖
g*2
发帖数: 658
31
从医生角度看病人,要问这些情况。所以如果要去看医生,准备一下这些问题。
EVALUATION OF THE INJURED RUNNER — Evaluation of the injured runner begins
with a thorough history, which should include inquiries about:
Prior injuries and related treatments (including the runner’s
compliance with treatment)
Current training patterns, including mileage, frequency, and training
methods (eg, hill running); Inquire about changes in training that preceded
the injury
Shoe and orthotic use, including any recent change in shoes
Trai... 阅读全帖
f******x
发帖数: 98
32
来自主题: Running版 - PF变严重了 (转载)
这个要休息。我去年也PF,看了很多次医生,Orthotics,anti-inflammatory
medications, injection of corticosteroids 都用过,基本没什么效果,一跑就疼,
后来只好彻底休息了三个月疼痛才消失。以后我就特别小心,慢慢在跑步机上恢复训练
,再慢慢加路跑,又有两三个月才恢复之前的量。减肥也很有帮助,我最近半年减了
30lb,虽然训练量加了不少,PF也没有再犯。
g*2
发帖数: 658
33
来自主题: Running版 - 大腿肌肉受伤
感觉如果不是ITBS,可能要排出Chronic exertional compartment syndrome —
Chronic exertional compartment syndrome (CECS) occurs when increased
pressure within a muscle compartment reduces blood flow, leading to muscle
ischemia and pain when metabolic demands cannot be met. The patient with
CECS is often a young runner who describes gradually increasing pain in a
specific muscle region (usually the lower leg) during exertion. The pain may
be described as aching, squeezing, cramping, or tightness. Pain generally
... 阅读全帖
W***i
发帖数: 833
34
来自主题: Running版 - Running Terminology
-----
* Shoe and Gear Terms
Body Glide is a lubricating product to prevent chafing and skin irritation.
Some runners use Vaseline or even deodarant instead. You can get body glide
at a running store.
Cushioned refers to a shoe designed for a neutral foot that does not overpro
nate or that may supinate. Supinaters land on the outside of their feet.
Dual-density: This is often called a medial post. The length and strength of
this post determines how much motion control the shoe offers.
Flats: are ... 阅读全帖
b***m
发帖数: 2112
35
来自主题: Running版 - 足底筋膜炎:我的办法
贴点我的running log里的记录:
PLANTAR FASCIITIS
http://www.runnersworld.com/tag/plantar-fasciitis
Plantar fasciitis is caused by drastic or sudden increases in mileage, poor
foot structure, and inappropriate running shoes, which can overload the
plantar fascia, the connective tissue that runs from the heel to the base of
the toes. The plantar fascia may look like a series of fat rubber bands,
but it's made of collagen, a rigid protein that's not very stretchy. The
stress of overuse, overpronation, or ove... 阅读全帖
d******a
发帖数: 106
36
听起来像MCL(medial collateral ligament)的扭伤.
不要热敷. 前4-6天每天有空的时候就拿冰袋敷着.
BRACE用hinged knee brace比较有用. 就是可以让膝关节弯曲但不允许左右的动度.
这种BRACE一般要处方. 但你可以到你附近的ORTHOTIC/BRACE SHOP去看看. 或去之前打
电话问问要不要处方.
如果冷敷了近一星期还很痛而且不能正常行走, 我建议去看个骨科的运动专科.
韧带的拉伤是一种需要时间愈合的伤. 如果一两个月后还有疼痛感也不要着急. 韧带需
要几个月来愈合. 而且这几个月内也不要做刺激受伤部位的活动. 这样减小再次受伤的
可能性.
另外还有一个可能性是MPFL(medial patellofemoral ligament)的拉伤. 不知道你当时
受伤的详细动作是如何的. 如果是扭伤, 那MCL的可能性大些. 如果是直接撞击伤,
MPFL受伤可能性大些.
说了这些, 确定的诊断还是来自着手的体检. 我就你讲的也就只能说这么多.
但就这两个伤, 治疗的开始都是冷敷, 然后慢慢的低强度的渐渐恢复动度. 如果几星期
后还有相
m***h
发帖数: 23691
37
不知道为什么东部数量上占绝对优势
西部:
Footloose, Mammoth Lakes, Calif.
Bobo's Mogul Mouse Ski and Board, Reno, Nev.
Fiorini Sports, Seattle, Wash.
Granite Chief, Truckee Calif.,
Sturtevant's Sports, Bellevue, Wash.
Village Ski Loft, Incline Village, Nev.
Porters Ski and Sport, Tahoe City, Calif
Lou Lou's, Spokane, Wash.
Rocky:
Colorado Ski and Golf, Aurora, Colo
A Racer's Edge, Breckenridge, Colo.
Alpine Sports, Santa Fe, N.M.
The Boot Doctors, Taos, N.M.
Boulder Ski Deals, Boulder, Colo.
Cole Sport, Park City, ... 阅读全帖
n**********i
发帖数: 154
38
来自主题: Ski版 - ski boots and skis买什么价位
贴一个链接:15 Best Bootfitters
http://www.skinet.com/ski/galleries/15-best-bootfitters
对于高手们或者对靴子要求较高的同学们会有用。
东海岸最好的有Mt Snow Bootfitters, Green Mountain Orthotic Lab in Stratton
s*******1
发帖数: 11216
39
http://www.bedbathandbeyond.com/product.asp?SKU=121408
19.99刀20%折扣加税买的.
ebay上卖10刀加8刀以上的运费.我搬家少了2个pair估计能找到,现在的这个是low.
用过一次,我没脚气啥的,介意的MM飘过啊.
9刀包邮寄转吧.
l******8
发帖数: 4133
40
妈妈背腰部好,想给她先买双shape up试试看,她在国内是穿38的鞋子,不知道shape up穿几码呢?谢谢同学们哦~
搜索的时候还看到一个评价很好的牌子,价格比较便宜
Ok, if you've heard about the MBT Shoes ($250 & up) or the Skechers Shape-
Ups ($110), you might be pretty excited about the fitness and therapeutic
benefits of wearing these shoes. Except the price is a little steep for
these ugly things.
However, I've discovered a Frugal Alternative: http://www.therashoe.... - carried at Kmart of all places. And they're LOVED by everyone. I've read review after review all ove... 阅读全帖
b**s
发帖数: 908
41
哎妈...bow legs还得看医生。最好不要多走路跑步。膝关节tendon容易劳损,造成膝
盖内侧疼。最好用orthotics。但是不能完全解决问题。下肢肌肉强会有帮助,分散一
些压力。目测你的问题不严重,你不说我没注意。
我说的脚趾外翻通常是芭蕾演员必有。穿这种尖头鞋也会导致,高跟尖头更是会导致。
年轻时症状轻,年老50后会加剧。
http://tw.myblog.yahoo.com/Joanna-0960731653/article?mid=4423

起~
M**********a
发帖数: 2241
42

(°□°;)呃。。。学习了。。。感谢科普~
我有个表妹是之前用过orthotics的~她是天生骨盆畸形。。。我的确不严重,就是。。
就是比普通人大点~
另外,趾外翻这个~我从来也不穿高跟尖头鞋,这双是第一且仅有的一双,还没穿出门
过。。
再次感谢科普~
l***i
发帖数: 64
43
The Neuromuscular Rehabilitation Engineering Laboratory (NREL) within the
UNC/NC State Joint Department of Biomedical Engineering invites applications
for a Postdoctoral Research Associate to advance robotic prosthetics.
Required Qualifications
1. A recent Ph.D. degree in Electrical, Mechanical, Computer, or
Biomedical Engineering or related fields.
2. Research experiences in one or more of the following areas: robotic
manipulation and haptics, EMG control of robotic prosthesis, and skelet... 阅读全帖
C*****D
发帖数: 1299
44
来自主题: Medicalpractice版 - 同意版大,卫生部长早该下台了。
中国不知道, 美国有明确指症和苹果标准:
Eligibility
Ages Eligible for Study: 5 Years and older
Genders Eligible for Study: Both
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria:
1.Male and female patients age 5 and older with spinal dysraphism (ie.
myelomeningocele , lipomyelomeningocele, myelocele, meningocele, occulta)
with voiding dysfunction on a CIC program for bladder management for at
least one year prior to screening.
2.Atonic or hyperreflexic bladder documented by urodynamic testing dur... 阅读全帖
r*****2
发帖数: 309
45
来自主题: Medicalpractice版 - 问医求助脑瘫儿
I can answer this question for banzhu. These kind of shoes called "orthotic
shoes". It is individually adjusted shoe, which means not only the child
should be presented ( need to make a cast first), but also it needs rehab
doctor's prescription. As far as I know, it costs approx $300-400 out of
pocket money if you have a private insurance. Some rehab doctor may want to
give Botox injection to loose the muscle contraction caused by cerebral
palsy.
t*******f
发帖数: 795
46
来自主题: Medicalpractice版 - 胎儿的clubfoot 怎么办?
Clubfoot is treated with manipulation by podiatrists, physiotherapists,
orthopedic surgeons, specialist Ponseti nurses, or orthotists by providing
braces to hold the feet in orthodox positions, serial casting, or splints
called knee ankle foot orthoses (KAFO). Other orthotic options include
Dennis-Brown bars with straight last boots, ankle foot orthoses and/or
custom foot orthoses (CFO). In North America, manipulation is followed by
serial casting, most often by the Ponseti Method. Foot manipula... 阅读全帖
n****r
发帖数: 1568
47
来自主题: Medicalpractice版 - 想进入骨外的新途径, 同学们要努力
Healio
Orthopedics
SPECIALTIES
HEALIO MINUTE
ADOLESCENT MEDICINE
ALLERGY/IMMUNOLOGY
CARDIOLOGY
DERMATOLOGY
ENDOCRINOLOGY
GASTROENTEROLOGY
GERIATRIC MEDICINE
HEALTH PROFESSIONS
HEMATOLOGY/ONCOLOGY
HEPATOLOGY
INFECTIOUS DISEASE
OPHTHALMOLOGY
OPTOMETRY
ORTHOPEDICS
ORTHOTICS/PROSTHETICS
PEDIATRICS
PSYCHIATRY
RHEUMATOLOGY
SPINE SURGERY
SPORTS MEDICINE
Orthopedic assistant profession promotes policy change, recognition
Orthopedics Today, March 2014
Jason S. Mazza, MSc, OA-C, CSA, SA-C, OTC, CCRC
In a ... 阅读全帖
m*****6
发帖数: 7
48
来自主题: Medicalpractice版 - 走路太多,以至脚后跟痛,怎么办?
建议去看当地的DPM (podiatrist), 一般这种问题都和足部的先天anatomy有很大联系
。heel pain的问题可大可小,如果牵扯到tendon就需要注意会不会引起其他并发症。
我们有学到过如果是走路姿势或者先天足部arch的问题会影响到其他力的分布,有的时
候会有隐型的小脚趾长骨骨折。如果是plantar fasciitis还真没有根治的方法,不过
orthotics+steroid injection会减轻疼痛很多。
------学足科的学生
m*****6
发帖数: 7
49
来自主题: Medicalpractice版 - 走路太多,以至脚后跟痛,怎么办?
建议去看当地的DPM (podiatrist), 一般这种问题都和足部的先天anatomy有很大联系
。heel pain的问题可大可小,如果牵扯到tendon就需要注意会不会引起其他并发症。
我们有学到过如果是走路姿势或者先天足部arch的问题会影响到其他力的分布,有的时
候会有隐型的小脚趾长骨骨折。如果是plantar fasciitis还真没有根治的方法,不过
orthotics+steroid injection会减轻疼痛很多。
------学足科的学生
m*****6
发帖数: 7
50
不是太同意这样的说法,当然我自己本身就是DPM第二年的医学生,所以有些偏见哈哈
。一些人对DPM的印象主要停留在20,30年前,那时候DPM主要就是做些足部的护理,一
些小手术和orthotics. 不过从2000初开始整个filed变化的很厉害,原来在80年代DPM
是不需要residency的,90年代开始出现1年,2年的residency. 现在是minimum 3
years,第一年主要是off service rotation,也就是internship, 是和
其他specialty一起做intern的。Residency做完后还可以继续进修fellowship,有不少
DPM还会去做MD Ortho的foot and ankle fellowship。所以说,2000年后毕业出来的
DPM在足科方面的教育是绝对优于MD/DO Ortho的。就拿我们学校来说,一些来讲课的
DPM会提到会接到Ortho的referral, 因为骨科医生认为自己没有经验和相关的训练做足
部方面的手术。毕竟我们从医学教育开始就接触lower extremity, residency在足部手
术的... 阅读全帖
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