Chilblains have always been difficult to manage. There are so many unanswered questions and unknowns about the condition which is a really common problem. There is lack of scientific evidence supporting the different treatments has led to a lot of different suggested treatments based on anecdotes. Chilblains are a regional and seasonal problem, so are pretty much unknown in the warmer months and in the warmer climates. There is a paucity of good research on chilblains and what there is you can see in the threads on chilblains from Podiatry Arena and the nature of the anecdotal recommendations.

A recent episode of the livestream, PodChatLive looked at the issues in an episode of Chilblains on PodChatLive:

Some of the issues that were raised were around just what treatments cna be used and what is being done maybe it really is not any better than a placebo and just letting the natural history take its course. Most the treatment involves just protecting the area, keeping the feet warm, using various creams that are recommended for the treatment of chilblains.

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This is a very common problem of the back of the heel bone in growing children. It is not really a disease and should not really be named after Dr Sever as there is a trend in medicine away from naming conditions after people, so the term calcaneal apophysitis should be the preferred term, however the term ‘Sever’s’ is much more commonly used and more frequently used in the search engines. An episode of PodChatLive had an in-depth discussion on Sever’s disease and it is well worth a watch:
https://www.youtube.com/watch?v=I6Oxv5uBp-I
Sever’s disease can sometime be a bit difficult to manage due to a high level of a lack of compliance by the child to advice to reduce activity levels. Load management, lifestyle adjustments and education about the expectations of outcomes  are key to managing this condition so getting the compliance of the child really is key. A cushioned heel insert is also commonly used to help protect the heel. The natural development of Severs disease is that it will get better on its own if the loads are managed and normal growth is allowed to occur. All cases will be gone by about the mid-teenage years. What this means is that the best strategy is to manage the loads and activity levels and the pain and wait for it to heel up on its own eventually.

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Plantar Plate Tears

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A plantar plate tear is a strain or partial tear of the ligament under the metatarsal head or heads in the ball of the foot. It most commonly affects the 2nd metatarsophalangeal joint, but can affect all of them. The most common cause of this problem is the simple overuse of the liagment with things […]

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Archies Arch Support Thongs

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These are selling like “hot cakes” in podiatry clinics and being used by Podiatrists for themselves. They were originally designed by a physiotherapist based in Melbourne. The amount of arch support in them is similar to a typical prefabricated foot orthotic making them a useful adjunct to foot orthotic therapy or even an alternative to […]

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Hypothermia, Frostbite and Other Cold Injuries

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Hypothermia, Frostbite and Other Cold Injuries Prevention, Survival, Rescue and Treatment Editors: Gordon G Giesbrecht, James A Wilkerson, Andrea R Gravatt, Murray P Hamlet About: Hypothermia, Frostbite & Other Cold Injuries: Prevention, Survival, Rescue, and Treatment, 2nd Edby Gordon Giesbrecht, Ph.D., James A. Wilkerson, M.D.Hikers, skiers, climbers, hunters, fishermen, bicyclists, and lost children-all are potentially […]

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100 Up Running Drill

September 9, 2013

The 100 Up is a running drill that was first used in the 1800’s as a training tool. More recently it has been rediscovered as a ‘long lost secret’ and is being advocated as a tool to improve running form and teach good running technique. This Amazon Kindle eBook as all the information on the […]

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The Science of Footwear

December 31, 2012

The Science of Footwear Ravindra S. Goonetilleke (editor) Hardcover: 726 pages Published: CRC Press; 1st edition; Date: 2012 Buy from Fishpond.au Reviews: “… will fill the need of having a book to summarize what is happening in the footwear research field currently. … the only option to read and know what is happening out there […]

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Chi Marathon: The Breakthrough Natural Running Program for a Pain-Free Half Marathon and Marathon

August 1, 2012

The Breakthrough Natural Running Program for a Pain-Free Half Marathon and Marathon Editors: Danny Dreyer, Katherine Dreyer Published in 2012 More and more Podiatrists are seeing running who are Chi Running. This book will help you get up to speed on Chi running and understand it. What the publisher says: In Chi Marathon, Danny Dreyer, […]

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Efficacy of PRP in Regeneration of Bone and Healing of soft Tissue

May 18, 2012

Platelet Rich Plasma | Platelet Rich Plasma | Platelet Rich Plasma for plantar fasciitis | Platelet Rich Plasma for Musculoskeletal Conditions | Platelet-Rich Plasma for Achilles tendon pain

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