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Growing Pains and Restless Leg Syndrome...a pilot study.

Discussion in 'Biomechanics, Sports and Foot orthoses' started by drhunt1, Dec 20, 2015.

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  1. drhunt1

    drhunt1 Well-Known Member

    Members do not see these Ads. Sign Up.
    Let's get this thread up again, and perhaps we can have a more robust discussion about the topic(s). I authored an article that was published 7 months ago that represented several years work. I wrote a 10K word, 42 page, (on MS Word), manuscript that included animations, illustrations, multiple jpegs, video interviews with patients and was reviewed by several doctors.

    I was advised to get the information out as quickly as possible, so I had the pilot/case study published in a non-PubMed journal...Podiatry Management Magazine. It was published in the April/May edition. It was a much reduced article compared to the original manuscript...3K words and only two jpegs. But, hopefully, it was the beginning of something bigger.


    Case studies represent "middle-of-the-road" research endeavors. There are, however, three components to such research in order to forward working hypotheses. In this article, the hypothesis is that growing pains in children, and RLS in adults is a continuum of the same problem...referred pain from the STJ, typically after cessation of activity. In case studies, there are 1)independant variables, 2)dependant variables and 3)controls. In this study, the independant variable is the dispensing/use of orthotics; the dependant variable is the resolution of pain; the control is the removal of the orthotic with the return of the painful symptoms.

    Since the time of the writing/completion of this pilot study, I have successfully treated dozens of patients, with zero "misfires". The study is fairly simple from a practitioners standpoint and is amenable to quick, easy and reproducible testing.
  2. Griff

    Griff Moderator

    I don't know what pyramid of evidence you are referring to but case studies are much closer to the bottom than I'm sure you'd care to admit.

    I won't retort to the rest of your post as there is nothing new to add that hasn't been said before. In fact, I'll be watching this thread carefully and if it adds nothing to prior discussion it will be swiftly locked down.

    Attached Files:

  3. Craig Payne

    Craig Payne Moderator

    Yep; a small uncontrolled case series is at the bottom of the hierarchy of evidence.
  4. drhunt1

    drhunt1 Well-Known Member

    Yep...and if you remember, I was the one that posted this pyramid on the other thread. Thanks for sharing again. The problem is, much of what is researched in our field of biomechanics needs to follow this route. In conversations with one of the premier musculoskeletal radiologists on the West Coast of the US, there is no MRI study that would further elucidate this condition...ie., inflammation of the synovium cannot be demonstrated.

    I am concerned about your threat of "swiftly locked down" for this thread. Shall I offer links to completely redundant and inane threads that you allow? Perhaps there might be patients that browse this site looking for answers.

    My patients certainly appreciate this information...it all makes perfect sense to them in spite of the push-back I've received from Podiatrists worldwide. DOZENS of successful treatments since this article was published...that's what is "new".
  5. Claire72

    Claire72 Active Member

    I also noticed the 'swiftly locked down' comment, which seemed to me a touch unseasonal! There seems to be years upon years of same-old-same-old churned on this site. If a post/comment is not worthy of discussion surely it will wither naturally?

  6. Griff

    Griff Moderator

    The season has little to do with it - all cross postings and duplicates are generally deleted: http://www.podiatry-arena.com/podiatry-forum/faq.php?faq=podiatry_arena_rules

    Claire - take a read through the previous thread on exactly the same subject. If Matt can take things forward from there in this thread and genuinely add to the discussion in a positive way then that's groovy. In which case we'll probably merge the threads (which is what we try to do with all topics). If not = removal of duplications.
  7. drhunt1

    drhunt1 Well-Known Member

    It appears, once again, that the administrators of this site are playing by their own rules. Since when, Griff, is it totally up to one contributor to forward the discussion? I was of the belief that SHARING information from past and present experiences between practitioners to provide better patient outcomes is one of the main reasons to have a site like this. Perhaps I was wrong. Perhaps better patient outcomes falls down the ladder of priorities to the administrators here.

    FWIW...I have received RAVE reviews on the program from Dr. Louis DeCaro in Mass. Hopefully soon, he and I can collaborate on expanding the study, (since this appears one of the main "sticking points" with you, in spite of the fact that I had over twice as many patients in my introductory study as did Angela Evans in hers). THAT is also new.

    All I asked here, is for practitioners to try my quick and easy clinical exam, and report back on their findings. Is that too much to ask of the administrators? Is it too much to ask that Podiatrists actually tackle the issue head-on, instead of engaging in ad hominem attacks, (which, btw, are also selectively allowed here at PA).
  8. admin

    admin Administrator Staff Member

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