Hi Simon
I hope you won't mind me mailing you directly. I stumbled accross this
mailing that you posted in 2001 & wondered if the pilot study you mention
ever got published?
Best regards
Bryan Watters
On Mon, 26 Feb 2001 09:27:48 -0000, Simon Spooner
<[log in to unmask]> wrote:
>All,
>
>We are nearing the completion of a pilot study comparing scalpel
debridement
>with insole therapy in the treatment of plantar callus / corns. Subjects,
>who had received no previous treatment, were randomly assigned to receive
>either scalpel debridement OR a simple 4mm EVA plate insole which was
>"punched out" to the lesion. Pain scales were taken before treatment,
>immediately afterwards, and six weeks later.
>
>Results have been quite startling: scalpel debridement seems to have the
>upper hand in immediate pain relief, but after six weeks pain relief is
much
>better maintained in the insole group, with many of the scalpel group
>showing little or no change from their pre-treatment state. But perhaps the
>most interesting observation is that after six weeks, several of the
>subjects from the scalpel group record that the lesion is now MORE PAINFUL
>than it was before treatment began; this was not seen in the insole group.
>Clearly, there are many potential reasons for this, but it does make you
>stop and think: what does the Hippocratic Oath say "do no harm".
>
>Cut and come again, ordinary jobs?
>Perhaps the academics need to revolutionise the "real world" just as much
as
>the real world needs to revolutionise academia? Perhaps we should just stop
>running for a minute and take a look at what we are actually doing, rather
>than carry on doing something that is a waste of time and resources, but we
>do it because "that's what Chiropodists do in the real world"! Just a
>thought ;-)
>
>Hopefully the work will be published in the near future.
>
>Best wishes,
>Simon
>
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