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Substance Abuse pp 515–536Cite as

Podiatric Problems and Management in Patients with Substance Abuse

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Abstract

Patients typically seek treatment from a podiatric surgeon to relieve pain, whether acute from a traumatic event or chronic from long-standing or unaddressed pathology. When conservative treatment fails to provide patient satisfaction, surgical intervention becomes necessary and the surgeon must then be prepared to address acute postsurgical pain, which can be more challenging in patients with a history of substance abuse. Through meticulous surgical technique, understanding lower extremity pathomechanics, and employing sufficient perioperative analgesia, we can provide superb outcomes for our patients and prevent chronic postsurgical pain. Furthermore, there exist a variety of signs and symptoms about the foot and ankle that may indicate substance abuse when correlated with the patient’s history, and it is imperative for the podiatric surgeon to have an awareness of these clinical presentations to provide the best possible treatment.

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Authors and Affiliations

  1. Department of Podiatric Medicine and Surgery, Yale New Haven Hospital, New Haven, CT, USA

    Gabriel V. Gambardella D.P.M.

  2. Department of Podiatric Medicine and Surgery, Yale New Haven Hospital/VA Healthcare System, New Haven, CT, USA

    Chioma N. Odukwe Enu D.P.M., Brian M. Schmidt D.P.M. & Peter A. Blume D.P.M.

  3. Department of Surgery, Anesthesia and Orthopedics and Rehabilitation Medicine, Yale University School of Medicine, Yale New Haven Hospital, New Haven, CT, USA

    Peter A. Blume D.P.M.

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  1. Gabriel V. Gambardella D.P.M.
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  2. Chioma N. Odukwe Enu D.P.M.
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  3. Brian M. Schmidt D.P.M.
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Correspondence to Gabriel V. Gambardella D.P.M. .

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Editors and Affiliations

  1. Louisiana State University Health Sciences Center, Louisiana State University Interim Hospital, and Ochsner Kenner Hospital, Departments of Anesthesiology and Pharmacology, New Orleans, Louisiana, USA

    Alan David Kaye

  2. Department of Anesthesiology, Yale University School of Medicine and Yale-New Haven Hospital, New Haven, Connecticut, USA

    Nalini Vadivelu

  3. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Richard D. Urman

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Gambardella, G.V., Enu, C.N.O., Schmidt, B.M., Blume, P.A. (2015). Podiatric Problems and Management in Patients with Substance Abuse. In: Kaye, A., Vadivelu, N., Urman, R. (eds) Substance Abuse. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1951-2_38

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