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Less Is More
July 8, 2013

When a Patient Chooses Wisely

Author Affiliations
  • 1 Ms Petroni lives in California
JAMA Intern Med. 2013;173(13):1173. doi:10.1001/jamainternmed.2013.6509

I was diagnosed as having progressive multiple sclerosis more than 30 years ago, and now I am almost 77 years old. My legs have been affected, and I lose my balance occasionally. I use a walker to get around but not for long distances. When I go to the grocery store, I use one of the electric carts.

I’ve been prescribed braces and physical therapy. The braces have caused calluses to form on the balls of my feet. Last year, I had an abscess on my foot. I get them from time to time. The pain can usually be relieved by having the callus on my foot shaved, but this one would not heal. A friend recommended I go to a new podiatrist. During the visit, he told me that I should consider having my Achilles tendons operated on to stretch them, which would slow callous formation. He said that the surgery would involve just a couple of small cuts and afterward I would wear a special shoe for several weeks. He referred me to an orthopedic surgeon.

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