In younger patients complaining of shin splints or knee, back or hip pain, examine the feet to rule out pes planus or its variants before ordering pain medicine or referring to physical therapy or orthopedics. — Robert Kappel, PA-C, Downers Grove, Ill. (160-8)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have something you would like to share, send us an email.