Monday, April 30, 2012

Podiatrist - Urbana, Germantown and Hagerstown, MD - Frederick Foot & Ankle Specialists

 

Frederick Foot & Ankle Specialists - Podiatrist - Urbana, Germantown and Hagerstown, MD 

Meet Office Manager Bevin Kitson of Frederick Foot & Ankle Specialists as she discusses foot care at the Urbana Office.

http://www.mynewfeet.com

At Frederick Foot & Ankle Specialists, founded in 1999 by Dr. Brenna Steinberg, we are committed to providing the highest quality of podiatric medicine and surgery for each and every patient. It is our goal to exceed your expectations. We treat any and all problems involving the foot, ankle, and soft tissue below the mid calf. From pediatrics to geriatrics, all ages are welcome.

We are an on-site durable medical equipment provider:

  • custom and pre-fabricated lower leg braces
  • over-the-counter and custom diabetic shoes
  • custom orthotics for all levels of activity
  • in-house and on-line store

Our superior service is accomplished by using latest and most effective technologies/procedures available to the podiatric profession. From the minute you place a call to us or walk through our door, you will see that we are a first-class health care facility. From our friendly, knowledgeable staff, to our paperless medical records, to our fully stocked shoe/medical products store you will know that you have chosen the right place for your lower extremity needs!

Our doctors are all Board Certified/Qualified Foot Surgeons by the American College of Foot & Ankle Surgery. This is the highest level of training and recognition by peers that a podiatric foot and ankle surgeon can receive. It is a credential that you can trust.

All of our physicians are on staff and Frederick Memorial Hospital and Shady Grove Adventist Hospital. We are on call to both emergency rooms 24 hours a day, seven days a week. We are also the on staff Podiatric Limb Salvage Specialists at the hospitals' wound care centers.

We strive to satisfy the individual foot care needs of each patient. At Frederick Foot & Ankle Specialists, our first priority is to treat your foot care needs in a manner that is most effective and most convenient for you. We offer on site x-rays and a wide variety of casts, ankle braces, splints, pads, and medications.

We want your experience to be a positive one. For those who are fearful of foot treatments, we offer needle-less cortisone therapy as well as several other pain-free treatment options. You also have the option of having your procedure performed at an outpatient facility under the care of an anesthesiologist.

Informed Patients

Frederick Foot & Ankle Specialists believes that informed patients are better prepared to make decisions regarding their health and well-being. That is why we have included an extensive section on this web site covering a full array of topics associated with podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet. 

Comfortable, Convenient Setting

We want everyone to have access to the best care available. At Frederick Foot & Ankle Specialists, we strive to make our Frederick office as efficient and convenient as possible. Included in these web pages is information about our offices, including maps, directions, hours, insurance policies and appointment scheduling. You can even email a request for an appointment right here!

We hope you find this web site useful, and we invite you to contact us with your questions at any time.

 

 

Visit our website: http://www.mynewfeet.com

  

 

B_Steinberg_Urbana_Office_.wmv Watch on Posterous

Toe Surgery Patient - Podiatrist in Frederick, Germantown, Hagerstown, MD

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Toe Surgery Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

Patient discusses the treatment she received for Toe Surgery from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

There are many kinds of toe problems requiring surgery. These include removal of:

  • Bunions, an enlargement of the bone and tissue around the joint of the big toe.
  • Hammertoes, which are frequently caused by an imbalance in the tendon or joints of the toes.
  • Neuromas, an irritation of a nerve between the third and fourth toes.
  • Bone spurs, an overgrowth of bone under the toenail plate, causing nail deformity and pain.

 

Visit our website: http://www.mynewfeet.com

 

 

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Toe Joint Replacement - Podiatrist in Frederick, Germantown and Hagerstown, MD

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Toe Joint Replacement - Podiatrist in Frederick, Germantown and Hagerstown, MD

Patient discusses the treatment he received for Toe Joint Replacement from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

There are many kinds of toe problems requiring surgery. These include removal of:

  • Bunions, an enlargement of the bone and tissue around the joint of the big toe.
  • Hammertoes, which are frequently caused by an imbalance in the tendon or joints of the toes.
  • Neuromas, an irritation of a nerve between the third and fourth toes.
  • Bone spurs, an overgrowth of bone under the toenail plate, causing nail deformity and pain.

 

Visit our website: http://www.mynewfeet.com

 

 

 

B_Steinberg_Toe_Joint_Replacement_Patient_.wmv Watch on Posterous

 

 

Plantar Fasciitis Patient - Podiatrist - Frederick, Germantown and Hagerstown, MD

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Plantar Fasciitis Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

Patient discusses the treatment she received for Plantar Fasciitis from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

 

Visit our website: http://www.mynewfeet.com

 

 

 

 

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Podiatrist, Frederick, Germantown and Hagerstown, MD - Community Outreach Coordinator

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Community Outreach Coordinator - Podiatrist, Frederick, Germantown and Hagerstown, MD

Meet Community Outreach Coordinator Kevin Wu of Frederick Foot & Ankle as he discusses foot care education.

http://www.mynewfeet.com

 At Frederick Foot & Ankle Specialists, founded in 1999 by Dr. Brenna Steinberg, we are committed to providing the highest quality of podiatric medicine and surgery for each and every patient. It is our goal to exceed your expectations. We treat any and all problems involving the foot, ankle, and soft tissue below the mid calf. From pediatrics to geriatrics, all ages are welcome.

We are an on-site durable medical equipment provider:

  • custom and pre-fabricated lower leg braces
  • over-the-counter and custom diabetic shoes
  • custom orthotics for all levels of activity
  • in-house and on-line store

Our superior service is accomplished by using latest and most effective technologies/procedures available to the podiatric profession. From the minute you place a call to us or walk through our door, you will see that we are a first-class health care facility. From our friendly, knowledgeable staff, to our paperless medical records, to our fully stocked shoe/medical products store you will know that you have chosen the right place for your lower extremity needs!

Our doctors are all Board Certified/Qualified Foot Surgeons by the American College of Foot & Ankle Surgery. This is the highest level of training and recognition by peers that a podiatric foot and ankle surgeon can receive. It is a credential that you can trust.

All of our physicians are on staff and Frederick Memorial Hospital and Shady Grove Adventist Hospital. We are on call to both emergency rooms 24 hours a day, seven days a week. We are also the on staff Podiatric Limb Salvage Specialists at the hospitals' wound care centers.

We strive to satisfy the individual foot care needs of each patient. At Frederick Foot & Ankle Specialists, our first priority is to treat your foot care needs in a manner that is most effective and most convenient for you. We offer on site x-rays and a wide variety of casts, ankle braces, splints, pads, and medications.

We want your experience to be a positive one. For those who are fearful of foot treatments, we offer needle-less cortisone therapy as well as several other pain-free treatment options. You also have the option of having your procedure performed at an outpatient facility under the care of an anesthesiologist.

Informed Patients

Frederick Foot & Ankle Specialists believes that informed patients are better prepared to make decisions regarding their health and well-being. That is why we have included an extensive section on this web site covering a full array of topics associated with podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet. 

Comfortable, Convenient Setting

We want everyone to have access to the best care available. At Frederick Foot & Ankle Specialists, we strive to make our Frederick office as efficient and convenient as possible. Included in these web pages is information about our offices, including maps, directions, hours, insurance policies and appointment scheduling. You can even email a request for an appointment right here!

We hope you find this web site useful, and we invite you to contact us with your questions at any time.

 

 

 

Visit our website: http://www.mynewfeet.com

 

 

[[posterous-content:pid___0]]

 

 

 

 

Frederick Foot & Ankle - Podiatrist - Frederick, Germantown and Hagerstown, MD - Office Manager

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Frederick Foot & Ankle - Frederick, Germantown and Hagerstown, MD - Podiatrist - Office Manager

Meet Office Manager Bevin Kitson of Frederick Foot & Ankle as she discusses foot care.

http://www.mynewfeet.com

 At Frederick Foot & Ankle Specialists, founded in 1999 by Dr. Brenna Steinberg, we are committed to providing the highest quality of podiatric medicine and surgery for each and every patient. It is our goal to exceed your expectations. We treat any and all problems involving the foot, ankle, and soft tissue below the mid calf. From pediatrics to geriatrics, all ages are welcome.

We are an on-site durable medical equipment provider:

  • custom and pre-fabricated lower leg braces
  • over-the-counter and custom diabetic shoes
  • custom orthotics for all levels of activity
  • in-house and on-line store

Our superior service is accomplished by using latest and most effective technologies/procedures available to the podiatric profession. From the minute you place a call to us or walk through our door, you will see that we are a first-class health care facility. From our friendly, knowledgeable staff, to our paperless medical records, to our fully stocked shoe/medical products store you will know that you have chosen the right place for your lower extremity needs!

Our doctors are all Board Certified/Qualified Foot Surgeons by the American College of Foot & Ankle Surgery. This is the highest level of training and recognition by peers that a podiatric foot and ankle surgeon can receive. It is a credential that you can trust.

All of our physicians are on staff and Frederick Memorial Hospital and Shady Grove Adventist Hospital. We are on call to both emergency rooms 24 hours a day, seven days a week. We are also the on staff Podiatric Limb Salvage Specialists at the hospitals' wound care centers.

We strive to satisfy the individual foot care needs of each patient. At Frederick Foot & Ankle Specialists, our first priority is to treat your foot care needs in a manner that is most effective and most convenient for you. We offer on site x-rays and a wide variety of casts, ankle braces, splints, pads, and medications.

We want your experience to be a positive one. For those who are fearful of foot treatments, we offer needle-less cortisone therapy as well as several other pain-free treatment options. You also have the option of having your procedure performed at an outpatient facility under the care of an anesthesiologist.

Informed Patients

Frederick Foot & Ankle Specialists believes that informed patients are better prepared to make decisions regarding their health and well-being. That is why we have included an extensive section on this web site covering a full array of topics associated with podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet. 

Comfortable, Convenient Setting

We want everyone to have access to the best care available. At Frederick Foot & Ankle Specialists, we strive to make our Frederick office as efficient and convenient as possible. Included in these web pages is information about our offices, including maps, directions, hours, insurance policies and appointment scheduling. You can even email a request for an appointment right here!

We hope you find this web site useful, and we invite you to contact us with your questions at any time.

 

 

 

Visit our website: http://www.mynewfeet.com

 

 

Diabetic Amputee Patient - Podiatrist in Frederick, Germantown, Hagerstown, MD

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Diabetic Amputee Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

B_Steinberg_Diabetic_Amputee_Patient_.wmv Watch on Posterous

Patient discusses the treatment she received for amputation and diabetes from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

 According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Foot problems are a big risk in diabetics. Diabetics must constantly monitor their feet or face severe consequences, including amputation.

With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts and nail problems. Get someone to help you, or use a mirror.

Here's some basic advice for taking care of your feet:

  • Always keep your feet warm.
  • Don't get your feet wet in snow or rain.
  • Don't put your feet on radiators or in front of the fireplace.
  • Don't smoke or sit cross-legged. Both decrease blood supply to your feet.
  • Don't soak your feet.
  • Don't use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet.
  • Trim your toenails straight across. Avoid cutting the corners. Use a nail file or emery board. If you find an ingrown toenail, contact our office.
  • Use quality lotion to keep the skin of your feet soft and moist, but don't put any lotion between your toes.
  • Wash your feet every day with mild soap and warm water.
  • Wear loose socks to bed.
  • Wear warm socks and shoes in winter.
  • When drying your feet, pat each foot with a towel and be careful between your toes.
  • Buy shoes that are comfortable without a "breaking in" period. Check how your shoe fits in width, length, back, bottom of heel, and sole. Avoid pointed-toe styles and high heels. Try to get shoes made with leather upper material and deep toe boxes. Wear new shoes for only two hours or less at a time. Don't wear the same pair everyday. Inspect the inside of each shoe before putting it on. Don't lace your shoes too tightly or loosely.
  • Choose socks and stockings carefully. Wear clean, dry socks every day. Avoid socks with holes or wrinkles. Thin cotton socks are more absorbent for summer wear. Square-toes socks will not squeeze your toes. Avoid stockings with elastic tops.

When your feet become numb, they are at risk for becoming deformed. One way this happens is through ulcers. Open sores may become infected. Another way is the bone condition Charcot (pronounced "sharko") foot. This is one of the most serious foot problems you can face. It warps the shape of your foot when your bones fracture and disintegrate, and yet you continue to walk on it because it doesn't hurt. Diabetic foot ulcers and early phases of Charcot fractures can be treated with a total contact cast.

The shape of your foot molds the cast. It lets your ulcer heal by distributing weight and relieving pressure. If you have Charcot foot, the cast controls your foot's movement and supports its contours if you don't put any weight on it. To use a total contact cast, you need good blood flow in your foot. The cast is changed every week or two until your foot heals. A custom-walking boot is another way to treat your Charcot foot. It supports the foot until all the swelling goes down, which can take as long as a year. You should keep from putting your weight on the Charcot foot. Surgery is considered if your deformity is too severe for a brace or shoe.

 

Visit our website: http://www.mynewfeet.com

 

Bunion Surgery Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

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Bunion Surgery Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

Patient discusses the treatment she received for Bunions from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

Bunions are progressive bone deformities of the foot that often cause recurring or chronic inflammation, irritation, and pain that require surgical correction. Surgical removal of a bunion is called a bunionectomy. However, there are multiple types of bunionectomies, each designed to resolve different structural changes caused by the deformity.

Bunion surgeries fall into two major categories:

  • Head procedures that treat the big toe joint. In a head procedure bunionectomy, the bone is cut just behind the joint, moved into its proper position, and fixed in place with a screw or pin. Head procedures are often used for patients who cannot be immobilized for long periods of time.
  • Base procedures concentrate on the bone near or behind the big toe joint. Different types of base procedures are conducted depending on the nature of the deformity. These range from cutting a wedge out of the bone and splitting it so that it can be moved into its proper position; making a semi-circular cut and rotating the bone into its correct position; or fusing the joint. Ligaments inside and outside the toe may also be treated during a base procedure.

There are three important factors that impact the success of bunion surgery:

  1. Choose a surgeon with extensive experience with bunionectomies. Because a deep understanding of the biomechanics of each patient's foot as well as the intricacies of each surgical option is needed, surgeons with more experience at doing bunionectomies are better able to help each patient achieve the best outcome.
  2. Be realistic in your expectation about what a bunionectomy can accomplish. No physician can guarantee that a bunion won't recur or that a patient will be absolutely pain free. Additionally, because of the complexity of the foot structures impacted by a bunion, patients may never be able to wear normal or slender shoes. Bunion surgery can reduce or eliminate the bone deformity, improve foot alignment and function, and prevent damage to other toes, but it does have its limitations. Be sure you understand all the possibilities before opting for this surgery.
  3. Bunion surgery is not a magic bullet.  Surgery alone may not be all that is needed to achieve your best outcome. After surgery, many patients experience long healing and recovery times and often have to spend time in physical therapy. Additionally, you may need a corrective orthotic device on an ongoing basis.

What To Expect

Most bunions surgeries today are performed on an outpatient basis at a surgical center or hospital. Set aside the entire day for the surgery, although you may only be at the facility for a half day.

Prior to the surgery, patients will need to make some preparatory arrangements. These include:

  • Seeing your Primary Care Physician (PCP) to make sure any other health conditions are stabilized prior to surgery and to document your complete medical history, which can then be given to the foot surgeon.
  • Arranging your schedule to make sure you don't need to take any long trips for at least two to three weeks following the surgery.
  • Lining up another person to drive you home and stay with you for the first 24 hours after the surgery.
  • Stopping the use of any anti-inflammatory medications, such as aspirin, ibuprofen, or acetaminophen, for five to seven days before the surgery.

The night before the surgery, you will not be able to eat or drink anything after midnight. You should also wash your foot the night before and morning of the procedure to help reduce surrounding bacteria and prevent infection.

Bunion surgery is usually performed with a local anesthetic and is administered by an anesthesiologist. This may be combined with sedation medication to put you into "twilight" so that you are fully relaxed. After the surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive the patient home.

The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients, particularly those having base procedures, may have to use crutches; others may be sent home wearing a surgical shoe. The foot will be covered in a dressing, which you will need to keep dry for up to two weeks or until the sutures are removed.

During the first week after surgery, you will need to keep the foot elevated as much as possible. Ice packs also should be applied for the first three to four days to reduce swelling. Limited ambulation or walking is required over the first two weeks to promote healing. Most patients also are instructed on some basic exercises that need to be performed daily.

Sutures are generally removed about two weeks after the surgery in the doctor’s office. Once the sutures are removed, you can bathe and shower normally, but will still need to wear a dressing over the wound to keep it clean and prevent infection.

By the third or fourth week post surgery, swelling generally subsides enough for the patient to begin wearing a wide athletic shoe. It is important to continue daily exercises. If recommended, physical therapy may be initiated at this time. Once the wound has completely closed, you can use lotions to soften the skin in the surgical area.

By week five after the surgery, you will be able to walk short distances and do mild fitness activities. Continue following your surgeons instructions for increasing exercise and activities until you are back to normal.

Visit our website: http://www.mynewfeet.com

 

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Ankle Fracture Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

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Ankle Fracture - Podiatrist in Frederick, Germantown and Hagerstown, MD

 

Patient discusses the treatment he received for Ankle Fracture from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

http://www.mynewfeet.com

 According to the American Academy of Orthopaedic Surgeons, doctors have noticed an increase in the number and severity of broken ankles since the 1970s, due, in part, to the Baby Boomer generation being active throughout every stage of their lives.

The ankle has two joints, one on top of the other, and three bones. A broken ankle can involve one or more of the bones, as well as injury to the surrounding connecting tissues or ligaments.

There are a wide variety of causes for broken ankles, most commonly a fall, an automobile accident, or sports-related trauma. Because a severe sprain can often mask the symptoms of a broken ankle, every ankle injury should be examined by a physician.

Symptoms of a broken ankle include:

·        Bruising.

·        Swelling.

·        Immediate and severe pain.

·        Inability to put any weight on the injured foot.

·        Tenderness to the touch.

·        Deformity, particularly if there is a dislocation or a fracture.

The treatment for a broken ankle usually involves a leg cast or brace if the fracture is stable. If the ligaments are also torn, or if the fracture created a loose fragment of bone that could irritate the joint, surgery may be required to secure the bones in place so they will heal properly.

 

Visit our website: http://www.mynewfeet.com

 

 

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Saturday, April 28, 2012

Laser Treatment for Fungal Toenails - Jacksonville, FL - Podiatrist Vimal Reddy, DPM

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Laser Treatment for Fungal Toenails - Podiatrist in Jacksonville, FL

Dr. Vimal Reddy of First Coast Foot and Ankle Clinic discusses Laser Treatment for Fungal Toenails.

http://www.firstcoastfootclinic.com

 Fungal nails refers to any number of fungal nail infections that can occur on the foot. Since fungal nails are usually more resistant and more difficult to treat than Athlete's Foot, topical or oral antifungal medications may be prescribed. Note: Please consult a physician before taking any medications. Permanent nail removal is another possible form of treatment for tenacious fungal nails.

Preventing Fungal Nail Infections

After a fungal nail infection has cleared up, take steps to prevent the infection from recurring. Keeping fungi at bay will help prevent a fungal infection of the skin from reinfecting the nail. Before bed, thoroughly wash and dry your feet, and apply a nonprescription antifungal cream to the entire foot from the ankle down. Use the cream every night, then gradually apply it less often. Keep your feet dry. Dry feet are less likely to become infected. Apply powder to your dry feet after you take a shower or bath.

Other suggestions for preventing fungal nails include:

  • Don't share nail clippers or nail files with others.
  • Don't share shoes or socks with others.
  • Try not to injure your nail, such as by cutting it too short (trauma to the nail may lead to infections).
  • Wear dry cotton socks and change them two or three times a day if necessary.
  • Wear dry shoes that allow air to circulate around your feet (tight, enclosed, moist shoes contribute to fungal toenail infections).
  • Wear shower sandals or shower shoes when you are at a public pool or shower.

Prevention

Follow basic foot care guidelines and, more than likely, you can head off most common foot fungus problems.

 

Visit our website: http://www.firstcoastfootclinic.com

 

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Jessica King - Community Outreach Coordinator, Jacksonville, FL- Podiatrist Vimal Reddy, DPM

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Jessica King - Community Outreach Coordinator - Podiatrist in Jacksonville, FL - Vimal Reddy DPM

 

Meet Jessica King, Community Outreach Coordinator of First Coast Foot and Ankle Clinic discusses foot health education.

 Visit our website: http://www.firstcoastfootclinic.com

 

 

 

 

 

 

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Wednesday, April 25, 2012

Children’s Foot Care - Podiatrist Monroe, Central Valley and Chester, NY

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Children’s Foot Care - Podiatrist Monroe, Chester, Central Valley, NY - Laura Piluso, DPM  

Dr. Laura Piluso discusses Children’s Foot Care.

http://www.drlauradpm.com

Choosing shoes for your children can play a critical role in their musculoskeletal development, including their posture.

In general, infants just learning to walk do not need shoes. Infants may go barefooted indoors, or wear only a pair of socks. This helps the foot grow normally and develop its muscles and strength as well as encourages the grasping ability of toes.

Once children are ready to walk as toddlers, their need for properly-fitted shoes is important. In general, a soft, pliable, roomy shoe, such as a sneaker, is ideal for all children. The toe box should provide enough space for growth and should be wide enough to allow the toes to wiggle. A finger's breadth of extra length will usually allow for about three to six months' worth of growth, though this can vary depending on your child's age and rate of growth.

Because high-top shoes tie above the ankle, they are recommended for younger children who may have trouble keeping their shoes on. Contrary to common belief, however, high-top shoes offer no advantages in terms of foot or ankle support over their low-cut counterparts.

Here are some tips when purchasing shoes for children:

  • Both feet should be measured every time you shop for new shoes since those little feet are growing. If, as is common, the feet are two different sizes, shoes should be fitted to the larger foot.
  • The child's foot should be sized while he or she is standing up with full weight-bearing.
  • There should be about one-half inch of space (or a thumb's width) between the tip of the toes and the end of the shoe. The child should be able to comfortably wiggle his or her toes in the shoe.
  • Have the child walk around the store for more than just a few minutes wearing the shoe with a normal sock. Ask the child if he or she feels any pressure spots in the shoe. Look for signs of irritation on the foot after the shoe is tested.
  • Put your hand inside the shoe and feel around for any staples or irregularities in the glue that could cause irritation. Examine where the inside stitching hits the foot.
  • Examine the shoe itself. It should have a firm heel counter (stiff material on either side of the heel), adequate cushioning of the insole, and a built-in arch. It should be flexible enough to bend where the foot bends at the ball of the foot, not in the middle of the shoe.
  • Never try to force your child's feet to fit a pair of shoes.
  • Shoes should not slip off at the heels. Children who have a tendency to sprain their ankles will do better with high-top shoes or boots.

Children who frequently remove shoes from their feet may be signaling some discomfort. Check your child's feet periodically for signs of too-tight shoes, such as redness, calluses or blisters, which will help you know when they've outgrown their shoes.

Remember that the primary purpose of shoes is to prevent injury. Shoes seldom correct children's foot deformities or change a foot's growth pattern. Casting, bracing, or surgery may be needed if a serious deformity is present. If you notice a problem, please contact our office to have your child's feet examined.

 

Visit our website: http://www.drlauradpm.com

 

 

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Diabetic Foot Care - Monroe, Chester and Central Valley, NY - Podiatrist

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Diabetic Foot Care - Podiatrist in Monroe, Chester and Central Valley, NY 

 

Laura Piluso, DPM


Dr. Laura Piluso discusses why diabetics must come in for a comprehensive foot exam to avoid the complications of diabetes.

http://www.drlauradpm.com

 

According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

 

Foot problems are a big risk in diabetics. Diabetics must constantly monitor their feet or face severe consequences, including amputation.

 

With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts and nail problems. Get someone to help you, or use a mirror.

 

Here's some basic advice for taking care of your feet:

             Always keep your feet warm.

             Don't get your feet wet in snow or rain.

             Don't put your feet on radiators or in front of the fireplace.

             Don't smoke or sit cross-legged. Both decrease blood supply to your feet.

             Don't soak your feet.

             Don't use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet.

             Trim your toenails straight across. Avoid cutting the corners. Use a nail file or emery board. If you find an ingrown toenail, contact our office.

             Use quality lotion to keep the skin of your feet soft and moist, but don't put any lotion between your toes.

             Wash your feet every day with mild soap and warm water.

             Wear loose socks to bed.

             Wear warm socks and shoes in winter.

             When drying your feet, pat each foot with a towel and be careful between your toes.

             Buy shoes that are comfortable without a "breaking in" period. Check how your shoe fits in width, length, back, bottom of heel, and sole. Avoid pointed-toe styles and high heels. Try to get shoes made with leather upper material and deep toe boxes. Wear new shoes for only two hours or less at a time. Don't wear the same pair everyday. Inspect the inside of each shoe before putting it on. Don't lace your shoes too tightly or loosely.

             Choose socks and stockings carefully. Wear clean, dry socks every day. Avoid socks with holes or wrinkles. Thin cotton socks are more absorbent for summer wear. Square-toes socks will not squeeze your toes. Avoid stockings with elastic tops.

When your feet become numb, they are at risk for becoming deformed. One way this happens is through ulcers. Open sores may become infected. Another way is the bone condition Charcot (pronounced "sharko") foot. This is one of the most serious foot problems you can face. It warps the shape of your foot when your bones fracture and disintegrate, and yet you continue to walk on it because it doesn't hurt. Diabetic foot ulcers and early phases of Charcot fractures can be treated with a total contact cast. 

 

The shape of your foot molds the cast. It lets your ulcer heal by distributing weight and relieving pressure. If you have Charcot foot, the cast controls your foot's movement and supports its contours if you don't put any weight on it. To use a total contact cast, you need good blood flow in your foot. The cast is changed every week or two until your foot heals. A custom-walking boot is another way to treat your Charcot foot. It supports the foot until all the swelling goes down, which can take as long as a year. You should keep from putting your weight on the Charcot foot. Surgery is considered if your deformity is too severe for a brace or shoe.

 

Visit our website: http://www.drlauradpm.com

 

 

 

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Laura Piluso, DPM - Heel Pain - Podiatrist Monroe, Chester, Central Valley, NY

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Laura Piluso, DPM - Heel Pain - Podiatrist Monroe, Chester, Central Valley, NY

Dr. Laura Piluso discusses the symptoms, causes and treatments for Heel Pain.

http://www.drlauradpm.com

 

Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

Visit our website: http://www.drlauradpm.com

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Podiatrist in Monroe, Chester, Central Valley, NY - Laura Piluso, DPM

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Laura Piluso, DPM - Podiatrist Monroe, Chester, Central Valley, NY  

 

Meet Podiatrist Dr. Laura Piluso as she discusses foot care.

http://www.drlauradpm.com

Welcome! Dr. Laura J. Piluso and her staff are pleased to welcome you to our practice. We want all our patients to be informed decision makers and fully understand any health issues you face. That's why we've developed a web site loaded with valuable information about podiatry and podiatric problems and treatments. We encourage you to visit this site whenever you have concerns about your feet.

Our web site also provides you with background about our, staff, office hours, insurance policies, appointment procedures, maps, directions to our office in Monroe and other useful information. We know how hectic life can be and are committed to making our practice convenient and accessible. We want you to feel confident that when you choose Dr. Laura J. Piluso D.P.M., P.C. , you're working with doctors and other professionals who are qualified, experienced and caring.

Please take a few moments to look through this site to get a better feel for Dr. Piluso's capabilities and services. We also invite you to email or call our Monroe office at any time to request an appointment or ask any questions. Thank you.

 

Visit our website: http://www.drlauradpm.com

 

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Tuesday, April 24, 2012

Nail Restoration for Toenail Fungus - Podiatrist in Lake Success and Valley Stream, NY

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Nail Restoration for Toenail Fungus - Podiatrist in Lake Success and Valley Stream, NY

 

 

 Dr. Mary Ann Bilotti of Long Island Podiatry Group discusses nail restoration with KERYFLEX. 

http://centralpodiatry.com

Toenail restoration with medically approved KERYFLEX

KeryFlex™ is a nail restoration system that uses polymer resins and special activators to create a durable, yet flexible artificial nail when exposed to a certain frequency of ultraviolet light. The interval between applications will vary according to the patient, but in general, the time between applications is six to eight weeks. KeryFlex™ is NOT a treatment for onychomycosis or related nail disorders. KeryFlex™ is a safe cosmetic application that makes a toenail appear more attractive. Patients can use nail polish and nail polish remover on a KeryFlex™ nail.Bottom of Form

 

Visit our website: http://centralpodiatry.com

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Foot and Nail Spa - Podiatrist in Lake Success and Valley Stream, NY

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Foot and Nail Spa - Podiatrist, Valley Stream and Lake Success, NY

Dr. Mary Ann Bilotti of Long Island Podiatry Group discusses their full service Foot and Nail Spa. 


 Visit our website: http://centralpodiatry.com

 

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Custom Orthotics - Podiatrist in Valley Stream and Lake Success, NY

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Custom Orthotics - Podiatrist, Valley Stream and Lake Success, NY

Dr. Mary Ann Bilotti of Long Island Podiatry Group discusses the use of Custom Orthotics. Custom Orthotics can help correct biomechanical problems of the foot to alleviate heel pain and other foot problems.

http://centralpodiatry.com

Our Orthotics are designed to fit your individual body needs and are definitely not-“one size fits all!”

Custom foot orthotics should not be confused with over the counter “arch supports”. These devises are custom fitted for you and your family at our office either by cast or foam impression or 3-d computer scanning. Orthotics are designed to correct abnormalities of gait and to decrease painful pressure on overly stressed joints, bones and ligaments.

Children can benefit greatly from wearing orthotics especially during the developmental years when bones and joint require structure and support. Adults and athletes know that orthotics can help keep them active during work and recreation and help prevent injury and in many cases the need for surgery. The elderly and diabetic population rely on custom orthotics to relieve pain and prevent potentially limb threatening ulcerations and wounds.

Orthotics can be made for dress shoes, work, sports, growing children and even CUSTOM flip flops and sandals!

Most importantly, custom orthotics are “holistic” and may reduce the need for oral medication; injections and foot surgery. They can also slow the progression of foot deformities and decrease the chances of reoccurrance after foot surgery.

Visit our website: http://centralpodiatry.com

 

 

 

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Sports Foot Injuries - Podiatrist in Lake Success and Valley Stream, NY

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Sports Foot Injuries - Podiatrist, Valley Stream and Lake Success, NY

 

 

 Dr. Mary Ann Bilotti of Long Island Podiatry Group discusses Sports Medicine.

http://centralpodiatry.com

If you visit Central Podiatry Associates, P.C., you may find yourself sitting next to a seven foot tall college basketball star or perhaps a burly 300 pound linebacker.

Since 1982, the doctors have been the team podiatrists for Fordham University's Rose Hill campus in the Bronx. Contrary to what you might think, sports injuries of the foot and ankle are on the increase. It seems every other day a major athlete is fracturing a bone or injuring a ligament.

"We are extremely busy at the college," said Dr. Bilotti. "Athletes from every sport are subject to overuse and stress injuries. For example, men and women track teams suffer from shin splints, arch pain and Runner's Knee (all treatable foot conditions)," Bilotti said.

"Whereas during football and basketball seasons, ankle sprains and stress fractures are more common."

It seems each season the busy Doctors treat student athletes from football, baseball, men and women's basketball, track and cross country. Not to mention an occasional soccer and tennis injury.

Are there really that many sports injuries related to the foot? Apparently yes; in fact. the Drs. treat an average of 15 to 25 athletes on a typical Friday afternoon. "We have been working at Fordham since 1981," says Dr. Bilotti (a former star athlete herself and a member of the Fordham University Hall of Fame) "We started out 10 years ago at the invitation of the team's athletic trainer and on the very first visit treated over 30 students. Every Friday afternoon since 1981, my husband, Dr. Caprioli, and I travel to the Bronx campus to treat the athletes before their Saturday games. Besides being team doctors we're big Fordham sports fans."

 

"Most people have no idea how valuable we are to the team," explains Dr. Caprioli. "Injury prevention is our main concern. For example, a football player on scholarship develops painful shin splints (soreness in the lower legs after running or overexertion). Before this problem progresses to a possible stress fracture, we evaluate and treat the student in this case exercise, prescription medication, and orthotics (custom foot molds to prevent excessive pulling on the skin muscles). The athlete feels better, the coach is happy not to lose a player, and the college benefits by maintaining a good athletic program."

"The Fordham campus is a beautiful oasis in the Bronx," states Dr. Caprioli. "We encourage our patients and their families to attend the home games. The university is located next to the N.Y. Botanical Gardens, The Bronx Zoo and Arthur Ave. ("Little Italy of the Bronx") a short 20 minute ride from Valley Stream (Whitestone Bridge to Hutchenson Parkway to Pelham Parkway West follow signs to Fordham University.

Mary_Ann_Biloti_Sports_Medicine_.wmv Watch on Posterous

 

 

Visit our website: http://centralpodiatry.com

 

Podiatrists in Lake Success and Valley Stream, NY - Mary Ann Bilotti, DPM and Russell Caprioli, DPM

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Podiatrists in Valley Stream and Lake Success, NY - Mary Ann Bilotti, DPM and Russell Caprioli, DPM 

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Meet Podiatrists Dr. Mary Ann Bilotti and Dr. Russell Caprioli of the Long Island Podiatry Group located in Valley Stream and Lake Success, NY

http://www.LIPods.com

Drs. Bilotti and Caprioli are a husband and wife professional team who have established an active referral based practice in Valley Stream since 1984. Dr. Bilotti completed her residency training with special emphasis on foot related orthopedics, sports medicine, and children's disorders. Dr. Caprioli completed a 2 year residency in foot surgery and diabetic limb salvage. Both doctors are Board Certified by the American Board of Podiatric Surgery and Fellows of the American College of Foot Surgeons (FACFS). They are staff members at several area hospitals and team Podiatrists for Fordham University.

Drs. Bilotti and Caprioli have authored numerous professional publications. Dr. Caprioli is Chief of Podiatry and Residency Director at Long Island Jewish Medical Center in Nassau County, NY. Dr. Bilotti is Chief of Podiatry at Franklin Hospital Medical Center


Board Certified by the American Board of Podiatric
Surgery Fellows, American College of Foot Surgeons

 

Visit our website: http://www.LIPods.com

 

 

 

 

 

 

 

 

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Fungal Toenails - Podiatrist, Lake Success and Valley Stream , NY

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Fungal Toenails - Podiatrist, Valley Stream and Lake Success, NY

 

 Dr. Mary Ann Bilotti of Long Island Podiatry Group discusses the symptoms, causes and treatments for Fungal Toenails.

http://www.LIPods.com

Laser Treatment for Toenail Fungus 

How does the laser work?

The Laser kills the fungus that lives in and under the toenail. The laser light passes through the toenail without causing damage to the nail or the surrounding skin. At the time of the procedure, the toenail will not become instantly clear, it takes time to grow out.

What can I expect in the doctor’s office?

A consultation with your doctor, the procedure to be performed and any follow-up visits as prescribed by your doctor.

Is the procedure painful?

Most people feel no pain. Some people feel a warming sensation and very few feel a pinprick.

How long does the procedure take?

The Laser procedure takes less than 30 minutes.

Will the fungus come back?

The fungus is killed after one treatment and typically the doctor recommends care techniques to reduce recurrence of the infection. There is a chance of reinfection because the fungus is present everywhere in the environment.

 

Is there a recovery period?

No. Just walk in and walk out.

When can I paint my nails or have a pedicure?

You can apply polish immediately after the treatment. It is important to remove all nail polish and nail decorations the day before your treatment.

How do I pay for the treatment?

Credit cards, cash, money orders are all accepted. You may also use your Medical IRA, Health Savings or Flexible Spending Account.

Is this covered by my insurance?

If you have a Health Savings Account or Medical IRA, 100% of the cost can be covered. However, in most situations, this procedure is considered aesthetic and therefore health insurance plans do not provide cover age.

 

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Visit our website: http://www.LIPods.com

 

 

 

 

Children’s Foot Health - Podiatrist in Valley Stream and Lake Success, NY

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Children’s Foot Health - Podiatrist, Valley Stream and Lake Success, NY

 

 

 Dr. Mary Ann Bilotti of Long Island Podiatry Group discusses Children’s Foot Care.

http://www.LIPods.com

 

Kid’s Feet

Do Your Children's Feet Have Any of These Common Foot Problems?

Pigeon Toe (intoe) An inward position of the feet when standing or walking.

Out-Toe - Child "walks like a duck."

Flatfeet - In children 3 years of older this should be evaluated.

Overlapping toes - These hereditary problems if caught early can be corrected without surgery.

Clumsiness - If your child stumbles over their own feet often it may be a sign of flat footedness or foot positional problems.

Warts, Nails and Skin Disorders - Rash, itchiness and deformed nails are common and easily treated.

Most of the above are hereditary and if evaluated early are treated without embarrassing shoes, casts or braces. We use the most modern techniques in children's foot care with complete cooperation from your pediatrician.

New Treatment for "Pigeon Toe"

We can fit your infant child with the new CRS (Counter Rotational System), developed by Langer Bio mechanics Inc., of Deer Park, NY.

The CRS allows infants to crawl while maintaining foot position. It replaces the traditional rigid type bars (Denis-Brown Bar) still commonly used today. The CRS bar is designed with hinges which allow the infant to crawl and even stand while being treated. Parents can rest easy while their child's foot problems are being treated both safely and effectively

Wheaton Brace Reduces Need to Cast Infants

"The Wheaton Brace is useful for most mild and moderate cases of tibial torsion (bowing) and metatarsus adductus ("C"-shaped feet)", states Dr. Bilotti. "We still have to resort to serial plaster casts for some stubborn cases." As with most medical problems, these conditions respond well to treatment when caught very early - especially before age one. The Wheaton Brace (Wheaton Brace Company, Carol Stream, Il) is the latest advance in the treatment of children with bowing of the lower legs (tibial torsion) and turned-in or "C" shaped feet (metatarsus adductus).

These very common foot conditions are usually present from birth and many times will resolve without treatment.

The new brace is both comfortable and effective. Prior to its inception, these conditions were treated with weekly applications of plaster casts to the infant's legs and feet. You can imagine how traumatic this is for both child and parent.

 

Visit our website: http://www.LIPods.com

 

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Hammertoes - Podiatrist, Valley Stream and Lake Success, NY

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Hammertoes - Podiatrist, Valley Stream and Lake Success, NY

 

http://www.youtube.com/watch?v=FTerjGZGcK8e s

 Dr. Mleczko of Long Island Podiatry Group discusses the symptoms, causes and treatments for Hammertoes.

Hammertoe is a deformity of the second, third, or fourth toes. In this condition, the toe is bent at the middle joint, causing it to resemble a hammer. Left untreated, hammertoes can become inflexible and require surgery. People with hammertoe may have corns or calluses on the top of the middle joint of the toe or on the tip of the toe. They may also feel pain in their toes or feet and have difficulty finding comfortable shoes.

 

Visit our website: http://www.LIPods.com

 

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Ingrown Toenails - Podiatrist in Lake Success and Valley Stream, NY

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Ingrown Toenails - Podiatrist in Lake Success and Valley Stream, NY

 

 Dr. Mleczko of Long Island Podiatry Group discusses the symptoms, causes and treatments for Ingrown Toenails.

http://www.LIPods.com

Ingrown nails are nails whose corners or sides dig painfully into the skin, often causing infection. They are frequently caused by improper nail trimming, but also by shoe pressure, injury, fungus infection, heredity, and poor foot structure.

Toenails should be trimmed straight across, slightly longer than the end of the toe, with toenail clippers.

If they become painful or infected, contact our office. We may remove the ingrown portion of the nail and if the condition reoccurs frequently, may permanently remove the nail.

 

 

Visit our website: http://www.LIPods.com

 

 

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Monday, April 23, 2012

Morton’s Neuroma - Podiatrist in Lake Success and Valley Stream, NY

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Morton’s Neuroma - Podiatrist in Valley Stream and Lake Success, NY

 Dr. Mleczko of Long Island Podiatry Group discusses the symptoms, causes and treatments for Morton’s Neuroma

http://www.LIPods.com

 

A neuroma is an enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot.  Treatments generally include wearing corrective shoes or orthotics and/or receiving cortisone injections. In severe cases, surgical removal of the growth may be necessary.

 
Visit our website: http://www.LIPods.com

 

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Foot Warts – Podiatrist in Lake Success and Valley Stream, NY

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Foot Warts – Podiatrist in Valley Stream and Lake Success, NY

 Dr. Mleczko of Long Island Podiatry Group discusses the symptoms, causes and treatments for Foot Warts (Plantar Warts).

http://www.LIPods.com

  The Truth About Laser Foot Surgery

The laser has gained recent acclaim in modern medical care. This is mostly due to the advances made in eye or cataract surgery. The laser is also used by Podiatrists for removal and correction of several common soft tissue foot problems.

The laser functions as a concentrated beam of light energy: similar to focusing the sun's rays with a magnifying glass. The laser beam itself is hot and acts on moist tissue by evaporating water contained in tissue. Therefore, it is useful in removing warts, moles and skin lesions (not bone ). The laser also can be used to remove fungal nails permanently.

Laser surgery tends to be less painful, quicker healing, and less bloody since the light beam seals bleeding vessels or cauterizes them. We want to stress that LASERS CANNOT CUT BONE, therefore, they CANNOT BE USED TO CORRECT BUNIONS, HAMMERTOES OR ANY BONE DISORDER The laser is a very useful tool for today's medical practitioner. It has specific uses and is an advantage when used together with more traditional treatments. Unfortunately, the laser does not do away with the need for anesthesia prior to surgery.


Visit our website: http://www.LIPods.com

 

 

 

 

Heel Pain - Podiatrist in Valley Stream, Lake Success, NY

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Heel Pain - Podiatrist in Valley Stream and Lake Success, NY

 

 Dr. Russell Caprioli of Long Island Podiatry Group discusses the symptoms, causes and treatments for Heel Pain.

http://www.LIPods.com

 

The most common cause of heel pain is a heel spur. A heel spur is a bony prominence located on the bottom of the heel bone (see diagram). The major cause of heel spurs is usually due to lowering of this arch or flat feet.

There is a strong ligament on the bottom of the foot called the Plantar Fascia. It is attached to the bottom of the heel bone and stretches across the sole of the foot. The heel spur which is pointed and sharp actually "digs" into this ligament and the ligament becomes inflamed and painful.

The heel spur pain fits a characteristic pattern. It is worse when first stepping on the heel in the morning. Symptoms may then ease up slightly or disappear only to begin again with the first few steps after a period of inactivity.

Initial treatment usually involves injecting the area with Cortisone to help temporarily relieve the pain. A more permanent type of treatment involves the use of custom supports called orthotics. These orthotics go into your shoes and can be transferred from one pair of shoes to another.

The combination of Cortisone injections and orthotics is usually long lasting.

There is a new treatment for this condition, called Extracorporeal Shockwave Therapy (ESWT).

 

Visit our website: http://www.LIPods.com

 

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Pre-Surgery Instructions for Foot Surgery - Podiatrist, Valley Stream and Lake Success, NY

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Pre-Surgery Instructions for Foot Surgery - Podiatrist, Valley Stream and Lake Success, NY

 

www.youtube.com/watch?v=J2cbmkTHQ2g

 Dr. Caprioli of Long Island Podiatry Group discusses Pre-Surgery Instructions for Foot Surgery.

http://www.LIPods.com

 

Drs. Bilotti and Caprioli are a husband and wife professional team who have established an active referral based practice in Valley Stream since 1984. Dr. Bilotti completed her residency training with special emphasis on foot related orthopedics, sports medicine, and children's disorders. Dr. Caprioli completed a 2 year residency in foot surgery and diabetic limb salvage. Both doctors are Board Certified by the American Board of Podiatric Surgery and Fellows of the American College of Foot Surgeons (FACFS). They are staff members at several area hospitals and team Podiatrists for Fordham University.

Visit our website: http://www.LIPods.com

 

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Shockwave Therapy for Foot Pain - Podiatrist in Valley Stream and Lake Success, NY

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Shockwave Therapy for Foot Problems and Foot Pain - Podiatrist in Valley Stream and Lake Success, NY

 Dr. Russell Caprioli of Long Island Podiatry Group discusses Shockwave Therapy for Foot Pain.

http://www.LIPods.com

 

The most common cause of heel pain is a heel spur. A heel spur is a bony prominence located on the bottom of the heel bone (see diagram). The major cause of heel spurs is usually due to lowering of this arch or flat feet.

There is a strong ligament on the bottom of the foot called the Plantar Fascia. It is attached to the bottom of the heel bone and stretches across the sole of the foot. The heel spur which is pointed and sharp actually "digs" into this ligament and the ligament becomes inflamed and painful.

The heel spur pain fits a characteristic pattern. It is worse when first stepping on the heel in the morning. Symptoms may then ease up slightly or disappear only to begin again with the first few steps after a period of inactivity.

Initial treatment usually involves injecting the area with Cortisone to help temporarily relieve the pain. A more permanent type of treatment involves the use of custom supports called orthotics. These orthotics go into your shoes and can be transferred from one pair of shoes to another.

The combination of Cortisone injections and orthotics is usually long lasting.

There is a new treatment for this condition, called Extracorporeal Shockwave Therapy (ESWT).

 

 Visit our website: http://www.LIPods.com

Russell_Caprioli_Shockwave_Therapy_.wmv Watch on Posterous

Sunday, April 15, 2012

Foot Fracture - Podiatrist in Lake Success, Valley Stream, NY

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Foot Fracture - Podiatrist, Valley Stream and Lake Success, NY

 

 Dr. Haight of Long Island Podiatry Group discusses the symptoms, causes and treatments for Foot Fractures.

http://centralpodiatry.com

 

Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.

There are two types of foot fractures: stress fractures and general bone fractures. Stress fractures usually occur in the bones of the forefoot extending from the toes to the middle of the foot. Stress fractures are like tiny cracks in the bone surface. They can happen with sudden increases in exercise (such as running or walking for longer distances or times), improper training techniques, or a change in surfaces.

Most other types of fractures extend through the bone, and are called bone fractures. They may be stable, in which there is no shift in bone alignment, or displaced, in which the bone ends no longer line up properly. Bone fractures usually result from trauma, such as dropping a heavy object on your foot, or from a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture. If the fracture does break through the skin, it is called an open fracture.

Because of the complex structures in the foot, there are some other, more specific types of fractures that can occur. For example, the fifth metatarsal, known as the little or pinky toe, is susceptible to a variety of different fractures. The relationship between the ankle and the foot can be compromised by an ankle-twisting injury, which may tear the tendon that attaches to this bone and pull a small piece of the bone away. A more serious injury in the same area is known as a Jones fracture, which occurs near the base of the bone and disrupts its blood supply. This injury may take longer to heal or require surgery.

Common symptoms for any type of foot fracture includes pain, swelling, and sometimes bruising. Be sure to seek medical attention for any suspected foot fracture.

Visit our website: http://centralpodiatry.com

 

 

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Bunion Surgery - Podiatrist - Valley Stream and Lake Success, New York

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Bunion Surgery - Podiatrist in Valley Stream and Lake Success, NY

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 Dr. Haight of Long Island Podiatry Group discusses the symptoms, causes and treatments for Bunions.

http://centralpodiatry.com

   A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Varus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Varus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions 

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain cause by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

  • The use of protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
  • Removal of corns and calluses on the foot.
  • Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
  • Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
  • Exercises to maintain joint mobility and prevent stiffness or arthritis.
  • Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

 

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Visit our website: http://centralpodiatry.com

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