The word “amputation” strikes fear in the hearts of patients with foot pain and injury. As such, it’s not a word we like to use very often here in the office. We offer the most advanced technology geared toward alleviating pain, treating the root cause of foot and ankle injuries, and salvaging limbs. Yet, we feel it’s also important to clarify that amputation isn’t what it was even twenty years ago. As the NY Times reports, many New Yorkers are choosing to lose their limbs in favor of the latest prosthetic technology to lead more active lifestyles.
Casts are common immobilization devices used in White Plains podiatry. Unfortunately, a cast can form a very unappealing odor in a matter of days. The unpleasant odor occurs when the cast becomes wet or moist for any reason. Moisture, particularly sweat, feeds the bacteria on your skin’s surface, resulting in that awful odor. While you may be doing an excellent job keeping your cast out of water, sweating can still cause you to feel self-conscious. Our NY foot surgeons have a few tips for getting through this challenging time in your recovery.
Looking for a plantar fasciitis treatment that’s on the cutting edge of science? Wonder how professional athletes rebound from chronic pain and get back into the game so fast? AmnioFix®by MiMedx is a NYC sports medicine doctor’s “secret weapon.” We offer this revolutionary product to patients at our White Plains and Manhattan offices, particularly those who are experiencing slow healing of the plantar fascia tissue.
Sports are a leading cause of injury among high school students, but did you know sports trauma is a leading cause of addiction among student athletes? WKRN News, based out of Tennessee, reports that kids who play sports have a higher than average chance of being prescribed hydrocodone, oxycodone and other potentially addictive opioid drugs following an injury. Long term usage of these potent drugs can result in physical dependence that can be challenging to overcome.
The 18-to-25 demographic is also impacted by another opioid: heroin. Many users report that they transitioned from prescription painkillers to heroin after their physicians cut off access to prescribed medications. This age demographic accounts for one of the fastest-growing population segments seeking help at addiction treatment facilities. Many of these patients were once athletes, according to Dean Porterfield, Director of Adolescent and Young Men’s Services.
This frightening reality has many concerned parents seeking sports medicine clinics that offer alternatives to prescription painkillers to lower a teen athlete’s risk of addiction. The Center For Podiatric Care & Sports Medicine, with offices in Manhattan and White Plains, offers a number of innovative therapies to address foot and ankle injuries without the usage of opioid drugs.
Generally, a low-intensity laser is applied to the injured tissue for a very short duration, at a frequency of several times per week for a few weeks. This process increases the production of adenosine triphosphate (ATP), which the cells utilize to generate energy. The cells can harness this energy to bring about faster healing.
The cell membranes also become more permeable, which means waste products can travel out of the cell more effectively, while nutrition enters the cell with greater ease. A number of positive effects have been observed in patients, including reduced inflammation, decreases in nerve irritability and increased circulation. Across the entire body, it is not uncommon to see a boost in immune cell numbers, improved nerve function and increased production of endorphins, which serve as the body’s natural painkiller.
Continue reading to learn about four of the applications of laser therapy in our White Plains podiatry practice…
Osteoarthritis (OA) affects roughly 27 million Americans. Not surprisingly, the foot is one of the most common areas affected by joint cartilage degradation that can result from OA. OA is not merely a matter of “inevitable wear and tear” as we age; rather, it’s a disease process that is a result of many factors such as genetics, excess weight, tendon and ligament injuries, and the presence of other disorders such as acromegaly (a condition involving abnormal growth of the hands and feet) or hemochromatosis (a condition involving joint damage from excess iron.)
As osteoarthritis worsens over time, the bones can break down, causing chips (called “bone spurs”) that float around inside the joint. In response, inflammation occurs, prompting the accumulation of proteins and enzymes that further erode the cartilage. In the final stages of OA, there is no soft tissue remaining in the joint — just bone rubbing up against bone, which accelerates joint damage and causes excruciating pain.
The NYC foot surgeons at The Center For Podiatric Care and Sports Medicine are excited about the U.S. Food and Drug Administration’s (FDA) approval of a new synthetic cartilage that can be used in the treatment of osteoarthritis involving the foot and toe, offering these patients a pain-free step forward for the first time in years.
We are blessed to live in New York City, where the food is amazing and there are ample places to run. If you like to eat in this city, you pretty much have to run to keep your physique in order! There are races every month to keep you busy. Food runs have been a popular pastime among college students who love daring each other to accomplish wacky feats. So far, there are two foodie races in NYC to choose from this — the New York City Pizza Run and the New York City Cupcake Run — and for good cause.
Injuries and high-level competition seem to go hand-in-hand. After their embarrassing stomping at the Super Bowl, fans are looking for any explanation for the historic loss. Not only did Center Alex Mack suffer a fractured fibula, but All-Pro wide receiver Julio Jones also “faces the prospect” of toe surgery after being dogged by a sprain since Week 10. NYC podiatrists discuss what happened to Jones, and what this type of injury could mean for an athlete’s near future.
Foot amputations are relatively rare. Each year, podiatric surgeons perform 185,000 of these procedures as a last resort to save a patient’s life. Just over half of foot amputations are due to vascular diseases, such as diabetes or periphery arterial disease. The other half of limb losses are due to trauma. Less than 2% of cases are related to cancer. No matter the reason, it is one of the most emotional decisions any doctor or any patient has to go through. The patient’s mental state is of utmost importance to recovery, so we like to share stories of extraordinary people across America who have found a way to cope. An inspirational story comes to us out of El Reno, Oklahoma, where a woman has taken to Instagram to spread her cancer prevention message in a most unconventional way.
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
– J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY 10601 (914) 328-3400 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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