The Center for Podiatric Care and Sports Medicine

Other Procedures

Geriatrics

Older patients have distinct foot problems usually related to circulatory impairment or arthritis. Routine visits help to monitor secondary foot disorders and prevent further complications.

Pediatrics

Pediatric Foot Care | Diabetic Foot Care | Westchester County | White Plains

Growth should not be a painful process. Soreness and cramping in the feet and legs are not normal. Often parents are told that their children may “grow out of it.” This may be true in some cases but a level of reassurance from a specialist can go a long way in easing a parents’ concern. We encourage parents to have their children examined annually. Childhood foot conditions like flat feet, curved feet, toe walking, in-toeing and out-toeing, can cause the child to walk or run in ways that are unnatural. This can lead to more serious foot, leg and motor problems later in life.

Orthotics

Orthotics are a custom-made biomechanical device fabricated from a plaster cast of your foot. Structural deficiencies and damaging compensatory habits can be modified with the use of properly fitted orthotics.

Orthotics are molded right at our facilities and take less than 30 minutes to be fitted. It then takes a few days for the orthotics to be created from the cast.

Ankle Joint Replacement

Although not as common as other joint problems, the ankle can suffer from severe pain, stiffness, loss of motion and other symptoms that leave patients unable to walk or stand. Severely damaged ankle joints may benefit from joint replacement surgery. This procedure is typically performed on older patients who don’t place much of a demand on their ankles.

Ankle replacement surgery uses prosthetic material to restore full, painless ankle motion to patients with arthritis or other injuries. Metal and plastic prosthetics are attached to the ends of the shin and ankle bones to act as a new ankle joint and relieve joint pain. Function can be brought back through physical therapy and minimal activity that helps strengthen the new joint.

Fracture Care

Like any other bone in the body, any of the 26 bones in each foot can be fractured as a result of a fall, twist or trauma to the area. Foot fractures can range from a slight crack in the bone to a complete break that goes through the skin, and often cause severe pain that is worse while standing or walking.

Treatment for foot fractures depends on the location and type of injury. Stress fractures in the toes or metatarsals can be treated by resting and avoiding stress on the area, while a fracture of the mid-foot, heel or ankle may require surgery. A cast and crutches are required for most foot fractures.

Pediatric Foot Care

Most parents worry about each part of their developing child’s body, and the feet should be no exception. Learning proper techniques for using and caring for your feet is an essential part of maintaining strong, healthy feet throughout your life. Many adult foot problems originate during childhood, so it is important to see a professional regularly in order to prevent long-term problems from occurring.

Our foot doctors can treat a wide range of foot problems commonly found in children such as heel pain, arch pain, ingrown toenails, warts and flat feet. We also correct early walking abnormalities such as toeing in or out or knock knees. Children should be seen for regular foot care regardless of if they have current foot problems or not.

Diabetic Foot Care

Pediatric Foot Care | Diabetic Foot Care | Westchester County | White Plains

People with diabetes are at high risk for developing problems with their feet. More than half of diabetics lose sensation in their feet due to nerve or blood vessel damage, and can hurt themselves without knowing it. Diabetes also slows the healing process, often turning minor injuries into life-threatening conditions. Even the smallest of foot injuries, such as a blister or ingrown toenail can lead to a serious infection or tissue death.

It is important to inspect your feet on a daily basis and see your doctor regularly if you have diabetes. Our doctors are experienced in treating a wide range of diabetic foot conditions to ensure quick and thorough treatment in order to prevent further complications.

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PinPointe™ FootLaser™

The PinPointe FootLaser 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.

Is the procedure painful?
Most people feel no pain. Some people feel a warming sensation and very few feel a pinprick.

Is there a recovery period?
No. Just walk in and walk out.

Is it FDA cleared?
Yes. It is cleared by the FDA

How long does the procedure take?
The FootLaser 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.

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.

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 coverage.

Clinical Study

12-Month Multi-Site Private Practice Retrospective Study Summary Demonstrates Steady Reduction in Legion size for Patients with Onychomycosis.

This muti-site retrospective study was conducted in five private parties on the Uk and the USA on 458 great toes from 265 sequential patients with onychomycosis that received a single 2 pass-treamtment with a Pin Pointe- Laser™ Footlaser™.

  • There is continous improvement in nail appearance to at least 12-months. The graph shows averages for each of five practices.
  • Statistical test of efficacy are highly significant(P<0.001)
  • This large sample includes sequential patients and results include those patients with no or minimal treatment respons
  • Sites report that many patients with a complete resolution are not included because they were lost to follow-up.
  • 71.4% of patients experienced continuous improvement in clear nail area.

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Extracorporeal Pulse Activation Treatment (EPAT®)

Extracorporeal pulse activation treatment (EPAT®) Westchester County

Extracorporeal pulse activation treatment (EPAT®) is a noninvasive, FDA-approved procedure used to treat muscle and tendon pain by stimulating blood circulation and promoting proper healing in patients with acute or chronic pain in their back, neck, shoulder, foot, ankle or other common areas of pain.

How is EPAT performed?
During the EPAT procedure, gel is applied to the targeted area, before the device applicator is moved over the area in circular motions. The applicator delivers pressure waves into the painful area to gradually regenerate the damaged tissue.

How long does this treatment take?
EPAT treatment sessions usually last about 15 minutes, and most patients will require three sessions performed at weekly intervals in order to achieve their desired results.

Extracorporeal pulse activation treatment (EPAT®) machine Westchester County

What are the results of this EPAT?
After EPAT, some patients may experience immediate pain relief, while for others, it may take up to four weeks before significant relief is felt. Over 80 percent of patients report a complete or substantial reduction in pain with the EPAT treatment.

Is EPAT covered by insurance?
In most cases, EPAT is not covered by insurance, although some patients may be able to use their employer’s Flexible Payment Medical Savings Account to cover this treatment. Patients can also take advantage of our Elective Payment plan to make the EPAT more affordable.

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10 Benefits of MLS® Laser Therapy

  1. Anti-Inflammatory: MLS® Laser Therapy has an anti-edema effect as it causes vasodilation, but also because it activates the lymphatic drainage system which drains swollen areas. As a result, there is a reduction in swelling caused by bruising or inflammation.
  2. Analgesic: MLS® Laser Therapy has a beneficial effect on nerve cells. It blocks pain transmitted by these cells to the brain which decreases nerve sensitivity. Also, due to the decreased inflammation, there is less edema and less pain. Another pain blocking mechanism involves the production of high levels of pain killing chemicals such as endorphins and enkephalin from the brain and adrenal gland.
  3. Accelerated Tissue Repair and Cell Growth: Photons of light from lasers penetrate deeply into tissue and accelerate cellular reproduction and growth. The laser light increases the energy available to the cell so that the cell can take on nutrients faster and get rid of waste products. As a result of exposure to laser light, damaged cells are repaired faster.
  4. Improved Vascular Activity: Laser light will significantly increase the formation of new capillaries in damaged tissue which speeds up the healing process, closes wounds quickly and reduces scar tissue. Additional benefits include acceleration of angiogenesis, which causes temporary vasodilation and increase in the diameter of blood vessels.
  5. Increases Metabolic Activity: MLS® Laser Therapy creates higher outputs of specific enzymes, greater oxygen and food particle loads for blood cells.
  6. Trigger Points and Acupuncture Points: MLS® Laser Therapy stimulates muscle trigger points and acupuncture points on a noninvasive basis providing musculoskeletal pain relief.
  7. Reduced Fibrous Tissue Formation: MLS® Laser Therapy reduces the formation of scar tissue following tissue damage from cuts, scratches, burns or surgery.
  8. Improved Nerve Function: Slow recovery of nerve functions in damaged tissue can result in numbness and impaired limbs. Laser light speeds the process of nerve cell reconnection and increase the amplitude of action potentials to optimize muscle healing.
  9. Immunoregulation: Laser light has a direct effect on immunity status by stimulating immunoglobulins and lymphocytes. Laser emissions are absorbed by chromophores (molecule enzymes) that react to laser light. Upon exposure to the laser, the enzyme flavomononucleotide is activated and starts the production of ATP (adenosinetriphosphate), which is the major carrier of cell energy and the energy source for all chemical reactions in the cells.
  10. Faster Wound Healing: Laser light stimulates fibroblast development in damaged tissue. Fibroblasts are the building blocks of collagen, which is the essential protein required to replace old tissue or to repair tissue injuries. As a result, MLS® Laser Therapy is effective post surgically and in the treatment of open wounds and burns.

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MLS Laser Therapy:
Get back to your active life
Click here to view an informative brochure about MLS Laser Therapy

Toe Joint Replacement for Arthritis

The big toe joint undergoes a tremendous amount of stress and as a result there can be a loss of cartilage. This loss of cartilage reduces the joints ability to absorb shock and can be a frequent cause of big toe joint pain and loss of motion. It is not usual to find bone on bone contact with cartilage fissuring, cartilage erosion and loose joint bodies in the joint with arthritis.

Severely damaged big toe joints may benefit from partial or total joint replacement or resurfacing.

The joint replacement uses prosthetic material to restore partial or full painless big toe joint motion in patients with arthritis or other injuries. Metal and or plastics are attached to the ends of the 1st metatarsal and/or phalanx to act as a new big toe joint and relieve joint pain. Big toe joint replacement has existed in one form or another for 40 years and is one of the most successful foot surgeries performed by foot surgeons.

Click here to make an appointment for an evaluation.