Treating Various Ankle and Foot Conditions

In our clinics, we diagnose and treat most foot and ankle problems using the latest technology. We also offer surgical procedures for those that need treatment outside of the medical office setting.

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We also offer wound care, especially for patients with diabetes in the early or severe stage. The conditions that we treat include but are not limited to:

  • Toenail Fungus
  • Heel Pain
  • Bunions
  • Flat Feet
  • Ingrown Toenail
  • Hammer Toe
  • Diabetic Foot
  • Sports Injuries
Ingrown Toenail
Ingrown toenail

An ingrown toenail is a nail that is curved and has grown into the skin, and it can be with or without infection. This condition can be caused by tight shoes, nail injuries, and the improper trimming of nails as well as deformed thick nails caused by fungal infections.

Treatment

Your foot and ankle specialist can perform a simple procedure to remove the ingrown part of the nail and the infected tissue surrounding the nail. You also have to be treated for the infection using oral antibiotics.

Heel Pain (Plantar Fasciitis)

Plantar fasciitis is the term commonly used to refer to heel and arch pain. This condition is sometimes referred to as the heel spur syndrome. Plantar fasciitis is an inflammation of a ligament called the plantar fascia, which extends from the heel to the toes.

The most common cause of heel pain is the faulty structure of the foot. This condition is evident in people who have flat feet or high arches.

Heel pain may also occur due to other causes such as nerve entrapment and tendonitis as well as bone and joint pathology including fractures and arthritis.

People with plantar fasciitis often describe the pain to be worse when they wake up and get out of bed or go from sitting for an extended period to walking. Their first few steps are painful, but as they continue walking, the pain subsides. This pain can come back if they are on their feet for a long time.

To distinguish between different types and causes of the heel pain, our foot and ankle specialist will examine the patient and use diagnostic modalities such as x-rays or MRI studies.

Treatment

The treatment for heel pain involves one or more techniques such as stretching exercises, cortisone injections into the painful site, ice massages, custom-made foot orthotics (arch supports), physical therapy sessions, and lastly, laser therapy—the newest pain-free and highly successful technique.

If conservative treatment fails, surgical treatment is our next option. This involves the release of some of the fibers from plantar fascia ligament. However, the majority of the patients often opt to have their pain resolved through nonsurgical methods.

Toenail Fungus 
Toenail Fungus

What causes toenail infection?

A fungus is an organism that lives in warm, moist areas, and they can be found in various environment. They can cause infection to people of all ages. The most common fungi responsible for nail infections are dermatophytes such as Trichophyton rubrum, Trichophyton Mentagrophytes, and Epidermophyton floccosum.

Common sources of the dermatophytes are public places such as swimming pool areas, public showers, nail spas, gyms, and locker rooms. Sometimes, trauma to the nails can also cause a fungal infection to nails. When infected, nails will start changing colors (yellow, brown, green, or any combination of the three), and they become thick, crumbly, and separated from the nail bed.

Treatment for Nail Fungus

Laser treatment involves the newest techniques to remediate nail fungus. The laser light passes through the nail and gets absorbed by the pigment in the fungi, exposing it to heat and killing it. This treatment can promote the normal growth of the nail. The success rate with laser treatment is very high, and the procedure is painless. There are no age limits to the patients who can benefit from this procedure, which takes 10–15 minutes to perform. Additionally, there are no known side effects associated with the laser.

We can recommend oral drugs that you need to take for 12 weeks. These drugs are not used for younger individuals and patients with poor health or liver disease.

When applicable, our physician offers topical medications that are applied directly to the nails for 12 months or more. They are less effective in clearing the nails, especially if the nails are thickened due to fungal infection.

Flat Feet
Flat feet

One-third of the population suffers from flat feet. An arch should develop when children start standing on their toes and continue to grow throughout childhood. By the time they reach adulthood, most people should have developed normal arches. Most flat feet in children and young adults are flexible and very responsive to various treatments.

Another type of flat feet, which occurs in adults, is called fallen arches or Posterior Tibial Tendon Dysfunction. It is a painful progressive flatfoot, which refers to inflammation of the main arch supporting tendon (Posterior Tibial Tendon). This condition arises when the tendon becomes stretched, inflamed, or torn. If not treated, flat feet can lead to chronic and severe pain.

Treatment

Nonsurgical

  • Custom-Made Foot Orthotics
  • Physical Therapy
  • Nonsteroidal Anti-Inflammatory Medications

Surgical

For patients that do not respond to nonsurgical methods, surgical treatments are also available. These include tendon repairs or bone realignments in the rear foot.

Bunions
Bunions

A bunion or hallux abducto valgus is a bone deformity caused by an enlargement of the joint at the base of the big toe. This condition occurs when the big toe moves out of place. In turn, this throws the bones out of alignment, producing the bunion bump. The visible bump reflects changes in the bone framework of the front of the foot.

The growing bump or protuberance then causes more irritation, rubbing, and friction against the shoes, which can cause inflammation and pain. Bunions do not go away, and they progressively get worse unless they are treated.

Treatment

We offer nonsurgical treatment options such as custom-made foot orthotics (arch supports), protective paddings, and night splints. Depending on the size of the enlargement, misalignment of the bones, and the age of the patient, a surgical treatment or bunionectomy may be used to remove the bunion and realign the toe.

Diabetic Care

We understand that most patients with diabetes can experience moderate to severe foot problems. For this reason, one of the services that we are proud to offer is diabetic care.

Diabetes can cause serious foot problems such as numbness and wounds as well as toenail loss and foot amputation if not cared for properly. We strongly believe in preventative care and recommend continuous visits to a podiatrist office for routine checkup and care including trimming toenails professionally and getting the right diabetic shoes.

We offer preventative care for dietetic patients to avoid small and big problems caused by foot conditions. In addition, we provide complete foot care for those who are already experiencing diabetes-related foot problems.