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Shock Wave (ESWT) and Extracorporeal Pulse Activation Treatment or EPAT
Extracorporeal Pulse Activation Treatment or EPAT uses pressure waves to stimulate the metabolism, enhance blood circulation and accelerate the healing process. Tissue gradually regenerates and eventually heals. This non-invasive treatment can be used for acute or chronic plantar fasciitis, Achilles tendonitis, shin splints and other tendon/muscle pains.

5th Toe Fracture Splinting Technique

Neuromas
The term neuroma actually refers to a benign tumor in the foot. Standard treatments such as cortisone injections and surgery have led to less than optimal results. Chemical Neurolysis also known as Alcohol Sclerosis is a more effective treatment option for these painful nerve conditions. It has also proven effective for patients who have undergone previous surgical treatment with recurrence of the painful nerve also known as a stump neuroma.

Podiatric Diagnostic Ultrasound
We are one of the very few Podiatry offices that offer Diagnostic Ultrasound. This instrument will aid us in the analysis and visualization of soft tissue diseases of the foot and ankle. Foot conditions such as heel spurs, plantar fasciitis, bursitis, Achilles tendonitis, plantar fibromas, Morton's neuroma, arthritis, cystic masses, and even ankle sprains and strains can be treated more easily with this specialized diagnostic instrumentation. With the help of this machine, pain from these problems can be directly noted and properly taken care of.

How does Ultrasound Diagnostics work?
Ultrasound diagnostics is performed with high frequency sound waves - higher than the range of human hearing. Visualization of soft tissue structures is created when the ultrasound beam is transmitted into the foot and echoes are reflected from these structures. The echoes are then viewed on a small television-like screen.
Just as expecting mothers can view their unborn baby in the womb by use of ultrasound, podiatrists can observe the soft tissue of the foot. This examination is completely painless and can be performed in less than a half hour. Most insurance companies cover this procedure.
How will this new procedure benefit you?

  • Diagnostic Ultrasound is less expensive than MRIs
  • This procedure can be done in the office
  • This instrument allows us to treat your foot condition faster and more efficiently
  • This procedure is quick and completely painless
  • There are no risks to pregnant women who receive this examination

If you are suffering from chronic foot pain, we urge you to schedule a visit to our office. This new procedure could help in obtaining an accurate diagnosis of your foot or ankle condition.



Chronic lateral ankle pain is recurring or chronic pain on the outside part of the ankle that often develops after an injury such as a sprained ankle.

Signs and symptoms include:

  • Ankle instability.
  • Difficulty walking on uneven ground or in high heels.
  • Pain, sometimes intense, on the outer side of the ankle.
  • Repeated ankle sprains.
  • Stiffness.
  • Swelling.
  • Tenderness.

Although ankle sprains are the most common cause of chronic lateral ankle pain, other causes may include:

  • A fracture in one of the bones that make up the ankle joint.
  • Arthritis of the ankle joint.
  • Inflammation of the joint lining.
  • Injury to the nerves that pass through the ankle. In this case, the nerves become stretched, torn, injured by a direct blow, or pinched under pressure.
  • Scar tissue in the ankle after a sprain. The scar tissue takes up space in the joint, putting pressure on the ligaments.
  • Torn or inflamed tendon.

Treatments for chronic lateral ankle pain include:

  • Over the counter or prescription anti-inflammatory medications to reduce swelling. Note: Please consult your physician before taking any medications.
  • Physical therapy, including tilt-board exercises that focus on strengthening the muscles, restoring range of motion, and increasing your perception of joint position.
  • Ankle braces or other supports.
  • Steroid medication.
  • Immobilization to allow the bone to heal (in cases of fractures).