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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.



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 Valgus). 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 Valgus. 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 caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

  • 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.