Podiatrist - Campbell
131 East Hamilton Ave.
Campbell, California 95008
(408) 370-3338
Corrective and Prescription Shoes
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.
Fungal Nail Laser Treatments
New patented laser technology kills the pathogens that cause toenail fungus.
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.
Proper footwear is an important part of an overall treatment program for people with diabetes, even at the earliest stages of the disease. If there is any evidence of neuropathy, wearing the right footwear is crucial.
As a general rule, people with diabetes should choose shoes that:
- Accommodate, stabilize, and support deformities, such as Charcot Foot, loss of fatty tissue, hammertoes, and amputations. Many deformities need to be stabilized to relieve pain and avoid further damage. In addition, some deformities may need to be controlled or supported to decrease further progression of the deformity.
- Limit motion of joints. Limiting the motion of certain joints in the foot can decrease inflammation, relieve pain, and result in a more stable and functional foot.
- Reduce shock and shear. A reduction in the overall amount of vertical pressure, or shock, on the bottom of the foot is desirable, as well as a reduction of horizontal movement of the foot within the shoe, or shear.
- Relieve areas of excessive pressure. Any area where there is excessive pressure on the foot can lead to skin breakdown or ulcers. Footwear should help to relieve these high pressure areas, and therefore reduce the occurrence of related problems.
Prescription Footwear
Many diabetics need special prescription footwear. The various types include:
- Custom-made shoes. When extremely severe deformities are present, a custom-made shoe can be constructed from a cast or model of the patient's foot. With extensive modifications of in-depth shoes, even the most severe deformities can usually be accommodated.
- External shoe modifications. In these cases, the outside of the shoe is modified in some way, such as adjusting the shape of the sole or adding shock-absorbing or stabilizing materials.
- Healing shoes. Immediately following surgery or ulcer treatment, special shoes may be necessary before a regular shoe can be worn. These include custom sandals (open toe), heat-moldable healing shoes (closed toe), and post-operative shoes.
- In-depth shoes. An in-depth shoe is the basis for most footwear prescriptions. It is generally an oxford-type or athletic shoe with an additional 1/4-inch to 1/2-inch of depth throughout the shoe. This extra volume accommodates inserts, or orthotics, as well as deformities commonly associated with a diabetic foot. In-depth shoes are usually designed to be light in weight, have shock-absorbing soles, and come in a wide range of shapes and sizes to accommodate virtually any foot.
- Orthoses or shoe inserts. Also known as orthotics, an orthosis is a removable insole which provides pressure relief and shock absorption. Both pre-made and custom-made orthotics or shoe inserts are commonly recommended for patients with diabetes, including a special total contact orthosis, which is made from a model of the patient's foot and offers a high level of comfort and pressure relief.