(408) 370-3338

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.



The Foot Health Foundation of America offers this simple quiz to pinpoint any warning signs of foot and ankle problems: (See bottom for scoring.)

1.
 
How much time do you spend on your feet each day?
 
  a. less than 2 hours 0
  b. 2 - 4 hours 1
  c. 5 - 7 hours 2
  d. 8 hours or more 3
 
 
2.
 
How old are you?
 
  a. under 40 0
  b. between 40 and 59 1
  c. 60 and over 2
 
 
3. How would you describe your weight?  
  a. less than 20 pounds overweight or at ideal weight 0
  b. 20 - 39 pounds overweight 2
  c. 40 or more pounds overweights 3
 
 
4. Have problems with your feet or ankles ever prevented you from participating in:  
  - leisure/sports activities  
  a. yes 2
  b. no 0
  - work activities?  
  a. yes 3
  b. no 0
 
 
5. Have you ever received medical treatment for problems with your feet and/or ankles?  
  a. yes 3
  b. no 0
 
 
6. Do you regularly wear heels two inches or higher?  
  a. yes 2
  b. no 0
 
 
7. What types of exercise do you engage in or plan to engage in? (check all that apply)  
  a. walking 1
  b. field sports (e.g., softball, golf) 2
  c. winter sports (e.g., skiing, ice skating) 2
  d. court sports (e.g., tennis, basketball) 3
  e. aerobics 3
  f. running 3
  g. none (if you shose answer g, skip to question 11) 0
 
 
8. Do you have the appropriate shoes for your sport or sports?  
  a. yes 0
  b. no 3
 
 
9. Do you experience foot or ankle pain when walking or exercising?  
  a. rarely 1
  b. sometimes 2
  c. often 3
  d. never 0
 
 
10. Do you:  
  - exercise in footwear that is more than one year old or in hand-me-down footwear?  
  a. yes 3
  - stretch properly before and after exercising?  
  a. yes 0
  b. no 3
 
 
11. Do you:  
  - have diabetes?  
  a. yes 3
  b. no 0
  - experience numbness and/or burning in your feet?  
  a. yes 3
  b. no 0
  - have a family history of diabetes?  
  a. yes 2
  b. no 0
 
 
12. Do You: (Mark all that apply)  
  - sprain your ankles frequently (once a year or more) or are your ankles weak?  
  a. yes 2
  b. no 0
  - have flat feet or excessively high arches?  
  a. yes 2
  b. no 0
  - experience pain in the achilles tendon or heel or have shin splints
(pain in the front lower leg)?
 
  a. yes 2
  b. no 0
  - have corns, calluses, bunions or hammertoes?  
  a. yes 3
  b. no 0
  - have arthritis or joint pain in your feet?  
  a. yes 3
  b. no 0
  - have poor circulation or cramping in your legs?  
  a. yes 3
  b. no 0

 

Scoring

0-20 Points: Congratulations! Your feet and ankles are very healthy and you can maintain your active lifestyle and/or exercise regimen. With proper attention and care your feet and ankles should remain healthy; however, you may want to schedule an annual exam with a podiatric physician to ensure their long-term health. Furthermore, if you scored points for questions 4, 5, 9, 11 or 12 you should consider visiting a podiatric physician in the near future for a check-up.

21 - 40 Points: Pay Attention. Your feet and ankles are showing signs of wear, placing you in the moderate risk category. Although you can continue your normal activities, you should strongly consider visiting a podiatric physician for a check-up. If you participate in a rigorous exercise regimen on a regular basis or plan to - or if you scored points for questions 4, 5, 9, 11 or 12 - you should visit a podiatric physician soon to safeguard your foot and ankle health.

41 Points or Higher: Caution. Your feet and ankles are at high risk for long-term medical problems and you should contact our office as soon as possible. If you exercise, you should pay particular attention to your feet and ankles until you are seen by our practice. If you have not begun exercising, it is advisable to contact our office before undertaking any type of exercise.

Now that you've assessed the health of your feet and ankles, you are armed with knowledge that will enable you to maintain their health over a lifetime.

Please note: Even if you scored well, this self assessment is not a substitute for a physical exam.