- MRI + CT scan
SPECT-CT technology can be applied in musculoskeletal imaging. A Technetium isotope scan is superimposed upon a three dimensional CT scan. With the advances in technology and the production of a single image showing accurately localised and superimposed biological activity and radiological detail, maybe this is the usable form of co-registration.
- Bone Scan
- Joint Arthrogram
Arthrography of the ankle is a simple, safe, and effective method of studying certain aspects of the normal and pathological anatomy of the ankle joint. In cases where are diagnosis appears obscure, the method has frequently proved of benefit in establishing the proper diagnosis. For the following uses arthrography is accurate and gives reproducible results:
To determine the site and extent of soft-tissue injury. It is particularly valuable in determining tears of the distal anterior tibiofibular ligaments.
To demonstrate the presence and location of collateral ligamentous tears when stress studies are difficult to perform.
To help ascertain if a lesion is old or recent.
To study the normal variation in anatomy and function of the ankle joint.
- Digital Radiography
Weightbearing x-rays are always required when pathomechanics are suspected to further analyze alignment of the foot and ankle to look for the root cause.
- Biomechanical Examinations
- Diagnostic Ultrasound
- EMG and Nerve Conduction Testing
- Neuropathy Testing – Nerve Fiber Density Biopsy
- Physical Therapy
- Shoe Modifications Options
- Custom molded Orthotics using 3D printing and custom hand molded using plaster
- Custom molded ankle brace
- Keryflex – Nail Restoration System
KeryFlex is a safe, nonsystemic in-office application that restores the appearance of patient’s natural nails. The product allows the podiatrist to remodel patients’ nails affected by fungus, nail dystrophies and trauma. The patented resin creates a flexible, non-porous nail that allows the remaining natural nails to grow. The KeryFlex nail provides a natural looking nail during oral antifungal therapies. It also provides an immediate cosmetic improvement to compliment laser fungal treatments. The KeryFlex nail is durable and unaffected by acetone, nail polishes or detergents. Restore patient’s appearance and confidence while growing your practice with the KeryFlex Nail Restoration System.
- Total Ankle Replacement
Replacement of the ankle joint with an artificial implant is designed to treat painful conditions of the ankle, such as arthritis.
Prolotherapy, also called proliferation therapy is an alternative medicine treatment that uses injection of an irritant solution into ligaments or tendon insertion in an effort to relieve pain.
- Dry Needling
Dry Needling is a western form of “Acupuncture” and this treatment has been described using many names. Dry Needling is the most current term. Modern Dry Needling is based on western neuroanatomy and modern scientific study of the musculoskeletal and nervous system. Volumes of research have been written on the subject of Dry Needling by several physicians (Janet Travell, MD, David Simons, MD, Peter Baldry, MD, and Karel Lewit, MD).
- Wet and Dry Cupping
Cupping therapy is an ancient form of therapy in which a local suction is created on the skin; practitioners believe this mobilizes blood flow in order to promote healing. Suction is created using heat or mechanical devices.
- Joint Fluid Therapy
In this procedure, a gel-like fluid called hyaluronic acid is injected into the knee joint. Hyaluronic acid is a naturally occurring substance found in the synovial fluid surrounding joints. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. People with osteoarthritis have a lower-than-normal concentration of hyaluronic acid in their joints. The theory is that adding hyaluronic acid to the arthritic joint will facilitate movement and reduce pain. (AAOS.org)
The Pillows for feet® procedure employs dermal fillers to provide additional cushioning in the ball of the foot, ‘ fillers ‘ and have been used for many years to enhance facial features, the face also loses fat as part of the ageing process.
The technique involves introducing these implants into the sole of your foot to restore lost volume caused by the ageing process. This will make walking in heels more comfortable.
- Laser Nail and Skin
- Minimally Invasive Surgery (MIS)
Minimally invasive foot surgery requires very small openings in the skin one can, correctly, conclude that the soft tissue damage is less extensive and therefore the pain and swelling after surgery is greatly lessened. This is very appealing to most of our patients since they desire very little downtime and do not want any inhibition of their lifestyle after surgery. Although minimally invasive foot surgery can be applied to many different foot conditions, it is important to note that not all patients will qualify for the surgery. It is not a solution for every type of foot problem but it does have its place when applicable.
- Radiofrequency Ablation Techniques
Using radiofrequency nerve ablation, one can easily control pain associated with plantar fasciitis by eliminating the sensory perception of inflammation in the heel. In fact, this technology is effective at reducing or eliminating pain from a variety of etiologies associated with heel pain, including nerve entrapments, scars from open plantar fascial releases, calcaneal bursitis and, of course, plantar fasciitis.
- Homeopathic Injections
Traumeel Injection Solution is a homeopathic solution that helps relieve inflammation and pain associated with backache, muscular aches, and the minor pain from rheumatoid arthritis, osteoarthritis, gouty arthritis, and ankylosing spondylitis. Help your pet be pain-free with Traumeel. This medication requires a prescription.
Traumeel Injections are highly sought after, homeopathic treatments for conditions that cause painful inflammation. Traumeel is a botanical extract that was largely unrecognized as an injection type of remedy in the United States for over 80 years; athletes would often travel to Europe to receive such care for sports injuries. Traumeel is primarily composed of arnica montana root, a plant extract that is commonly found in tablets and creams to relieve pain and inflammation.
The body’s immune system begins its response to injury with inflammation. The swelling and warmth experienced at an injured site is caused by increased blood flow to an area, diffusing from blood vessels into the damaged tissue. The body does this to transport immune system cells to the infection or injury site to begin killing foreign material and repairing body cells. This would be an effective means of beginning the healing process, but our bodies often overreact, developing excess heat and swelling that could last long enough to reverse any helpful effects. Traumeel is an agent found in nature that not only reduces swelling, but balances it to promote its benefits.
- Weight Loss