Posts for category: foot surgery

By Dr. Joseph DiStefano
November 01, 2018
Category: foot surgery
Tags: foot surgery  

                             

To cut or not to cut, that is the question. Not that it was a question. Maybe it was rhetorical.

Unlike other parts of the body, the foot is subjected to stress well in excess of normal pressures from the loading weight of the patient. It is estimated that the additive force of gravity, the body habitus of the patient, the type of foot the patient has and the ground reactive forces all play a role in amplifying the pressure subjected to the structures of the foot. Don’t forget loyal reader, the bones of the foot are some of the smallest in the body, so it is no wonder that if a condition arises that further amplifies the force on the foot, a patient shows up looking for answers.

When a patient presents to the office for a consultation, the first thing we do is examine the foot when weightbearing and non-weightbearing. I mentioned above the type of foot the patient has helps determine the additional forces that the bones and supporting structures of the foot are subjected to, and this is where we start to gather information that helps determine where the problem came from.

Usually, conservative measures are all that are needed to help the issue calm down. When I say conservative measures, I am referring to all non-surgical treatment. These treatments can range from some simple rest and ice to cortisone injections and advanced therapies like extracorporeal shockwave therapy and physical therapy. A custom orthotic device is the best way we can support the foot and ankle. This is my favorite way to rehabilitate a patient.

We do everything that we can to keep patients out of the operating room, but the truth of the matter is that sometimes surgery is the only option. We always provide a detailed plan and counsel our patients on the etiology of the problem and all the ways it can be fixed including the downtime associated with each procedure and what the patient can expect during recovery. We are a team from the start to the finish, so we can tailor a plan that works best for your situation.

The best way to know is to come in so our friendly staff and extraordinarily good looking doctors can let you know your options. We look forward to seeing you!

By Dr. Joseph DiStefano
September 10, 2018
Category: foot surgery

We live in a world of ever changing and improving technology. As soon as one piece of equipment is released, six months later an updated and improved version is released. The same is true in the world of medicine and surgery. Pharmaceutical companies are always inventing and improving medicines, and new digital and computer-based procedures for surgical correction are coming into favor by surgeons. 

The most recent development in surgical management is a minimally invasive approach to surgical procedures. Utilizing state-of-the-art instruments, doctors trained in this type of surgery are able to perform orthopedic corrective procedures without creating large incision sites. Less trauma to the surgical site not only offers a smaller scar with better aesthetic properties, but it allows for faster recovery and far less pain. 

The doctors and staff at our practice are ever vigilant in keeping up with the newest and most beneficial technologies to offer our patients. All of our doctors engage in continuing education and have been exhaustively training with the companies that offer the minimally invasive technique to be able to provide this service to our patients. 

I am very pleased to say that our patients that have undergone these procedures have been blown away with their results! At Advanced Podiatry, we pride ourselves in offering cutting-edge (no pun intended) technology to best serve our patients. Not every patient will be a candidate for this type of surgery, but please give us a call or come in for a consultation if you would like to know more.

By Dr. Evan A. Vieira
April 18, 2018
Category: foot surgery

About 75% of the patents that present to our office with the chief complaint of a painful bunion will undergo surgical intervention. Bunion surgery is an elective procedure, meaning that it is a not mandatory that it be performed.  The age range of patients presenting with bunions is very wide.  Generally, around 8-80 years of age. However, the general candidate for surgery is more in the 20-65 year-old-range.  This is not set in stone and there are exceptions to every rule.
We perform hundreds of these procedures per year between all the doctors in our group.  We are experts on the latest techniques, instrumentation and modalities.  We constantly stay abreast of advancements and are always looking to improve. We have a 99.9% success rate.
We have  minimal complications due to constant attention to detail, diligent follow up and always making sure we are available to our patients after surgery.
Bunions are very very common, some figures as high as 45-50% of the population may have some form of them.  We pride ourselves on our top notch care, our low complication rate and our desire to help our patients get better. 

Call us today for your consultation.

By Dr. Evan A. Vieira
March 28, 2018
Category: foot surgery
Tags: Untagged

Minimally invasive surgery or MIS techniques have made great advances lately.  These allow for decreased healing time and less scaring while still achieving great results.  The most important factor when deciding on having and MIS procedure is to make sure that you are the right candidate for this type of intervention. This is a decision your doctor will make and explain to you.  For example,  some bunions are to sever or advanced to be successfully corrected with MIS.  However, if caught early on they might be.  

Bunions, hammertoes, tailors bunions, neuromas and spurs can all be corrected with limited or no down time and almost no scar!  Make sure you have a provider who is well trained, experienced and knowledge on all types of procedures.  Never be afraid to ask questions and read reviews before making your final decision.  

MIS is changing the landscape in foot surgery and here at Advanced Podiatry we are on the cutting edge of it!  Feel free to reach out and set up your consultation today.

By Dr. Alison D. Croughan
July 18, 2017
Category: foot surgery
Tags: Foot Care   surgery  

                                    

Your foot has been bothering you for quite some time and you have exhausted all non surgical options (physical therapy, orthotics, new shoes, topical pain cream, orthotics) without any relief.

You have decided to have foot surgery... now what do you need to do and need to know???

First - pick a date:

    Important questions to not only ask your doctor but consider ...

    - how much time do I need off of work?
    - limitations as to standing, walking, climbing stairs, shoegear at work?
    - can I drive?
    - can I cook, clean, exercise and what restrictions are there?
    - does my doctor have block time? 
    - am I having surgery at a surgery center vs hospital?

Second - meet with the surgical coordinator:

    Paperwork to be reviewed and completed include a history and physical by your primary care physician stating you are healthy enough for anesthesia. A prescription for bloodwork and an EKG will also be given to clear you for surgery.

     The surgical coordinator will also give you a pamphlet from the surgical facility, directions and information on the ice compression machine prescribed by your podiatrist.

The week of surgery:

     Your PCP as well as your podiatrist will review which medication must be discontinued the week before surgery which may include aspirin, Tylenol, nsaids, and steroids.

      A pre operative appointment will be scheduled in your podiatrist's office to review the surgery in detail, answer all questions and concerns and sign the office's consent paperwork. It is at this appointment that you will also receive a cast boot, prescription for pain medicine, a cast protector and a prescription for an ice compression machine.

The night before surgery:

     Review with your PCP the schedule and dosing of your insulin, diabetic medications and hypertension medication.

    You are to have no food or drink after midnight the night before your surgical case.

    Make sure you have a ride to and from the surgical  facility.

The day of:

     Wear comfortable clothes.

     Get to the surgery center an hour before your case.

     Bring your license and insurance cards.

You will meet a number of nurses, an anesthesia team and your podiatrist to sign consent forms and review your specific treatment plan.

You will be walked into the operative suite and greeted by warm faces and blankets. Together your surgeon, the anesthesiologist and nursing staff work together to make your experience as comfortable as possible.

After surgery:

   You will awake in a postoperative area.  Your foot will be bandaged and elevated with an ice pack placed at your ankle. The dressing is to be kept clean, dry and intact until your next appointment. Pain medication will be waiting for you at your pharmacy. Numbing medicine is given after surgery to aid in pain control and we recommend using the ice machine 30 minutes on and 30 minutes off.

You will be discharged with written post op instructions and will receive a phone call the night of from one of our friendly staff members.

The week after surgery:

  You will have your first post operative appointment with your podiatrist which will include X-rays and a dressing change.

At Advanced Podiatry patient care and overall experience is our top priority. We have five foot and ankle surgeons available six days a week to treat you and your family's pedal complaints both medically and surgically.



Contact Us

Please specify in the message section below which office you would like to be seen at. (Manhasset, Huntington & Maspeth)

Advanced Podiatry of Manhasset at the Americana

(516) 844-0039 - Manhasset, NY
(631) 400-3085 - Huntington, NY
(516) 544-1731 - Great Neck, NY
(718) 747-9250 - Maspeth, NY
(516) 544-1722 - Plainview, NY
 

Manhasset, NY Podiatrist
Advanced Podiatry
2110 Northern Blvd.
Suite 208
Manhasset, NY 11030
(516) 844-0039

Huntington, NY Podiatrist
Advanced Podiatry
181 Main St.
Suite 207
Huntington, NY 11743
(631) 400-3085

Maspeth, NY  Podiatrist
Advanced Podiatry
55-31 69th St.
Maspeth, NY 11378
(718) 747-9250

Great Neck, NY Podiatrist
Advanced Podiatry
488 Great Neck Rd.
Great Neck, NY 11021
(516) 544-1731
*moved to Manhasset  

Plainview Office
Advanced Podiatry
875 Old Country Rd
Suite 100
Plainview, NY 11803
(516) 544-1722

Roslyn, NY
1514 Old Northern Blvd.
Roslyn, NY 11576
(516) 484-1420
*Moved to Manhasset