Posts for tag: 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. Quynh P. Lee
April 11, 2017
Category: Implants
Tags: Foot Care   Implants   foot surgery  

Are you considering foot surgery? Many patients have questions about the types of hardware or implants that may be used during foot surgery. Implants are utilized for a variety of reasons during surgery; to hold two bones together, to strengthen a repair of soft tissue, or to attach soft tissue to bone (an anchor of sorts!). 

There are two main types of implants in surgery; biologic and non-biologics. Biologic materials are designed to very closely mimic tissue that replace or make existing tissue or structures stronger. On the other hand, non-biologics are made from materials that are designed to stay the same over time. The most common non-biologics that people are familiar with are plates, wires, and screws. These implants can be made of metals, alloys, or plastic.

Concerns many individuals have include: setting off alarms at airports, the permanence of screws, screw breakage, and implant removal.

  • You will not set off alarms at the airport or at department stores! You need a very large amount of metal to be present in order to do this.
  • Over time, screws may loosen (back out) or break. This is not a cause for alarm. Hardware can be removed if it is prominent, painful, or if it is no longer performing the function it was intended to. Hardware removal does require an additional surgery, which does mean anesthesia, possible risk of infection, and time off from work for the surgery. A smaller incision is usually made over the original incision over the area of the hardware. The hardware may be difficult to identify if it is covered in scar tissue or has become incorporated into the bone. This may then require a larger incision or more dissection to remove the hardware.

What if you don’t want the hardware to remain in your body? There are options available!

In bunion surgery, we have been utilizing a special screw which can be removed approximately 6-8 weeks after your initial surgery date. The screw is an implantable device specifically designed for TEMPORARY bone fixation with a special design that allows for quick and easy removal after your bone has appropriately healed. If you are interested in having surgery and would like to discuss any of the above mentioned issues further, please give our offices a call! Advanced Podiatry of Manhasset (516) 869-3300 or Advanced Podiatry of Huntington (631) 400-3085. We look forward to meeting you! 



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