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Posts for tag: surgery

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. 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.

By Dr. Evan A. Vieira
April 07, 2017
Category: Foot Care
Tags: Pain relievers   wave therapy   surgery  

                    

Pain relievers

Aside from the ibuprofen, some NSAIDs (non-steroids anti-inflammatory drugs) have also been found to be helpful when it comes to pain associated with tendinitis of the foot. Although people who are suffering from kidney disease, liver disease or asthma are not to take NSAIDs without consulting with a doctor. You can also try Tylenol (paracetamol) and see if it helps you.

Heat and cold- you can use an ice pack or a warm towel to help rid the swelling as well as pain in the affected area. Always remember not to apply ice directly to your skin, instead just wrap it in a towel or use an ice pack device.

Shock wave therapy/surgery

Shock wave therapy may help you when the condition is persistent most especially if you have calcific tendinitis which is a deposit of calcium around the tendon. The procedure involves passing a shock wave through the skin to break the calcium deposits. Another alternative to removing the calcium deposits is through surgery too.

Physical Therapy- a professional physical therapist will be able to massage the affected area to provide you with a significant relief; it also helps to accelerate the healing process.

You can choose to go into a program of a particular exercise which aims at strengthening and stretching the affected tendon as well as muscles. It prevents foot tendinitis from occurring again.

 
By Dr. Evan A. Vieira
April 07, 2017
Category: Foot Care
Tags: Pain relievers   wave therapy   surgery  

                            

To begin with, it is a condition of the inflammation of a tendon which are thick cords of tissue that connects your muscles to bone. They include and peroneal tendinitis, Achilles tendinitis and posterior tibial tendinitis which are the most common causes of ankle or foot pains.

Diagnosis

A podiatrist or a general practitioner is going to examine you through asking some questions concerning your pain and general health. Later on, he will need to perform a complete physical examination of both your feet and ankles. X-ray pictures will help to show up some calcium deposits surrounding the tendon, and this is used to confirm the diagnosis. Other imaging tests include ultrasound or the MRI which might reveal any swelling of your tendon sheath. The symptoms of tendinitis of the foot may last from a few days to several weeks or even months.

Treatment of foot tendinitis

The treatment of tendinitis of the foot is going to focus on reducing the pain as well as ensuring no further injuries occur. In most cases what you will need is a proper rest, applying an ice pack to the area which has been affected and using over-the-counter pain relievers.

Rest

You will be required to stop whatever you have been doing that resulted to the development of tendinitis in the first place. If stopping cannot be possible, then it will be best if you at least reduce the activity to help prevent any further complications. Rest helps the affected area by reducing the severity of inflammation. You can also opt to use a bandage, brace or splint so as to help yourself when you want to reduce the amount of movement on foot. When the condition is severe, then you will be required to rest in plaster.

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Advanced Podiatry of Manhasset at the Americana

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Plainview, NY 11803
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Rosln, NY 11576
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