(516) 869-3300  -Manhasset
(631) 427-3678  -Huntington
(516) 681-8866  -Woodbury
(718) 639-0499  -Maspeth
(516) 741-3338  -Williston Park
(516) 741-3338  -Mineola

Posts for category: foot surgery

By Dr Arden Smith
December 28, 2021
Category: foot surgery
Tags: Foot Surgery  
Advanced Podiatry of Manhasset, Maspeth, Huntington, Plainview, and Coram has been successfully treating patients with cutting edge, state of the art, minimally invasive surgical procedures and continuing to learn while doing so. Recent technological advances are not only changing how the surgeons at Advanced Podiatry perform surgery, but are changing the lives of our patients as well.
 
The benefits of minimally invasive procedures have helped many of our patients get out of pain and return to their active lifestyle‘s with quicker weight-bearing function and less complications. This has offered the doctors of Advanced Podiatry the opportunity to provide the absolute best care for our patients.
By Dr David Ehrlich
January 11, 2021
Category: foot surgery

                            Removable Screws in Foot Surgery

Consultation for foot surgery such as bunion correction is something we see quite often in the offices of Advanced Podiatry. In order to maintain the corrected position of the bone, screws are used to fixate the bone cut during surgery. In these surgeries, specially designed removable screws may be used that are taken out about 2 months after the initial surgery.

There are many advantages to using a removable screw. Over time, screws can shift or back out of the bone. Retained screws can also lead to pain and stiffness. Additionally, most patients simply do not like the idea that they have a retained metallic implant in their body. For these reasons, we recommend using removable screws. The use of removable screws combined with minimalist incisions leads to superior results without any trace of surgery – minimal scarring and no retained implants!

 

By Dr Aarti Kumar
October 22, 2020
Category: foot surgery
                              Soft Tissue Mass Excisions
Soft tissue masses of the feet and ankles are very common. Though most masses tend to be benign; some soft tissue masses of the foot and ankle can be malignant and need further work up. It is important and recommended to come in to the office for an evaluation if you feel any "lumps or bumps" on your feet. 
 
One of the most common soft tissue masses seen amongst patients are ganglion cysts which most likely develop from friction and pressure. These cysts can usually be aspirated or removed in the office without any large incisions and sent out to the lab for further analysis. Other times, excisional biopsies are necessary to evaluate and remove the soft tissue masses in totality in the operating room under sterile conditions.
 
Our offices are fully equipped with advanced imaging such as ultrasounds which our experienced foot and ankle physicians utilize to determine what the soft tissue mass is comprised of. Sometimes, an MRI may be ordered to evaluate the extent of the soft tissue mass and to see whether it is benign or malignant. 
 
If you feel any growth on your foot or ankle, do not hesitate to come into one of our offices and get evaluated. No mass is small enough to be ignored! 
By Dr Aarti Kumar
June 27, 2019
Category: foot surgery
Tags: Hammertoe Surgery  
                         
 
A hammertoe is a common foot deformity in which the lesser toes buckle at one of the toe joints called the proximal interphalangeal joint. Hammertoes can develop from various conditions whether it be flat feet, high arched feet or some neurological conditions. A hammertoe can either be a flexible, semi-rigid or rigid deformity. 
 
Depending on the extent of the deformity, hammertoe surgery can range from removal of a portion of the bone called the proximal phalangeal head to fusing the joint with either a pin or an implant so that the deformity does not recur. This type of surgery is typically performed at an outpatient ambulatory surgery center and patients ambulate with a walking boot. 
 
The typical healing period is about 4-6 weeks but patients are completely mobile through the recovery period and patients usually go back in sneakers after the one month mark. Surgical sutures are removed in the office in 2 weeks if normal healing is noted. As with any surgery, postoperative swelling is very common. We typically advise patients to allow at least 6 months for swelling to completely subside. 
 
At Advanced Podiatry, our doctors use advanced and minimally invasive techniques to ensure patient satisfaction along with quick recovery. We realize how important it is for patients to be able to continue with their daily activities and life and that the thought of surgery may be holding you back but do not hesitate to make an appointment with one of our podiatrists so that we can explain what options are available! 
By Dr Aarti Kumar
May 09, 2019
Category: foot surgery
 
                                     metatarsal-fracture
 
Metatarsals are the five long bones of the foot. Metatarsal fractures are amongst the most common injuries in the foot. These long bones help maintain the alignment and anatomy of the arches in our feet. Metatarsals are held in place with various ligaments and tendons. For anatomical purposes, the metatarsals are divided into three sections- the head (near the toes), shaft and base. Two mechanisms of injury to the metatarsals are either direct or indirect forces. Direct forces are usually from a crush injury which may also involve soft tissue compromise. Indirect forces are  when the forefoot is in a fixed position with the leg or rearfoot rotating which may also cause ligamentous and tendon damage. It is important to categorize fractures based on displacement and angulation since those characteristics dictates conservative vs surgical treatment. The most common metatarsal to become injured is the fifth metatarsal bone. A specific area on the fifth metatarsal which has decreased blood flow is most famously known as a Jones fracture and needs to be treated with extra care.  Stress fractures of the metatarsals are also fairly common which can occur from repeated trauma, fragile bone from metabolic deficiency or an associated foot deformity. Stress fractures are the most common in the second metatarsal head. 
 
Clinically, metatarsal fractures will appear as pain and swelling mostly to the top of the foot. There are several ways to aid in the diagnosis of metatarsal fractures. Plain film radiographs are usually the first line imaging used in the office. It is always important to obtain three views as one view alone may present as a false negative result. Another helpful diagnostic imaging device is a C-arm or fluoroscopy which is key when examining joints under dynamic range of motion under X-ray technology. Ultrasounds can also be utilized to rule out fractures and are fairly convenient as they can be done at the bedside. Though ultrasounds are more often used to evaluate for soft tissue abnormalities, fractures can be diagnosed using this modality with no radiation. At Advanced Podiatry, we are fully equipped with X-rays, C arm and ultrasound to help with accurate diagnosis and get our patients back on their feet as soon as possible. CT scans can also be ordered to check for displacement of multiple joints when a serious injury is suspected. MRI is helpful in diagnosing stress fractures as they do not initially appear on X-rays. 
 
Treatment for metatarsal fractures is driven by the type of fracture (i.e. displacement, angulation, joint involvement). Nonoperative treatment usually consists of a walking or CAM boot which has a stiff sole and prevents the propulsive cycle of gait. Such treatment is only effective when a fracture is non displaced or minimally displaced in isolation. Stress fractures are also treated with walking boots to inhibit the fracture from worsening. Bone typically takes about 6-8 weeks to heal so a patient can expect to be in a walking for about that time. Surgical treatment becomes necessary when displacement/angulation is involved or when multiple metatarsal fractures are involved. In surgery, the fracture part of the bone is realigned into normal position and can be fixated with a pin/wire, screws or a combination of plates and screws depending on the nature of the fracture. 


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Advanced Podiatry of Manhasset at the Americana

Manhasset, NY Office
Advanced Podiatry
2110 Northern Blvd.
Suite-208
Manhasset, NY 11030

(516) 869-3300

Huntington, NY Office
Advanced Podiatry
181 Main St.
Suite-207
Huntington, NY 11743

(631) 427-3678

Coram, NY Office
Advanced Podiatry
100 Middle Country Rd.
Coram, NY 11727

(631) 696-9636

Woodbury, NY Office
Advanced Podiatry
20 Crossways Park North Suite 304
Woodbury, NY 11797

(516) 681-8866

Mineola, NY  Office
Advanced Podiatry
155 Mineola Boulevard, Suite B 
Mineola, NY 11501

(516) 741-3338

Maspeth, NY  Office
Advanced Podiatry
70-01 Grand Ave
Maspeth, NY 11378

(718) 639-0499

Williston Park, NY Office
Advanced Podiatry
479 Willis Ave,
Williston Park, NY 11596

(516) 741-3338

Plainview, NY Office
 *Recently Moved to Woodbury