What We Offer

Kinesiology Taping: Kinesiology tape is a therapeutic tape that’s applied strategically to the feet and ankles to provide support, lessen pain, reduce swelling, and improve performance. Kinesio tape is made with a proprietary blend of cotton and nylon. It’s designed to mimic the skin’s elasticity so you can use your full range of motion. The tape’s medical-grade adhesive is also water-resistant and strong enough to stay on for three to five days, even while you work out or take showers.

When the tape is applied to your body, it recoils slightly, gently lifting your skin. It is believed that this helps to create a microscopic space between your skin and the tissues underneath it.

Kinesiology tape is used for treating injuries, supporting weak zones of the muscles or joints, re-educating muscles, and enhancing athletic performance.

Click the link to learn more: https://www.healthline.com/health/kinesiology-tape

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Sports Injuries – Foot and Ankle: If you are an athlete, you know it is easy to get injured. Even if you are careful, extended wear and tear on the body can cause problems and pain.

Whether you are a regular or recreational athlete, there are many problems your feet may face as you continue to achieve your athletic goals.

Our doctors treat problems and injuries related to athletic and sports injuries. If your involvement in sports or athletic activities causes an injury in your foot or ankle, our doctors can help you get back on your feet and in the game as soon as possible. From plantar fasciitis to capsulitis, ankle sprains to tendinitis, Achilles pain and everything in between, our doctors can help treat your athletic or sports injuries.

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Customized Gait Analysis: This test analyzes how you walk and identifies any abnormal walking patterns. A gait analysis has several components. Together they provide a comprehensive picture of the various factors contributing to the gait disorder.

First, the clinical exam is conducted by the doctor to determine the degree of strength, range of motion, tone, and selective motor control in the lower extremity. Then, you will be videotaped while walking. We will also capture video of your standing posture and footwear to assess wear patterns. This is put into a 3-D picture of the kinematics, or joint motion, to see how the body moves while walking.

Reflective markers (small balls) are taped onto the legs, pelvis, and trunk (shoulders and hips). Digital cameras record the markers’ movements to measure joint motion at the trunk, pelvis, hip, knee, and ankle. Data of the forces that cross the joints, kinetics, further reveal factors contributing to abnormal movement.

Finally, EMG provides information about how the muscles work while walking. We use the EMG data to see how each muscle functions and how it contributes to the gait abnormality. Pressure-sensitive foot switches tell us when and what part of the foot contacts the ground while walking and allow the EMG data to be correlated with the stance and swing phases of gait. In total, the gait analysis takes about two hours.

Click the link to learn more: https://www.stanfordchildrens.org/en/service/motion-gait-analysis-laboratory/gait

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Ankle Instability: Weak ankles can result from injuries, conditions like chronic ankle instability, posterior tibial tendon dysfunction, osteoarthritis, wearing incorrect footwear, or diabetes-related nerve damage. Treatments vary depending on the cause, ranging from rest, ice, and elevation for minor sprains to surgery for severe instability. Proper footwear, managing diabetes, and strengthening exercises can help prevent and manage weak ankles. It’s important to seek medical attention for persistent pain, swelling, or sudden weakness, especially if accompanied by numbness, as it could be a sign of a stroke.

Click the link to learn more: https://www.healthline.com/health/weak-ankles#causes-and-treatments

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Ankle Sprains: Foot and ankle sprains involve soft tissue injury to ligaments, while fractures are breaks in bones. Common causes include sports injuries, tripping, or stumbling. Symptoms include pain, swelling, bruising, and difficulty walking. Initial treatment involves rest, ice, compression, and elevation (RICE). Seeing a podiatrist is recommended for proper diagnosis and treatment, which may include imaging tests, immobilization, surgery for severe fractures or ligament tears, and medication. Prevention strategies include warming up, wearing proper shoes, and avoiding uneven surfaces. 

Click the link to learn more: https://www.apma.org/SprainsStrainsFractures

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Arthritic Feet & Ankles: Arthritis is a common condition characterized by inflammation and swelling of the joints’ cartilage and lining. It can be caused by various factors, including heredity, injuries, infections, drug use, autoimmune diseases, and structural abnormalities. Arthritis affects millions of Americans, particularly those over 50, and can lead to loss of mobility and independence if left untreated. There are several types of arthritis, including osteoarthritis, rheumatoid arthritis, gout, psoriatic arthritis, and traumatic arthritis, each with its own set of symptoms and treatment options. Symptoms may include joint pain, stiffness, swelling, redness, and limitation of motion. Early diagnosis and proper medical care are essential for managing arthritis effectively. Treatment may include medication, physical therapy, orthotics, braces, surgery, and lifestyle modifications. While not all types of arthritis are preventable, certain measures such as correcting faulty mechanics, controlling uric acid levels, and maintaining a healthy lifestyle can help reduce the risk of developing arthritis.   

Click the link to learn more: https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=977 

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Corns & Callus: Corns and calluses are thickened areas of skin that form due to repeated friction or pressure on the feet. Corns typically occur on the tops or sides of toes, while calluses develop on the soles of the feet. They are not contagious but can become painful if they grow too thick. Common causes include poorly fitting shoes, foot deformities, and high heels. Mild cases may not require treatment, but if they cause discomfort, it’s advisable to see a podiatrist. Treatment options include changing footwear, padding, and in-office removal of thickened skin by a podiatrist. Severe cases may require cortisone injections or surgery. People with diabetes or poor circulation should take special care of their feet and seek medical attention promptly. 

Click the link to learn more: https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=1346

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Haglund’s Deformity: Haglund’s Deformity, also known as “pump bump,” is a bony enlargement at the back of the heel bone. It often occurs due to factors like high arches, tight Achilles tendon, or wearing shoes with rigid backs. Symptoms include an enlarged bump on the heel, heel pain, and blisters. Home remedies may include heel pads, ice application, and shoe modifications. If pain persists or the bump enlarges, it’s essential to see a podiatrist. Diagnosis involves a physical exam and imaging tests like X-rays. Treatment options include shoe modifications, medication, immobilization, and surgery in severe cases.

Click the link to learn more: https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=1862

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Hammertoes: A hammer toe is a condition characterized by a bending of the toe at the first joint, causing it to resemble an upside-down “V” shape when viewed from the side. It commonly affects the second through fifth toes and can be flexible or rigid. Flexible hammer toes are still moveable at the joint and less severe, while rigid hammer toes are more developed and immobile. Causes include abnormal muscle balance in the toes, heredity, trauma, arthritis, and wearing tight shoes. Symptoms may include pain, corns, redness, swelling, and restricted toe motion. Home treatments include wearing appropriate footwear, using toe pads, applying ice packs, and avoiding high heels. If pain persists, it’s important to see a podiatrist, as untreated hammer toes can become rigid and may require surgical intervention.

Click the link to learn more: https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=1863

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Morton’s Neuroma: A neuroma, also known as a “pinched nerve” or nerve tumor, is a painful condition characterized by a benign growth of nerve tissue typically found between the third and fourth toes. Symptoms include pain, burning sensation, tingling, or numbness between the toes and in the ball of the foot. Causes may include biomechanical deformities, trauma, improper footwear, and repeated stress. Treatment options include wearing properly fitted shoes, using supportive insoles, rest, ice therapy, and seeking podiatric medical care if symptoms persist or worsen

Click the link to learn more: https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=987

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Platelet Rich Plasma (PRP): Platelet-rich plasma (PRP) is a treatment where a person’s own blood is used to heal bone or soft tissue injuries. It’s often considered for chronic injuries like tennis elbow or Achilles tendinitis. PRP involves taking a blood sample, spinning it in a centrifuge to isolate platelets, then injecting them into the injured area. After PRP, patients may need to avoid strenuous activity for a short time and may experience temporary increased pain. While more studies are needed, PRP is generally considered low-risk and may improve healing

Click the link to learn more: https://www.qffc.com/services-platelet-rich-plasma.html

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Radiofrequency Shockwave Therapy: Radiofrequency Shockwave Therapy (RSWT) is a non-invasive treatment method that speeds up healing for soft tissue tendon issues like plantar fasciitis, Achilles tendinitis, and more. The therapy triggers the body’s natural healing response by using sound waves to stimulate blood circulation and release healing chemicals in the affected area. Studies show an average success rate of 80%. RSWT is administered once a week for 4 to 5 treatments, each lasting around 5 minutes. Compared to physical therapy, RSWT is faster, more effective, and often more affordable. Side effects are rare and may include bruising or temporary soreness. While not covered by insurance, RSWT is considered affordable and can provide significant pain relief. 

Click the link to learn more: https://www.qffc.com/services-radial-shockwave-therapy.html

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Toenail Fungus: Toenail fungus, also known as onychomycosis, is an infection caused by fungi underneath the nail surface. It often leads to darkening, foul odor, and thickened nails that are difficult to trim. The infection can spread and cause pain, especially when wearing shoes. Common causes include exposure to damp environments like swimming pools and locker rooms, as well as nail bed injuries or chronic diseases like diabetes. Symptoms may include changes in nail color and texture, but the infection can often go unnoticed for years. Home treatments like antifungal agents may provide temporary relief, but visiting a podiatrist is recommended for proper diagnosis and treatment, especially if you notice any nail discoloration or deformities. Early professional intervention increases the likelihood of successful treatment. 

Click the link to learn more: https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=1523

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Ingrown Toenails: Ingrown toenails occur when the corners or sides of the nails grow into the surrounding soft tissue, leading to pain, redness, swelling, and sometimes infection. Common causes include improperly trimmed nails, heredity, shoe pressure, crowding of toes, and repeated trauma to the feet. Symptoms may include pain, redness, swelling, drainage, and prominent skin tissue.

Click the link to learn more:  https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=1522

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Sever’s Disease/Calcaneal Apophysitis: Calcaneal apophysitis, also known as Sever’s Disease, is a condition where the growth plate in the heel becomes inflamed due to overuse, often seen in active children involved in sports like soccer or basketball. Symptoms include heel pain that worsens with activity, pain with side-to-side compression of the heel, and discomfort when standing barefoot on one foot. If a child experiences persistent heel pain that doesn’t improve with rest, icing, or over-the-counter medications, it’s advisable to consult an APMA-member podiatrist for evaluation and treatment.

Click the link to learn more:  https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=49477

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

EPAT Shockwave Therapy: Extracorporeal Shockwave Therapy (ESWT) is a cutting-edge treatment for muscle and tissue pain. There are two types: radial pressure waves (EPAT) and focused shockwaves (ESWT). Both are proven effective and often used together with other treatments for best results.

Radial pressure waves (EPAT) are good for treating large areas, while focused shockwaves (ESWT) target specific depths in tissues.

How it works: ESWT stimulates the body’s natural healing process by sending shockwaves through tissues. This leads to benefits like increased collagen production, faster healing, reduced pain, and less inflammation.

For athletes, getting back in the game quickly is crucial. ESWT offers a safe, non-invasive option to speed up recovery without needing surgery or injections. Athletes can often continue training during treatment, which typically lasts 4-6 weeks with short sessions once a week.

Many athletes feel relief after just one session, making ESWT a popular choice for sports injuries.

Click the link to learn more:

https://www.curamedix.com/blog

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Flat Feet: Pes planus, or flat feet, occurs when the foot’s arch collapses or nearly touches the ground. This can lead to biomechanical issues and increase the risk of pain and injury. During a physical exam, doctors look for signs such as overpronation, tenderness in specific areas, and reduced flexibility. They also assess muscle strength and observe the patient’s walking pattern. Comparing both feet for asymmetry is important during the examination.

Click the link to learn more: https://www.ncbi.nlm.nih.gov/books/NBK430802/

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Hammer Toes: A hammer toe is a contracture, or bending, of the toe at the first joint of the digit, called the proximal interphalangeal joint. This bending causes the toe to appear like an upside-down V when looked at from the side. Any toe can be involved, but the condition usually affects the second through fifth toes, known as the lesser digits. Hammer toes are more common in females than males.

There are two different types of hammer toes:

• Flexible Hammer Toes: These hammer toes are less serious because they can be diagnosed and treated while still in the developmental stage. They are called flexible hammer toes because they are still moveable at the joint.
• Rigid Hammer Toes: This variety is more developed and more serious than the flexible condition. Rigid hammer toes can be seen in patients with severe arthritis, for example, or in patients who wait too long to seek professional treatment. The tendons in a rigid hammer toe have become tight, and the joint misaligned and immobile, making surgery the usual course of treatment.

A hammer toe develops because of an abnormal balance of the muscles in the toes. This abnormal balance causes increased pressures on the tendons and joints of the toe, leading to its contracture. Heredity and trauma can also lead to the formation of a hammer toe. Arthritis is another factor, because the balance around the toe in people with arthritis is disrupted. Wearing shoes that are too tight and cause the toes to squeeze can also cause a hammer toe to form.

If you are worried that you may have hammer toes that are causing significant pain our doctors are here to help.

Typically, conservative treatment is initially attempted and is often successful; however, sometimes surgery is necessary to treat hammer toes.

Conservative treatment approaches for hammer toes can include alteration of footgear, over the counter or prescription pads and cushions to offer relief, orthotic shoe inserts to prevent the hammer toe from worsening, or regular trimming of corns and calluses associated with hammer toes.

Hammer toe surgery may involve removing a portion of one of the bones in the toe to realign the toe or could involve fusing the joints in the toe (see Fusions, above). In some cases, it may involve placing a temporary wire to hold the toes straight or a permanent implant in the toe to maintain realignment.

The doctors and staff will be happy to help you find the best solution for your feet, to relieve your toes of their pain and to get you back on your feet, pain free.

Click the link to learn more: https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=1863

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Flat Foot Surgery: Flat foot, or fallen arches, is a condition characterized by a lack of arch at the bottom of the foot. Flat foot occurs when tendons that hold the joints of the foot together are loose, flattening the area where you would normally have an arch. People with flat feet experience the soles of their feet completely touching the floor when they stand and walk.

Being flat footed is common in infants and toddlers. As a baby grows over time, the tendons in the feet strengthen, helping to form a normal arch in the foot. But in some children, an arch never develops properly, which causes various problems.

In adults, flat feet may develop later as a result of an injury or wear and tear due to aging.

Flat foot pain can worsen with prolonged standing or activity. Symptoms include:

• Foot pain (most prevalent in the heel and arch area)
• Leg pain
• Back pain
• Swelling of the feet and ankles

Flat foot surgery typically involves the repair of loose tendons or realigning the bones in the foot.

Depending on the severity of your condition, we may perform a combination of the following surgeries to treat flat feet:

• Arthrodesis: Arthrodesis is another name for joint fusion surgery. By eliminating the space between the bones that would allow painful movement, fusing the bones in the foot together relieves the pain. To ensure the bones heal properly together, we also may do bone grafting, a surgical procedure that uses transplanted bone to repair damaged bones.
• Foot bone reconstruction surgery: Involves bone grafting and tendon transfer to create a new arch.
• Dorsal opening wedge osteotomy: A bone wedge or bone graft is placed at the top of the medial cuneiform bone located in the middle of the foot.

Click the link to learn more: https://www.pennmedicine.org/for-patients-and-visitors/find-a-program-or-service/orthopaedics/foot-and-ankle-pain/flat-foot-and-high-arches-treatment

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Minimally Invasive Surgery: Minimally invasive surgery (MIS) is a technique used by foot and ankle orthopedic surgeons to correct specific foot and ankle conditions with very small incisions. This technique has gained attention among surgeons and patients alike due to its reported faster recovery time, smaller scars, and reduced postoperative opioid use.

Common foot and ankle conditions that can be treated using minimally invasive surgical techniques include bunions, hammertoes, big toe arthritis, and metatarsalgia.

It is important to note that not all patients are good candidates for minimally invasive surgery. If you have a foot or ankle condition, first consult with one of our foot and ankle surgeons to determine the best treatment option for you.

Click the link to learn more: https://www.aofas.org/news/press-releases/2020/05/27/what-is-minimally-invasive-foot-and-ankle-surgery

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Ankle Replacement versus Ankle Fusion: In ankle replacement surgery, damaged cartilage and bone are replaced with metal or plastic components, while ankle fusion involves fusing ankle joints to the leg bones to limit motion and reduce pain.

Symptoms of ankle osteoarthritis, such as pain, swelling, and stiffness, can severely affect mobility and quality of life. Treatment options range from pain management with medication and injections to physical therapy and surgical interventions.

Ultimately, personalized care and shared decision-making between patients and their healthcare providers are crucial in determining the most suitable approach for managing ankle osteoarthritis and improving overall quality of life.

Click the link to learn more: https://www.healthline.com/health-news/ankle-replacement-and-fusion-demonstrate-similar-effectiveness-for-osteoarthritis#What-is-ankle-osteoarthritis?

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Big Toe Joint Implant: Toe joint replacement, also known as toe arthroplasty, is a surgical procedure aimed at removing a damaged toe joint and replacing it with an artificial joint. Typically performed on the big toe, this surgery can alleviate pain and restore function to toes affected by injury, arthritis, or other conditions.

Click the link to learn more: https://my.clevelandclinic.org/health/treatments/24891-toe-joint-replacement

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Compartment Syndrome Fasciotomy: Compartment syndrome occurs when excessive pressure builds up around muscles, restricting blood flow, oxygen, and nutrients, leading to severe pain and potential tissue damage. There are two types: acute, which is sudden and requires immediate medical attention, and chronic, which develops over time, often due to intense physical activities. Symptoms include swelling, pain, tightness, numbness, and tingling. Acute compartment syndrome is typically caused by severe injuries, while chronic compartment syndrome is often related to repetitive physical activities. Treatment for acute cases involves surgery called fasciotomy to relieve pressure, while chronic cases may require rest, medication, modified exercise routines, physical therapy, and orthotics.

Click the link to learn more: https://my.clevelandclinic.org/health/diseases/15315-compartment-syndrome

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Exertional Compartment Syndrome: Chronic exertional compartment syndrome (CECS) is a musculoskeletal condition that occurs when exercise causes increased pressure within specific muscle compartments, most commonly in the lower legs. Symptoms include pain, tightness, numbness, weakness, and occasionally swelling during exercise. Pain typically subsides within 15 minutes of stopping activity but returns upon resuming exercise. CECS can be mistaken for shin splints. Risk factors include age, type of exercise (repetitive impact activities), and overtraining. While not life-threatening, CECS can limit physical activity and performance if left untreated. Prompt medical attention is advised if you experience symptoms while exercising.

Click the link to learn more: https://www.mayoclinic.org/diseases-conditions/chronic-exertional-compartment-syndrome/symptoms-causes/syc-20350830

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Neuropathy: Peripheral neuropathy affects the peripheral nerves outside the brain and spinal cord, disrupting automatic processes, touch sensation, and muscle control. It’s an umbrella term for nerve diseases affecting a specific subdivision of the nervous system, caused by various factors such as diabetes, alcohol use disorder, vitamin deficiencies, autoimmune diseases, medications, tumors, genetics, infections, trauma, and vascular disorders. This condition can affect anyone, with risk increasing with age. It’s common, affecting about 2.4% of people globally. Symptoms vary widely and include motor symptoms like weakness, sensory symptoms like tingling and numbness, and autonomic symptoms like blood pressure changes. 

Click the link to learn more:  https://my.clevelandclinic.org/health/diseases/14737-peripheral-neuropathy

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Laser Surgery Warts/Nails: 

Laser surgery is a significant advancement in dermatological treatment, particularly for addressing warts and onychomycosis (nail fungus). Laser treatments precisely target and eliminate warts by focusing on the affected tissue. Moreover, they offer potential improvement in the appearance of nails affected by onychomycosis. Laser surgery’s targeted approach and minimally invasive nature make it an effective option for providing relief to  persistent skin and nail conditions.

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/

Achilles Tendon Injuries: An Achilles tendon rupture is when the Achilles tendon, which connects the calf muscle to the heel bone, tears either partially or completely. It usually happens suddenly during activities like sports, or from tripping or twisting the ankle. This injury is common among people aged 30 to 40, especially in men and those who engage in intense physical activity without regular training.

Causes of Achilles tendon rupture include sudden movements that stress the tendon, common during sports like soccer or basketball. It can also occur from accidents like tripping or stepping into a hole. Certain medications, like some antibiotics or steroid injections, may weaken the tendon and increase the risk of a tear.

Symptoms of an Achilles tendon rupture include a popping sensation or sound in the back of the ankle, sharp pain, swelling, bruising, difficulty walking, and tenderness in the affected area.

Without proper treatment, an Achilles tendon rupture may not heal correctly, increasing the risk of future injuries. Diagnosis involves a physical examination by a healthcare provider, who may also use imaging tests such as ultrasound or MRI to assess the extent of the tear.

Click the link to learn more: https://my.clevelandclinic.org/health/diseases/21703-achilles-tendon-rupture

Visit our locations to find a center near you: https://integratedfootandankle.com/locations/