Foot And Ankle
The foot and ankle are exposed to stress from a variety of conditions and activities. Plantar Fasciitis and achilles tendonitis are some of the more common conditions that arise from stress and overuse. Osteoarthritis is the most common age-related condition that affects the foot and ankle. These conditions plague runners and older people alike. The problems in the foot and ankle are frequently ignored at the early stages and can become chronic and difficult to treat by the time the patient seeks medical attention. Muscle imbalance in the pelvis and legs frequently either causes or exacerbates foot and ankle problems.
A thorough examination is conducted on every patient. Our osteopathic training allows us to diagnose small subluxation of the foot and ankle joints that can be a source of a previously undiagnosed source of pain. Gentle manipulation of these joints is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art ultrasound technology are used for diagnosis of structural foot and ankle problems. High-resolution ultrasound imaging is advanced enough to see tarsal tunnel related nerve injury, tendonitis and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI can be used for further assessment.
Dextrose and Biocellular Prolotherapy
Ultrasound guided steroid injections of the foot and ankle joints can relieve pain and inflammation of the arthritic joints. Frequently the foot and ankle is a victim of underlying ligamentous instability. We treat the entire region’s ligament, cartilage and tendon complex to promote joint stabilization. Treatment of underlying ankle and foot joint degeneration and instability frequently helps avoid plantar fascia and bunion surgeries. Unlike a more commonly used target specific approach where just the one joint is injected, our technique restores stability to the areas around the joint. This not only allows for better healing but prevents recurrence of breakdown of the area in the future.
Concentrated dextrose solution is the foundation of our regenerative treatments. When injected around the ligaments foot and ankle and plantar fascia attachments of the foot , it promotes ligament regeneration, mild cartilage repair, and arch stabilization. It stimulates and enhances both PRP and Stem cell’s regenerative potential.
PRP (platelet rich plasma) is a stronger biocellular treatment. It promotes joint cartilage regeneration, repair of worn cartilage and ligament and repair of plantar fascia tears. PRP Prolotherapy technique is used in more advanced arthritic and degenerative cartilage and plantar fascia tear cases. It directly delivers grown factors to the damaged tissue and activates a signaling mechanism that stimulates body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occurs quickly and naturally.
Stem Cell therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected in and around the hip joint. Direct delivery of mesenchymal stem cells into the affected area allows for repair by growth of new healthy tissue.
Osteopathic Manual Therapy( OMT) is utilized during every physician encounter as needed for correction of foot and ankle joint restrictions. State of the art personalized one-on-one physical therapy is conducted to address restrictions, correct imbalances and promote strength of the supporting leg muscles. SpineForce is a revolutionary tool that is used to facilitate rehabilitation and allow for independent exercise during and after the corrective treatment phase. Private and small exclusive therapeutic Yoga classes are prescribed for further gentle strengthening of the leg muscles.
NOTE: The Yoga program is typically instituted after completion of the physical therapy and rehabilitation program, but can be used as a first line treatment in cases of poor balance and advanced osteoarthritis. It is used in conjunction with Spine Force for continued improvement of postural balance, conditioning, and strength.