Platelet Rich Plasma (PRP), is a form of treatment gaining popularity due to its effectiveness for treating chronic and resistant cases of tendinopathy, fasciitis, and some bone, joint, and nerve related conditions.
Central Massachussetts Podiatry commonly performs podiatric surgical procedures for bunions, hammertoes, heels, fractures, diabetic feet, arthritis, nails, and skin lesions. CUTERA® GenesisPlus™ is a safe and effective laser system used for the treatment of toenail fungus, requiring no anesthetics and no patient downtime. Laser treatment, the gold standard for DME, has been in use for about 30 years and has been the standard of care.
Intravitreal injections are attractive because they treat the disease by a different mechanism.
Lucentis, and other anti-VEGF medications, are known to work by chemically stopping the leakage of the normal retinal blood vessels. Due to the different mechanisms by which the treatments work, it is plausible that both Lucentis and laser treatments can be used to achieve success. Retina specialists have been using Lucentis and Avastin (both are similar anti-VEGF medications) for several years to treat diabetic macular edema. Off-label use, that is, prescribing a drug for other than the FDA approved treatment is common practice. Peripheral neuropathy is a term which describes damage to one or more of your peripheral nerves. The Citizen-Times of North Carolina recently published an article telling the story of Steven Triplett, a Warren Wilson College senior basketball player. At the Center for Podiatric Care and Sports Medicine, we take diagnostic imaging and perform a physical exam to identify the extent of the damage to the ankle. During a lateral ankle reconstruction, a small, two-inch, C- or J-shaped incision is made on the outside of the ankle bone. Traditionally, it would take a patient two weeks in a cast to recover from a surgery like this.
As for Steven Triplett, after having this procedure done on December 26th, he was back to basketball workouts (including running and jumping) by early April, just over three months later. The Center for Podiatric Care and Sports Medicine in New York City offers advanced care for ankle injuries and re-injuries.
If you have any foot problems or pain, contact The Center for Podiatric Care and Sports Medicine. Dr. Our doctors are dedicated to understanding each patient’s podiatric concerns and provide a complete diagnosis and treatment plan. Through sophisticated technology, software can track motion of all moving parts from the front, back and sides.
This is the first time we (doctors, that is) have an FDA approved alternative for the treatment of DME. The damage means that the messages that travel between your central and peripheral nervous system are disrupted. Triplett repeatedly injured his ankle playing basketball, which ultimately resulted in is receiving a lateral ligament reconstruction. From there, we may teach you some wrapping techniques, outfit you with a walking boot or put you in a cast. The surgeon then locates the problematic ligaments, removes the overstretched portions, and them tightens the remaining tissue to the bone using anchors or stitches. Most of our patients wear a splint for a week instead, after which the patient transitions to a removable walking boot and athletic ankle brace.
Katherine Lai is Board Certified in Foot Surgery and has lectured extensively on The Diabetic Foot and Wound Care and on the Scope and Practice of Holistic Podiatry at an Integrative Medicine conference. Ryan Minara completed a 4 year Foot and Ankle residency from NY Hospital Queens where he was the Chief Resident.


Rivera specializes in the aesthetic correction of foot deformities and has an expertise in wound management and is fully bilingual in Spanish and English. Additionally, through the use of a gait plate, computer sensors precisely determine posture, balance, weight distribution and weight transfer. As well there are more resources on our website if you would like to learn more you can find them HERE. We’ll counsel you on proper techniques for icing, compression, elevation, and pain relief at home. The surgeon may attach a tendon to the bones around the ankle, fixing it with stitches or a screw to add greater stability. Most patients take about a month off work to recover, but it may take longer if your job is physically demanding. Our staff of board-certified podiatric surgeons offer a full suite of the latest advanced pain and healing therapies, including MLS lasers and platelet rich plasma injections. Geldwert is Board Certified in Foot and Ankle Surgery and is a recognized authority on the most advanced surgical techniques to correct bunions and hammertoes.
The doctors are skilled in all aspects of foot and ankle techniques, both clinically and surgically. At The Center for Podiatric Care and Sports Medicine in Manhattan and White Plains, we treat acute ankle trauma just like the one suffered by Triplett, as well as chronic ankle instability and residual pain.
Our team of trained physical therapists will also help you with range-of-motion, strength, and balance training to ensure you return to your full pre-injury abilities. For minimal scarring and reduced risk of complications, our podiatric surgeons employ a minimally-invasive arthroscopic technique that uses smaller incisions. After the swelling goes down and pain subsides (around the sixth week), the patient will begin an ankle strengthening program that may go as long as six to twelve months to restore full mobility, strength, and athleticism. We’re trained in scar tissue removal and minimally-invasive techniques that get athletes on their feet faster. The symptoms of peripheral neuropathy depend on which type of peripheral nerves are damaged (sensory, motor or autonomic nerves). Our team of knowledgeable and experienced podiatric surgeons will explore every option for rehabilitation, whether it’s a slower, non-invasive recovery or a more aggressive surgical approach that takes your future athletic career into consideration. It took six weeks for this second injury to heal, but Triplett noticed that the swelling returned at random intervals, during which he’d have to take a break from walking, due to the accompanying pain.
This method also ensures a speeds recovery in addition to yielding better cosmetic results. He’s now hoping to play European league basketball or earn a spot on the Cleveland Cavaliers upon graduating. Anti-inflammatory medication wasn’t helping, so Triplett went to an orthopedic surgeon to explore surgical options. Proper ankle sprain care is important in preventing arthritis or persistent pain and stiffness.
Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area. The aims of treatment for peripheral neuropathy are to treat any underlying cause, to control your symptoms and to help you to achieve maximum independence. Injuries like these are not at all uncommon for those who play sports that require them to twist, turn or pivot on the ankle.
Geldwert and his team have worked on professional and Olympic athletes, including acute trauma management for major events like the NYC Tri, the Newsweek Tennis Classic, and the U.S.
Additionally, once an ankle has been injured, the chances of re-injury are incredibly high.
Please make an appointment to see us if you live in the NY metropolitan area or seek out a podiatrist in your area.


In Triplett’s case, the activity required for playing basketball proved to be too much for his already-compromised ankle. For example, the regular beating of your heart, your breathing, your intestinal movements, sweating, salivation, your blood pressure, etc.
Injuries can include broken bones and nerve compression injuries (eg, pressure placed on nerves by plaster casts, splints, braces). If not treated, the symptoms then gradually start to move towards the centre of your body as the neuropathy worsens. It can cause symptoms including: Dizziness and fainting (because of lack of blood pressure control, leading to low blood pressure).
These will include questions about: Your symptoms Your general health Any history of neuropathy in your family Any medicines that you may be taking Any poisons (toxins) to which you may have been exposed How much alcohol you drink They will then usually perform a physical examination of your nervous system to look for signs of peripheral neuropathy - for example, muscle weakness, numbness, etc. These will depend on the suspected cause of the problem, as is suggested by your history and symptoms. Some common tests that are carried out include: Nerve conduction testingThe nerve conduction test looks at the speed that electrical signals pass through your nerves. They are a bit like the sticky electrodes used when you have an electrocardiogram (ECG) of your heart. These electrodes give off very small electrical impulses that feel a bit like a small electric shock which stimulate your nerve. The distance that the impulses travel to the other electrodes and the time that this takes allows the speed of the nerve impulse to be calculated. If you have diabetes, it is very important to try to get your blood sugar (glucose) levels under good control so as to avoid any further nerve damage. If you have an injury causing peripheral neuropathy, this may need physiotherapy, surgery or other treatment so that the pressure on the nerve caused by the injury is relieved.
If you have alcoholic neuropathy, reducing and stopping your alcohol intake will help to prevent any further nerve damage. These include medicines that are commonly used to treat epilepsy (anticonvulsant medicines) such as gabapentin and carbamazepine.
As well as having antidepressant effects, these medicines have also been found to be helpful in pain control. For further details about treating nerve-related pain (neuropathic pain), see separate leaflet called Neuropathic Pain. It means that you insert a thin plastic tube (a catheter) into your bladder, to enable your urine to flow out.
For example, if you have leg weakness you may need a walking stick, crutches, or a walking frame.
They may also be able to advise you about exercises to help to improve your muscle strength. An occupational therapist may be able to advise you about special utensils and home adaptations to help with muscle weaknesses.
Remove loose objects or obstacles such as rugs in your home to reduce your chance of tripping. In general, if a problem can be identified early and treated successfully, the prognosis is very good. However, in severe neuropathy, even if the underlying cause is found and treated, nerve damage can be permanent.



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