- Heel & Foot Pain
- Toe Injuries
- Diseases of the Toenails
- Diseases of the Skin
- Trauma and Injury to the Foot
At the Ankle & Foot Centers of Missouri, we perform a mulititude of treatments in the Podiatric and related fields. We specialize in ailments of the foot & ankle.
In addition to treating Podiatric ailments, Akilis M Theoharidis, DPM, CWS, FCCWS also performs Endoscopic Decompression, for the treatment of intermetatorsal neuroma, Endoscopic Planter Fasciotomy, for the treatment of heal pain (planter fascilitis), and TOPAZ MicroDebrider, a minimally invasive treatment for planter fascilitis.
We only use state-of-the-art digital X-Ray equipment to determine your diagnosis. A diagnostic ultrasound is also available for use.
There are many Podiatric disorders, here at the Ankle & Foot Centers of Missouri, we can treat and provide comfort for your pain. Please read below for some information on some of the various ailments that can affect you.
- Achilles Tendonitis - The Achilles tendon is the largest tendon in the human body. It is located at the back of the ankle joint and can be felt as a large, cord-like structure attaching to the back of the foot. Achilles tendonitis is an inflammatory condition causing pain in the Achilles tendon. It usually occurs in athletes and those active in sport-like activities.
- Achilles Tendon Rupture - A rupture in the tendon has been described as feeling as though you were kicked or hit in the back of the heel while performing sporting activities. Sufferers cannot continue in their activity and sometimes lose their ability to walk effectively.
- Pain in the Arch of the Foot and Heel Region - Pain in the bottom of the foot is most commonly known as heel pain which tends to hurt more in the morning or after extended periods of rest. If pain is felt in the back of the heel bony enlargements, spurring in the Achilles tendon or Achilles tendonitis can be the cuplrit. Tarsal tunnel syndrome or peripheral neuropathy can cause a burning pain in the bottom of the foot. Small, hard knots caused by plantar fibromatosis causes pain in the middle of the arch of the foot.
- Pain in the Ball of the Foot - Pain in the ball of the foot can be caused by callouses, inflammation of a tendon into the toe, inflammation of the joint, Sesamoditis, is an inflammation of two small bones under the big toe joint or due to a pinched nerve called a Neuroma.
- Pain on the Top of the Foot - Some disorders that can cause pain on the top of the foot include stress fractures and extensor tendonitis. Stress fractures manifests with the sudden onset pain on the top of the feet behind the toes without having experienced any prior injury. Extensor tendonitis occurs when the tendons that go into the toes become inflamed.
- Pain in the Back of the Heel - If you are experiencing a painful bump on the back of your heel, you may suffer from a Hagland's deformity - enlarged bony prominence on the back of the heel - or a Pump Bump which occurs when pressure from the back of shoes causes the heel bone to swell.
- Hallux Hammer Toe - This condition occurs when a cocking up of the big toe at the joint between the two small bones that make up the big toe.
- Turf Toe Injuries - Turf toe is caused by a hyperextension of the great toe joint and the tissues supporting the toe tear or rupture. Sports played on artificial surfaces and changes in shoe wear can contribute to this condition.
- Bunion Deformity - Medically known as hallux abductovalgus or HAV, bunions manifest as a bump on the side of the great toe joint. Bunions are an actual deviation of the 1st metatarsal and often an overgrowth of bone on the metatarsal head.
- Fungal Toenails, Yellowed or Deformed Toenails - The most common cause of yellowed, thick and /or deformed toenails is a fungal infection of the toenail. The most common fungus that affects the nail also causes Athlete's Foot. It infects the nail or nails slowly and causes very serious damage over time. Over time, the nail becomes thickened, crumbly, and distorted in appearance. Sweaty feet can contribute to the initial infection process and contribute to its spread. The fungus prefers an environment that is moist, dark and warm, which is why it affects the toenails much more often than fingernails. It does not spread through the blood stream. The infection limits itself to the nails and skin.
- Ingrown Toenails - Ingrown toenails are due to the penetration of the edges of the nail plate into the soft tissue of the toe. It begins with a painful irritation that often becomes infected. With bacterial invasion, the nail margin becomes red and swollen often demonstrating drainage or pus. Patients should seek medical treatment immediately at the first sign on an ingrown toenail, forgoing treatment can turn a minor irritation into a severe infection.
- Black Toenails - Black toenails are caused when the toes hit the end or the top of the shoe area. It is generally not a painful disorder but it is prevalent in athletes and those who wear tight shoes for a prolonged period of time. Most often the affected toenail will become loose and fall off.
- Blisters - Blisters form as a result of heat, moisture and friction. Blisters can also form as a result of fungal infections of the skin, allergic reactions or burns.
- Abrasions - Abrasions to the skin are due to excessive rubbing resulting in the loss of the skin.
- Skin Tears - Skin Tears occur from a rapid, forceful shear to the skin. They are most commonly self inflicted when adhesives are improperly removed.
- Malignant Melanoma - Pigmented lesions should always be inspected and observed; if a pigmented lesion suddenly changes, it should be evaluated by a physician immediately. Types of cancers causing lesions that can occur on the foot include:
- Actinic Keratosis - Lesions of this type are usually found in sun-exposed areas such as the face, ears, and back of the hands; however, these lesion can also occur on the foot. They are characterized as either flat or elevated with a scaly surface.
- Kaposi's Sarcoma - Lesions of this type are found on the soles of the foot. They are irregularly shaped and can have a purplish, reddish or bluish black appearance.
- Venous Stasis - Venous Stasis occurs when fluid accumulates in the lower extremities. Suffers find dark patches of skin around the ankles and lower legs. As fluid accumulates, veins and tissues can breakdown creating venous stasis ulcerations. This condition requires attention from a physician.
- Hyperhidrosis - Or excessive sweating can occur on the soles of the feet. This excessive moisture can cause other foot ailments including Athlete's Foot and Plantar Wart Infections.
- Lis Franc's Dislocation - The Lis Franc's joint is a combination of joints in the middle of the foot. This injury occurs when a direct crushing type injury or a force applied to the ball of the foot which results in the displacement of the Lis Franc's joint.
- Metatarsal Stress Fracture - Fractures of this type occur when excessive stress is placed on the ball of the foot and a hairline break (fracture) of a long metatarsal bone occurs.
Many times, invasive surgery leads to the development of thick scar tissue and a recurrence of equal or greater pain in the affected heel. Post-surgical protocol is four weeks or more of zero weight bearing, typically followed by casting and therapy. Total time for recovery and maximum medical improvement can be as much as a year.
The OssaTron has a proven success rate that is equal to or greater than that of surgery-usually with just one treatment and without the inherent risks, complications and lengthy recovery time of surgery. The procedure takes about 30 minutes, is performed as an outpatient procedure, and requires no overnight hospital stay. Patients can bear weight (i.e., walk) and return to normal activity within a few days of the procedure.
Your doctor has recommended OssaTron treatment as the most medically appropriate option for you based on your patient history.
The OssaTron is not recommended for:
- Anyone who is taking medications for bleeding problems or has a history of bleeding or blood clotting problems
- Pregnant women
The effect, safety and effectiveness of OssaTron treatments has not yet been determined on people with the following health conditions:
- Tarsal tunnel syndrome or other nerve entrapment disorders
- Diabetic neuropathy
- Fracture of the foot or ankle
- Significant peripheral vascular disease
- Severe osteoarthritis
- Rheumatoid arthritis
- Metabolic disorders
- Paget's disease
- Systemic infection
Your doctor will provide you with information about how these and other health conditions might affect the decision to perform OssaTron treatment.
Your doctor or healthcare facility will commonly ask you to arrive at the hospital or surgery center a few hours before your scheduled treatment. It is recommended that you should wear shorts or loose-fitting clothing that can easily be rolled up to the knee of your affected. You may be asked to change into a hospital gown. The staff may take your temperature, pulse and blood pressure, and ask some questions about your general health. They will also request that you sign a consent form for treatment, and indicate which side is to be treated.
The treatment can cause same discomfort or pain, so anesthesia is commonly given before the procedure is administered.
You will stay at the hospital or surgery center until the anesthetic wears off enough to walk safely.
Your doctor will probably ask you to restrict "stressful activity'' such as jogging, heavy housework or yard work, and participating in sports for four weeks following treatment.
Pain relief begins for patients at different times. For some patients it is immediate; for others it may take four weeks. The full effect of the OssaTron procedure may not be realized until the twelfth week following the treatment. If you haven't achieved any relief by then, you may consider having a second OssaTron procedure. This is a decision you will make with your physician.What Are Possible Side Effects/Complications?
OssaTron treatment has minimal risks. In some cases it can cause skin reddening, bruising, tingling or the plantar fascia to tear. There may be changes in pain or temporary numbness.
Same patients reported a recurrence or episodes of pain following treatment, which may continue for a few days to several weeks. It is also normal to have some residual pain after intense exercise or a full day of work on your feetWho Should Consider OssaTron Treatment?
Treatment is recommended for patients who have had chronic proximal plantar fasciopathy for six months or more and who have tried at least three other conservative (non-surgical) therapies without success.What Other Treatments Are Available?
Some people who have plantar fasciitis get better with time, even with no treatment Others get better after trying one or more conservative treatments, which may include rest from strenuous activity; application of heat and/or cold; conditioning and stretching exercises; use of orthotic devices (shoe insert a heel cup); physical therapy, including ultrasounds, over-the-counter pain relievers such as aspirin or Tylenol; prescription pain relievers. In difficult cases of plantar fasciitis, open or endoscopic surgery may be performed.Will My Insurance Pay For Treatment?
Many health insurance companies nationwide are incorporating orthotripsy treatment into their policies. It is recommended that you ask your provider if this treatment is a covered benefit. HealthTronics may be an out-of-network provider for the OssaTron procedure. An out-of-network provider may increase your financial responsibility for treatment as well as the length of time you have to wait for an approval from your insurance company.How Can I Get More Information?
Your doctor is the best person to talk with if you have questions or concerns about treatment with OssaTron. He or she has extensive knowledge and specialized training on all aspects of its use, safety and effectiveness. You can learn more about the OssaTron by visiting HealthTronics Web site at: www.healthtronics.com/ossatron.