This testimonial video, created by the American Podiatric Medical ociation (APMA), introduces students considering a career in health and medicine to the exciting, fulfilling and challenging world of podiatric medicine. So, who is “Today’s Podiatrist?”
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Docpods Ultra Soft Orthotic Innsersole. The ultimate for comfort & support in running, work & fully enclosed footwear. Purchase online with free delivery at www.docpods.com.au
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An interview with Robert Schwartz on fashion and function with Lauren Handel of Camileon Heels on NBC4 “New York’s Today in New York”
For those who want to know more about us or even bring their shoes in for a “Shoe Makeover” visit Eneslow the Foot Comfort Center at 470 Park Avenue South - 212.477.2300, 1504 Second Ave - 212.249.3800, and 254-61 Horace Harding Expressway, Little Neck Queens - 718.357.5800. Or go to http://www.eneslow.com.
We look forward to serving you!
“foot pain” “feet pain” “toe pain” “heel pain” “heel spurs” bunions “plantar fasciitis” “leg length discrepency” “pulled muscles” backache “muscle strain” pedorthist podiatrist “custom shop” “custom work” “shoe makeover” “shoe renovation” metatarsalgia “ankle pain” “heel spur” orthotics “cracked heels”
For more information, visit us at www.eneslow.com or visit us at 470 Park Avenue South at 32nd Street, NY, NY 10016.
Duration : 0:4:37
For more on Docpods Superslim for fashion footwear and open back shoes visit www.docpods.com.au
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Hallux Valgus is a condition which affects the joint at the base of the big toe. The condition is commonly called a bunion (above). The bunion actually refers to the bump that grows on the side of the first metatarsophalangeal (MTP) joint. In reality, the condition is much more complex than a simple bump on the side of the toe. Interestingly, this condition almost never occurs in cultures that do not wear shoes. Pointed shoes, such as high heels and cowboy boots, can contribute to the development of hallux valgus. Wide shoes, with plenty of room for the toes, lessen the chances of developing the deformity and help reduce the irritation on the bunion if you already have one. However, shoes alone are not “solely” to blame for the development of bunions. Abnormal foot function comes into play in the development of almost all bunions, and the most common abnormality is over-pronation or excessive flattening of the foot, easily correctable with an orthotic.
Treatment
Treatment of hallux valgus nearly always starts with adapting the shoewear to fit the foot. In the early stages of hallux valgus, converting from a pointed toe shoe to a wider box toe shoe may arrest the progression of the deformity. The pain that arises from the bunion is due to pressure from the shoe. Treatment focuses on removing the pressure that the shoe exerts on the deformity. Wider shoes reduce the pressure on the bunion. Bunion pads may reduce pressure and rubbing from the shoe. There are also numerous devices, such as toe spacers, that attempt to splint the big toe and reverse the deforming forces.
If all conservative measures fail to control the symptoms, then surgery may be suggested to treat the hallux valgus condition. There are well over 100 surgical procedures described to treat hallux valgus. The basic considerations in performing any surgical procedure for hallux valgus are: to remove the bunion to re-align the bones that make up the big toe to balance the forces so the deformity does not return.
In some very mild cases of bunion formation, surgery may only be required to remove the bump that makes up the bunion.
It is more likely that re-alignment of the big toe will also be necessary. The major decision that must be made, is whether or not the metatarsal bone will need to be cut and re-aligned as well. The angle made between the first metatarsal and the second metatarsal is used to make this decision. The normal angle is around 9-10 degrees. If the angle is 13 degrees or more, the metatarsal will probably need to be cut and realigned.
This effectively reduces the angle between the first and second metatarsal bones, narrowing the foot. The bone is held in the desired position with a metal screw or pin.
In more severe bunion deformities, where the foot has widened considerably and the big toe is way out of alignment, the first metatarsal is cut at the near end of the bone (proximal osteotomy below).
The bone is re-aligned and held in place with screws or metal pins until it heals. A cast is worn and the patient walks with crutches or a walker, not bearing any weight on this foot or an extended period of time. Again, this reduces the angle between the first and second metatarsal bones.
Re-alignment of the big toe is then done by releasing the tight structures on the lateral side of the first MTP joint. This includes the tight joint capsule and the tendon of the adductor hallucis muscle. As you can see, this muscle tends to pull the big toe inward. The toe is realigned and the joint capsule on the medial side of the big toe is tightened to keep the toe straight.
Once the surgery (.avi movie) is complete, it will take about eight weeks before the bones and soft tissues are healed.
A picture of a foot showing an advanced bunion deformity which never received treatment is available. It’s not pretty.
After surgery is completed, it is essential that the two factors that caused the bunion originally be eliminated: Tight shoes must be avoided and abnormal foot function must be corrected.
Duration : 0:1:50
Podiatric Pathology Services
Epidermal Nerve Fiber Density Skin Biopsy Transport Kit
At Bako Pathology Services we offer a full spectrum of anatomic pathology testing with specialization in dermatopathology, bone pathology, and pathology of the soft tissue. We pride ourselves on working overtime to see that our reports are not only concise, but also offer clinicians information that will help them optimize their practices efficiency. We know that clinicians expect pathology reports to provide them with pertinent documentation and whether reviewing a skin biopsy, a hemiphalangectomy, or a neuroma excision, we take that obligation seriously.
Here is more of what we offer:
- 12-24 hour in-house turn-around time
- Internet-based reporting
- Digital photomicrographic imaging
- Overnight shipping option
- Podiatry dedicated customer service team
- Compliant patient-friendly billing policies
- Only board-certified dermatopathologists
- Pathologist available for consultation 7am-7pm est.
Testimonials:
It is refreshing to be working with Bako Pathology, a lab that is dedicated to podiatric pathology. It does not stop there. They are strongly dedicated to promoting our profession through education, research and financial support.
It’s a delight to see internet-based reporting and 24 hour turn-around time. Their web site is user friendly and easy to order supplies. The reports are detail-oriented, with therapeutic options and literature references. It is supplemented with excellent digital photomicrographic imaging.
Keep up the great work…
Allen Lazerson, DPM
Past president GPMA
“Bako Podiatric Pathology Services should be your first choice for all your pathology needs because Bako provides state of the art facilities and exceptional and responsive client services. Even more important, Brad Bakotic, DPM, DO is the only DPM in the world who is certified in anatomic pathology and dermatopathology. This matters to you and your patients.”
Bryan C. Markinson, DPM
New York, NY
The easiest part of switching to Bako Podiatric Pathology Services was knowing that customer service for the Doctor and the Patient is a top priority. The Dermatopathologists are knowledgeable and friendly and the support staff always seems eager to help. Reports are timely and clinically helpful. Even though Bako is a new Pathology Lab, they have demonstrated an unequaled level of dedication to the Podiatric profession.
Bob Warkala, DPM
Sewell, NJ
The doctors and staff in our office loves to work with Bako Podiatric Pathology Services. They make it simple for staff to send them specimens, their reports look great, are descriptive and easy to read. We have found the Pathologists to be above the curve with their acute diagnosis and most impressive is their willingness and availability to always get on the phone to discuss a case.
Hal Ornstein, DPM, FAPWCA
Managing Partner
Affiliated Foot and Ankle Center, LLP
Howell, New Jersey
I use Bako Podiatric Pathology Services not only because the results are accurate, detailed, and timely, but also because Drs. Bakotic and Hackel are approachable and always willing to go the extra mile to help me to accurately diagnose both complicated and everyday skin conditions. They are always just a phone call or email away. Their availability helps facilitate a quick diagnosis and treatment plan so that my patients get better faster.
Chad Webster, DPM
Memphis, TN
From beginning, to receiving my pathology results, my experience with Bako Podiatric Pathology Services has always been convenient, quick and seamless. Punch, shave or clip, drop the specimen in the jar and youre done. Return reporting is quick, fax copies of the results are sent followed by a hard copy in the mail. Recently, I have been accessing my reports on their web portal. The reports are clear and to the point. Suggested treatment plans based on podiatric outcomes accompany the diagnosis. A very clear photograph of the histological slide is included on the report as well. Lastly, and perhaps most importantly, if you have any questions regarding the results or the condition the doctors at Bako are always available. Personal service, rapid response time, easy to use I feel that the doctors and staff at Bako are part of our office family.
Bruce Lashley, DPM
New York, NY
Duration : 0:1:43
Plantar Fasciitis is a common problem seen with heel pain, especially first step in the morning. The pain increases over time and limits the ability to even do normal activities. Topaz Radiocoblation is a new revolutionary treatment that helps not just improve symptoms of plantar fasciitis, but often solves the problem. Dr Gibson, a podiatrist in American Fork, Utah, discusses this new treatment.
Duration : 0:8:54
Dr. Neuhaus, a podiatrist in the Nashville, tn area talks about selecting appropriate footware. Foot pain can be caused by improper shoes. Learn the 3 basic things to look for when selecting a good athletic shoe.
Duration : 0:4:52
Sports Injuries
Martial arts and kick boxing
A variety of injuries can occur as a result of martial arts and kick boxing. These include plantar fasciitis, Achilles tendonitis, sesamoiditis, and ankle sprains. Stretching is recommended for a minimum of 15 minutes before performing any kicking or punching.
Aerobics
Proper shoes are crucial to successful, injury-free aerobics. Shoes should provide sufficient cushioning and shock absorption to compensate for pressure on the foot many times greater than found in walking. They must also have good medial-lateral stability. Impact forces from aerobics can reach up to six times the force of gravity, which is transmitted to each of the 26 bones in the foot.
Team Sports
Activities such as football, basketball, soccer, field hockey and lacrosse often lead to ankle and big toe joint injuries as a result of play on artificial surfaces.
Turf toe
Big toe injuries also called “turf toe,” often result from hyperextension of the big toe joint as the heel is raised off the ground. An external force is placed on the great toe and the soft tissue structures that support the big toe on the top are torn or ruptured.
Symptoms include pain, tenderness and swelling of the toe joint. Often there is a sudden acute onset of pain during push-off phase of running. Usually, the pain is not enough to keep the athlete from physical activities or finishing a game. This causes further injury to the big toe and will dramatically increase the healing time.
Treatment includes rest, ice, compression, and equipment modification or change. Non-steroidal anti-inflammatory drugs (NSAIDs) may be used for relief of minor pain as well as to decrease the inflammation of the injury. Consult your physician before taking any medication.
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Plantar fasciitis (or heel pain) is commonly traced to an inflammation on the bottom of the foot. Our practice can evaluate arch pain, and may prescribe customized shoe inserts called orthotics to help alleviate the pain.
Plantar fasciitis is caused by inflammation of the connective tissue that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Also called “heel spur syndrome,” the condition can usually be successfully treated with conservative measures such as use of anti-inflammatory medications and ice packs, stretching exercises, orthotic devices, and physical therapy.
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