On Site Radiology
Foot and ankle disorders can be caused by many things, including degenerative disease, trauma or abnormal development that, over time, has changed the shape of the bones. The more precisely a disorder can be defined, the more accurately it can be treated. X-rays help determine whether a bone has been fractured or damaged by conditions such as an infection, arthritis, or other disease. Other reasons for conventional X-rays on your feet are to: evaluate changes in the bones from infections, arthritis, or other bone disease; assess whether a child’s bones are growing normally; locate foreign objects (such as pieces of glass or metal) in a wound; and determine whether bones are properly set after treating a fracture.
Peripheral Arterial Disease (PAD)
An estimated 1 in 20 people over the age of 50 are affected by peripheral arterial disease (PAD), in which blood flow to the legs and feet is restricted by plaque buildup in the arteries.
The PADnet screening takes 15 to 20 minutes and measures segmental blood pressure in the arms and legs and blood volume in the legs and toes. This information is transmitted from the doctor’s office to vascular specialists for interpretation. The doctor is then provided with information about the patient’s’ lower extremity arterial system.
The PinPointe Laser provides superior clinical performance proven through years of research and clinical studies. This treatment uses a laser to penetrate the nail to kill the living fungus inside the nail bed. With this technology, you can avoid oral medications that can be harmful, especially to your liver and kidneys.
Toenail fungus, Onychomycosis, is fungi that live in the layer of dead skin under and in the nail. Permanent deformity of the nail or nail bed can occur from this infection. Some signs of nail fungus can be yellow streaks in the skin under the nail, white spots or streaks on the nail, or a soft powdery nail surface.
Fluoroscopy is essentially a continuous X-ray and with two different applications for treating foot and ankle disorders. Fluoroscopes are used during surgery to show the surgeons exactly where they are in the body and where plates, pins and screws need to be placed. Fluoroscopy is also used to guide injections in the small joints of the foot and ankle. Surgeons use the results of the injections to see which joints may be painful to better determine which ones may require surgery and whether surgery will be an effective treatment.
Ultrasound is a very effective tool for diagnosing a wide variety of foot and ankle problems, particularly soft tissue problems. Ultrasound uses sound waves on the body in a way much like radar uses sound waves. The waves hit a targeted area and are bounced back to a recording device, which produces an image. Ultrasound is a completely safe, noninvasive, and painless diagnostic procedure.
Cryotherapy is a standard treatment for warts that uses a very cold substance (usually liquid nitrogen) to freeze and deaden the tissue. Cryotherapy can be done in a doctor’s office and takes less than a minute. During the procedure, the doctor applies the liquid nitrogen to the wart using a probe or a cotton swab. Liquid nitrogen can also be sprayed directly on the wart. The freezing liquid can cause discomfort or pain, which is why a numbing drug (local anesthetic) is sometimes used.
Most cryotherapy treatment requires return visits to ensure that the wart is completely removed. Studies show that cryotherapy is successful about two-thirds of the time, and when combined with salicylic acid treatment, up to 78% of the time.
Extracorporeal Shock Wave Therapy (ESWT)
ESWT is used to treat chronic heel pain (plantar fasciitis). “Extracorporeal” means “outside of the body.” During this noninvasive procedure, sonic waves are directed at the area of pain using a device similar to that currently used in nonsurgical treatment of kidney stones.
Neurolysis is a therapeutic procedure used to treat neuromas. During this nonsurgical procedure, the affected nerve is chemically destroyed via seven weekly injections of ethanol mixed with a local anesthetic. Because nerve tissue has an affinity for ethanol, it absorbs the substance, which, after repeated exposure, becomes toxic and destroys the pain-causing nerve. Neurolysis has a success rate of more than 60 percent. However, this treatment modality is not widely accepted by insurance companies.
Genetic Skin Grafting