Battling a Bunion?

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Medigo

A bunion (also known as hallux valgus) is an enlargement of the joint on the side of your big toe, which forms as a result of either an inherited faulty structure or excessive stress on the feet. In the initial stages, a bunion may not be painful, but as the big toe continues to move out of its normal position and lean toward the second toe, it will throw the bones out of alignment, thus producing the bunion’s bump.

Symptoms:

  • A protruding bump on the outside of the base of your big toe
  • Painful inflammation, redness, or soreness around your big toe joint
  • Development of corns or calluses
  • Persistent or intermittent pain
  • Restricted movement of your big toe

If a bunion is treated in the early stages, there are several conservative treatment options that are used to help ease the pain of a bunion, but it will not correct the issue. These treatments include felt pads to relieve pressure, properly fitted shoes with a wide toe box, custom molded orthotics, icing/medications, and changes in your daily activity (i.e. avoiding high heels, limit standing for long periods of time, etc.).

In cases where the bunion has grown beyond the point where conservative measures can be effective, a surgical removal of the bunion and realignment of the bones is necessary.

If you or someone you know believes they may have a bunion, feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

Thinking Ahead: How to Prepare for Your End of the Year Surgery

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As deductibles continue to increase year by year, patients are finding that their deductibles and out of pocket expenses are being met much later in the year, thus resulting in patients holding off on their health care, and delaying elective surgeries until the last quarter. If you are anticipating having an elective surgery by the end of the year, our office strongly suggests scheduling an appointment promptly, so we can secure the date(s) you are interested in.

Not sure where you’re at with your deductible and out of pocket expenses for the year? Let us help! Give us a call at (248)348-5300 or send us an email and we’ll look into your insurance benefits for you!

Toenail Fungus Treatment: PinPointe Laser

Toenail fungus, which affects about 35 million people, can be very difficult to treat for a variety of reasons, most notably the fact that the warm, moist, and dark environment inside your shoes is an ideal growing habitat for the tiny microorganisms. Fortunately, there are several methods to go about treating toenail fungus, including PinPointe Laser, which has been used successfully in our office for over 6 years!

Signs of Nail Fungus:

  • Thickening
  • Discoloration
  • Brittle, crumbly or ragged
  • Appearance of debris under the nail
  • Foul smells when nails are wet
  • Occasional lifting up of the nail

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The patented PinPointe Laser is a specially designed laser beam that goes through the toenail and safely kills the organisms embedded in the nail bed that cause Onychomycosis, more commonly known as toenail fungus. Also, even though the existing nail will not become clear immediately after treatment, the new nail growth will appear normal, as the fungus will no longer be present.

One of the advantages of this breakthrough procedure is that there is no down time. Patients walk in, walk out, and have no physical limitations following treatment. The laser procedure usually takes a couple of minutes depending on the number of nails and the severity of the condition. Additionally, since most fungus is usually killed after one treatment, but also commonly found in one’s environment, our podiatrists will strongly recommend post-procedure care that will greatly reduce the possibility of reinfection.

How to Prevent Repeat Toenail Infections

  • Use antifungal spray in your footwear.
  • Air out your shoes, and don’t wear the same shoes every day.
  • Make sure to wear shower shoes or flip flops in locker rooms, showers, and pool areas.
  • Schedule routine visits to your podiatrist to monitor progress.

If you or someone you know believes they may have a fungal infection, feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

 

 

Now Available In Our Office: Radial Shockwave Therapy

What is Radial Shockwave Therapy?

Radial Pulse Shockwave Therapy is an FDA cleared technology proven to increase the rate of healing for soft tissue tendon or fascial injuries. It is the most advanced non-invasive and highly effective treatment method that enhances blood circulation, and accelerates the healing process causing damaged tissue to gradually regenerate.

What conditions can be treated with RSWT?

  • Plantar Fasciitis
  • Achilles Tendonitis
  • Retro Achilles Heel Pain (Spurs)
  • Posterior Tibial Tendonitis
  • Peroneal Tendonitis
  • Shin Splints
  • Partial Tendon Tears

How does RSWT work?

The ballistic sound waves of the shockwave penetrates deep through your soft tissue, causing a microtrauma or new inflammatory response to the treated area. Once this occurs, it then triggers your body’s natural healing mechanisms. The energy emitted also causes the cells in the soft tissue to release bio-chemicals that intensify the body’s natural healing process. These bio-chemicals allow for the building of an array of new microscopic blood vessels in the soft tissue.

What do studies show?

There have been extensive studies done on Low Energy Shockwave Therapy over the past 20 years. These studies show between a 72% – 90% success rate.

How is RSWT performed?

The system is a small machine with an applicator that looks like an ultrasound. It is administered every few days for a series of 5 treatments. Each treatment takes approximately 5 minutes depending on the size and number of areas treated. All treatments are performed by experienced professionals who apply the applicator to the area and administers the ballistic waves by moving over the affected area in a very slow, circular motion. During the treatment, there may be some minor discomfort. Painful areas are helpful in isolating the truly injured areas.

Why consider Radial Shockwave Therapy?

RSWT has a proven success rate that is equal to or greater than that of traditional treatment methods, including surgery, without the risks, complications, and lengthy recovery periods. There are no incisions and no risk of infection, or scar tissue, like with surgery. There is no need for anesthesia to be administered during the treatment. Patients treated with RSWT may be active immediately and resume their normal routine the same day. Many patients find a significant and immediate reduction in their pain. Some patients will feel results gradually after each treatment.

What are the possible side effects?

There have been very few side effects reported. In rare cases, skin bruising may occur, and patients may feel soreness to the area for a day or two afterward, similar to a strenuous workout.

To learn more about shockwave therapy or to find out if you’re eligible for this innovative procedure, please feel free to contact our office at (248)348-5300 or request an appointment online. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

Children’s Shoe Shopping Advice

One of the most important purchases on any parent’s shopping list should be a pair of proper fitting shoes for their child. The podiatrists and staff of Associated Podiatrists PC would like to share several important factors that parents should consider while back to school shopping:

Children’s Feet Change with Age. Shoe and sock sizes may change every few months as a child’s feet grow.

Shoes That Don’t Fit Properly Can Aggravate the Feet.  Always measure the child’s feet before buying shoes, and watch for signs of irritation.

Never Hand Down Footwear. Just because a shoe size fits one child comfortably doesn’t mean it will fit another the same way. Also, sharing shoes can spread fungi like athlete’s foot and nail fungus.

Examine the Heels. Children may wear through the heels of their shoes quicker than outgrowing shoes themselves. Uneven heel wear can indicate a foot problem that should be checked by a podiatrist.

Take Your Child Shoe Shopping. Every shoe fits differently. Letting a child have a say in the shoe buying process promotes healthy foot habits down the road.

Always Buy for the Larger Foot. Feet are seldom precisely the same size.

Buy Shoes That Do Not Need a “Break-In” Period. Shoes should be comfortable immediately. Also make sure to have your child try on shoes with socks or tights, if that’s how they’ll be worn.

Consider Closed Toe Shoes. Covering the child’s toes allows for more protection.

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If your child is experiencing foot pain or you have other concerns, please feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

 

Sculptra Injections for Fat Pad Atrophy

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If you’ve ever experienced pain in the ball of your foot, commonly known as metatarsalgia, then it’s possible you may be experiencing fat pad atrophy (FPA), or the wearing down of the plantar fat pad in your feet. Due to the natural thinning that occurs as we age, FPA is more common in elderly patients, but it also occurs in people who frequently wear high heels, walk barefoot, wear thin-soled shoes, have high arches, or are overweight.

The main function of the plantar fat pad is to protect the underlying structures from pressure, so without the padding, the weight from your body shifts onto these bones and can lead to pain, inflammation and over time, pain under the ball of your foot.

Symptoms of fat pad atrophy can include:

  • Sharp, aching or burning pain
  • Pain that worsens when you stand, run, or walk barefoot
  • A feeling of having a pebble in your shoe

“Fat pad atrophy is extremely common among our elderly patients, but I see it in patients who play high impact sports, too,” says Dr. Marc Borovoy, a podiatric physician at Associated Podiatrists PC. “The more pressure applied to that area of your foot, the faster your natural padding will break down.”

Currently, the conservative treatment(s) for FPA consist of cushioning pads or shoe inserts, however, depending on the severity, can only provide patients with minimal relief. If left untreated, FPA can cause significant pain and limitation of function, but may also lead to pain in other parts of the body, such as the knees or lower back, due to altered gait.

“Sculptra is a quick, safe, and biocompatible solution that replaces the areas that have atrophied over the years,” Dr. Borovoy continues. “It allows the patient to bear weight the same day, and depending on the level of atrophy, can allow patients to remain active and pain-free for up to a year.”

To learn more about Sculptra injections or to make an appointment for this innovative procedure, please feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

A Quick Guide to Gout

While many people may be unfamiliar with gout and its symptoms, more than 8 million Americans (roughly 3.9% of the US population) have been diagnosed with this type of inflammatory arthritis. Gout develops from a build-up of uric acid, which is produced by your body when it breaks down purines — substances that are found naturally in your body, as well as in certain foods and alcoholic beverages (especially beer).

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© Healthwise

Other factors that increase uric acid levels:

  • Obesity
  • Medical conditions such as high blood pressure, diabetes, and kidney disease(s).
  • Medications for high blood pressure, aspirin
  • Genetics

Normally, uric acid dissolves in your blood and passes through your kidneys into your urine, but sometimes, your body either produces too much uric acid or your kidneys excrete too little. When this occurs, the uric acid in your blood builds up and forms sharp crystals in your joint(s), causing severe pain, inflammation and swelling.

If you experience any form of sudden pain in your foot or ankle, call your podiatrist as soon as possible to obtain an accurate diagnosis. If left untreated, gout can harm your joints, tendons, and other tissues, even if the pain has temporarily subsided.

Once a diagnosis is confirmed through a physical examination, blood test, or fluid sample, your podiatrist will discuss a plan of treatment specifically for you. Treatments for gout generally include a prescription medication or injection to help treat the pain and inflammation, as well as lifestyle changes including dietary restrictions.

To learn more about gout or to make an appointment, please feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

Orthotics: How Often Should They Be Replaced?

If you’ve ever been to the doctor’s office for foot or ankle pain, then you’ve probably been told about custom-molded orthotics. Prescription orthotics are designed by a podiatrist and molded specifically to your feet to help support and correct your individual foot problems. As your foot rests on the orthotics, it is consistently being directed into the correct position, and therefore, pressure points, improper rotation, and painful muscle strain(s) are eliminated because your foot is functioning properly.

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Orthotics are used to help treat:

Many patients find that after they’ve started using their custom-molded orthotics, that their symptoms have disappeared. So, how long are you supposed to wear them? The truth is that orthotics don’t cure your foot problem(s), they simply correct the issues that are giving you discomfort. If you were to remove the orthotics, there’s a good chance your problems would return.

Our podiatrists recommend having your orthotics evaluated yearly, to check on wear, and replaced every 3 years.  For pediatric orthotics, patients should follow up every 6 months, to monitor their development, and have their orthotics replaced after they grow 2 shoe sizes. Changes to the orthotics themselves are the easiest way to determine if they need to be replaced (i.e. tears, cracks, or thinning), but changes in your body will inform you, too. If you start to notice pain in your feet, as well as other parts of your body (most commonly your knees or back), it’s time to come in and see your podiatrist.

To learn more about custom orthotics or to make an appointment to have your orthotics evaluated, please feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

US Surfer Kelly Slater Breaks Foot During WSL Event

Just hours after being forced to withdraw from the World Surf League event at Jeffreys Bay, champion US surfer Kelly Slater took to Instagram to show off the horrific foot injury he endured during one of his heats.

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“I pulled into a barrel this morning and the whitewash bounced the board back into my foot as I hit the close-out, taking all the pressure into the metatarsals,” Slater explained in his post. “Kinda like smashing my foot with a big hammer as hard as I can.”

After a quick review of the x-ray Slater posted, Dr. Borovoy, a podiatric physician at Associated Podiatrists PC, was quick to point out his injuries. “He has a comminuted 4th met fracture with severe displacement, as well as a displaced 3rd metatarsal. He’ll definitely need surgery and be able to stay off of it for about two months,” he adds. “After that, he’ll be looking at a few weeks of physical therapy, too.”

Broken bones, while generally very common and often the result of an accident, tend to have similar symptoms such as pain, swelling, bruising, and the inability to bear weight. The severity of the break, however, will cause those symptoms to vary from person to person, and therefore, should always be looked at by a podiatrist in order to obtain an accurate diagnosis and plan of care.

If you or someone you know believes they may have broken their foot, feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

 

“Spring for Socks” Charity Drive Update!

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We are very happy to announce that our “Spring for Socks” charity drive helped collect over 1,000 pairs of new socks for the SAY Detroit Family Health Clinic! Yesterday, Dr. Borovoy, our office manager, Angie, and Molly, had the privilege of meeting with the clinic’s medical director, Dr. Richardson, and Dr. Covington, to hear about all of the amazing healthcare opportunities the office provides for homeless women and children. As the nation’s first free medical clinic, they see close to 7,000 patients a year, so if you were able to donate socks or spread the word about our charity drive, your kindness has not gone unnoticed! We look forward to continuing our relationship with SAY Detroit and getting our next charity drive started soon!