Dr. Rosenfeld Discusses MRIs

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Dr. Rosenfeld Talks About Gout

Click on the link below to view a video about the latest medical developments in treatment for Gout:

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FOOT AND ANKLE SURGERY;
In some cases foot problems do not respond to conservative treatmens. A poditrist can best determine when foot surgery might be beneficial. In cases when pain or deformity persits surgery may be needed to restore full foot function.
Prior to surgery a podiatric surgeon will review your medical history and perform an examination. Specific medical tests may be required before undergoing foot and ankle surgery. These tests may include x-rays, blood tests, urinalysis, and blood flow studies to determine the circulatory status of your feet and legs.
The length and method of posoperative care that is needed is determined by the type of surgery performed. All postoperative care includes some degree of rest, ice, comprssion, and elevation. Other elements can include bandages, splints, surgical shoes, casts, crutches, and canes. Recovery can be quickened by carefully following your podiatrist's instructions.

Did you know that your foot has 26 bones in it, 33 joints, 107 ligaments and 19 muscles. A person weighing 130 pounds exerts 500 lbs of pressure on your foot for each step that you take. No wonder our feet hurt!

What does a PODIATRIST do: He/she is a specialist who provides medical diagnosis and treatment of foot and ankle problems, such as bunions, heel pain, spurs, hammertoes, neuromas, ingrown toenails, warts, corns and calluses. A podiatrist also renders care of sprains, fractures, infections and injuries of the foot, ankle and heel. In addition to undergraduate medical school training, podiatrists also attend graduate school for a doctorate degree in podiatry. Podiatrists are required to take state and national exams, as well as be licensed by the state in which they practice.
A podiatrist will consult with patients and other physicians on how to prevent foot problems.
Diagnose and treat tumors, ulcers, fractures, skin and nail diseases, and deformities.
Perform surgeries to correct or remedy such problems as bunions, fractures, hammertoes, infections, ruptured Achilles, and other ligaments and tendons.
Prescribe therapies and perform diagnostic procedures such as ultrasound and lab tests.
Prescribes or fits patients with inserts called orthotics that correct walking patterns.
Treat conditions such as:bone disorders, bunions, corns, calluses, cysts, heel spurs, infections, ingrown nails, and plantar fascitis.

ORTHOTICS:
How do you know if the use of orthotics is right for you? If you have an obvious imbalance that causes such symptoms as flat feet or high arches, or if you have external misalignments such as "knock knees", "bow knees", in-toeing, or out-toeing you are probably a good candidate for orthotics. If you participate in an activity that places stress on your feet or if your work requires you to be on your feet for extended periods orthotics could be beneficial. The use of orthotics is just one of the conservative foot treatments used in our offices. They can be used to treat foot, heel, and arch pain, some calluses, diabetic ulcers and pressure sores, arthritis, abnormal foot function, and to prevent sports injuries or improve sports function. Orthotics can be used to treat children as well as adults. The best way to find out if orthotics can help you is to make an appointment with us for an exam.

ORTHOTICS:WHAT ARE THEY? Foot orthotics are supportive devices that are designed specifically for the purpose of improving one's postural stability, reducing shock impact, and/or improving weight distribution. In most cases, these devices are functional in the sense that they also improve one's biomechanical performance during gait. An impression of some sort, is usually taken of your feet, and used in the selection and fitting of a prescription orthotic.

What is a Podiatrist? A podiatrist is a specialist who focuses on your feet and ankles. We are quite simply "the experts" on your feet and ankles and should be the very first doctor you call when you experience pain or other problems with them.
DPM stands for Doctor of Podiatric Medicine. Podiatrists treat people of all ages, not just seniors or diabetics. A podiatrist is qualified to help children with the problems that they can experience with their feet and ankles.

Peripheral Neuropathy

Peripheral neuropathy describes damage to the peripheral nervous system, the vast communications network that transmits information from the brain and spinal cord (the central nervous system) to every other part of the body. Peripheral nerves also send sensory information back to the brain and spinal cord, such as a message that the feet are cold or a finger is burned. Damage to the peripheral nervous system interferes with these vital connections. Like static on a telephone line, peripheral neuropathy distorts and sometimes interrupts messages between the brain and the rest of the body.
Because every peripheral nerve has a highly specialized function in a specific part of the body, a wide array of symptoms can occur when nerves are damaged. Some people may experience temporary numbness, tingling, and pricking sensations (paresthesia), sensitivity to touch, or muscle weakness. Others may suffer more extreme symptoms, including burning pain (especially at night), muscle wasting, paralysis, or organ or gland dysfunction. People may become unable to digest food easily, maintain safe levels of blood pressure, sweat normally, or experience normal sexual function. In the most extreme cases, breathing may become difficult or organ failure may occur.

Peripheral neuropathy can cause numbness and tingling in your feet. Some people may feel like they are wearing socks when they are not. There can be a diminished sense of touch in the feet, and sometimes pain is less noticeable. People may also not notice temperature changes in their feet as easily. This is dangerous as patients may not notice changes in their feet, and may not be aware of traumas that have occurred.