- Foot Surgery
- Laser Therapy for Nail Fungus
- Custom Orthotics
- Digital X-Rays
- Shockwave Therapy
- Regenerative Medicine
- Foot and Ankle Injuries
- Diabetic Foot Care
- Sports Medicine
- Diagnostic Ultrasound
Foot surgery may be appropriate to alleviate chronic pain or foot deformities and to restore function to the foot. The doctors at Carlsbad-Encinitas Podiatry are board certified foot surgeons on staff at Scripps Encinitas Hospital and UCSD Center for Surgery of Encinitas. They maintain expertise in the most up-to-date surgical techniques.
Laser Therapy for Nail Fungus
The Pinpointe Nd/Yag laser is used to pass high power energy through the nail to the nail bed and nail growth area. At the time of the procedure, the fungus is expected to be destroyed, however no visible changes are seen until the nail begins to grow out. A more normal nail is expected to appear with complete regrowth of the nail taking up to 9-12 months.
Custom foot orthotics are designed to align the foot and ankle into the most anatomically efficient position. They look similar to insoles, but are biomedical appliances that are custom made to correct your specific foot imbalance. The plastic body of the custom orthotic helps to re-align the foot while you walk. We understand that everyone is different, which is why custom foot orthotics are made just for you.
Radial Shockwave Therapy
What is Radial Shock wave Therapy (RSWT)?
RSWT is a non surgical method of reducing heel pain through pneumatically generated pressure waves that travel through the skin. The pressure waves come in contact with the inflammed tissue and stimulates the body’s natural self healing process. The treatment is safe and effective and is FDA approved.
Who benefits from this treatment?
RSWT is especially beneficial for patients that have chronic heel pain and have not had success with previous therapies such as medications, orthotics, steroid injections or stretching. There is no lost time from work. No need for anesthesia or injections. No need for a surgery center.
What is involved in the treatment?
The procedure is performed in the office. The area of maximal pain is targeted for transmission of pressure waves over the injured area. A typical session lasts about 15 minutes. Three sessions are required and spaced between one and two weeks apart.
What are the expected results?
Most patients notice improvement after the first treatment; however, 70-80% of patients experience improved healing between 4 and 8 months after the last treatment.
What is the cost of RSWT?
The fee for this treatment is $750.00 which includes 3 treatment sessions. Insurance rarely covers RSWT and is not accepted by this office.
Unlike any other tissue in your body, amniotic tissue which includes the umbilical cord and amniotic membrane, has unique regenerative properties to control pain and inflammation and promote healing. Biologic factors that reduce inflammation and promote tissue growth and regenerative healing are found in highest concentrations in the umbilcal cord and are isolated and harnessed in injectable form. Indications for use include treatment of plantar fasciitis, Achilles tendonosis, tendonitis and ligament and tendon damage.
Foot and Ankle Injuries
Toe, foot and ankle injuries are common and can occur in a variety of ways. Symptoms can develop from everyday wear and tear, overuse, sports related activities, or from a sudden acute injury such as a twist or fall. Most minor injuries will heal on their own, however, more severe injuries such as sprains, dislocations, fractures, deep contusions, lacerations and puncture wounds require prompt medical attention.
Diabetic Foot Care
Diabetes is a chronic disease causing high blood glucose (sugar) levels. Diabetes also weakens your immune system, making it more difficult for your body to fight off infections, which can, in turn, damage your nervous system. This damage can affect the ability to feel sensations in your feet.
Damage to your nervous system can affect your feet’s ability to produce sweat and other natural oils that keep the skin lubricated. Without proper lubrication, the skin, bones, and joints of the foot can become injured.
Sometimes, those with diabetes do not notice sores or injuries to their feet until it is too late. It is important to maintain proper foot health and seek treatment immediately when an injury is present.
Poorly fitting shoes are the number one cause of foot injury when it comes to diabetes. Red spots, sores, blisters, corns, calluses, or any persistent pain should be taken seriously, and properly fitting footwear (along with orthotics) should be worn.
You may also be at risk for nerve damage in the feet if your diabetes has been poorly managed. This may leave you with decreased feeling in the feet, putting you at higher risk of injury.
If left untreated or unmanaged, foot problems can lead to problems like losing a toe, foot, or leg.
Below are some of the most common sports and sports-related injuries we see in our office.
- Running, Exercise Walking, Pickleball and Tennis: Plantar fasciitis, Achilles tendonitis, sesamoiditis, and ankle sprains. Proper stretching is vital to injury prevention, specifically, a minimum of 15 minutes before beginning exercise.
- Aerobics: With impact forces reaching up to six times the force of gravity and 26 bones in the foot, proper shoes are extremely important when participating in aerobics. Shoes must provide shock absorption and proper cushioning, as well as stability.
- Team Sports: Baseball, basketball, soccer, football, field hockey, and lacrosse often lead to foot and ankle injuries. Artificial surfaces, improper footwear, and inadequate stretching are recipes for disaster.
Make sure to wear proper shoes and stretch for at least 15 minutes before playing sports.