Conditions Treated

Advanced techniques in foot and ankle surgery.

Bone lengthenings, ankle and rearfoot fusions along with advanced trauma techniques.

Efforts to advise all options in foot and ankle care are taken to meet the needs of the patient and strive for the most appropriate surgical plans and operations for the best outcome with the easiest recovery.

Since you stand and walk and run on your feet, these surgeries are different from most in the orthopedic world. Sometimes the more aggressive procedures are the more long lasting but a longer recovery is needed. Sometimes a less aggressive, with very little recovery time procedure fits the patients desires and will achieve a satisfactory outcome.

Techniques in surgery involve knowledge, skill and use of hardware. Hardware used in orthopedic surgery includes, plates, screws (absorbable or non), fixation devices like frames, pins, staples, special cements and implants.

Our feet are very complex structures, comprised of 26 bones, 30 joints, 19 muscles, and 107 ligaments in each foot.  Ailments related to the foot are very common and can be very debilitating. Although some can be traced to heredity, many stem from the cumulative impact of a lifetime of abuse and neglect.  There are a number of systemic diseases that are sometimes first detected in the feet, such as diabetes, circulatory disorders, anemia, and kidney problems. Arthritis, including gout, often attacks foot joints first. As specialists in foot and ankle pathology, our purpose is determining a cause and finding a solution to your pain and discomfort. Your feet, like other specialized structures, require specialized care. A doctor of podiatric medicine can make an important contribution to your total health, whether it is regular preventive care or surgery to correct a deformity.

In order to keep your feet healthy, you should be familiar with the most common ills that affect them. Remember, though, that self-treatment can often turn a minor problem into a major one and is generally not advisable. You should see a podiatric physician when any of the following conditions occur or persist. Some of these ailments are:

This is just to mention a few of the very common pathologies Podiatric physicians encounter and manage on a daily basis. Details of each and every ailment is too much to mention in this small brochure. Below is a list of other conditions treated:

Conditions treated include:

  • Achilles Tendon Rupture (Tear)
  • Ankle Fractures (Broken Ankle)
  • Calcaneus (Heel Bone), toe, forefoot Fractures
  • Lisfranc (Midfoot) Injury Sprained Ankle
  • Stress Fractures of the Foot and Ankle
  • Turf Toe
  • Achilles Tendinitis
  • Flatfoot in Adults & children
  • Arthritis of the Foot and Ankle
  • Talotarsal Displacement
  • Diabetic (Charcot) Foot
  • Intoeing
  • Posterior Tibial Tendon Dysfunction
  • Sesamoiditis

Tenex Health TX™
Plantar fasciitis or achilles tendonitis, an inflammation, irritation and swelling of the tendon, comes from an injury or doing the things you love or need to do—over and over again. Repetitive motions, no matter how ordinary, can cause small micro tears that occur each time you use your tendon. When the micro tears do not heal properly, tendinosis (tendon degeneration) can occur.

Percutaneous tenotomy or percutaneous fasciotomy, using ultrasonic energy powered by the Tenex Health TX™ System, is a safe and quick procedure specially designed for those who are suffering from painful conditions associated with chronic tendon damage. The procedure treats tendinosis or fasciitis in the ankle and foot.

Tenex Health TX is based on advanced technology developed in collaboration with the world renowned Mayo Clinic.

Tenex Health TX™ benefits:
If you have tried physical therapy, cortisone injections, medication, or just taking time to ice, stretch and rest and are still in pain, talk to us. We now have a solution that does not involve general or open surgery, may give you quick pain reduction and should have you back to enjoying the things you love in a few weeks to a few months.

Patient benefits may include:

  • Quick pain relief
  • Rapid return to normal activities
  • Local anesthetic used instead of general anesthesia
  • No sutures, no stitches (requires only a small, adhesive bandage)
  • 20-minute, minimally invasive procedure (not open surgery)
  • Coverage by most insurances

How does Tenex Health TX™ work?
Precisely targets your damaged tissue. Your doctor uses ultrasound imaging, just like the kind used to see babies in the womb, to visualize and identify the specific location of the damaged tendon tissue.

Gently removes damaged tissue. Once the source of your tendon pain is identified, your doctor numbs the area with a local anesthetic, allowing you to stay awake the entire time. Many people say after the numbing process—which feels like a bee sting—they felt only a slight pressure during the procedure (if they felt anything at all). Your doctor then uses gentle ultrasonic energy designed to safely breakdown and remove the damaged tissue. The ultrasonic energy is applied with the TX MicroTip, which requires only a microincision to reach the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.

Requires no stitches. When the procedure is completed, your doctor applies a small adhesive bandage; no stitches are required. Because you are awake during the procedure (no general anesthesia), many people are able to drive home after the procedure.

Can offer nearly instant pain relief with a rapid recovery. Recovery is rapid with many people being back to normal activity within 6 weeks or less. Because the surrounding healthy tissue is not disturbed, and no stitches or general anesthesia is required, there is minimal downtime and less discomfort compared to open surgery. The speed of your recovery depends on the location of your tendinitis and your individual results may vary.

What areas of the body does our practice treat with Tenex Health TX™?

VIDEO: Learn more about Tenex Health TX™

As a percutaneous tenotomy or percutaneous fasciotomy procedure, Tenex Health TX is typically covered by Medicare-approved and private health insurers. It is always recommended that patients consult the treating physician and individual health plan. For more information, visit
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