XI-SCAN IMAGING
It is also called a Mini-C-Arm and this is how it works. The foot is placed in the C-Arm and a pedal is depressed. Instantly an image appears on a monitor. The image then can be immediately printed digitally on a thermal printer. It takes the X-RAY Beam which is microfocussed and this allows the bony image to be magnified up to five times its original size, without distortion or loss of detail. An advanced, high speed, on board computer processes the image in real time, giving an instant and accurate result.
Xi-Scan displays high quality, real time and freeze frame images instantly which eliminates processing time and improves the results of bone setting. Surgically it lets you confirm the placement of screws or pains, thus reducing the Operative item for surgical procedures.
Finally when one takes an X-RAY of bone, the bone is three dimensional. An X-RAY can only view one dimension at a time. The Xi-Scan, since it is moving picture X-RAY can view all dimensions of the bone in a very fast time. Therefore, a fracture can be missed on X-RAY but if viewed under Xi-Scan can be diagnosed promptly and accurately.

FLASH LAMP PULSED DYE LASER
One of the most common skin ailments that is seen in a podiatrists office is verrucae, or warts. Clinical studies have proven that laser treatment for resistant warts is very successful as compared to acids, cryogenics, chemical agents and surgical excision. In one study, over two-thirds of patients treated with the laser therapy had their warts successfully removed in as few as two treatments.
The laser treatment works by selective absorption of laser energy by the blood supply that feeds the wart. The treated area then separates from the dermis and gradually sloughs off. Depending on the size and the type of wart, some conditions will respond to the very first treatment. However, most will require additional treatment sessions spaced two weeks apart.
Treatment consists of placing small hand piece against the surface of the skin and activating the laser. The laser is pulsed rather than a continuous action. As many patients describe it, each pulse feels, for a fraction of a second like a snapping of a rubber band against the skin. Some warts require more than one pulse. Anesthesia by local injection is never utilized. The laser no open wound following treatment, resulting in little or no chance of an infection.
Due to no open wounds and minimal pain, patients can resume their active life-styles immediately. There will be discoloration of the skin at the treatment site. Over the 24 hours following laser exposure, the gray discoloration will darken to black

FOOT MAXX COMPUTERIZED GAIT ANALYSIS SYSTEM
Your feet are the foundation of your body. At some point 75% of the population will suffer from foot related problems. The foot is always in motion and is under enormous amounts of pressure from body weight. As you walk or run, our entire weight lands on our feet, up to 10,000 times a day. If there is an alteration in the proper foot mechanics you can develop foot, knee, hip and even back pain. Doctors and scientists know that with the proper support and biomechanics of the foot, most problems with the feet, legs and lower back, can be remedied.
Orthotics are custom made shoe inserts that correct the movement and biomechanics of the foot. Orthotics help to control the way your foot functions. They are similar to insoles, except that they are custom made just for your feet. Orthotics can be extremely helpful for many deformities such as flat feet, high arches, plantar fasciitis, heel spur syndrome and painful calloused with an underlying bone deformity.
Foot Maxx orthotics are made from measurements that are taken by a computer while feet are in motion and weight bearing. You walk across a mat that is connected to a computer. The mat has 960 electronic sensor points built into it. As you walk, the mat scans your feet in motion 30 times per second, taking precise measurements throughout your footsteps of the way your feet touch the ground, and how you distribute your body weight.
The information is analyzed by the computer to produce instant 2D and 3D images of your feet. The same information is sent to the laboratory through a phone line via modem. The custom made orthotic is then designed and fabricated from the scanned data. In less than one week, orthotics are on the their way to our office.
Until a few years ago, many orthotics were bulky and patients had a difficult time fitting them in shoes. The new Foot Maxx orthotics are very thin and lightweight. They fit easily and discreetly into your shoes. You can wear your most stylish form fitting shoes, and still get proper support and correction from Foot Maxx orthotics.
If you have experienced this type of discomfort, we may be able to help you quickly, easily and painlessly. You may be surprised at how easily orthotics provide relief.

DIAGNOSTIC ULTRASOUND (ECHOGRAPHY)
Soft tissue scans are non-invasive site specific as compared to an MRI. The allows us to view the soft tissue instantaneously and provides an immediate result. The 7.5 mHz transducer (probe) is placed on the area that is causing pain. It is then visualized on the monitor. The site that is in question, if it is injured appears as a black (hypoechoic) area. Inflammation appears this way. Injections can also be guided to a site of inflammation and precisely deposit an anti-inflammatory at this spot. It provides a fast inexpensive test to view soft tissue injuries. The test is performed in office as opposed to going to an outside facility The report is interpreted by one of our accredited doctors in diagnostic ultrasound.

BIONX SMART SCREW
A large percentage of our population may develop a bunion. Both men and women can develop bunions, although it appears that bunions are more commonly seen on women's feet. A bunion is a swelling or enlargement of the large toe joint on the inner side of the foot. The deformity usually develops gradually but continuously and this will cause pain from shoes rubbing against the enlarged bone. There may be swelling, redness and deep aching pain associated with the bunion joint, causing a bursitis.
Bunions have a strong hereditary tendency to develop. It can develop from a weakness in the bone structure of your foot. Because of the instability of the bones and ligaments which form the various joints and arches in your foot, the joints have a tendency to move out of proper alignment. Treatment usually requires surgical intervention to correct the malalignment of the great toe.
The latest advance in bunion surgery comes from the Bionx Implant Company. They have developed an absorbable screw. The screw is made of PGA, (Poly Glycolic Acid). It is broken down in the body in 12 months. The advantage with this is that the screw provides compression and allows early range of motion. It never has to be removed like a titanium screw.

OsteoAnalyzer (Bone Density Testing )
Osteoporosis is a silent condition characterized by reduced bone mass and abnormal internal bone architecture. Osteoporosis, the most common human bone disease, occurs when bone resorption exceeds bone formation, resulting in reduced bone strength, poor bone quality, and an increased risk of bone fracture. As part of the natural aging process, bones begin to deteriorate faster than new bone can be formed, eventually progressing to a point where a fracture can easily occur, causing pain, disability and even death. The most common fractures are the hip, spine, wrist and foot. Women are four times more likely to develop the disease than men. However, men suffer 1/3 of all hip fractures that occur. And 1/3 of these men will not survive more than a year.

There are many Risk Factors for Osteoporosis including:

·AGE: The risk of Osteoporosis increases as a person gets older. The Bones become weaker and less dense as we age.
·GENDER: Women are at a greater risk of developing Osteoporosis because bone loss occurs more rapidly due to changes during menopause.
·RACE: Caucasian and Asian women are more likely to develop Osteoporosis.
·BONE STRUCTURE & BODY WEIGHT: Small-boned and thin women are at greater risk.
·MENOPAUSE/MENSTRUAL HISTORY: Normal or early menopause, brought about naturally or because of surgery increases the risk of developing Osteoporosis. Women who stop menstruating before menopause because of conditions such as anorexia or bulimia, may also lose bone tissue and develop Osteoporosis.
·LIFESTYLE: Smoking, excessive intake of alcohol, consuming inadequate amounts of calcium, or getting little or no weight-bearing exercise increases the chance of developing Osteoporosis.
·MEDICATIONS & DISEASE: Osteoporosis is associated with certain medications such as corticosteroids. A number of medical conditions including some endocrine disorders, rheumatoid arthritis and immobilization are also associated with Osteoporosis.
·FAMILY HISTORY: Susceptibility to a fracture may be hereditary. Women whose mothers have a history of vertebral fractures are at increased risk of fracturing.

The availability of a growing number of effective therapeutic options for the prevention and treatment of Osteoporosis have heightened interest in diagnostic testing and spurred the development of new testing methodologies. To confirm a diagnosis of Osteoporosis or determine one's risk for developing the disease, most doctors require a comprehensive medical assessment, including a life style survey and medical history. Based on the number of risk factors, a doctor may recommend that the patient have a Bone Density test. Bone Densitometry is the accepted standard for quantifying bone mass at various skeletal sites. The heel bone is the preferred site to monitor bone density. It is 95% trabecular bone and is metabolically very active and reflects the effect of age, menopause and exercise. Bone Mineral Density screening can now be performed quite cost-effectively with peripheral scans of the heel bone in which we provide in our office for patients.

In August of 1997 President Clinton signed into law the Medicare Bone Mass Measurement Coverage Standardization Act, Which was effective July 1, 1998. The law requires Medicare coverage for Bone Mineral Density studies of estrogen-deficient women. The emphasis was on the PREVENTION of osteoporotic fractures. If you feel if you are 65 and older, a post-menopausal women or have one or more risk factors then you should have a bone Mineral Density Scan performed. Based on the Bone Mineral Density Scan results a prevention or treatment plan can be started. Don't wait before it is too late.

Anodyne Therapy

Sport Motion Gait Analysis System

Slow motion cameras provide slow motion video, slow motion capture, body motion capture and biomechanics motion capture for motion analysis, kinematic analysis, bio-kinetics & computerized motion analysis and human gait analysis.