Revolutionizing Foot Care: The Power of Standing CT Scan at Family Foot & Leg Center

In the realm of foot care, precision is paramount. Every step, every movement, holds valuable information that can guide diagnosis and treatment. Yet, traditional imaging methods often fall short, unable to capture the full scope of foot pathologies in real-life conditions. That's where Standing CT Scan technology steps in, offering a revolutionary approach to foot diagnostics and treatment planning.

At Family Foot & Leg Center, we're proud to lead the charge in embracing this cutting-edge technology. Standing CT Scan enables us to see pathologies while patients are standing, providing a comprehensive view of foot structure and function. Unlike traditional plain films, which offer limited insights and may vary between sitting and standing positions, Standing CT Scan delivers consistent, accurate results, mirroring the weight-bearing conditions of daily life.

Why Standing CT Scan?

The significance of Standing CT Scan lies in its ability to capture foot pathologies in their natural state – under the pressure of weight-bearing. This dynamic imaging approach allows us to assess foot conditions as they present themselves during movement, providing invaluable insights into gait abnormalities, joint alignment issues, and other factors contributing to foot pain and discomfort.

The Benefits for Medial Sesamoiditis

One area where Standing CT Scan truly shines is in medial sesamoiditis. The benefits of Standing CT Scan for medial sesamoiditis are truly transformative. This innovative imaging technology allows us to precisely visualize the sesamoid bones and surrounding structures while the patient is standing, offering unparalleled insights into the extent and nature of the condition. By accurately pinpointing the location and severity of sesamoiditis, our team of skilled podiatrists can tailor treatment plans to address the root cause of the problem effectively. Whether it involves conservative measures such as orthotics and physical therapy or more advanced interventions like medial sesamoidectomy, Standing CT Scan empowers us to provide patients with personalized care that yields optimal outcomes. With this groundbreaking technology at our disposal, we can alleviate pain, restore function, and improve the overall quality of life for individuals suffering from medial sesamoiditis.

Leading the Way in Foot Care

Family Foot & Leg Center stands at the forefront of innovation in foot care. As the only practice in Southwest Florida equipped with Standing CT Scan technology, we're committed to providing our patients with the highest standard of care. Our team of experienced podiatrists combines advanced technology with personalized treatment plans, ensuring that each patient receives tailored solutions that address their unique needs.

Experience Better Technology, Better Care

In a field where precision is everything, Standing CT Scan sets a new standard for foot diagnostics and treatment. Experience the difference at Family Foot & Leg Center – where better technology means better care. Schedule your appointment today and take the first step towards healthier, happier feet.

With multiple centers conveniently located throughout Lee, Collier, Sarasota, and Charlotte Counties in Florida, exceptional foot care is just a phone call away. Contact us at (239) 430-3668 (FOOT) option 2 and see the difference that Standing CT Scan can make in your foot health journey.

Don't let foot pain hold you back. Discover the power of Standing CT Scan at Family Foot & Leg Center and step into a future of better foot care today.

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Hey, this is Dr. Lam here, just came out of surgery, taken out the medial sesamoid -- medial sesamoiditis on a patient that's a diabetic and she keeps on having this pre-ulcerative lesion down there at the medial sesamoid.

So having a stand up CT scanner has been a great addition to our practice. We're able to see pathology at weight bearing, we are able to cut up the foot in different sections for us to see the pathology for the detail.

This was impossible prior to having this CT scanner. So great diagnostic tools with the suspicion for a problem we could figure out a lot of different pathologies that others may have missed.

So at the Family Foot & Leg Center "we keep you walking" -- only the best for our patients.

Well this is a case of an enlarged medial sesamoid on a patient. Medial sesamoid being right here. It's hard to see on the plain film, you can look at the lateral view right here you can't really see much of that either.

Someone else did the bunionectomy many years ago and there you go,

I'm not here to make it beautiful but she has a lot of pain sub medial sesamoid. We're gonna go all the way over here, we're gonna see on the CT scan why she's feeling the pain right here.

See that sesamoid, it's really enlarged and we did ultrasound scans about three millimeters from the surface of the skin so having the ability to be able to go through a CT scanner like this via weight bearing it is very important for patient care and we have this available at Family Foot & Leg Center for our patients, we're able to take care of this patient immediately in the office via excision of that medial sesamoid.

This medial sesamoid measured about 2 cm,as you may or may not know these bones are not supposed to be that big, they're supposed to be probably about one centimeter at most. This is the bone we're talking about, medial sesamoid right here, there are other drawings in here but this is the medial sesamoid.

As you can see, it's supposed to be nice, round, hers is very degenerated and again this is how it's supposed to look. That is very normal, we all have this -- there's enough fat, supposed to be enough fat right here to cushion this but when it's enlarged and arthritic -- and arthritic because it's probably a repeat trauma or just arthritic from years of arthritis in the first metatarsal phalangeal joint, the big toe joint, if this gets enlarged when this gets enlarged right here, the sesamoid becomes almost like a rock pushing -- trying to push through the bottom of the skin and that's happening in our diabetic patients.

So again having a CT scan and having the ability to see the CT cutting the foot into many pieces while you're standing, it's great for us diagnostically in order to help treat patients effectively.

At the Family Foot & Leg Center, only the best.

We take pride in our expansive network of cutting-edge clinics spread strategically throughout Collier, Lee, Charlotte, and Sarasota Counties, ensuring that no matter where you are in Florida, expert foot and ankle care is within reach. Our mission is to help you overcome your foot and ankle challenges swiftly and effectively, so you can return to your active lifestyle as quickly as possible. With our advanced treatment options and a team of dedicated specialists, FFLC is committed to providing you with the best care possible, conveniently located right in your neighborhood.

Stump neuroma cured!

 

A 69 year-old female patient, she had a history of neuroma surgery here, you can see the scar and she comes in with significant pain? 

"Yes."

How much pain did you have before? 

"I couldn't walk. I couldn't walk a half a block without it totally hurting and one to ten, it was a nine.

And then you had surgery. After surgery, how much pain did you have?

After three months, the neuroma grew back. And the pain was the same as it was  before, within four or five months.

Okay so that is the complication of a neuroma surgery, it happens, we don't know why, but it happens. So that's why I tend not to do that. But this is a good example of a patient coming in with after neuroma surgery and having more pain.

So now we went to a radiofrequency ablation and with the radiofrequency ablation pretty much I stuck a probe in through here and went in and burned the nerve for you so I did not have to remake the incision. Basically, I numbed you up and burned it. So we did two treatments one month apart.

"Yes."

So after the first treatment, how much improvement have you had?

"At least 50% and the pain from the foot being squeezed was totally gone"

So this pain being squeezed is gone as you are saying? 

"It's totally gone, yes." 

Okay because sometimes when you do this you aggravate that nerve. So, with that, pain is gone.  

"That pain was totally gone. Still hurt a little bit on the bottom. Okay and then we did surgery two."

The RFA number two? 

"Right."

Radiofrequency number two we did about a month later. How much pain did that take away?

"Right now after four weeks almost there's no pain. I mean it's just I wear my shoes, the one that I am supposed to wear and when I go out at night or go out for dinner I do change and wear normal shoes."

Okay, well overall would you rate the radiofrequency as very good, very happy versus the surgery?

"Excellent versus surgery."

Good, well you still have some swelling to go believe it or not so you'll have some more healing to do and I think you'll do a lot better. 

"Thank you."

You know you've done awesome, any words of wisdom for people thinking about radiofrequency or surgery etcetera?

"I would do the radio frequency again before the surgery. I went to Boston to do the surgery at no -- did I go to Boston -- no, I went to ...I forgot where I went"[laughs] I went up north to get it done because they were supposed to be really good and the surgery was terrible."

Well, it's unpredictable, I always tell my patients, no matter who does the surgery, it's not dependable. It's not predictable.

"No, it wasn't." 

Same surgeon, same hands, same technique we can't predict. 

"Right, no."

So radiofrequency we really have no side effects to it and patients do well.

"No side effects -- I drove myself home after the surgery and just you know, started walking again without pain."

Well excellent. Well, thank you for the testimonial and a lot of people ask what to expect, so you're a perfect example, you're two months out now, you're 2 radiofrequencies in and the scar's not ours, the scars were you came in with, but look at that, she's moving good, she's recovering well and she's back to life again.

"Yes, and do the physical therapy, it helps."

Physical therapy is very important afterwards to break up the scar tissue especially if you have previous surgery.

So, awesome, well thanks for your information, I really appreciate it.

"Thank you." 

You're welcome.

🦶 Seeking Expert Foot & Ankle Care? Look No Further!

Are foot or ankle injuries keeping you from living your best life?  Meet Sarasota's renowned Podiatrist & Foot/Ankle Surgeon, Dr. Isin Mustafa! With a passion for healing, Dr. Mustafa specializes in treating a wide range of podiatric issues to help you regain your mobility and comfort.

Comprehensive Medical and Surgical Excellence For Your Feet, Ankles, and Lower Legs

🏥 Foot & Ankle Injuries

🏃 Sports-Related Problems

🩹 Surgical Solutions

💼 Workplace Injuries

 

📍 Location: 3110 Fruitville Commons, Sarasota, FL

📞 Call to Schedule: 239-430-3668 (Option 2)

🌐 24/7 Online Scheduling: naplespodiatrist.com/offices

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Regain your footing today! Step into a life of comfort and movement with Dr. Isin Mustafa's exceptional care. Book your appointment now! 🩺🦶

If you reside in Sarasota, FL, and are in need of exceptional foot and ankle care, the Family Foot and Leg Center is the ideal choice for you. Featuring the expertise of Dr. Isin Mustafa, this center is committed to providing comprehensive, patient-centered care. From their experienced and qualified staff to their state-of-the-art technologies, the Family Foot and Leg Center is dedicated to improving your foot and ankle health. Don’t let foot and ankle discomfort hold you back—visit the Family Foot and Leg Center today and take the first step toward healthier, pain-free feet and ankles.

Common Pickleball Injuries That Require a Podiatrist's Attention

Pickleball has gained immense popularity in recent years as a fun and accessible sport for people of all ages. However, like any physical activity, pickleball carries the risk of injury. While some injuries may be minor and self-treatable, others may require professional medical intervention. In this blog post, we will explore some common pickleball injuries that may necessitate a visit to a podiatrist.

 

1. Ankle Sprains:

Ankle sprains are among the most prevalent injuries in pickleball. The quick lateral movements and changes in direction can put significant stress on the ankle joint, leading to sprains. Podiatrists are well-equipped to diagnose and treat ankle sprains, providing options such as immobilization, physical therapy, and specialized footwear recommendations.

2. Plantar Fasciitis:

Plantar fasciitis is a condition characterized by inflammation and pain in the plantar fascia—a thick band of tissue that runs along the bottom of the foot. The repetitive jumping and pivoting motions in pickleball can strain the plantar fascia, causing micro-tears and inflammation. Podiatrists can offer various treatment modalities, including orthotics, stretching exercises, night splints, and recommendations for appropriate footwear.

3. Achilles Tendinitis:

Achilles tendinitis is the inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. The explosive movements and sudden stops involved in pickleball can put excessive strain on this tendon, leading to pain and swelling. Podiatrists can provide treatment options such as physical therapy, stretching exercises, orthotic devices, and recommendations for modifying gameplay techniques to alleviate symptoms and promote healing.

4. Stress Fractures:

Pickleball involves repetitive jumping and rapid changes in direction, which can contribute to the development of stress fractures in the feet. Stress fractures are small cracks in the bone caused by overuse and excessive repetitive impact. A podiatrist can diagnose stress fractures through imaging techniques and may recommend rest, immobilization, and gradual return to activity protocols to allow for proper healing.

5. Blisters and Calluses:

Pickleball players often experience blisters and calluses due to the repetitive rubbing and friction caused by quick lateral movements and abrupt stops. While blisters and calluses can be managed at home, a podiatrist can provide professional care, including blister drainage, callus removal, and recommendations for preventive measures and footwear modifications to reduce recurrence.

While pickleball is generally a low-impact sport, injuries can still occur. It is essential to listen to your body and seek medical attention if you experience persistent pain, swelling, or any other concerning symptoms. Podiatrists specialize in foot and ankle injuries, and they can provide a tailored treatment plan to help you recover and get back to enjoying the game. Remember to prioritize proper warm-up, wear appropriate footwear, and practice good technique to reduce the risk of injuries while playing pickleball.

Congratulations Dr. Lam & Dr. Chapman - Top Doctors of 2024!

 Congratulations to Dr. Lam & Dr. Chapman for earning the title of Naples Illustrated Top Doctors of 2024! Here's to your well-deserved recognition and the positive impact you make on countless lives. 

#TopDoctors #NaplesIllustratedTopDoctors2024 #CollierCounty #Naples #NaplesIllustrated

Revolutionizing Nail Fungus Treatment: The Power of 1064nm Laser

Nail fungus, medically known as onychomycosis, is a common condition that affects millions of people worldwide. It's not just a cosmetic concern; it can cause discomfort, embarrassment, and even lead to complications if left untreated. Fortunately, advancements in medical technology have brought forth innovative treatments, one of the most promising being the use of lasers. Among them, the 1064nm laser stands out as a powerful tool in combating this stubborn ailment.

Understanding Nail Fungus:

Before delving into laser treatment, it's crucial to understand the nature of nail fungus. Fungal infections of the nails typically occur when microscopic fungi gain entry through a small trauma in the nail, thriving in warm, moist environments such as sweaty shoes or damp socks. This leads to the nails becoming discolored, brittle, and thickened, often accompanied by a foul odor.

Traditional Treatments vs. Laser Therapy:

Historically, treating nail fungus has been challenging. Traditional methods such as topical creams, oral medications, and nail removal surgery have limitations in effectiveness, long treatment durations, and potential side effects. Laser therapy, however, has emerged as a revolutionary alternative.

The Power of 1064nm Laser:

At the forefront of laser treatment for nail fungus is the 1064nm wavelength laser. This specific wavelength, often generated by Nd:YAG (neodymium-doped yttrium aluminum garnet) lasers, penetrates deep into the nail bed without causing harm to surrounding tissue. Here's how it works:

1. Precision Targeting: The 1064nm laser precisely targets the fungal infection without affecting healthy tissue, ensuring a highly focused treatment approach.

2. Thermal Energy: Upon reaching the fungal cells, the laser emits thermal energy, effectively destroying the fungus by disrupting its cellular structure. This process is known as photothermolysis.

3. Stimulated Healing: In addition to eliminating the fungus, the laser stimulates the body's natural healing response, encouraging the growth of healthy nail tissue.

 

Advantages of 1064nm Laser Treatment:

The use of 1064nm laser therapy for nail fungus offers several advantages:

1. Non-Invasive: Unlike surgical procedures, laser treatment is non-invasive, requiring no incisions or anesthesia.

2. Painless: Patients typically experience minimal discomfort during the procedure, with no downtime afterward.

3. Quick Procedure: A single treatment session usually takes around 30 minutes to an hour, depending on the severity of the infection and the number of nails affected.

4. High Success Rates: Clinical studies have shown promising results, with significant improvements in nail appearance and fungal clearance rates.

5. Safety Profile: The 1064nm laser has a proven safety profile, with minimal risk of side effects or complications when performed by a qualified medical professional.

In the realm of nail fungus treatment, the 1064nm laser represents a game-changer. Its ability to precisely target and eliminate fungal infections while sparing healthy tissue makes it a highly effective and safe option for patients seeking relief from this persistent condition. As technology continues to advance, laser therapy is poised to revolutionize the way we approach nail fungus treatment, offering hope for healthier, clearer nails without the drawbacks of traditional methods.

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The Family Foot & Leg Center (FFLC) prides itself on its network of cutting-edge clinics strategically positioned throughout Collier, Lee, Charlotte, and Sarasota Counties, ensuring accessible expert foot and ankle care across Florida. Our goal is to swiftly and effectively address your foot and ankle challenges, enabling you to resume your active lifestyle promptly. Equipped with advanced treatment modalities and staffed by a team of devoted specialists, FFLC is dedicated to delivering top-notch care conveniently situated in your local community.

Unveiling the Secrets: Surgery for Fifth Toe, Curly Toe, and Hammertoe | Family Foot & Leg Center

Let us look into the fascinating world of foot surgery, specifically focusing on procedures for conditions like Fifth Toe, Curly Toe, and Hammertoe. These often-misunderstood conditions can cause discomfort and impact mobility, but with the right knowledge and treatment, patients can find relief and regain their quality of life. Join us as we uncover the secrets behind these surgeries and explore how Family Foot & Leg Center is dedicated to providing effective solutions for these common foot ailments.

Understanding Fifth Toe, Curly Toe, and Hammertoe:

Fifth Toe, Curly Toe, and Hammertoe are all deformities that affect the toes, causing them to become misaligned or bent. Fifth Toe, also known as a "pinky toe," can develop a hammertoe-like appearance due to pressure from shoes or inherent structural issues. Curly Toe occurs when one or more toes bend downward or overlap, often causing discomfort and difficulty wearing shoes. Hammertoe is characterized by an abnormal bending of the toe joints, resulting in a hammer-like or claw-like appearance.

The Importance of Surgery:

While conservative treatments such as padding, orthotic devices, and shoe modifications can provide relief for mild cases, surgery may be necessary for more severe or persistent symptoms. Surgery aims to correct the underlying structural abnormalities, realign the toes, and restore proper function and aesthetics. At Family Foot & Leg Center, our experienced team headed by top podiatrist Dr. Kevin Lam specializes in advanced surgical techniques tailored to each patient's unique needs, ensuring optimal outcomes and long-term relief.

Depending on the severity of the deformity and the patient's individual circumstances, various surgical approaches may be employed, including minimally invasive techniques to minimize post-operative discomfort and expedite recovery.

If you're experiencing foot pain, discomfort, or cosmetic concerns, don't let these conditions hold you back any longer. At Family Foot & Leg Center, we're committed to providing compassionate care and innovative solutions to help you overcome these challenges and enjoy a life free from foot pain and limitations. Contact us today to schedule a consultation and take the first step toward healthier, happier feet.

Transform your toes and transform your life with surgical solutions from Family Foot & Leg Center. Experience the difference today! 

The Family Foot & Leg Center (FFLC) proudly operates a network of cutting-edge clinics strategically positioned across Collier, Lee, Charlotte, and Sarasota Counties, ensuring that exceptional foot and ankle care is accessible throughout Florida. Our aim is to swiftly and effectively address your foot and ankle challenges, facilitating your return to an active lifestyle with minimal delay. Equipped with advanced treatment modalities and staffed by a team of devoted specialists, FFLC is steadfast in delivering top-tier care conveniently situated in your local community.

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This is Dr. Lam, we are doing a fifth toe arthroplasty, because this lady likes to  wear stilettos and won't give it up and she has a nerve type pain right about here. So, see that big thing? Nice little callus, no we don't cut the callus out, we actually do  the bone right underneath it, we're gonna get rid of, we're gonna rotate this toe straight,  okay? 

So I'm gonna go through this, you could keep on watching and -- she's numb  already so this is not so brutal. 

Right here, elliptical incision. I like to do this without using the tourniquet just because it decreases the amount of swelling.  

I also give her some steroids. Already right in the site, as you can see the bone underneath  right about here causing the problem, I'm gonna check for the joint, right here is the joint, releasing some ligaments around the bone, so I try not to cause too much  damage while we go in here, so very carefully cutting around the bone here here's that knuckle that's been causing her pain right here, as you can see right about here that is the knuckle, you're looking at it, imagine that rubbing against the shoe, the nerves are all over  it, etcetera, but that's the knuckle rubbing against the shoe. 

Actually she has an extra growth so this  is not just a regular arthroplasty. She actually developed a growth on this side, a cap growth right about here. This is the regular bone right here, that's the cap of the problem right here, so she formed a little extra growth almost like an osteoneoplasm, we call it osteochondroma, 'cause it's a cap with a cartilage, so here I'm just releasing the soft tissue here as I get the bone out in one piece.

This is the head of the proximal phalanx we're looking at it before right here, this is the  part that's rubbing against her shoe, that extra knob, it's not supposed to be here. It's supposed  to look as smooth as this side right here with nothing but she has extra growth right on the side  right here, osteochondroma, that's what that is. 

Had the cartilage in there and everything right about here. This is the extra tissue that's causing her the pain, we lift it up and we saw that callus right there. Callus is the body's natural way of protecting itself.

So now we have the bone out, it looks like a nice, clean  clear cut and we'll go ahead and re-examine this, make sure there's no sharp edges and I don't see any but mostly this thing has to do with proper tissue rotation, taking out that space that's gonna form a scar tissue.

I'm gonna go ahead and repair the extensor tendon and then Dr. Nelson here will finish up the closure. but I'm gonna go ahead and let's get started on the closure. I'm gonna start the rotation with the soft tissue closure first. My assistant here Dr. Nelson just calling for the dressings right now while I start the deep closure. This will prevent it from being a floppy toe and help to create the foundation for the healing process right here.

The reason why I like to use absorbable sutures, imagine pulling the sutures out of the toe.  It's very painful and this just dissolves in the next few weeks. She's going right back to work tomorrow.

So Dr. Nelson can take over, finish up the closure, as you can see the toenail is up in there,  she has a low chance for another rotation right there. So a couple more stitches  and a couple more rotations we'll be okay. We're good for now.

We'll see you at follow-up.

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At the Family Foot & Leg Center (FFLC), we take pride in our expansive network of cutting-edge clinics spread strategically throughout Collier, Lee, Charlotte, and Sarasota Counties, ensuring that no matter where you are in Florida, expert foot and ankle care is within reach. Our mission is to help you overcome your foot and ankle challenges swiftly and effectively, so you can return to your active lifestyle as quickly as possible. With our advanced treatment options and a team of dedicated specialists, FFLC is committed to providing you with the best care possible, conveniently located right in your neighborhood.