Including but not limited to the following:
- Medical and Surgical treatment of foot and ankle
- Foot and ankle injuries, fractures and strains
- Athletic or overuse injuries
- Foot deformities, including:
- flat feet
- club feet
- Foot and ankle infections
- Slow-healing wounds or ulcers
- Diabetic foot conditions
- Corns, calluses, plantar warts, lesions, bunions, hammertoes
- Infected or chronic ingrown toenails
- Pinched or enlarged nerves
- Arthritis of the foot or ankle
- Heel pain, spurs or bursitis
- Foot/ankle instability
- Tarsal Tunnel Syndrome
- Digital x-ray scanning
- Custom orthotics
- Wound Care
The Human Foot
The human foot is a complex structure of twenty-six bones, plus a network of ligaments, muscles and blood vessels working together to support the weight of the entire body. Consequently, the feet are subject to many problems, most of which can be detected during a simple examination, and can be symptoms of serious health disorders such as diabetes, arthritis, heart disease and arteriosclerosis.
To find out how we can help you with our foot and ankle services in Anchorage, AK, contact us today for an appointment and speak with Dr. Kaufman directly.
This is a deformity where the arch of the foot flattens or reduces in height. Results in a gait pattern where the feet may point outward or it may appear almost as though the person is walking on the outsides of their ankles. Deformity may or may not be painful but may cause tiring of the foot and difficulty walking distances or running. Tight Achilles tendon contributes to the flatfoot deformity so stretching is important. Usually, the cause is biomechanical and often it can be treated and/or managed with conservative care such as orthotics, physical therapy, and supportive shoes. If the flatfoot deformity is severe and conservative care is not providing pain relief then surgical flat foot reconstruction is an option.
These are nails that curve down into the skin folds at the side of the nail and cause pain. They may be caused by incorrectly cutting the toenails, by toes compressing one another, injury, bone spur or even toenail fungus to name a few. There may be a genetic predisposition to them as well. If the nail is deep in the skin and not removed, an infection can develop. In rare cases, the infection can actually seed into the bone under the nail bed. Treatment includes soaking the toes in warm water and Epsom salts, topical and/or oral antibiotics if infection is present, allowing the nail to try to grow out if it was cut back too far and preventing excessive pressures against the toes. If the ingrown nail does not improve, gets worse or is recurrent, removal of part or all of the nail may be necessary. This procedure is performed in the office under local anesthetic and the offending nail or portion of the nail can be removed permanently to prevent recurrence.
Bunions are large bone bumps that develop behind the great toe. The bump is actually the head of the first metatarsal bone protruding under the skin. Bunions develop as a result of abnormal mechanics in the foot and there is a genetic predisposition to develop them. As the first metatarsal bone moves away from the lesser metatarsal bones, the great toe also shifts and rotates towards the second toe. Sometimes it may even move over or under the second toe. This deformity is progressive and does get worse over time. It can be managed conservatively with custom orthotics, padding, and splints as well as wider shoes but is only correctable through outpatient surgery.
The Achilles’ tendon is the large tendon in the back of the heel that you can actually see and feel. It is the largest and strongest tendon in the body and its job is to elevate the back of the foot when walking or jumping. Achilles tendinitis is inflammation of and pain in the tendon which may occur as a result of the tendon being too tight or short, overuse injury, obesity, following an ankle sprain and other direct trauma. In severe cases, the tendon will become very thick and, if the tendon becomes severely diseased, may even rupture. Treatment for Achilles tendinitis includes but is not limited to stretching, ice massage, heel lifts, orthotics, anti-inflammatory medication, and rest. In more severe cases, immobilization of the affected limb may be necessary. Newer treatments, such as stem cell injections and platelet injections, are also showing great promise. If conservative care fails, then outpatient surgery may be necessary.
Ankle sprains are one of the most common sport-related injuries. They occur from a sudden rolling of the foot and ankle (usually inwards towards the big toe side). When this occurs, the ligaments on the outside of the ankle may tear either partially or fully resulting in instability of the ankle. Additionally, the tendons surrounding the ankle may become injured and sometimes even torn. In the most severe cases, one or more of the ankle bones may fracture and surgical correction may be needed. Ankle sprains should be treated as quickly as possible and rehabilitation of the ankle should start quickly. Initial treatment includes rest, ice, compression and elevation (RICE Therapy). It is important to keep the joint mobile and walking as soon as possible (with a brace as needed) is recommended. Physical therapy should be instituted as soon as possible. In some cases, the ankle may be so damaged that chronic instability develops which can lead to recurrent ankle sprains and further injury. Surgical intervention may be necessary in these cases.
A neuroma is an enlarged, inflamed nerve in the bottom of the forefoot between the metatarsals (the long bones behind the toes). Neuromas occur from repetitive injury or nerve compression causing the nerve to become inflamed. This may result in any number of symptoms including numbness in the toes, a feeling of a pebble or stone under the forefoot, burning pain, achiness, and even swelling. Wider shoes may help to prevent excessive side to side compression on the nerve and women should avoid high heeled shoes. Orthotics may be helpful and cortisone injections are also beneficial in shrinking the nerve and alleviating the pain. If conservative care does not fully resolve the symptoms, surgical intervention to remove the neuroma may be recommended.