Foot And Ankle Specialists Of The Mid Atlantic

Foot And Ankle Specialists Of The Mid Atlantic

Medical Providers

Washington, DC, US

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COMMONLY TREATED FOOT AND ANKLE CONDITIONS

FASMA doctors provide a full scope of surgical and non-surgical treatment options, emphasizing open communication and education. It is FASMA’s aim to relieve every one of our patients of pain, and allow a return to a high level of function as quickly as possible.


Featured Services & Treatments


Biomechanics & Orthotics

Poor biomechanics can be debilitating for patients. It can cause chronic pain, which can significantly affect a patient’s quality of life. Podiatrists can change a patient’s life quality by altering their biomechanics to function more efficiently. Over-the-counter or custom orthotics are effective, common treatments.

Bunion Treatments

A bunion is a bump on the outside of the big toe joint. It is a misalignment of the bones in the foot. The bump is noted where your big toe meets the rest of your foot. The bump and deformity can gradually get worse over time making it difficult finding comfortable shoe gear. It also can cause other toes to become deformed when you have a bunion for a long time. Bunions can occur at any age, starting in childhood. The misalignment can be genetically inherited, meaning someone in your family also had/has a bunion. Specific foot types can predispose you to having a bunion including flat feet which cause the joints to move out of their normal position. Wearing improperly fitting shoe gear can also contribute to a bunion deformity.

Diabetic Foot Care

Diabetic patients should make podiatric health a top priority in their lives. Diabetes is a devastating disease that affects multiple sites of the body, including your feet and lower extremities.

EPAT (Extracorporeal Pulse Activation Technology)

What is EPAT®?

EPAT® stands for Extracorporeal Pulse Activation Technology.  EPAT® is a form of ESWT (Extracorporeal Shock Wave Therapy) which is an evidence-based, emerging, proven treatment option for patients suffering from both acute and chronic musculoskeletal injuries. This technology was developed in Europe and is considered a standard of care in most of the world for treating chronic musculoskeletal conditions.  If you are tired of being in pain and not able to participate in activities you love, EPAT could be right for you.

Foot & Ankle Arthroscopic Surgery

Arthroscopic surgery is a minimally invasive procedure, in which small fiber optic cameras are used to see inside a joint to assist with diagnosis, as well as treatment of various conditions. This can be useful when imaging techniques, such as X-rays and MRIs, are unable to identify pathology within the joint. By using an arthroscope, the surgeon can see inside the joint without creating a large incision.  

Foot & Ankle Clinical Research Department

What are clinical trials?

Clinical trials are scientific studies conducted to find better ways to prevent, screen for, diagnose, or treat disease. Clinical trial sites assist pharmaceutical companies working together with the Food and Drug Administration (FDA) to find new ways to help patients better manage their healthcare. Clinical trials produce high-quality data for healthcare decision making.

Foot & Ankle Cosmetic Surgical Services

Our primary goal as foot and ankle specialists is to treat painful foot and ankle deformities by improving and optimizing foot and ankle function. Cosmetic surgical services is often performed to correct the underlying deformity and may concurrently improve the aesthetic and cosmetic appearance of the foot and ankle.

Cosmetic surgical services include, but are not limited to: bunion correction, hammertoe correction, and scar revision. Early evaluation and treatment is key to prevent the progression of the foot or ankle deformity.

Often times there is more to your foot and ankle than meets the eye. Schedule an appointment with one of our foot and ankle specialists for an evaluation today.

Foot & Ankle Laser Therapy

It’s likely that either you or a close friend or family member has struggled with a severe injury, chronic pain, or some type of degenerative disease and experienced the difficulty in managing the discomfort. The chronic symptoms can be debilitating and have major effects.  

What are our choices to combat the pain?  We have resorted to long-term use of anti-inflammatories or addictive narcotics for the discomfort.  Maybe even taking a leap of faith with surgery. Put the brakes on!  Fortunately, advances in medical research and technology have proven once again to offer effective relief.  Welcome to laser therapy.

Laser therapy is the use of specific wavelengths of light. Both red and near-infrared stimulate the body’s natural response to healing.  This will then draw water, oxygen and nutrients to the damaged area. Then, we will have an optimal healing environment to allow the following; expedite the healing time, decrease pain, muscle spasm and stiffness, cause an increase in the circulation and minimize swelling.

Foot & Ankle Peripheral Vascular Disease

Your body needs oxygen to survive. Oxygen is brought to your feet (and everywhere else) in your blood, which travels through your body from your heart through arteries. Arteries are like pipes that bring blood to your feet (and everywhere else). Peripheral vascular Disease (PVD or PAD) is a narrowing of blood vessels leading to decreased circulation in the lower extremity, which is similar to a pipe being partially or completely blocked. The blood vessels narrow due to plaque buildup or “hardening of arteries” causing decreased blood flow and oxygen to the lower limbs.

Foot & Ankle Surgery

It is our goal at Foot and Ankle Specialists of the Mid-Atlantic to provide the best care possible to address your specific foot and ankle condition. Our doctors will provide our patients with a thorough understanding of their surgical and non-surgical options. If surgery is recommended, our experts will offer an individualized surgical plan to best address your condition and goals. Foot surgery is a well-planned, personalized event between you and your doctor. Selection of the proposed procedure, and the rehabilitation after surgery, is all part of the plan to help make you the best you can be.

Foot & Ankle Ultrasound Diagnostic Imaging

Our physicians use ultrasound imaging in the office on a daily basis to assist in the diagnosis and the treatment of many foot and ankle conditions. Ultrasound allows the physician to see and diagnose problems with the soft tissues of the foot including plantar fasciitis, ligament tears or sprains, tendon tears or sprains, and soft tissue masses like neuroma or ganglion cysts. Many times, the use of an ultrasound can replace the need for an MRI or determine if MRI is needed for surgical planning. Ultrasounds are done in real-time in the office, allowing your physician to provide an image-based diagnosis to explain your symptoms. This allows same day treatment for confirmed soft tissue problems.

A foot & ankle ultrasound can also be used in the office to assist with procedures. Injections are much more accurate and successful with the use of ultrasound guidance where the physician can see the needle and injection in real time as the medication is delivered to the injured area of the foot and ankle.

Foot & Ankle Wound Care

Foot & Ankle Specialists of the Mid-Atlantic: Your wound healing partners!

Foot & Ankle Specialists of the Mid-Atlantic is committed to providing personalized, effective and advanced treatments to improve our patient's ability to heal their lower extremity wounds. Lower extremity wounds are often complex and challenging to heal. Foot and ankle specialists are a key component to your multidisciplinary wound care team.

One of the most important aspects of wound care management is having a full understanding of each individual patient. This is achieved by carefully listening to our patients, addressing our patient’s concerns, answering our patient’s questions, reviewing our patient’s past medical history and performing a thorough clinical exam. In doing so, this allows us to accurately assess each patient, determine the goals of treatment and formulate a personalized treatment plan for our patients.

Gait Analysis Services

Gait analysis is of fundamental importance in the diagnosis and treatment of musculoskeletal conditions affecting the foot and ankle. Most foot and ankle specialists initially examine the patient in the seated position to determine position, range of motion and strength, leg length, and gross deformity. Then, the patient stands to enable assessment of the alignment of the feet, ankles, knees, legs, and hips. Finally, the patient is asked to walk and/or run to enable a more functional assessment of the lower extremity, as well as to measure the effects of body weight, form, and posture.

Gait analysis can be accomplished in a quiet hallway in the office, on a treadmill, or using more advanced techniques, such as computerized gait analysis. Often, gait will be recorded with slow motion video and reviewed. Your podiatrist will determine which method of examination is best for you.

General Foot & Ankle Care

The foot and ankle are a complicated network of nerves, blood vessels, bones, muscles, tendons, and ligaments. Every step involves an intricate series of interactions between these tissues. Foot pain can be a clue to overall health. For example, joint stiffness can be caused by arthritis. Numbness and tingling can be caused by diabetes. Swelling might indicate kidney, heart, or venous disease.

It is important to take care of your feet, so they can take care of you. They are needed to complete your work and keep you walking to keep you healthy, help circulation, reduce weight, increase strength and bone content. To keep feet healthy it is important to examine them regularly, wear comfortable shoes that fit, wash feet daily with soap and lukewarm water, and trim toenails straight across and not too short. Good foot care and regular foot checks are an important part of health care.

Hammertoe Treatments

Hammertoes are caused by muscle imbalances in the toe. Ligaments and tendons of the toe are tightened, which causes the joint to buckle and appear slightly deformed. Hammertoe deformities are fixed structural deformities affecting one or multiple toes of the feet. Each toe (except the big toe) consists of 3 separate joints. Hammertoes can affect one of multiple joints of each toe. Hammertoe deformities cause a bending of the toe which is created by ‘jamming’ of bones in toe joints, and is considered one of the most common foot deformities. Most often it is seen in the middle joint of the toe causing a bend. This ailment is more common in women than men at a rate of about 5:1 and the incidence increases with age. Treatment options vary based on severities and symptoms.

Heel Pain (Plantar Fasciitis) Treatments

Plantar Fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that supports the arch of the foot. Plantar fasciitis occurs when this ligament gets over stressed, damaged and inflamed.

Pediatric Foot & Ankle Care

Foot and Ankle Specialists of the Mid-Atlantic doctors are highly skilled in pediatric foot and ankle care. There are many types of children’s foot and ankle problems, both congenital and acquired, that FASMA doctors are highly qualified to diagnose and treat.

Sports Medicine

Sports medicine focuses on the treatment and prevention of injuries involved in athletics, exercise, and other types of physical fitness. Common injuries and problems of the foot and ankle include ankle sprains, tendinitis, shin splints, skin blisters, turf toe, muscle strains, and fractures.

Most sprains and strains or "soft tissue" injuries can be treated conservatively with "P.R.I.C.E." therapy (Protection, Rest, Ice, Compression, Elevation) for several weeks. Special strapping and taping techniques can also be utilized along with different types of bracing to provide support to the injured area as it heals. Another newer treatment for both acute and chronic soft tissue injuries is extracorporeal shockwave therapy (ESWT). This is a non-invasive technique that uses soundwaves to stimulate the body's natural healing response by increasing blood flow and tissue regeneration.

More serious injuries, such as torn ligaments, fractures, and joint dislocations, or problems that do not improve with conservative treatment may require surgery. Podiatrists work closely with physical therapists, athletic trainers, and coaches during the recovery process. The goal of sports medicine diagnostics & treatments is to return to activity in a safe and timely manner and preventing further injuries.

Contact the Foot & Ankle Specialists of the Mid-Atlantic today for additional help & information!

Trauma

26 bones, 33 joints, and over 110 ligaments, tendons, and muscles - the foot and ankle is a complex system that, when functioning well, can provide a stable construct to support our daily activities. However, when one or more of these bones, joints, ligaments, muscles, or tendons becomes injured, it can have a cascade of negative side effects when left untreated.

Sprains, strains, and tears are common occurrences in the foot and ankle. These are usually the result of a misstep, a twisting of the foot/ankle, or trauma.

Fractures or breaks in the bone can also occur through direct or indirect trauma, such as slipping, falling, or having an object land on your foot with force.

Overuse injuries can lead to significant pain in the ball of the foot, front of your leg, heel, and ankle.

Early diagnosis and treatment in foot and ankle trauma is essential in achieving the best possible outcome. Our doctors at Foot and Ankle Specialist of the Mid-Atlantic will perform a thorough examination and evaluate for the presence of possible fractures, dislocations, sprains, or strains. This can result in the need for X-rays of the foot and/or ankle, and possibly the need for additional diagnostic imaging, such as a CT scan or MRI, to confirm a specific diagnosis.

Depending on the diagnosis, conservative and/or surgical treatments will be available. All of our doctors are well trained in foot and ankle injuries/trauma, and will provide the best care possible to ensure a proper recovery to have you back on your feet.

Biomechanics & Orthotics
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Poor biomechanics can be debilitating for patients. It can cause chronic pain, which can significantly affect a patient’s quality of life. Podiatrists can change a patient’s life quality by altering their biomechanics to function more efficiently. Over-the-counter or custom orthotics are effective, common treatments.

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Members

Dr. Peter Brieloff, DPM
Dr. Saylee Tulpule, DPM
Dr. Jennifer Gerres, DPM
Dr. Haseeb Ahmad, DPM
Dr. Erika Schwartz, DPM
Dr. David Vieweger, DPM
Dr. Erin  Robles-Sherman, DPM
Dr. Alvin Bannerjee, DPM