​(EPAT) Extracorporeal Pulse Activation Treatment is a non-invasive treatment for plantar fasciitis.
First, we want to define plantar fasciitis
Plantar fasciitis is an inflammation of the band of tissue that extends from the heel to the toes. This condition can present as heel pain.Some possible causes
Faulty structure of the foot.
1. Overly flat feet
2. High-arched feet

Wearing non-supportive footwear on hard, flat surfaces puts abnormal strain on the plantar fascia and can also lead to plantar fasciitis.
Contributing factors:
1. Long hours on the feet
2. Obesity
Symptoms
Symptoms of plantar fasciitis are:

• Pain on the bottom of the heel
• Pain in the arch of the foot
• Pain that is usually worse upon arising
• Pain that increases over a period of months

People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they’ve been sitting for long periods of time. After a few minutes of walking, the pain decreases, because walking stretches the fascia. For some people the pain subsides, but returns after spending long periods of time on their feet.
Diagnosis and treatment
To arrive at a diagnosis, the foot doctor will obtain your medical history and examine your foot. Throughout this process the doctor rules out all the possible causes for your heel pain other than plantar fasciitis.

In addition, diagnostic-imaging studies such as x-rays to distinguish the different types of heel pain.

The condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and/or physical therapy.
The non-invasive (EPAT) Extracorporeal Pulse Activation Treatment can also be used to treat plantar fasciitis.
EPAT®, a non-invasive treatment, enhances blood circulation, accelerates the healing process causing damaged tissue to gradually regenerate and heal. Specifically, the machine delivers low frequency (8-12 Hz) acoustic sound waves into the damaged area. The sound waves act as pressure, and penetrate deep through the soft tissue. The energy triggers the cells in the soft tissue to release certain biochemicals that stimulate and literally intensify the body’s natural healing process – in part by increasing the nutrient flow to the chronically injured area.
Benefits of an EPAT treatment:
1. Short treatment time…About 10 minutes time is needed for the treatment.
2. No downtime…following treatment, you can get on with your daily routine.
Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates and schedule an appointment today.
To learn more about (EPAT) Extracorporeal Pulse Activation Treatment for Plantar Fasciitis, go to Heel Pain Institute of America and Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates
 

​Amniotic fluid injections, a proven effective treatment for arthritis patients
Amniotic fluid injections are an innovative treatment for foot and ankle pains that can eliminate the need for surgery. In this treatment, amniotic stem cells are injected near damaged tissues to help them regenerate. Unlike other treatments, which destroy damaged tissue or attempt to reduce pain, this treatment can actually heal the area and has proven effective for patients with arthritis.
It should be noted that amniotic stem cells are different from embryonic stem cells. Amniotic stem cells are extracted from an amniotic sac in a simple process that does not harm an embryo.
How it Works
Stem cells can replicate the properties of cells near them. This means that a group of stem cells injected into an arthritic ankle can repair the damage done by this disease by regenerating healthy tissue. The injection of healthy cells will also stimulate further healthy cell production in the area.
Positive points of amniotic fluid injections

• A natural anti-inflammatory agent that does not contain steroids
• Can prevent the need for surgery
• Stem cells stimulate the body’s own healing mechanisms, with no risk of patient rejection
• Can repair injured ligaments and tendons
• An effective treatment for osteoarthritis

Many ligament and tendon injuries can be treated with amniotic fluid injections. We are the best team for this type of treatment. We can assess your foot pain and help you decide if amniotic fluid injections would be a suitable alternative to steroids or surgery.
Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates and schedule an appointment today to learn more about Amniotic Fluid Injections for your feet and to find out if type of innovative treatment is right for you.
 
To learn more about Amniotic Fluid Injections, go to Heel Pain Institute of America or Laurel Foot & Ankle Center or Northern Foot & Ankle Associates. 
 

EPAT® is a revolutionary, non-invasive, FDA approved, and
highly effective treatment for foot ailmentsExtracorporeal Pulse Activation Technology (EPAT®) is the most advanced and highly effective non-invasive treatment method cleared by the FDA. This proprietary technology is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals.
This non-invasive procedure provided right in the doctor’s office represents a breakthrough treatment option for a range of musculoskeletal conditions.​
How It Works

Essentially EPAT® enhances blood circulation, accelerates the healing process causing damaged tissue to regenerate and heal. Specifically the machine delivers non-invasive low frequency (8-12 Hz) acoustic sound waves into the damaged area. The sound waves act as pressure, and penetrate deep through the soft tissue. The energy triggers the cells in the soft tissue to release certain biochemicals that stimulate and literally intensify the body's natural healing process – in part by increasing the nutrient flow to the chronically injured area. EPAT can be used to treat the following:  Plantar Fasciitis
  Achilles Tendinitis
  Insertional Achilles Tendinitis
  Achilles Tendinosis
  Tendinosis of the Foot and Ankle
  Chronic Heel Pain
  Acute and Chronic Muscle Pain
  Morton's Neuroma of the Foot
  Plantar Plate TearsNumber of Treatments Required
Typically treatments occur once a week for a series of 3 to 6 treatments. Patients can expect each treatment to take approximately 5 to 10 minutes depending on the total number and size of areas to be treated. Benefits of EPAT®

• Non-invasive
• No anesthesia
• No risk of infection
• No scarring
• No downtime
• Over 80% patient satisfaction
• Faster, easier healing

Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates and schedule an appointment today.
To learn more about EPAT and Your Feet, go to Heel Pain Institute of America and Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates

AmnioFix contains 285 regulatory proteins, growth factors, specialized cytokines, and
enzyme inhibitors, some of the most important needed for healing and is donated by
healthy consenting mothers that have delivered a live birth by a scheduled Caesarean
section. All donors are tested for infectious diseases, similar to the testing done for
people that donate blood.
These growth factors are powerful agents that our bodies produce to signal cells to
come to the target or damaged site on the body to help your own cells regenerate
damaged tissue.

When should You Opt for AmnioFix?
Consider AmnioFix as an option if conservative treatments such as anti-inflammatories,
physical therapy, and bracing have not provided relief for your feet, or if you are
searching for a non-steroidal option or have reached the limit of steroid injections.
Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle
Associates and schedule an appointment today to learn more about AmnioFix for your
feet.
To learn more about AmnioFix treatment, go to Heel Pain Institute of America or Laurel
Foot & Ankle Center or Northern Foot & Ankle Associates .

​What are Plantar Warts?
Warts are caused by an infection of the skin by human papillomavirus (HPV), which is the most common viral infection of the skin. Plantar warts grow on the plantar surface or the sole of the foot. They can be found anywhere in this area, but tend to produce symptoms in areas of pressure and/or friction. The virus that causes warts, the human papillomavirus, infects only the superficial layer of skin, producing a thickened callus-like growth that, if located in an areas subjected to pressure, can become quite tender.
 
Although warts characteristically resolve spontaneously, it is sometimes necessary to treat painful plantar warts. The incubation period (the period of time between infection and the production of the visible skin lesion) is not known but estimates vary from months to years. There are at least 120 different types of (HPV), and certain types tend to infect specific anatomical areas, like the plantar surface of the foot. HPV infections are ubiquitous infections, with least one-half of adults infected during their lifetime.
 
Causes and Risk Factors of Plantar Warts
The HPV types 57, 27, and 1a account for most plantar warts. The virus gains access to the skin through direct contact. It is presumed that inoculation of the skin occurs in places likely to be contaminated by others with Plantar warts, like communal showers. Once infected by HPV, spontaneous resolution seems to depend on the development of immune lymphocytes that destroy the virus-infected cells. Vaccines are available to protect against certain types of genital viral infections, but there are no vaccines for the HPV types that cause Plantar warts.

• Plantar warts are seen in all age groups, but are most common among children 12-16 years of age, and rare in the elderly.
• Risk factors for the development of Plantar warts include:
  • use of public showers,
  • skin trauma, and
  • weakened immune system because of certain medications used or illness.

 
Are Plantar Warts Contagious?
Yes, because Plantar warts are caused by a viral infection (see above) it is possible to spread the virus and the condition from person to person. For example, places such as communal showers are areas where the HPV infection can spread.
 
What Are Plantar Wart Symptoms and Signs?

• Firm (rough, bumpy, and spongy, some appear thick and scaly) lesions with tiny pinpoint dark spots in the body of the wart (not always apparent): These dark spots are minute.
• Foot pain localized to a thickened area on the sole
• Smooth surface with a gray-yellow or brown color
• Often located over areas of pressure or a bony point such as the heel and ball of the foot
• Usually flat because of pressure
• Several warts may fuse to form "mosaic" warts.

Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates and schedule an appointment today.  
 
To learn more about Plantar Warts and treatment, go to Heel Pain Institute of America or Laurel Foot & Ankle Center or Northern Foot & Ankle Associates. 
 

​Tips On Healing an Achilles Tendonitis Quickly 

At Home Treatment

1. Rest your leg. Avoid putting weight on your leg.  
2. Ice it.
3. Compress your leg.  
4. Elevate your leg as much as possible.
5. Take anti-inflammatory painkillers such as Advil
6. Use a heel lift in your shoe
7. Practice stretching and strengthening exercises as recommended by your doctor, physical therapist, or other health care provider.

 
 
To learn more about Achilles Tendonitis, go to Heel Pain Institute of America or Laurel Foot & Ankle Center or Northern Foot & Ankle Associates. 

Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates and schedule an appointment today.   

​What Is Stem Cell (Regenerative) Therapy?
Stem Cells act to orchestrate the process of healing and cell signaling, much like the conductor of an orchestra. These are your own stem cells working to help you.
 
Our goal is to provide you with the latest in affordable, minimally invasive therapies to help acute and chronic orthopedic foot and ankle conditions. We are experienced in the field of regenerative medicine and have years of experience in advanced pain management techniques. We will present you with an honest opinion on your options. Everyone is different. If regenerative therapy is not right for you, we will always give you the best options.
 
How Stem Cell Therapy Works
This is a non-surgical procedure. Although some ailments require invasive measures of treatment, many have the ability to heal. Regenerative therapy provides an advanced boost to the already natural healing process our body provides. Most procedures take 30-60 minutes to perform in a single office visit. You would be able to leave within an hour after the procedure. Although you are able to go about normal activity, we suggest that you take it easy for the first week or two.
 
To learn more about treating foot and ankle injuries using stem cell therapy, go to Heel Pain Institute of America or Laurel Foot & Ankle Center or Northern Foot & Ankle Associates.
 
Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates and schedule an appointment today.

Things You Might Want To Know Regarding Ankle & Foot Pain​
Lots of joint cooperation needs to occur for the foot to function properly. The foot during walking is at the mercy of the function of the lower limb. In addition, there can be intrinsic misalignment that can occur. So… Ankle and/or foot pain is usually a matter of control, or loss of control.
​
​Misaligned Feet
The majority of people with flat or misaligned feet will never experience any pain or symptoms in their feet. However, they will eventually develop pain or symptoms somewhere else in their body. In children this can show up as “growing” pains or shin splints. In adults, it may appear as chronic pain to knees, hips and/or back. Once the anklebone slips from its natural alignment on the heel bone this alters the foundation of the body. The knee twists, the leg is pulled from the hip, the pelvis tilts, and this creates a strain on the back.

Goals to restore foot stability
Our overall goal is to restore stability to the foot and mobility to the toes and ankle. There are many conditions that can cause your pain. Our care is tailored to your specific problem and will include the following:

• Rapid pain relief
• Quick control of swelling (rest, ice, compression, elevation)
• Taping and bracing as required
• Education with your involvement
• Development of a home treatment program
• Joint and soft tissue mobilization to restore motion
• Stability strength training
• Mobility exercises for range of motion
• Hands-on-therapy

​Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associates and schedule an appointment today.

To learn more about treating foot and ankle injuries, go to Heel Pain Institute of America or Laurel Foot & Ankle Center or Northern Foot & Ankle Associates.

Nail fungus, a common condition
Nail fungus is actually a common condition that begins as a white or yellow spot under the tip of your toenail. As the infection continues, it may cause your nail to discolor, thicken, and even crumble at the edge…and can affect several other nails. If your condition is mild, you may not need treatment. If it’s painful and has caused thickened nails, self-care steps and medications may help. But, even if treatment is successful, nail fungus often does comes back. When fungus infects the areas between your toes and the skin of your feet, it's called athlete's foot.

Fungal nail infection can develop in people at any age, but it's more common in older adults. As the nail ages, it can become brittle and dry. The resulting cracks in the nails allow fungi to enter. Other factors such as reduced blood circulation to the feet and a weakened immune system may also play a role. Toenail fungal infection can start from athlete's foot, and it can spread from one nail to another. But it is uncommon to get an infection from someone else.

Symptoms
You may have nail fungus if you have one of the following:

• Thickened nails
• Whitish to yellow-brown discoloration
• Brittle, crumbly or ragged nails
• Distorted in shape
• A dark color, caused by debris building up under your nail
• Smelling slightly foul

While, nail fungus can affect fingernails, it's more common in toenails.

When to see a doctor
You might want to see a doctor if self-care steps haven't helped and the nail becomes increasingly discolored, thickened or deformed. If you have diabetes and think you're developing nail fungus, you should see a doctor.

Risk factors
Factors that can increase your risk of developing nail fungus include:

• Being older with reduced blood flow, more years of exposure to fungi and slower growing nails
• Sweating heavily
• Having a history of athlete's foot
• Walking barefoot in damp communal areas like swimming pools and shower rooms
• Having a minor skin or nail injury or a skin condition, such as psoriasis

Having diabetes, circulation problems or a weakened immune system

Contact our offices Laurel Foot & Ankle Center or Northern Virginia Foot & Ankle Associatesand schedule an appointment today.

To learn more about foot ulcers, go to Heel Pain Institute of America or Laurel Foot & Ankle Center or Northern Foot & Ankle Associates.