Orthopedic Physical Therapy

What types of insurance do you take?

Medicare Part B
Medicare Complete
Medicare Advantage
Humana Medicare HMO
Humana Medicare Choice PPO
Humana Medicare Replacement
Humana Commercial PPO
Humana Commercial HMO
Medicare Railroad
Tricare
Blue Cross Blue Shield PPO
Blue Cross Blue Shield POS
Blue Cross Blue Shield Health Options
AETNA
AETNA HMO
CIGNA

Great West
Medical Partners of America
United Healthcareu
Secure Horizon HMO
WEB TPA
First Service Administrators
Avmed
Multiplan
PHCS
Pronext PPO
Beechstreet PPO
Accountable Health Plan PPO
Self Insured Plans
National Preferred Provider Network
Self Insured Benefit Administrators

Work Comp

Beechstreet
Choice Medical
Focus Healthcare
Metracomp
Heritage Summit

* Please contact our office to confirm.

What causes heel pain in your foot?

There are many causes of heel pain. Most common is Plantar Fasciitis – a painful inflammation of a band of connective tissue (plantar fascia helps hold up the arch of the foot) — to the heel bone (calcaneus). The lowest part of Achilles tendon can be inflamed causing a painful “bump” on the heel. The heel bone can also develop a stress fracture, or small nerves about the heel can be compressed or inflamed causing pain. These disorders are treatable – usually without surgery.

My ankle is swollen, what should I do?

Look at the other side! If both ankles are swollen to the same extent and you are taking blood pressure medication, contact your primary doctor who may recommend changes in your blood pressure regimen that will likely fix the problem. If only one of the ankles is swollen or changes shape, you may be developing ankle arthritis or a collapsing arch. A Foot and Ankle specialist ought to help you in this situation.

What do swollen ankles indicate?

Retained fluid within the soft tissues of the lower leg may be caused by changes in the function of your heart or kidneys. Venous insufficiency is a condition where the flow of blood through the veins is inadequate, causing blood to pool in the lower legs causing swelling and discomfort. Another contributing cause is kidney disease where fluid can be retained in the body and due to gravity, settle in your ankles causing swelling.

What causes pain on top of the foot?

A foot has 26 bones and 33 joints – naturally it is an area in which arthritis (inflammation of joints) can do a lot of damage. One of the most common areas to develop arthritis is in the middle portion of the foot. Patients frequently note painful bumps on the top of their feet – right in the area where you tie shoelaces.

Frequently, relief from pain can be achieved by shoe modification alone, cortisone (steroid) injections or surgical intervention can help improve this condition.

I sprained my ankle, what should I do?

Ankle sprains are very common injuries with nearly 27,000 occurring each day!

Most sprains are relatively minor tears in ligaments that attach the outside (lateral) part of the leg to the foot. However, some injuries involve complete disruption of ligaments which can lead to chronic painful instability of the ankle, loss of ability to play active sports and early arthritis of this joint. If you injure your ankle and it starts to swell/bruise and bearing weight causes pain – stay off the leg, ice for 20 minutes and contact your health care professional. If you feel that your ankle is “giving out” as you try to stand on it – a visit to an orthopedic specialist is warranted.

What causes ankle edema?

Ankle edema, or swelling is caused by retained fluid within the soft tissues of the leg or by fluid buildup within ankle joint itself. If you are experiencing painful ankle swelling – seek opinion of a health professional to determine which of many possible culprits is affecting your leg.

How do I treat an ankle sprain?

An ankle sprain is a disruption of the ligaments that connect the leg to the foot and normal allow ankle motion while preventing ankle instability. Ligaments are anchored to bone on either side of the ankle. First thing to do if you suspect that you have an ankle sprain is to take the pressure off the injured leg – sit in a rolling chair if you have to – and have a trained medical professional determine that what you have is not a fracture or a dislocation. Once the suspected diagnosis is confirmed – treatment is usually aimed at resorting ankle stability with a brace, walking boot or — in severe cases– reconstruction of ligaments through surgery.

After foot surgery, how long does the pain usually last?

While every patient’s experience after surgery is different, a reassuring trend is emerging. Modern advances in regional anesthesia allow physicians to selectively numb a nerve or a group of nerves (nerve block) to a specific body part for up to 1.5 days. This allows the brain not to notice that a surgery has taken place. Once the effect of numbing medication wears off, there will be soreness and pain. However, the level of pain is significantly diminished during recovery.

What is complex hip surgery?

Some of the most technically demanding surgeries of the hip include hip arthroscopy. A hip arthroscopy is where a scope is inserted into the hip joint and is performed to prevent or slow down progression of arthritis and reconstruction of bone defects/voids within the acetabulum (cup portion of the ball and cup joint), and revising older hip prostheses.

After hip surgery, will I be able to walk without pain?

Every patient’s experience is different. A total hip arthroplasty (total hip replacement) is aimed at removing the pain of arthritis while allowing for preservation of range of motion of the hip and stability. Generally, once the soft tissues (skin and muscles) recover – the pain subsides. Fracture repair surgery of the hip aims to restore stability of the hip joint while the fracture heals. Once the fracture heals, the pain also subsides.

Can you have a broken hip and not know it?

Yes. There are several reasons why patients may not realize they have a hip fracture. One reason is that people have different levels of pain tolerance. Other reasons are: stress fractures of the hip can occur without a specific injury, or sometimes older patients may not recall that they have fallen and attribute the new inability to walk to arthritis.

FAQs