Foot Services

Bunion Deformity

Bunion DeformityThe bony bump on the side of your big toe is a form of arthritis. It indicates that degenerative changes are taking place in the joint beneath. The bunion can cause your first toe to push outward against your second toe, deforming it as well.

While poorly fitting shoes with a narrow toe box can aggravate bunions, the primary cause is hereditary. Mother Teresa had bad bunion deformities and never wore high heels or fashionable shoes.

Conservative treatments such as orthotics (shoe inserts) and injections at the base of the big toe can sometimes relieve bunion problems, but surgery is often required for correction.

Several surgical procedures can be performed to correct bunion deformities. These are now usually done as an ambulatory procedure, not requiring hospital admission. Some bunion procedures don’t even require stitches after the minimal incision.

Austin with Single Screw


Burning Feet

Stiletto RX: Pillows For Your Feet™ Treatment

Loss of fat on the bottom of the foot is common as we age, especially in women. This can result in pain and burning, particularly in the ball of the foot. Dr. Levine and Dr. Lautin pioneered a new treatment, Stiletto RX: Pillows For Your Feet™, to combat this fat loss using ultrasound therapy and injectable implants.

How does it work?

Sculptra™ is injected into the bottom of the foot, stimulating natural collagen growth and restoring the foot’s padding to a more plump and youthful state. Marked improvement occurs after only a single treatment. The procedure earned its name after patients described the feeling as “having pillows in your feet”.


Dropped Metatarsal

Dropped Metatarsal

Your foot has five metatarsals that each connect to one of your toes. If one of these metatarsals sits lower than the others, it will bear a greater amount of your body’s weight than it should, causing pain and inflammation.

High heels are often a culprit in the development of a dropped metatarsal. Luckily, multiple procedures are available to correct this problem.

Oblique Tilt-Up Osteotomy


Excess Foot Perspiration & Smelly Feet

Hyperhidrosis is excessive sweating, and it’s commonly seen on the hands and feet. Though embarrassing, hyperhidrosis is a fairly common disorder.

BOTOX® or Dysport® injections are a particularly effective way to treat hyperhidrosis. Not only are injections quick, they reduce perspiration for many months. A single half-hour treatment often lasts for a year or more.

Foot Facial™ Treatment

Dr. Levine’s fabulous, innovative, and luxurious Foot Facial will leave your feet baby soft and feeling fresher than ever. This five-step, 45 minute treatment has been featured by Extra, Access Hollywood.

‘Extra’ Segment



Haglund’s Deformity

Haglund's Deformity Haglund’s deformity is an enlargement of the bone on the back of the heel that can lead to inflammation, irritation, and pain. It is most common in young women, because it is often caused by the rigid backs of pump-style shoes.

Hereditary factors also play a part in the formation of Haglund’s deformity. High foot arch or a tendency to walk on the outside of the heel can contribute to Haglund’s. Non-surgical treatments are available, but surgery is sometimes necessary. One of several procedures may be used, depending on your particular foot and ankle structure.


Hammertoe

HammertoeHammertoe is a permanent deformity of one of your middle toes — most often the big toe’s neighbor — in which the toe joints have become bent up and twisted.

If the hammertoe is flexible, one that can be forced to lie flat with manual pressure, it can be corrected with minor surgery.

When the hammertoe is rigid, arthroplasty is required. This is performed under local anesthesia where a tiny portion of bone is removed, and will permanently eliminate the pain and deformity. You can walk out of the surgery in a surgical shoe.

Sometimes the cause of hammertoes is an overly long second and/or third toe(s). Ambulatory surgical correction can be done under local anesthesia. A small piece of bone is removed; this results in the creation of a normal aesthetic toe arc, removal of the deformity, and alleviation of the pain.

Straight Incision


Heel Spur

Heel Spur This is a bony protrusion on the bottom of the foot caused by a growth of calcium that has begun to project downward and touch the plantar fascia (the thick piece of tissue underneath the skin on the sole of the foot).

If the pain is acute, taking an analgesic (i.e., Tylenol or Ibuprofen) usually alleviates the pain. Footbaths sometimes help as well. If this is not sufficient, ultrasound therapy, electrogalvanic stimulation, steroid injections with analgesics, shockwave therapy, and even BOTOX® often help.

Heel spur surgery is designed to correct whatever biomechanical problem is causing the spur in the first place.


Neuroma

NeuromaA neuroma develops when nerve tissue thickens, and is most commonly found at the base of the third and fourth toes. An untreated neuroma can eventually lead to permanent nerve damage.

If you have severe foot pain, numbness, or tingling, and often feel like you need to take off your shoe and rub the bottom of your foot, you may have a neuroma. Come in for an evaluation — neuromas are generally easy to treat.



Orthotics

OrthoticsOrthotics are shoe inserts that treat or alleviate foot disorders. Many are available over the counter, but we provide our patients with top quality, custom-made inserts molded from foot impression casts.

Our orthotics are manufactured from the highest quality materials available today, and our 30-point quality assurance program allows us to engineer your custom orthotic devices according to the highest quality standards in the industry.

Plantar Fibroma

A plantar fibroma is a knot in the arch of the foot. If there is a noticeable lump in your arch that feels firm to the touch, you may have a plantar fibroma. Unfortunately, it won’t go away without treatment.

The lump may stay the same size or it may get bigger. Either way, it needs to be treated. Steroid injections and orthotics can often help, but surgery is sometimes necessary.

Subungal Exostosis

A subungal exostosis is essentially a heel spur found at the end of the big toe. They are often painful because of the pressure they apply to the bottom of the toenail bed. If not treated immediately, pain and infection will persist. Surgery is generally the most effective form of treatment for a subungal exostosis.


Tailor’s Bunion

Tailor's BunionA tailor’s bunion is a deformity of the fifth metatarsal bone at the base of your pinky toe. These aren’t as common as regular bunions, but they can cause similar symptoms.

Non-surgical options for treating a tailor’s bunion, including injections, are usually tried first. But if pain persists, surgery is the most effective treatment.

K-Wire Fixation



Toenail Procedures

Toenails are the cause of problems for many people. Ingrown toenails press into the skin on one or both sides of the toe, damaging the skin and potentially causing repeated infections. Torn toenails can similarly damage the skin. Fungus and infections often lead to problems such as thickened nails. These toenail issues– and others– can often be treated by excising the offending portion of the toenail.

Partial Excision – Laser


Wart Removal

Plantar warts occur on the sole, heel, and ball of the foot. Anyone can contract the virus that causes plantar warts, and they most often occur in children and young adults. Incidence is higher in people who share common bathing areas such as gym showers. Warts can be treated in several ways.