Dr. Buksh has perfected his techniques in providing effective and almost painless injections. Injections are needed for small office procedures such as ingrown toenails, excision of warts or lesion, debridements of wounds, neuroma, tarsal tunnel syndrome plantar fasciitis and many more reasons. Dr. Buksh will provide local anesthesia which is virtually painless prior to the injection of a steroid thus making the experience almost pleasant. Children are seen in our office and hardly ever complain of any or much pain during any intra office procedures or injections.
Our laser treatment for nail fungus, treatment for Neuropathy and Endoscopic nerve decompression is extremely successful. Please read further for explanation.
Yag Laser for Nail fungus and Warts: Genesis plus is a ND:Yag 1064nm laser that has been cleared by the FDA to be botha safe and effective solution for the treatment of nail infection ( onychomycosis) or commonly known as toenail fungus . This laser is also a safe and effective treatment fo scar reduction and warts.
The Genesis Plus foot laser sends invisible laser energy into and through the nail and /or surrounding skin that is absorbed by the pigment in the fungal organism. When the laser light is aborbed it causes the prigment in the organisms to heat and this heat damages or kills the fungal orgnaisms. This allows your toenails to grow out normally.
Treatment of all of your nails will usually take 20-30 minutes in the office. Most patients describe the procedures as being relatively comfortable with small amount of heat the nail surfaces, which cools off quickly.
In clinical studes, 68% of patients treated for toenail fungus showed improvement in the percent of nail clear of infection. The amound of nail improvment you may experience is depenedent on your individual circumstances and should be discussed with your doctor.
For Before and after pictures go to www.cutera.com and look for the section for Cutera Genesis Plus Laser.
New Endoscopic Decompression Nerve Surgery for neuroma and neuropathy patients: Nerve pain is the most common symptom seen in our offices. Dr. Buksh will diagnose, and treat your nerve pain accordingly. Most acute nerve pain can be treated with conservative methods, such as TENS unit, injections, medications. If you are diagnosed with an Mortons neuroma or any other neuroma in the foot, the traditional treatments will include meds, padding , orthosis, injections and electrical stimulation. Traditional surgery to remove the nerve has been effective in many studies and is the last resort . Dr. Buksh has mastered the technique to release the intermetatarsal ligament over the nerve with an endoscope. He has had success with this procedure in comparasion to the traditional method which is much more invasive. The Endoscopic nerve release is performed on an outpatient basis. There is no scar and no stiches from this procedure. Most patients can wear their normal shoes with in one to two weeks after surgery. Most patient are allowed to walk on it immediately with very little pain after surgery. This procedure is very effective in patients who are suffering from Diabetic or any type of neuropathy as well .
Diagnostic Ultrasound Imaging in office: Ultrasound in office is used to help in diagnosing and performing procedures. Immediate in office imaging saves time for patient and physician and is cost effective. Ultrasound is a very effective tool for diagnosing a wide variety of foot and ankle problems, particularly soft tissue problems. Ultrasound uses sound waves on the body in a way much like radar uses sound waves. The waves hit a targeted area and are bounced back to a recording device, which produces an image. Ultrasound is a completely safe, noninvasive, and painless diagnostic procedure.
Common problems for which ultrasound may be prescribed include:
- Bursitis.
- Heel spurs or plantar fasciitis.
- Injuries of the ligaments, tendons, or cartilage.
- Morton's neuroma.
- Presence of foreign bodies.
- Soft tissue masses.
- Tarsal tunnel syndrome.
- Tendonitis or tears in a tendon.
Platelet Rich Plasma (PRP) Injections - HARNESSING YOUR BODY'S NATURAL HEALING POWER:
The body has an amazing capacity to heal itself. When the body becomes injured, a natural healing process occurs to repair the damaged tissue. The body signals platelets and other components in our blood supply to migrate to the site of injury. Under normal conditions, these platelets release a variety of factors that initiate and subsequently promote healing. New advances in medicine have been developed to harness and concentrate these platelets to be precisely introduced to the injury site in an injectable form. The implantation of these platelets from a small amount of the patient's own blood has the potential to enhance the body's capacity for healing. For more information, Click Here. www.platelettherapy.com .
Repetitive steroid injections in a single area can cause dermal and deep tissue damage. PRP injections are used generally during surgery for faster healing in Orthopedic cases. At our office, we are able to utilize this technology . This is an excellent solution for athletes, and any patients who suffer from chronic tendonitis, fasciitis or any type of inflammation in their lower leg , ankle or feet.
Topaz Microablation for Heel Pain: Using the topaz micro ablation technology, small percutaneous incisions can be made from the bottom of the heel to help "increase blood flow back to the injured area". This procedure can be used in conjunction with others or by itself for chronic heel pain. Patients can return back to work within a few days after surgery.
Accuscope & Myopulse Treatment: This is a physical therapy modality used in the office which is not painful and works effectively for various tendonitis, fasciitis or nerve related problems.
Digital X-rays: In office digital x-rays are incorporated in our digital records program which provide extra clean images . X-rays help determine whether a bone has been fractured or damaged by conditions such as an infection, arthritis, or other disease.
Other reasons for conventional X-rays on your feet are to:
- Evaluate changes in the bones from infections, arthritis, or other bone disease.
- Assess whether a child's bones are growing normally.
- Locate foreign objects (such as pieces of glass or metal) in a wound.
- Determine whether bones are properly set after treating a fracture.
Pregnant women, especially those in their first trimester, are advised against having X-rays because the radiation may harm the unborn child.
In Depth Biomechanical Analysis: A gait examination is provided for most of our patient analyzing the lower extremity. Foot, ankle , knee and hip are involved in our locomtion and thus are related due to the muscles origination and insertion. There are various genetically predisposed pathologies present in most people. An biomechanical analysis of the lower extremity can diagnose limb length discrepancy, tendon pathology, relationship of knee to the ankle and foot etc. Proper Orthotic or Ankle Foot Orthotic then may be prescribed according to ones biomechanics. Dr. Buksh has had extensive Biomechanical training for lower extremity orthopedic related deformities and his techniques of orthotic fabrication has helped thousands of his patients in the past.
Bunion reconstructive surgery: Bunions and or arthritic joints may lead to severe foot deformity and pain. After X-rays and proper clinical exam patients are selected for the appropriate procedures. Most procedures are performed on an outpatient basis.
Painless injections: Most foot or ankle injections can be very painful if not performed correctly. Injections are performed on various occasions to reduce inflammation or pain or provide anesthesia prior to small procedures in office. At our office, injections are virtually painless .
Other common diagnosis we treat are listed below:
Ankle Sprains
Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, often resulting in one or more ligaments on the outside of the ankle to be stretched or torn. If not properly treated, ankle sprains could develop into long-term problems. Read More...
Bunions
Bunions are misaligned big toe joints that can become swollen and tender, causing the first joint of the big toe to slant outward, and the second joint to angle toward the other toes. Read More...
Flat Feet
Flat feet are a common condition. In infants and toddlers, the longitudinal arch is not developed and flat feet are normal. The arch develops in childhood, and by adulthood, most people have developed normal arches. Read More...
Hammertoes
Hammertoe is a deformity of the second, third or fourth toes. In this condition, the toe is bent at the middle joint, resembling a hammer. Left untreated, hammertoes can become inflexible and require surgery.Read More...
Diabetes and Your Feet
With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal.Read More...
Heel Spurs
Plantar fasciitis (or heel pain) is commonly traced to an inflammation on the bottom of the foot. Our practice can evaluate arch pain, and may prescribe customized shoe inserts called orthoses to help alleviate the pain. Read More...
Corns
Corns and calluses are protective layers of compacted, dead skin cells. They are caused by repeated friction from skin rubbing against bony areas or against an irregularity in a shoe. Corns ordinarily form on the toes and calluses on the soles of the feet.Read More...
Athlete's Foot
A chronic infection caused by various types of fungus, Athlete's foot is often spread in places where people go barefoot such as public showers or swimming pools. Read More...