December 01, 2014
Category: Foot Care Products
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New Products Available From the Office of Steven B. Hollander, DPM, LLC.

Formula 3 is a topical oil-soluble form of tolnaftate, an FDA approved antifungal preparation, used for the treatment of fungal infections.  Fungal infections are caused by dermatophytes, a form of fungus that attacks the skin and skin structures, including toenails. 

Neura-TF is a safe, inexpensive product, containing four substances, all of which play a critical role in optimizing nerve health. These substances are alpha-lipoic acid (ALA), benfotiamine (Vitamin B1), vitamin B6 and vitamin B12.  Neura-TF is designed primarily for patients experiencing numbness, tingling and burning pain secondary to peripheral neuropathy. 

KERA-42 Cream (Urea 42%) is used to help exfoliate, restore and moisturize calloused, rough dry skin. 

Biofreeze is a topical menthol-containing preparation that provides penetrating, long-lasting relief from arthritis, sore muscles and joints.  

August 18, 2014
Category: Education
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I recently returned from the 2014 Annual National Conference of the American Podiatric Medical Association.  This year it was in beautiful Honolulu, Hawaii.  I consider myself blessed that I could travel to, enjoy and learn in such a relaxing environment. 

As a practicing podiatrist I am required to participate in 25 hours of Continuing Medical Education (CME) credits every year to maintain my license.  This year’s conference again offered a comprehensive educational experience.  Topics included plantar fasciitis, diabetic wound care, skin disorders and presentations on fall prevention.  Along with the didactic lectures there  were opportunities to visit with exhibitors who provide us with new products and the equipment we use on a daily basis. 

October 23, 2013
Category: Orthotics
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What are orthotics?

Well, the simplest definition of orthotics would be "arch supports."  However, this would be analogous to calling the simplest type of over-the-drugstore-counter reading glasses "eyeglasses."  We all know there are many types of eyeglasses, over-the-counter, prescription, bifocals, progressives, etc.  There are also many types of shoe inserts.  Some are simple flat insoles designed for shock absorption and can be made from cushioning foam-like materials or gel materials.  Other over-the-counter shoe inserts may have an arch support of varying degrees of firmness and are designed more for support.  It is difficult to know which is the right device for you without knowing in advance the type of foot you were blessed with.  Flexible foot types are best treated with the firmer, more supportive devices, while rigid foot types may do better with greater cushioning. It is difficult to have both characteristics in one device because they are somewhat mutually exclusive.  More cushioning in a device may sacrifice support and vice versa.  

Some orthotics are pre-fabricated and then either purchased off the store shelf or dispensed from a doctor's office. These inserts are best used for mild disorders of the feet.  Frequently, however, custom-made orthotics may be required to resolve the more moderate to severe abnormalities of the feet. Getting the right type of device requires a prescription from a medical practitioner, e.g., podiatrist, foot orthopedist or chiropractor, with specialized expertise in lower extremity biomechanics.  A significant part of podiatry training is in the area of biomechanics, which is the applied science of locomotion in living organisms.  Custom-made orthotics are usually made at an orthotics or prosthetics laboratory (only occasionally in the doctor's office).  They are made from a model of the foot taken from a plaster or fiberglass mold of the foot.  3-D scanning is now also being used to create the initial foot model. The appliances are then made from plastic, usually polypropylene, shaped to the mold of the foot or cut from a block of plastic (using the 3D scanning information and CAD/CAM technology). Some custom-made orthotics are made of softer materials to prevent injury from pressure or friction on the bottom of the feet. Various other additions including full-length topcovers, metatarsal pads and heel posts are then applied to achieve the desired correction.

Orthotics can be used to treat many foot and leg conditions.  They are prescribed for plantar fasciitis, metatarsal pain, Achilles tendon disorders, flatfeet, high arched feet, prevention of diabetic foot ulcers, management of shinsplints, control of overpronation and certain knee disorders.   If you have any symptoms in the feet and/or legs that are mechanical in origin, orthotics are frequently the long-term, conservative treatment of choice.  


By Steven B. Hollander, DPM
September 11, 2013
Category: Heel pain

My blog column has been a long time coming.  I apologize for my absence and hope to make blogging a regular part of the website. Thank you for reading.  

One topic that seems to occur over and over again in my practice is heel pain.  There are many disorders that can manifest with heel pain but none more common than "plantar fasciitis."  Plantar fasciitis is the inflammation of the ligament (plantar fascia) that runs the length of the arch from beneath the ball of the foot to the heel.  Many patients present to the office having self-diagnosed themselves with this condition or, perhaps, have been referred by their primary care physicians.  

One of the issues I would like to clear up regarding heel pain is the use of the terms "heel spurs" and plantar fasciitis.  Patients present to the office with heel pain and report that they have "heel spurs." The use of this term is not necessarily of the patient's invention but possibly something they read.  Sometimes, it is a term they derived from a family member, friend or the referring primary doctor.  It's not to say that use of the term is wrong.  Many patients who present with the symptoms of plantar fasciitis may, indeed, have a "spur." This "spur" is the presence of an excess prominence of bone projecting from the bottom of the calcaneus, or heel bone. Since the time these heel spurs were observed on x-rays (actually called radiographs) it was not a stretch to blame them for the cause of heel pain. Most of the time, however, these spurs are incidental findings on x-ray and not the cause of the heel pain.  Many patients with this heel pain have no spurs at all.  The identification of an inflamed plantar fascial ligament (a ligament that attaches to the bottom of the heel bone), has now become more common.  

There is a reason for making a distinction between "plantar fasciitis" and "heel spur syndrome."  Although early treatment of both would be similar, i.e., ice, rest, anti-inflammatory medications, cortisone injections and/or orthotics, definitive care may be different.  Although heel spurs are rarely removed anymore, it may be required if the spur is symptomatic.  Plantar fasciitis, unresponsive to conservative therapy, may require a soft tissue release.   

There is always so much more to write then time to write it.  Stay tuned for more on plantar fasciitis and other causes of heel pain.  

By contactus
September 28, 2011
Category: Uncategorized
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