Lexington Podiatry provides numerous in office tests as a convenience that are often only performed at a hospital. We believe in giving our patients access to all the tools possible to ensure the best and quickest outcomes for their condition.
- Digital X-Rays
- Nerve Biopsy
- Skin/Nail Biopsy
- Fall Risk
- Balance + Bracing
Ultrasounds – A live and interactive visual look below the surface of the skin to examine muscles, fascia, tendons, joints and bones to determine where your source of pain is coming from.
EMG/NCV – Tests the nerves in your lower body to explain symptoms such as burning, tingling, numbness or chronic pain. Also helpful to determine if your back could be the cause of your foot pain.
Diabetes – Whether you’re a newly diagnosed diabetic or have been diagnosed for years, many different tests are used (monofilament sensory test, NCV/EMG, ABI, gait analysis, nerve biopsy, etc) in the office to evaluate your current health status and help prevent complications in the future.
Nerve Biopsy – A quick test to examine your nerves on a microscopic level. Helpful in determining the level of nerve damage and can also help determine how aggressive the treatment plan should be based on the severity of nerve damage.
Skin/Nail Biopsy – Minimally invasive test to examine unusual looking moles or other lesions to rule out malignancy, warts, epidermal inclusion cysts, etc. A biopsy can also be used to detect fungal infections toenails.
Fall Risk Assessment – Fast, painless test to assess level of risk for future falls and helps to tailor a treatment plan to your specific needs.
Have You Fallen In The Last 3 Months?
We ask this on patient paperwork for an important reason! Balance is really important, but declines as humans age. Falls are one of the leading causes of hospitalization in our elderly population.
- Muscle weakness
- Blood pressure
- Vision problems
- And many more
When you come to the clinic for Fall Risk Assessment, you will be seen by a physician and receive a full report on your balance. Many times when we prescribe the balance brace, we work with physical therapy to help break in the braces and increase muscle strength.
You will also receive education about fall prevention in your home and your daily activities.
Platelet Rich Plasma Injections
When treating painful foot and ankle conditions, steroid injections have been a staple for immediate relief. However, steroid injections can only be given in a certain area a few times, otherwise further damage could occur including tissue atrophy and possible tendon rupture. Plus, some patients are allergic to certain steroid injection components and cannot receive this type of direct anti-inflammatory. We now have an alternative to steroid injections. And it all comes from you.
We are now able to perform platelet rich plasma injections, also known as PRP, right in the office.
Platelets contain healing growth factors and this concentration of platelets used for an injection can contain FIVE TIMES or more the usual amount of growth factors.
Platelets can decrease inflammation and pain, improve tissue healing (tendons, plantar fascia, ligaments), and increase angiogenesis (formation of new blood supply).
PRP can speed up healing of soft tissues and can have more of a long-term healing effect compared to steroid injections, which do not contribute to tissue healing outside of the anti-inflammatory effect.
PRP has been used for over 20 years for musculoskeletal conditions. It is now more widely used in sports medicine to speed up healing and return the athlete to activity more quickly. PRP can be used for acute and chronic conditions including peroneal tendonitis, posterior tibial tendonitis, plantar fasciitis, Achilles tendinitis, ankle ligament sprains, and osteoarthritis
PRP if not recommended for patients who:
- have metastatic disease
- have a tumor
- have an active infection
- have a low platelet count
- are pregnant or breastfeeding
The process involves drawing the patient’s blood in the office, placing the blood in a centrifuge and then drawing off the platelet concentration. The platelet concentration is then injected in and around the affected area with ultrasound guidance. We typically immobilize the patient with a boot and/or crutches for two weeks until re-evaluation.
Most patients will have increased pain initially, but this typically resolves in a few hours to a few days after the injection. Use of ice and Tylenol after injection can be used as needed for pain as you are not recommended to use NSAIDs, as with this injection we are relying on your body’s natural inflammatory response to help heal the tissues.