Medford Foot & Ankle Clinic, PC Blog



Written by: Larry Huppin, DPM 


In the coming months and years, we predict that 3-D optical foot scanning will replace plaster casting as the method of choice for capturing foot shape for production of functional foot orthoses. We also predict that there is great potential for laser scanning of the feet to result in better casts and, subsequently, better orthoses. 

Digital imaging of the feet will result in better orthoses primarily because plaster is a difficult material to work with. Plaster is slippery, wet, soft, slimy and takes a long time to dry. If not dry, it bends out of shape easily when being removed from the feet. In addition, because it takes a long time to dry, some practitioners have staff take the casts. This usually results in a less than optimal cast. Others resort to using foam boxes, which have been shown in several studies to cause excessive varus to be captured in the cast and, ultimately, the orthoses.


***Medford Foot and Ankle Clinic is proud to incorporate 3D digital imaging for fabrication of functional foot orthotics.  Technology does make a difference***

By Dr. McClure
August 14, 2013
Category: Laser

 Laser Treatment For Heel Pain Updated: Friday, July 26 2013, 12:42 PM EDT

It could help you get rid of pain with every step.   Experts at The Center for Foot Care in the Tri-State are using a new kind of laser to get rid of heel pain.   Local 12's Liz Bonis shows us how it works in today's Medical Edge.   Maggie Lisle is back on her feet again now, but for quite a while she got sidelined from her usual running routine. "It started about a year and a half ago." Lisle, who also spends a lot time on her feet as an eye doctor, has a condition called plantar fasciitis or heel pain. "I tried orthopedics, which I had tried before, stretches, cortisone shots, physical therapy, and you name it, I tried it." That is until she found Doctor Kristin Titko,1 a podiatrist who is now treating patients with what's called  MLS laser therapy.  "It's actually all infrared light, but this is the only system that has two wavelengths working together to accomplish the results." Doctor Titko let me look on as she treated Lisle with the laser for about five to ten minutes. "There's a continuous emission that addresses both inflammation and swelling, and then there's a pulsed emission that addresses pain, decreasing the pain and gives an analgesic effect." In most cases, multiple treatments are required. Those range in price from $300-$500.  In most cases, it is not covered by medical insurance plans.   It can be used for diabetic neuropathy, the heel pain that she has, and other conditions. "We treat acute injuries like tendinitis or an ankle sprain, we treat nerve damage, which may be tarsal tunnel and we may treat a more chronic condition, such a wound that is not healing, like a burn, an injury." That cost covers, in most cases, six to ten treatments. Maggie Lisle says she noticed a big improvement after about the third therapy session. "It's improved about 95 percent, I am running again."

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By Dr. McClure
August 14, 2013
Category: Laser
Tags: Laser   fungus   onychomycosis  


New laser treatment takes aim at toenail fungus

By Rachel Saslow,July 11, 2011

For people with toenail fungus, there is no good time to wear sandals. Not even at the beach in July.

Toenail fungus causes nails to become thick, yellow and brittle in a way that looks pretty ugly and can be painful. Sufferers can spend years and hundreds of dollars trying to clear the infection with drugs, topical treatments and home remedies, sometimes to no avail. It tends to be a cosmetic issue for the younger set and a pain issue for older folks.

“The problem is huge. It is bigger than you can imagine,” says Washington podiatrist Stephen J. Kominsky. “I would say 70 percent of the patients who come into my office have fungal infections on their toenails.”


There may be hope. Podiatrists have begun using a laser treatment that combats the infection — or wastes their patients’ money because it doesn’t work, depending on whom you ask.

The treatment, in which the podiatrist aims a laser beam at the patient’s toenails to kill the organisms that cause the fungus, costs about $1,000 and is not covered by insurance because it is considered an aesthetic procedure. The nails aren’t immediately clear after the treatment, which takes up to an hour; the patient must wait for the fungus-free nails to grow out.

Last year, the Food and Drug Administration cleared the first laser, PinPointe, for “temporary increase of clear nail” in patients with onychomycosis, the medical term for a fungal infection of the nail. The FDA cleared a second one, GenesisPlus, in April. Practitioners have been using other lasers on toenail fungus since about 2009.

‘No side effects’

Kominsky has treated 400 to 500 patients with the PinPointe laser. Compared with oral medication, he says, “the odds of success are better with the laser; plus, there’s no side effects.”

The most common oral treatment, Lamisil, works for about two out of three patients, according to Lamisil’s FDA-approved prescribing information, but it has been associated with rare cases of serious liver problems. Other potential side effects include diarrhea, headache, rashes and changes in taste. According to Lamisil’s manufacturer, Novartis, the relapse rate is 15 percent one year after completing treatment.

In one small study about laser treatment for toenail fungus, which appeared last year in the Journal of the American Podiatric Medical Association, “26 eligible toes (ten mild, seven moderate, and nine severe)” were treated with a laser produced by Nomir Medical Technologies, which is still seeking FDA approval. After six months, 85 percent of the toenails had improved.

“I never use the term ‘cured’ with toenail fungus,” Kominsky says. “With a cure, people think there’s no chance for a recurrence. In this case, there is a chance.”

By Dr. McClure
August 14, 2013
Category: Laser
Tags: Pain management   Laser   MLS Laser  


ORLANDO, Fla., June 20, 2013 /PRNewswire/ -- With more Americans searching for alternatives to using narcotics to manage pain, a group of physicians and therapists using a safe and painless FDA-cleared MLS® (Multi-Wave Locked System) pulse laser are meeting in Orlando this weekend, June 22-23, to create the country's first MLS Laser Pain Management Association.

More than 30 attendees—from California to South Florida— will meet to craft a Global Database network that will assist in optimizing treatment protocols, create a standardized system for sharing information, organize clinical trials and ultimately grow pain patient awareness of laser treatment effectiveness and a 1-800 referral network for practitioners.

"Now, though we have some 350 doctors using the MLS® pulse laser in the US and a larger number employing lasers from other manufacturers, we lack the ability to share information through any central database," said Tom Pirelli, a retired South Florida businessman, whose personal pain treatment experience with the MLS® led him to research and then promote the health benefits of the therapy. "All of these practitioners—from many different specialties—are essentially independents.  Our goal is to centralize data and doctor-to-doctor communications, which will in the end result in better treatment protocols and more patients understanding the benefits of laser therapy."

Dr. Lucio Zaghetto, President of ASA Laser in Arcugnana, Italy, will present the science of MLS® at the conference.  Dr. Zaghetto's 35 years experience and research led to the development in the MLS® line of lasers.

Laser therapy has been used effectively for many years, but advances in technology have produced "the next generation of laser therapy" with the new MLS® M6 Robotic Therapy Laser, which uses specific wavelengths of light to treat painful and debilitating conditions.  Unlike conventional lasers, the robotized M6 therapies offer a complete saturation of the treated area, inducing strong anti-inflammatory, anti-edema and analgesic effects simultaneously and within a short period of time.  The M6 combines and synchronizes emission of continuous and pulsed laser emissions with different infrared wavelengths, a unique, patented treatment feature.

Pain conditions treated include joints, neck and back, shoulder, tendonitis, bursitis, arthritis, sciatica, shingles, ligament sprains and strains, stress injuries, muscular injuries, sports injuries and post surgical pain and swelling.

By Medford Foot & Ankle Clinic
August 12, 2013
Category: Our Practice
Tags: Laser   Ultrasound   Digital X ray   Surgery  

Welcome to the Blog of Medford Foot & Ankle Clinic

Whether you are an existing patient or searching for a podiatric physician and surgeon in the Medford, OR area, we’re excited you are here. With the podiatric industry advancing, we recognize the importance of keeping our patients and visitors up to date with all of the new and exciting things taking place in our practice.

We offer the most up to date medical and surgical management of simple and complex foot and ankle conditions.  We offer state of the art lasers for the relief of pain and for the treatment of onychomycosis (fungus in toenails) as well as skin lesions such as warts and spider veins of the foot and ankle.  Our state of the art diagnostic capablities include digital x ray as well as musculoskeletal ultrasound imaging, both on site.  

As we move forward with our blog, we hope to promote good foot health as a vital part of your healthy lifestyle. Here you will find a variety of articles and topics including podiatry news, advancements in podiatric treatments, practical foot and ankle health advice and updates from our practice. 

We hope you find our blog to be helpful, engaging and informational to ensure your best foot and ankle health

As always, feel free to contact Medford Foot & Ankle Clinic with any questions or concerns.

-- The Podiatric Team at Medford Foot & Ankle Clinic

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