Tag Archives: Dr. Teichman

Introducing “Walk Away” Bunion Surgery

23 Mar

A zero downtime bunion procedure is now a reality.

PA Foot and Ankle Associates is the first podiatric practice in the Lehigh Valley (and one of only two on the U.S. east coast) to offer a revolutionary new bunion correction procedure called the FastForward System. FastForward offers minimal discomfort, minimal scarring and no downtime for the patient.


Dr. Adam Teichman, Senior Partner at PA Foot and Ankle Associates comments, “We continue to offer innovative approaches to podiatric medicine with the FastForward System. This bunion procedure allows a patient to resume their lifestyle much sooner, and helps to dispel the myth that bunion surgery is painful and requires a patient to be off their feet feet for long time.”

Why is FastForward revolutionary?

A bunion, known medically as a Hallux valgus deformity, is a prevalent and debilitating foot condition that affects 23% of people age 18-65 each year. Prior to the invention of FastForward, a bunion was treated surgically by means of a bunionectomy. This foot surgery used a series of bone cuts and bone screws to realign the first metatarsal – the longest bone in the foot – with the big toe. As cuts to realign bone are by their nature traumatic, bunionectomies require the patient to stay off of their feet for a period of days, followed by a recovery period of 1-2 months. The larger the bunion deformity, the more aggressive the procedure, leading to longer recovery time and downtime for the patient. With the FastForward procedure, a patient can walk immediately after surgery (in a protective shoe) and can be back in a sneaker in 2-3 weeks.

FastForward also eliminates certain painful complications which occur in some bunionectomy patients – namely, intolerance to bone screws or bones which don’t heal correctly. These complications often required a 2nd surgery to correct.

FastForward bunion procedure uses 3D printing technology

The key to this new bunion procedure is the FDA-approved FastForward Bone Tether Plate. The unique design of this medical device, achieved through 3D printing technology, allows an as-close-as-possible match to the anatomy of the second metatarsal (3D printing allows for the fabrication of devices with complex geometries). Working through a tiny incision, the podiatric surgeon anchors the FastForward Bone Tether Plate to the 2nd metatarsal, wraps the 1st and 2nd metatarsals with suture tape, and then safely pulls the bones and big toe into proper alignment. Less drilling and bone cutting means a quicker recovery and less pain for the patient.

Previous bunion correction procedures which pulled the metatarsals into alignment, required drilling into the 2nd metatarsal, subjecting it to significant stress. For some patients, this resulted in fractures of the 2nd metatarsal. The FastForward Bone Tether Plate eliminates that complication, as it conforms to the shape of the bone and requires no drilling of the 2nd metatarsal.

More info on FastForward Bunion Correction

East Penn Foot and Ankle Associates at The Ben Event 2013

8 Aug
ben event

Dr. Adam Teichman is introduced at The Ben Event 2013 by WFMZ-TV’s Troy Hein

East Penn Foot and Ankle Associates was pleased to be a part of The Ben Event on July 19 and 20 in Macungie, PA. The Ben Event is a yearly fundraiser for special needs teens which includes a Special Olympics softball game and swim meet, presentation of the Ben Yorgey Memorial Awards, and the “Hey I Know You” 5K run and 1/2 mile kids’ run. 

Dr Adam Teichman of EPFAA was on hand to present a check for $250 to the foundation.  Lehigh Valley IronPigs Ball Girls Lauren Mateyak and Justine Levchak threw out the first pitch at the softball game and helped out Special Olympics athletes during the game. The Ball Girls also had some fun launching “Hey I Know You” t-shirts into the crowd, and posed for lots of pics after the game with spectators and Special Olympics athletes.

ben event 3

IronPigs Ball Girls Lauren Mateyak(l) and Justine Levchak(r) with Special Olympics athletes at The Ben Event

See more pictures from The Ben Event 2013 of the East Penn Foot And Ankle Associates Facebook page here.

The Ben Event is an annual fundraiser for The Ben Yorgey Foundation which includes a Special Olympics softball game and swim meet, the presentation of the Ben Yorgey Memorial Awards to high school seniors with special needs, and the “Hey I Know You” 5K run and 1/2 mile kids’ run.

The Ben Yorgey Foundation raises funds for graduating high school students with special needs in the Lehigh Valley.

Plantar Fasciitis Heel Pain Testimonial

21 Jun

Doctor Al Peters, a Lehigh Valley physician and amateur athlete, developed a terrible case of plantar fasciitis. When he wasn’t able to train anymore, much less compete, he visited Dr. Teichman at PA Foot and Ankle Associates for treatment. Watch Dr. Peters’ video testimonial of how Dr. Teichman was able to relive his heel pain without surgery.

East Penn Foot and Ankle Associates, Robbins Rehabilitation, donate turkeys for hungry and homeless in Lehigh Valley

8 Nov

Just in time for Thanksgiving, East Penn Foot and Ankle Associates and Robbins Rehabilitation are teaming up to feed the hungry and homeless of the Lehigh Valley. For the second consecutive year, EPFAA and Robbins will donate an estimated one hundred and fifty turkeys to Lehigh Valley homeless shelters and food banks.

From now through November 21, 2012, for every new patient seen at Robbins Rehabilitation or East Penn Foot and Ankle, one Jaindl’s turkey will be purchased and donated to feed local hungry and homeless families.

lehigh valley homeless shelter turkey donation

Dr Teichman and family donate turkeys to the underserved of the Lehigh Valley, November 2011

In 2011, the first year of this event, a total of 174 turkeys were delivered to three homeless shelters in the Lehigh Valley. This year the beneficiaries are the Sixth Street Shelter in Allentown, the Salvation Army of Bethlehem, and New Bethany Ministries in Bethlehem. The day before Thanksgiving, employees and owners of Robbins and East Penn Foot & Ankle will personally deliver the turkeys to the shelters.

“Roughly fifteen percent of the Lehigh Valley lives below the poverty line and many of these families depend on shelters and food banks for their daily meals and other necessities”, says Dr Adam Teichman, Senior Operating Partner at East Penn Foot And Ankle. “We’re humbled by how generously the Lehigh Valley has given to us and this is our small way of giving something back.”

Travis Robbins, owner of Robbins Rehabilitation continues, “Helping the community is a big part of who we are as a company. It’s why we organized this event last year, and decided to make it an annual event for our company.”

East Penn Foot & Ankle Associates provides advanced, innovative and compassionate foot & ankle care for the entire family in eastern Pennsylvania and western New Jersey.

Robbins Rehabilitation is the leading physical therapy practice in the Lehigh Valley, dedicated to providing the best physical therapy experience for their patients.

Should I see a Podiatrist or an Orthopedist?

18 Sep

fractured ankle bruising swellingWell, that explains the excruciating pain and the baseball-size swelling in your ankle after you jumped off the trampoline…

Your family physician just pointed to a dark line on your x-ray which shows a fracture of your ankle. She suggests you see a specialist, but will she recommend an Orthopedist or a Podiatrist? Which should you choose?

The difference between an orthopedist and a podiatrist

An Orthopedist is devoted to the diagnosis and treatment of your entire body’s musculoskeletal system: the interworkings of the bones, muscles, tendons, ligaments and joints. Some orthopedists specialize in treating the foot and ankle, while others focus on hands, shoulders, spine, hips, etc. If you choose an orthopedist, make sure that they specialize in foot and ankle.

A Podiatrist is a Doctor of Podiatric Medicine, who is trained intensively in the care of the feet, ankles, and lower legs. Podiatrists are also trained in the biomechanics of the foot and ankle and are trained to fit orthotics, custom shoes, braces, and similar devices. Additionally, some Podiatrists are Podiatric Surgeons, who can perform foot and ankle surgery in a hospital setting when necessary.

A Doctor of Podiatric Medicine (DPM) is the foremost medical and surgical specialist of the foot and ankle and is the only medical specialist educated, trained, licensed, and certified for exclusive treatment of the foot and ankle.

Podiatric Surgeons complete a 3 year hospital based residency which includes training in all aspects of foot and ankle surgery. There are some that choose to complete a 1 year fellowship to further focus on areas such as diabetic limb salvage or sports injuries of the foot and ankle. But not all Podiatrists choose to perform all types of foot and ankle surgery just as not all Orthopedic Surgeons choose to perform back surgery vs knee surgery.

Just as with any physician, you should always make your choice based upon their reputation.

The human foot and ankle is one of the most intricate and complex anatomical structures in your body, marrying the precision of a Swiss watch with the structural strength of a cantilever bridge. Your foot is a complex apparatus of 26 bones (one-quarter of all the bones in the human body), 33 joints and more than 100 ligaments and tendons, all linked and served by a vast network of nerves, muscles, blood vessels, soft tissue and skin. All of these parts work in unison to provide the support, strength, flexibility and resiliency needed for actions most of us take for granted, such as balance, walking, running and jumping.

Podiatric surgeons provide comprehensive medical and surgical care for a wide variety of common and complex foot and ankle conditions that affect children, adults and the elderly. They are uniquely qualified to detect the early stages of diseases that show warning signs in the toes, foot, ankle or lower leg, such as diabetes, arthritis and cardiovascular disease. Early diagnosis and treatment by podiatric physicians may save patients from amputation, restore mobility or prevent other serious health problems.

How to know when you need bunion surgery

16 Aug

In a previous post, how to know when you have a bunion, we talked about the signs of a bunion, how to relieve the pain of a bunion, and how not to get a bunion in the first place (assuming it’s not genetic). Now we’re going to talk about the actual bunion surgery.

First things first – make sure that your podiatric surgeon has a strong reputation for success. Stay away from doctors who make claims like:

  • 90 percent of my patients have pain free surgery
  • My patients never require crutches
  • Surgery is performed in our own surgery center
  • I created a better bunion surgery
bunion before surgery

This patient definitely has a bunion requiring surgery. She showed little relief from changing footwear, pain medication, orthotics, or icing. Click for larger image.

To take these in order: Well yes, your bunion surgery will be pain free because you’re under anaesthesia. You’ll also receive a pain blocking medication that will last for a day or two after you go home. But after that, you will definitely feel some pain. How much depends on the severity of your bunion and how much work the surgeon did on your foot to remove the growth and straighten your toe.

In almost every case, a patient who receives a bunionectomy cannot put weight on that foot for at least a week or two after surgery. Therefore, you’ll require crutches for a short time as well as a medical boot to cushion the foot and protect it. The medical boot will stay on the foot for up to 8 weeks after surgery.

Ask a lot of questions if a physician tells you that they perform surgery in their own surgery center.  Physicians who perform surgery in the hospital must pass a credentialing process and be re-evaluated on a regular basis to perform individual surgical procedures. This insures that the surgeon is qualified to perform your bunionectomy. A physician may be deemed not qualified to perform a procedure in the hospital but this does not stop him/her from performing procedures in his/her own surgery center.

This last one is a doozy – a better bunion surgery for whom? Bunion surgery always must take into account foot shape, ligament tightness, biomechanics and other factors. There is definitely no “one size fits all” approach. Besides, if a physician did indeed develop a better bunion surgery, it would be adopted by the larger medical community.

bunion post surgery

Patient’s foot about one week after surgery. Click for larger image.

You should also be wary of any physician who wants to perform a bunionectomy too quickly. If on your first visit he/she recommends surgery, see another podiatrist for a second opinion. A competent podiatrist will always attempt to correct the bunion pain first through the use of orthotics, different footwear, icing, over the counter medications and other pain relief techniques before suggesting surgery.

If you’d like to know more about bunions, download this free booklet written by Dr. Teichman of PA Foot And Ankle Associates, the ten secrets to relieving bunion pain.

NFL season is right around the corner-how is Giant Hakeem Nicks?

17 Jul

While we’re sweating in 100 degree heat, it’s nice to think ahead to the cool temperatures of the fall, isn’t it? (go to your happy, cool place for a moment….)

Fall means the start of another NFL season and my happy place is watching the New York Giants every Sunday or Thursday or Monday.

It’s no secret I’m a huge fan. Giants training camp at the University at Albany begins on July 26th and I’m checking my mailbox every day for my season tickets. Can’t wait for that opening day game September 5th when they take on the Cowboys.

hakeem nicks in endzone against dallas

Nicks doing what he does best

I also started thinking about the rehab of a key Giant who may miss opening day: Wide Receiver Hakeem Nicks. If you recall, on May 24th, Nicks broke the 5th Metatatarsal in his right foot. At that time it was announced he would be sidelined for twelve weeks.

This week marks eight weeks since the injury happened and by now his right foot should be out of its cast and physical rehab underway to strengthen his legs, ankles and feet. Six weeks immobilized in a cast will have weakened his muscles more than you think. But he’s probably been using the stationary cycle, and getting massage and hydro therapy.

ankle and foot strength conditioningHakeem should be doing simple stretches of his foot and ankle to start to recondition those tight muscles, ligaments and tendons. He’ll start with simple exercises while laying on his back (see pic) and then flexibility and range of motion exercises while standing. He’ll also now be slowly increasing stress on the metatarsal, as a bone actually heals and grows in response to the stress placed upon it.

As anyone who’s ever broken their foot knows, pain may last in the bone quite awhile, even after it’s healed. Nicks will undoubtedly be icing and elevating his foot every day after he does his therapy to control pain and any residual swelling.

When appropriate, Nicks will return to walking, then running, then sprinting. He’ll also perform plyometric exercises as soon as possible to restore  speed, quickness and power.

Publically, Hakeem is playing it close to the vest as to how is recovery is progressing. But teammate Victor Cruz stated that he believes Nicks will be on the field for their season opener against the Cowboys: “He looks good. He’s walking again on his own so that’s definitely a good sign. He told me he’ll be ready and he told me he’ll take training camp to continue rehabbing and continue to get his foot back right, but I definitely expect him to be ready by game one.” 

For his own part, Nicks said: “You just don’t want any setbacks. If it takes 12 weeks, that’s what they’re giving me, so I think that’s what we’re going to go by. But my goal is always to come back earlier. We just have to play it smart and get ready for the season.”

I’m hoping for my happy place: Hakeem Nicks in the lineup opening day. He’s key to the Giants offense, as he’s Eli’s best deep target, can jump like nobody’s business, and attracts extra attention and double teaming from defenses, which leaves teammates like Cruz open to make the play.

East Penn Foot And Ankle to Sponsor i-Run Pigs 5K and piglet run

13 Jul

East Penn Foot and Ankle Associates is proud to announce that they are the title sponsor for the 2012 i-Run Pigs 5K and piglet Run Sunday, September 16 at Coca Cola Park in Allentown, PA.

i-run pigs 5K logo

This is the first 5K hosted by the Iron Pigs and East Penn Foot & Ankle and all proceeds will benefit Iron Pigs Charities, a non-profit organization striving to provide educational and recreational opportunities for children in the Greater Lehigh Valley area.

Dr Adam Teichman, owner of East Penn Foot And Ankle Associates commented, “A run and walk is a great way to support cardiovascular health and overall good health, so we’re delighted to sponsor the first i-Run Pigs 5K. As a supporter of the Iron Pigs since year one, this is a natural fit for us. I’m also happy that all proceeds are benefiting Iron Pigs Charities, as we love to give back to the Lehigh Valley community which has been so good to us.”

The i-Run Pigs 5K is open to teens and adults and the Piglet Run is open to kids 12 and under.

Everyone who registers for the 2012 i-Run Pigs 5K and piglet Run receives a commemorative t-shirt, chip timing with your results delivered via text message, pre-race and post-race live entertainment and an entry in an Iron Pigs memorabilia raffle. T-shirts are available only to those who register before September 6.

There will be additional prizes for overall male and female winners in each age group.

Go here for more information on the race, walk and piglet run.

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