Tag Archives: videos about foot and ankle pain

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

How Peripheral Artery Disease (PAD) caused this man to almost lose his foot

25 Nov

Gary Kautzmann of Orefield, Pennsylvania suffered with Peripheral Artery Disease for more than 10 years. P.A.D. is a condition in which arteries become blocked, restricting blood flow to certain parts of the body. In many cases, P.A.D. is caused by fatty deposits lodged in the arteries (atherosclerosis), but in Gary’s case, arteries behind his left knee had become twisted, greatly diminishing blood flow to his lower leg, foot and ankle.

Gary had always been active – running, swimming, biking, always on the move. But the P.A.D. was now causing so much pain in his calves, that it was impossible to walk even 2 blocks. As gary puts it, “it was no way to live.”

Peripheral artery disease (also called peripheral arterial disease) is a common circulatory problem in which narrowed arteries reduce blood flow to your limbs.

When you develop peripheral artery disease (PAD), your extremities — usually your legs — don’t receive enough blood flow to keep up with demand. This causes symptoms, most notably leg pain when walking (intermittent claudication).

Mayo Clinic

Four doctors attempted to restore blood flow to Gary’s leg, all without success. During each of 4 arteriograms, a procedure in which stents are inserted into the blocked arteries to restore their shape, the surgeon couldn’t get past the twisted tangle of arteries behind the knee. But proper blood flow is necessary for your tissues, to feed the living cells, repair damage, feed muscles and nerves, and heal wounds.

A year ago, Gary developed a routine case of athlete’s foot between the toes on his left foot. The only difference was that this time, the athlete’s foot would not heal. In fact, it got worse and worse, resisting every over the counter treatment. Gary sought out Dr. Teichman at PA Foot and Ankle Associates to treat the worsening fungal infection, and what Dr. Teichman told him was unnerving.

Watch the video to discover what Dr. Teichman told Gary.

Tarsal Tunnel Syndrome (TTS) Surgery – Patient Testimonial

18 Sep

Charlene Ninni of Center Valley, PA suffered with excruciating and debilitating pain which would travel from the inside of her ankle, throughout her foot, and sometimes all the way to her hip. For almost 2 years, she sought the advice of a number of orthopedic surgeons, none of whom were successful in relieving her foot and leg pain, or her swollen ankle.

tarsal tunnel syndrome surgery

The tarsal tunnel is found along the inner leg behind the bump on the inside of the ankle.

The simple things most of us take for granted, like walking up the stairs or food shopping, had become difficult to impossible for Charlene. She had learned to wait as long as possible before doing anything that required walking, and she asked frequently for assistance from friends and family. With one of her ankles all but useless, and in almost constant pain, life had become challenging.

One night at a Lehigh Valley IronPigs game, while paging through that night’s program, she saw an ad for a seminar that Dr. Adam Teichman of PA Foot and Ankle Associates was conducting on foot health. When Charlene showed up at the seminar in the walking boot her most recent orthopedic physician had given her, Dr. Teichman couldn’t help but start a conversation with her. They discussed her symptoms, he ballparked a few possible reasons for her condition, and he recommended she see him for an exam and diagnosis.

After Charlene’s exam in the PA Foot and Ankle Associates office, Dr. Teichman’s diagnosis was tarsal tunnel syndrome. He recommended surgery as the best treatment option to relieve Charlene’s pain. Charlene agreed to the surgery, and today she couldn’t be happier with the outcome.

Watch Charlene’s video testimonial below in which she discusses her symptoms and tells us how great she’s feeling now compared with 2 years ago.

About Tarsal Tunnel Syndrome

Tarsal tunnel syndrome (TTS), also known as posterior tibial neuralgia, is a compression neuropathy and painful foot condition.

The tarsal tunnel is found along the inner leg behind the bump on the inside of the ankle. Through this tunnel passes a collection of arteries, nerves, tendons, and muscles. Inside the tarsal tunnel, the tibial nerve splits into three segments – one segment continues to the heel, and the other two continue to the bottom of the foot.

When the tibial nerve becomes entrapped or “pinched” in the tarsal tunnel due to inflammation or swelling, numbness may be felt in the foot radiating all the way to the big toe and the first 3 toes. Additionally, pain, burning, tingling, and electrical sensations may be felt in the base of the foot, ankle, or heel.

Visit the PA Foot and Ankle Associates website for more information on Tarsal tunnel syndrome.

Bunion Surgery Without Bone Screws

22 May

A bunionectomy (the repair of a bunion deformity) is one of the most common outpatient procedures performed by podiatric surgeons like those at PA Foot and Ankle Associates.

There are a number of different kinds of surgeries to repair bunions, depending on the patient’s condition. In most cases, an incision is made on the top or side of the big toe, and parts of the bone and soft tissue are either removed or realigned. The bones are held in place with surgical bone screws, a process called fixation. The surgery restores normal function and movement to the big toe, joint, metatarsal, tendons, and soft tissue, relieving pain and discomfort.

Bone fixation is necessary so the patient can get back on their feet as soon as possible and spend less time in a surgical boot. Without fixation of any kind, a patient would have to stay off of their feet for weeks after bunion surgery until the bones in their feet were capable of bearing their full body weight.

In 90% of cases, bunion surgery with screw fixation is successful and the patient has no problems. But for some, the head of the screw or the threads can cause irritation and soreness, requiring a 2nd, minor procedure to remove the screws from the bones.

No Surgical Screws

Dr. Thomas Rocchio at PA Foot and Ankle Associates takes a no-screws approach to bunion surgery, yet his patients are back on their feet quickly. His secret is SonicPin, a system which uses a specially designed drill to prepare the bone site, and a liquid polymer to fixate the bones. It offers all of the strength of screw fixation, with none of the potential side effects.

SonicPin is loaded into a hand piece, which is inserted into the bone. Then, the SonicPin is melted via sonic vibrations. Within seconds, the liquid polymer flows into the area to be fixated, and cools almost immediately.  As the bones heal, the polymer is easily absorbed into the patient’s body with no side effects.

Watch the bunionectomy video below to see how Dr. Rocchio uses SonicPin.


What Is A Tailor’s Bunion?

9 Oct
tailors bunion

Even though it appears small, a Tailors Bunion below the samll toe can cause significant pain

A bunion is an abnormal growth that appears on the joint at the base of your big toe. It’s caused when your big toe pushes up against your other toes, forcing the big toe joint in the opposite direction, away and to the inside of your foot. Over time, the stress enlarges your big toe joint, pushing the big toe even further against your smaller toes and causing significant pain.

A Tailor’s Bunion is similar to a bunion, but appears on the opposite side of your foot. It’s formed for the same reasons a bunion is – inherited foot structure aggravated by footwear – but it affects the joint at the base of your small toe where it joins your foot.

Specifically, a Tailor’s bunionalso called a bunionette, is a prominence of the fifth metatarsal bone at the base of the little toe. That is, the rounded end of the bone slowly moves away from the foot.

A Bunionette is not always painful. Just like a bunion, it usually develops slowly over a number of years, in one or both feet, and becomes acute in middle age. If it gets large enough, it can be quite troublesome, especially when shoes are too tight and rub against the bunionette, or if high heels are worn, shifting the body weight and pressure to the front of the foot. Typically, a callus also develops on the bottom outside of the small toe joint, which can also be quite painful and sore.

If you’re developing a Tailor’s Bunion

  • See a podiatrist so that he or she can create a baseline and monitor your condition. Surgery is usually not indicated in the early stages.
  • Wear appropriate shoes – pointy toe boxes and high heels should be removed from your shoe rotation, as these will make the bunion worse and create significant pain. Wear athletic shoes as often as possible and flats for business attire.
  • Use padding or a silicone bunion guard (available over the counter) inside your shoes. This will offer some protection against the shoe rubbing and causing the Tailor’s bunion to become irritated.
  • Ice the bunionette for 10 minutes three times per day.
  • Use ibuprofen (advil) to control the pain and soreness.

When is surgery indicated for a Tailor’s Bunion?

Only your podiatrist can tell you when bunion surgery is necessary. As every person’s condition is unique, there are a number of surgical procedures that may be most effective for your condition.


Dr. Adam Teichman of PA Foot and Ankle Associates performs a bunionectomy on a patient with a Tailor’s Bunion. Dr. Teichman narrates.

MicroVas Therapy Testimonial

1 Jul

Linda woke up one day surprised to find a sudden loss of sensation and tingling in her feet. her family physician and neurologist were unsuccessful in treating her neuropathy, so she turned to East Penn Foot And Ankle Associates for MicroVas Therapy. After 18 treatments, Linda’s sense of feeling in her feet is restored and she is able to exercise again.


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.

Jenny’s story of how her terrible heel and arch pain was cured

8 May

Meet Jenny.

Jenny is an athlete – a marathon runner – and her chronic plantar fasciitis caused severe pain from her heel through her arch. Her plantar fascia tendon had developed tendinitis, causing pain with every step. She tried to push through it, but eventually had to reduce her training to a very minimal schedule.

Her podiatrist’s first treatment method was to inject the plantar fascia with cortisone to reduce the inflammation. This is a typical first approach, and is frequently successful.  The inflammation in the tendon is reduced by the cortisone, allowing the tendon to heal. Unfortunately for Jenny, the heel and arch pain returned after only a few weeks.

The second step in Jenny’s treatment was a PRP (platelet rich plasma) injection. At first, the PRP treatment reduced her pain considerably, but her tendon didn’t respond as her doctor had hoped, and her pain returned once again.

Jenny and her doctor then chose the FAST Technique to relieve her heel pain.

In her words, the procedure was “seamless”.  She had no pain at all during or after the very short procedure and her plantar fasciitis is now completely gone. Jenny has resumed her normal training schedule and is delighted that she can get back to her pre-pain level of activity.

The FAST Technique is a remarkable improvement for treating heel pain and has been found to be 95% effective in eliminating chronic pain resulting from tendinitis or tendinosis. East Penn Foot and Ankle Associates is the only podiatry practice in the Lehigh Valley to offer this innovative approach to relieving heel pain.

Read more about the FAST Technique on our website here.

Watch Jenny tell her story:

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