Suffering from foot, ankle or heel pain?
As the official podiatrist for the Boston Ballet, Jordana Szpiro, DPM, FACFAS has the credentials and expertise to treat all your foot and ankle concerns. Located in Boston, MA, our practice, Boston Common Podiatry, has access to various advanced equipment regarding podiatric treatment and procedures, we have on-site x-ray and handicap entrance.
Boston Common Podiatry specializes in heel pain, skin conditions of the foot, sports medicine, general podiatric care, laser wart removal, laser treatment for fungal nails, and we offer custom made orthotics as well! We perform procedures involving surgery, as well as shockwave therapy (EPAT) and Sculptra foot fillers. As a practice, we work with each patient to develop a unique plan that will address all of their problems.
Dr. Szpiro is an expert in laser wart removal and the treatment of toenail fungus through the use of laser therapy. Dr. Szpiro has lectured extensively on various topics, most recently at the APMA Annual Scientific Meeting on laser treatment for toenail fungus. Whatever podiatric concern you may be facing, our doctor is sure to be able to help!
To schedule an appointment, call us at (617) 286-5163. We accept a variety of insurance plans and payment with cash, check, or credit card.
Receive top-rated foot and nail care with the option to be evaluated by an expert podiatrist! Along with our general medical, surgical, and aesthetic podiatry services, Boston Common Podiatry also offers physician-supervised, safe, and sterile medical pedicures that include a consultation and treatment with the doctor if requested.
Our medical-grade pedicure includes a noninvasive treatment that focuses on the hygienic and aesthetic care of the toenails and soles of the feet. These treatments are the Keryflex™ Nail Restoration System and an EPAT massage.
Keryflex™ Nail Restoration System
The Keryflex™ Nail Restoration System is an innovative new solution available to treat toenails damaged by fungus, infection or injury and restore them to their original appearance. Keryflex™ utilizes polymer resins that bond to the damaged toenail to form an artificial nail that is durable, flexible, and natural in appearance. The painless procedure can be done in the comfort of the office.
The Keryflex™ Nail Restoration System allows for the patient to immediately return to regular daily activities post-procedure. Patients may also receive pedicures or apply nail polish to their Keryflex™ nail.
EPAT Massage
Extracorporeal Pulse Activation Technology (EPAT) Therapy is traditionally used to accelerate the body’s natural healing process. This is done by using pressure waves to treat and heal internal pain typically caused by conditions such as plantar fasciitis, stress fractures, and tendonitis. In addition to healing pain and injuries, EPAT can also be used for massage to ease tense muscles.
It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.
A child’s foot grows rapidly during the first year. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s feet develop properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.
It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking varies. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.
Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts, a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet.
Kids are also prone to developing Sever’s disease, which is the inflammation of the growth plate in the heel. Typically the result of overuse, Sever’s disease often develops in active children who are experiencing a growth spurt. When a child experiences a growth spurt, the heel bone will often grow faster than the other muscles, tendons, and ligaments in his or her lower extremities. This causes Sever’s disease.
As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.
Sesamoiditis is a condition in which the sesamoid bones in the forefoot and their surrounding tissues become inflamed. This condition is often caused from overuse or repeated trauma to the foot. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.
Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.
To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.
Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed for people who have flat or high arched feet to relieve pressure off the bones. In some cases, the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.
If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Contact us today to learn more about proper treatment!
Broken Feet
A broken foot can either refer to a fracture or a straight break. The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.
Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.
Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.
When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones.
Broken Ankles
Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint, the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sit directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in our ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.
A broken ankle is different from an ankle sprain, which occurs when the ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate x-ray to determine the severity of the break.
A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activity. Another common cause is a fall or jump from a tall height.
One immediate treatment for pain relief is elevating the feet above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankles to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.
It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.