Marina Stanusich

The main purpose of the assessment is to determine whether the medical condition with which the patient presents is related to poor foot structure or biomechanics. it also includes a routine foot care - skin and nail care, treating infections, lesions – corns, calluses, warts, moles, diabetic and non-diabetic wounds, ulcers and relieving pain.

Select this if it is the first time you see this chiropodist OR the first time with a NEW complaint You will fill out a medical history and consent form and will review everything with your Chiropodist. A complete examination and assessment of your feet is conducted; Treatment options are then presented and discussed, along with your questions answered and next steps decided. A treatment - if appropriate - will be also done at this time

An orthotic is a device that is custom designed and manufactured specifically to your needs in order to control foot mechanics when walking, running, skating, skiing, or participating in other sports. Orthotics may be recommended to those individuals requiring enhanced shock absorption (e.g. arthritics, atrophy of the fibro fatty padding), and athletes who desire enhanced performance. Patients with diabetes, heel spurs, sesamoiditis, metatarsalgia, pes cavus and pes planus may benefit from the use of foot orthotics.

orthotics may need adjustments and education time and /or treatment is also performed

This session is for routine foot care - skin and nail care, treating infections, lesions – corns, calluses, warts, moles, diabetic and non-diabetic wounds, ulcers and relieving pain. The list of conditions we can help with is vast and includes everything from bunions, ingrown nails, and verrucae to flat feet, heel pain and sports injuries. We offer advice on suitable shoes and foot care and recommend orthotics, braces and or support stockings

This is a discounted service for senior patients Select this if it is the first time you see this chiropodist OR the first time with a NEW complaint You will fill out a medical history and consent form and will review everything with your Chiropodist. A complete examination and assessment of your feet is conducted; Treatment options are then presented and discussed, along with your questions answered and next steps decided. A treatment - if appropriate - will be also done at this time

Select this if it you have been assessed already and have had one or more treatments before This session is for routine foot care - skin and nail care, treating infections, lesions – corns, calluses, warts, moles, diabetic and non-diabetic wounds, ulcers and relieving pain. The list of conditions we can help with is vast and includes everything from bunions, ingrown nails, and verrucae to flat feet, heel pain and sports injuries. We offer advice on suitable shoes and foot care and recommend orthotics, braces and or support stokings

Biomechanical Examination – Foot structure and lower limb biomechanics are thoroughly examined during both static and dynamic non-weight-bearing and weight-bearing evaluation. • Non-weight-bearing – determination of foot type; observation of pathologies, deformities, and abnormalities in appearance, structure, joint range of motion (hyper/hypomobility, restrictions/fixations, instability), muscle imbalances (hyper/hypoflexibility, weakness, tone), soft tissue anomalies (hyper/hypomobility, restrictions, adhesions), neurological (deficits/inhibitions/hyperactivity both sensory and motor), and vascularity (circulation deficits/swelling, edema). • Weight-bearing – observation of foot position, lower limb alignment, symmetry and position of pelvis, overall posture, functional strength, range of motion, and balance testing during single and double stance. • Functional testing – further examination and testing is tailored to the specific medical condition and presentation of symptoms to more accurately identify the nature of the problem. Gait Analysis – observation of an individual while walking to identify unusual patterns or function resulting from abnormal lower limb or foot structure identified during examination. Each phase of the gait cycle is analyzed for irregularities and asymmetries of left to right: • Heel Strike – referring to initial heel contact; • Midstance – referring to full foot contact; • Propulsion – referring to push-off; and • Swing – referring to follow-through. Evaluation – All of the information above must be considered to determine: (a) whether foot structure or alignment is playing a role in the presenting medical condition; and (b) whether a foot orthosis, footwear, and/or footwear modification is the appropriate method of treatment.

Medical Compression socks, stockings for women and men. promote healthy circulation, reduce swelling improve lymphatic drainage. Most common medical reasons for wearing this special type of garment include Lymphedema, edema, diabetes, pregnancy, surgery, deep vein thrombosis, and sports injuries

A partial or entire nail removal (avulsion) may be necessary due to traumatic injury, severe / chronic nail infections, chronic ingrown toenails or other medical condition.

The 15 min meeting can be used if you have questions about any chiropody related issues. OR if you are a pharmaceutical rep and want to meet with our Chiropodist. (If an extended time is needed please call us)

This is a follow up appointment where orthotics might need adjustments

A partial or entire nail removal (avulsion) may be necessary due to traumatic injury, severe / chronic nail infections, chronic ingrown toenails or other medical condition.

A partial or entire nail removal (avulsion) may be necessary due to traumatic injury, severe / chronic nail infections, chronic ingrown toenails or other medical condition.