A form of ultra-low dose radiography, fluoroscopy has a much broader range of diagnostic capabilities than conventional x-rays. It provides an instant "real-time" image, which can be enlarged many times over to examine minute details and requires no developing solutions, which are toxic to the environment.
Peripheral Vascular Analyisis
Accurate measurement of pedal blood flow is essential in establishing a base line for the treatment of peripheral vascular disease, diabetic ulcers, wound care, intermittent claudication, Raynaud's disease, diabetic neuropathy, etc. We utilize state-of-the-art Doppler/waveform analysis.
Homeopathic Injection Therapy
In an era dominated by the side effects and toxic load of pharmaceutical medicines, The Kornfeld Center specializes in the administration of safe, natural homeopathic medicines in injectable form. These medicines enable us to selectively stimulate and support the essential physiologic pathway(s) needed for a complete healing. Due to their natural supportive properties, homeopathic medicines foster healing by enabling the body to increase its efficiency in dealing with pathologic states, unlike drugs, which are used to suppress natural body functions, invariably interfering with the body's ability to heal itself.
Herbal & Nutritional Medicines
Nutrition plays a vital role in overall health and well-being. Our diet and lifestyle can sometimes be the cause of our pathology. The Kornfeld Center analyzes our patients' diets; relates it as to cause and effect; and educates and enables our patients to become responsible so that their diet and lifestyle can be an important part of their healing. By using herbs, essential nutrients, vitamins and minerals as biologic response modifiers, we can ultimately achieve internal balance and facilitate homeostasis. These natural medicines may also be employed to facilitate healing of foot and ankle surgery or trauma. This has been a highly overlooked part of medical protocols and one that we use to augment our homeopathic injection regimes.
Traditional Podiatric Medicine
A traditional approach to podiatric pathology may, at times, be the best initial approach to help get the patient back on the road to recovery. Prescription medication will be prescribed when it is deemed the most prudent approach. Routine foot care, orthotics, shoe therapy, strapping and padding and other traditional therapies are available at the center.
Better known as sonography, echography is radiation-free and can image soft tissues, which are unable to be visualized by conventional radiography.
Laboratory Assisted Diagnosis
Due to the fact that so much of our lifestyle and diet affects our overall health, it is important to assess our physiology beyond the usual "medical" blood tests. Here at the Kornfeld Center, we understand the intimate connection between nutrition, hormones, environmental stressors, parasites, oxidant stress, drug toxicity, etc. and our foot and ankle health (as well as our total health). Some of the tests routinely done for our patients are: lipid peroxide levels (a measurement of oxidative stress in our bodies); food sensitivity tests (an IgG 1&4 assay which can help us understand how the food we eat may contribute to inflammation, degeneration and inefficient immune systems); fatty acid assays (an intracellular determination of essential fatty acid utilization which is critically important in correcting diabetic and peripheral neuropathies and certain skin diseases); vitamin and mineral assays (deficiency states often relate back to the patient's main presenting symptoms as well as determining if over consumption of supplements may be a causative factor in our patient's pathology); cortisol levels (an adrenal stress hormone which can cripple our immune systems and interfere with our body's ability to detoxify and repair itself); growth hormone levels (insulin-like growth factor 1, the main pituitary hormone responsible for mediating repair processes in the body, which wanes with age and can be enhanced nutritionally if low); metabolic function tests (urinalysis which can determine toxic overload, environmental sensitivities, B-vitamin deficiencies, carbohydrate and fat metabolism, energy production, and intestinal parasites). All of these tests often uncover both the underlying cause of foot and ankle problems as well as the reason for its chronicity.
Tendon, ligament and joint problems are a very common reason that patients seek podiatric care. Prolotherapy supplies us with a conservative, natural approach to repairing torn, inflamed or weak connective tissues. At The Kornfeld Center, we utilize injections of a naturally derived form of calcium, which when used to bathe the involved tissues, induces a proliferation of collagen in and around the area, thereby repairing and strengthening the involved tendons, ligaments and joint tissues.
Our physical therapy suite employs state-of-the-art hydrotherapy, therapeutic ultra-sound, and other supportive modalities which are used in conjunction with our broad armamentarium of medical protocols.
MicroVas is a patented, non-invasive treatment device, that delivers a deeply penetrating electrical waveform, that drains the venous beds and raises oxygen levels in damaged tissue to accelerate healing. An important new tool in the treatment of pain and inflammation, neuropathy, non-healing wounds, repetitive motion disorders, sports injuries and many other conditions related to vascular insufficiency, MicroVas' therapeutic effects are dramatic and long lasting. MicroVas uses a high energy electrical impulse to stimulate neuromuscular contractions that drive the venous muscle pump, improve the rate of perfusion of blood in areas fed by microscopic blood vessels, thereby stimulating angiogenesis (the creation of new blood vessels) and dramatically improving the body's ability to heal itself.
Platelet Rich Plasma Injections (PRP)
PRP therapy offers a promising solution to accelerate healing of tendon injuries, connective tissue inflammations and osteoarthritis naturally without subjecting the patient to significant risk. PRP is an emerging treatment in a new health sector known as "Orthobiologics." The philosophy is to merge cutting edge technology with the body's natural ability to heal itself. Blood is made of RBC (Red Blood Cells), WBC (White Blood Cells), Plasma, and Platelets. Platelets were initially known to be responsible for blood clotting. In the last 20 years we have learned that when activated in the body, platelets release healing proteins called growth factors. There are many growth factors with varying responsibilities, however cumulatively they accelerate and facilitate tissue and wound healing. Therefore after increasing the baseline concentration of these platelets, we are able to deliver a powerful cocktail of growth factors that can dramatically enhance tissue recovery.
When indicated, the procedure begins with a venipuncture and collection of the patient's own blood. The vial is placed in a special centrifuge and spun at a specific centrifugal force for a specific time period. This causes a separation of platelets and plasma from other formed blood cells. The platelet solution is then drawn into a syringe for injection directly into the area of pathology.
In cases where conservative measures are not indicated or have proven unsuccessful, The Kornfeld Center's surgical suite is set up to deal with the majority of foot and ankle surgeries. We pride ourselves in the utilization of the most modern surgical equipment and procedures to achieve the most successful surgical results. Our affiliated anesthesia staff (M.D. anesthesiologists) is present to administer intra-venous sedation and to monitor all vital signs throughout the procedure(s), making your surgery safe and comfortable. However, in all cases of surgery, our holistic principles remain the same. In order to optimize healing, patients are evaluated pre-operatively so that we can achieve the best possible results on all of our surgeries. This may require changes to the diet, the use of supportive natural supplements and meditation techniques. Our commitment to our patients is not just performing the surgery as meticulously as possible, but to insure that our patients are in the best position to heal uneventfully.