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PathoLase Pinpointe Foot Laser

PathoLase's first laser solution now available in the marketplace addresses the pathogens that cause toenail fungus (Onychomycosis), an infection that afflicts an estimated 40 million people in the US alone. With Series A private equity capital recently secured from Nexus Medical Partners, PathoLase is rapidly placing its patented technology in the hands of leading podiatrists around the country. Dr. Cozzarelli and Associates are the first office on the East Coast to offer this technology. PathoLase is the only medical laser technology currently available in the marketplace that kills the pathogens that cause toenail fungus. The company expects to introduce its leading edge laser technology into another 20 major markets in the next several months. Led by medical laser pioneer, David Harris, PhD, Director of Science & Regulatory Affairs for PathoLase, the company recently brought its patented laser technology to market after several years of research and development. With over 20 years of medical laser development to his credit, Dr. Harris has overseen the development of this groundbreaking technology. "With an estimated 40 million people in the US suffering from toenail fungus infections, PathoLase is committed to making our PinPointe FootLaser system available to as many sufferers as quickly as we can throughout the US," noted John Strisower, CEO of PathoLase.

Please click here to READ our PinPointe FootLaser brochure which contains answers to frequently asked questions.

Please click here to SEE our VIDEO about PinPointe FootLaser which contains answers to frequently asked questions.

Please click here to SEE and HEAR our RADIO AD on NJ 101.5 FMabout PinPointe FootLaser which contains answers to frequently asked questions.

 

XI-SCAN IMAGING

It is also called a Mini-C-Arm and this is how it works. The foot is placed in the C-Arm and a pedal is depressed. Instantly an image appears on a monitor. The image then can be immediately printed digitally on a thermal printer. It takes the X-RAY Beam which is microfocussed and this allows the bony image to be magnified up to five times its original size, without distortion or loss of detail. An advanced, high speed, on board computer processes the image in real time, giving an instant and accurate result. Xi-Scan displays high quality, real time and freeze frame images instantly which eliminates processing time and improves the results of bone setting. Surgically it lets you confirm the placement of screws or pains, thus reducing the Operative item for surgical procedures. Finally when one takes an X-RAY of bone, the bone is three dimensional. An X-RAY can only view one dimension at a time. The Xi-Scan, since it is moving picture X-RAY can view all dimensions of the bone in a very fast time. Therefore, a fracture can be missed on X-RAY but if viewed under Xi-Scan can be diagnosed promptly and accurately.

 

 

FLASH LAMP PULSED DYE LASER

One of the most common skin ailments that is seen in a podiatrists office is verrucae, or warts. Clinical studies have proven that laser treatment for resistant warts is very successful as compared to acids, cryogenics, chemical agents and surgical excision. In one study, over two-thirds of patients treated with the laser therapy had their warts successfully removed in as few as two treatments. The laser treatment works by selective absorption of laser energy by the blood supply that feeds the wart. The treated area then separates from the dermis and gradually sloughs off. Depending on the size and the type of wart, some conditions will respond to the very first treatment. However, most will require additional treatment sessions spaced two weeks apart. Treatment consists of placing small hand piece against the surface of the skin and activating the laser. The laser is pulsed rather than a continuous action. As many patients describe it, each pulse feels, for a fraction of a second like a snapping of a rubber band against the skin. Some warts require more than one pulse. Anesthesia by local injection is never utilized. The laser no open wound following treatment, resulting in little or no chance of an infection. Due to no open wounds and minimal pain, patients can resume their active life-styles immediately. There will be discoloration of the skin at the treatment site. Over the 24 hours following laser exposure, the gray discoloration will darken to black.

Please click here to read our Flash Lamp Pulsed Dye Laser brochure which contains answers to frequently asked questions.

 

3DO COMPUTERIZED GAIT ANALYSIS SYSTEM

Your feet are the foundation of your body. At some point 75% of the population will suffer from foot related problems. The foot is always in motion and is under enormous amounts of pressure from body weight. As you walk or run, our entire weight lands on our feet, up to 10,000 times a day. If there is an alteration in the proper foot mechanics you can develop foot, knee, hip and even back pain. Doctors and scientists know that with the proper support and biomechanics of the foot, most problems with the feet, legs and lower back, can be remedied. Orthotics are custom made shoe inserts that correct the movement and biomechanics of the foot. Orthotics help to control the way your foot functions. They are similar to insoles, except that they are custom made just for your feet. Orthotics can be extremely helpful for many deformities such as flat feet, high arches, plantar fasciitis, heel spur syndrome and painful calloused with an underlying bone deformity. Foot Maxx orthotics are made from measurements that are taken by a computer while feet are in motion and weight bearing. You walk across a mat that is connected to a computer. The mat has 960 electronic sensor points built into it. As you walk, the mat scans your feet in motion 30 times per second, taking precise measurements throughout your footsteps of the way your feet touch the ground, and how you distribute your body weight. The information is analyzed by the computer to produce instant 2D and 3D images of your feet. The same information is sent to the laboratory through a phone line via modem. The custom made orthotic is then designed and fabricated from the scanned data. In less than one week, orthotics are on the their way to our office. Until a few years ago, many orthotics were bulky and patients had a difficult time fitting them in shoes. The new Foot Maxx orthotics are very thin and lightweight. They fit easily and discreetly into your shoes. You can wear your most stylish form fitting shoes, and still get proper support and correction from 3DO orthotics. If you have experienced this type of discomfort, we may be able to help you quickly, easily and painlessly. You may be surprised at how easily orthotics provide relief.

 

DIAGNOSTIC ULTRASOUND (ECHOGRAPHY)

Soft tissue scans are non-invasive site specific as compared to an MRI. The allows us to view the soft tissue instantaneously and provides an immediate result. The 7.5 mHz -12 mHz transducer (probe) is placed on the area that is causing pain. It is then visualized on the monitor. The site that is in question, if it is injured appears as a black (hypoechoic) area. Inflammation appears this way. Injections can also be guided to a site of inflammation and precisely deposit an anti-inflammatory at this spot. It provides a fast inexpensive test to view soft tissue injuries. The test is performed in office as opposed to going to an outside facility The report is interpreted by one of our accredited doctors in diagnostic ultrasound. Dr. Cozzarelli is a well known author and expert in soft tissue imaging. He is the author of Muskuloskeletal Imaging of the Foot and Ankle. The text book was made available to practioners in 2008. He served as past adjunct professor at New York College of Podatric Medicine in the Department of Radiology from 2005-2007.

 

BIONX SMART SCREW

A large percentage of our population may develop a bunion. Both men and women can develop bunions, although it appears that bunions are more commonly seen on women's feet. A bunion is a swelling or enlargement of the large toe joint on the inner side of the foot. The deformity usually develops gradually but continuously and this will cause pain from shoes rubbing against the enlarged bone. There may be swelling, redness and deep aching pain associated with the bunion joint, causing a bursitis. Bunions have a strong hereditary tendency to develop. It can develop from a weakness in the bone structure of your foot. Because of the instability of the bones and ligaments which form the various joints and arches in your foot, the joints have a tendency to move out of proper alignment. Treatment usually requires surgical intervention to correct the malalignment of the great toe. The latest advance in bunion surgery comes from the Bionx Implant Company. They have developed an absorbable screw. The screw is made of PGA, (Poly Glycolic Acid). It is broken down in the body in 12 months. The advantage with this is that the screw provides compression and allows early range of motion. It never has to be removed like a titanium screw.

 

 

Achilles Express (Bone Density Testing )

Osteoporosis is a silent condition characterized by reduced bone mass and abnormal internal bone architecture. Osteoporosis, the most common human bone disease, occurs when bone resorption exceeds bone formation, resulting in reduced bone strength, poor bone quality, and an increased risk of bone fracture. As part of the natural aging process, bones begin to deteriorate faster than new bone can be formed, eventually progressing to a point where a fracture can easily occur, causing pain, disability and even death. The most common fractures are the hip, spine, wrist and foot. Women are four times more likely to develop the disease than men. However, men suffer 1/3 of all hip fractures that occur. And 1/3 of these men will not survive more than a year. There are many Risk Factors for Osteoporosis including: ·AGE: The risk of Osteoporosis increases as a person gets older. The Bones become weaker and less dense as we age. ·GENDER: Women are at a greater risk of developing Osteoporosis because bone loss occurs more rapidly due to changes during menopause. ·RACE: Caucasian and Asian women are more likely to develop Osteoporosis. ·BONE STRUCTURE & BODY WEIGHT: Small-boned and thin women are at greater risk. ·MENOPAUSE/MENSTRUAL HISTORY: Normal or early menopause, brought about naturally or because of surgery increases the risk of developing Osteoporosis. Women who stop menstruating before menopause because of conditions such as anorexia or bulimia, may also lose bone tissue and develop Osteoporosis. ·LIFESTYLE: Smoking, excessive intake of alcohol, consuming inadequate amounts of calcium, or getting little or no weight-bearing exercise increases the chance of developing Osteoporosis. ·MEDICATIONS & DISEASE: Osteoporosis is associated with certain medications such as corticosteroids. A number of medical conditions including some endocrine disorders, rheumatoid arthritis and immobilization are also associated with Osteoporosis. ·FAMILY HISTORY: Susceptibility to a fracture may be hereditary. Women whose mothers have a history of vertebral fractures are at increased risk of fracturing. The availability of a growing number of effective therapeutic options for the prevention and treatment of Osteoporosis have heightened interest in diagnostic testing and spurred the development of new testing methodologies. To confirm a diagnosis of Osteoporosis or determine one's risk for developing the disease, most doctors require a comprehensive medical assessment, including a life style survey and medical history. Based on the number of risk factors, a doctor may recommend that the patient have a Bone Density test. Bone Densitometry is the accepted standard for quantifying bone mass at various skeletal sites. The heel bone is the preferred site to monitor bone density. It is 95% trabecular bone and is metabolically very active and reflects the effect of age, menopause and exercise. Bone Mineral Density screening can now be performed quite cost-effectively with peripheral scans of the heel bone in which we provide in our office for patients. In August of 1997 President Clinton signed into law the Medicare Bone Mass Measurement Coverage Standardization Act, Which was effective July 1, 1998. The law requires Medicare coverage for Bone Mineral Density studies of estrogen-deficient women. The emphasis was on the PREVENTION of osteoporotic fractures. If you feel if you are 65 and older, a post-menopausal women or have one or more risk factors then you should have a bone Mineral Density Scan performed. Based on the Bone Mineral Density Scan results a prevention or treatment plan can be started. Don't wait before it is too late.

 

 

Anodyne Therapy

Anodyne emits infrared photo energy to increase circulation and temporarily reduce pain in the area that it is applied. It has been designed to maximize the effectiveness of infrared photo energy by using highly efficient light emitting diodes which are placed in direct contact with the skin. Research shows that with the new system, the majority of diabetic neuropathy patients improve and have increased sensation in their feet. The first study examined 748 patients with chronic pain who were unresponsive to various forms of physical therapy and medication. Nearly 89% of the patients had excellent to total pain relief within twelve 30 minute Anodyne Therapy sessions. A second study surveyed 252 patients with diabetes who had foot and leg pain. After receiving a comprehensive therapy program that included Anodyne treatments, 87% reported a significant reduction in foot and leg pain. In the past, diabetic patients were told that there is nothing that can be done for their neuropathy. That's no longer the case. It's wonderful because patients start getting feeling back in their feet. The restoration of sensation means they know when they have injured their feet. Knowing they have an injury means the wound can be treated promptly, before it becomes dangerously infected—causing toe, foot, and even limb amputations. Anodyne therapy is painless with no side effects, and is covered by most insurance companies.

 

 

MicroVascular Therapy 

 MicroVascular Therapy for Diabetic Neuropathy: Hope for the Future? Peripheral neuropathy is a general term for diseases that cause damage to the nerves outside of the brain and spinal cord. Diabetes is a frequent cause of neuropathy. Many theories exist as to why neuropathy occurs in people with diabetes. In general, diabetic neuropathy is thought to be a result of chronic nerve damage caused by high blood sugars. One theory suggests that excess sugar circulating throughout the body interacts with an enzyme in the Schwann cells, called aldose reductase. Aldose reductase transforms the sugar into sorbitol, which in turn draws water into the Schwann cells, causing them to swell. This in turn pinches the nerves themselves, causing damage and in many cases pain. Another theory is that certain intracellular metabolites, such as myoinositol, become depleted, leading to nerve damage. Still other theories hold that pathways such as the protein kinase C pathway, being studied by George King, M.D., and his colleagues at the Joslin Diabetic Center in Boston, are triggered by chronic high blood sugars, resulting in several diabetes complications, perhaps including neuropathy. "Recent studies have suggested that decreased blood flow to the nerves can also contribute to the development of diabetic nerve disease," says Dr. King. 1 One contributing factor to endoneural hypoxia may relate to the inability of red blood cells, in diabetics, to pass through the capillaries. It has been documented that one of the first steps in the conversion of the essential fatty acid (EFA) linoleic acid to gamma-linolenic acid (GLA) is broken in diabetics. This is caused by a production deficit of the enzyme delta-6-desaturase. In more severe cases the EFA metabolism is broken in two places, which is caused by a production deficit of the delta 5-desaturase enzyme, further down the conversion chain. Because of the very low levels of prostacyclin/prostaglandins among diabetics, the red blood corpuscles of diabetics tend to be brittle and unable to be deformed. The consequence is that the oxygen-carrying corpuscles cannot enter the small capillary vessels. They simply cannot be "squeezed" into them. So, if the micro-blood vessels in the nerves cannot receive oxygen, then nerve cells will die. Physically, this is exactly what happens with neuropathy. The result is endoneural hypoxia, which is the overt cause of diabetic neuropathy.2 MicroVascular Therapy has been shown to generate sharply elevated blood flow in diabetics with an average 48% increase in tissue oxygenation after one forty-five minute treatment, measured at the dorsum of the foot with TCPO2 oximetry.3 This blood flow is accomplished through neuromuscular contractions which activate the venous muscle pump and, it is postulated, through the contraction of smooth muscles surrounding the arterioles. The action of the venous muscle pump creates a negative pressure on the efferent side of the capillary beds, while the contractions at the arteriolar level may precipitate an elevated pressure at the afferent, helping to "push" red blood cells through the microcirculation and resulting in a raised gradient across the capillaries thus bringing about an upregulation of tissue oxygenation as well increased delivery of nutrients. While the exact mechanism of action is still in the investigative stage, early clinical results show that MicroVascular Therapy eliminates or reduces the symptoms of diabetic neuropathy for the majority of patients, while allowing them to reduce or eliminate the use of palliative drugs. 1. Diabetic Neuropathy: Information and update, Joslin Diabetic Center website 2. A Multi Disciplinary Approach to Diabetic Neuropathy, S. Bersvendsen, Norway, website article. 3. Clinical Study, The University of Oklahoma Health Science Center, unpublished, 1999

To read our MicroVas Therapy Brochure please click here

 

 Sport Motion Gait Analysis System

Sports Motion is a leader in motion analysis systems and video analysis software. Our video analysis systems are extensively used in physical therapy, rehabilitation, human gait analysis and biomechanics research. Pro-Trainer motion analysis systems are so universal and well-engineered that they are now being used for human gait analysis and biomechanics motion capture at physical therapy centers such as Hanover Hospitals, Sunbelt Rehabilitation Systems and even research institutions including the Mayo Clinic. Slow motion cameras provide slow motion video, slow motion capture, body motion capture and biomechanics motion capture for motion analysis, kinematic analysis, bio-kinetics & computerized motion analysis and human gait analysis.