SERVICES

Foot and Ankle Centers of Southeast Missouri specializes in medical and surgical care for foot and ankle problems, along with therapy for many conditions.

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DIAGNOSTICS

At Foot and Ankle Centers of Southeast Missouri, our goal is to provide you with the most accurate and complete diagnosis possible. From general examination to potential testing, we are equipped to help get you back on your feet. Our in-house podiatrist can perform many of the necessary testing, and in the case of further testing, our staff will guide you to an outside medical facility for continued medical attention.

- X-rays

X-rays determine if your foot and ankle problems are related to a bone that has been fractured or injured. X-rays help us identify issues like infection, arthritis or other bone disease by observing changes in the bone.

- Ultrasound

Ultrasounds help us determine if your foot and ankle problems are related to problems like soft tissue problems; bursitis; plantar fasciitis; tendonitis; heel spurs; injuries to ligaments, tendons or cartilage; Morton's neuroma; presence of foreign bodies; or tarsal tunnel syndrome.

- Peripheral Arterial Disease (PAD) Testing

Peripheral Arterial Disease (PAD) testing is used to determine if there is adequate blood flow and tissue oxygenation to the legs and feet for daily activities and wound healing.

- Computer Gait and Pressure Analysis

Computer Gait and Pressure Analysis is used to determine the best fit and style of prescription orthotics for regular and Diabetic shoes.

MEDICAL

Medical treatments are often the first line of care for most conditions, and may include anything from medication to therapy. Our podiatry specialists will help you determine the right answers depending on your specific problem.

- Medication - Oral or Topical
- Changes in Shoe Gear
- Physical Therapy

Physical therapy works to relieve pain and swelling, and to increase range of motion. Pain and swelling in the foot and ankle can often be reduced by common types of physical therapy like hot packs; massage; electrical stimulation; ultrasound paraffin baths; and diathermy. Problems that respond well to physical therapy include heel spurs; bursitis; plantar fasciitis; bunions; corns; and calluses.

- Orthotics

Orthotics or “arch supports” are shoe inserts that correct an abnormal or irregular walking pattern and allow people to stand, walk and run more efficiently and comfortably. Orthotic devices come in many shapes, sizes and materials, and fall into three categories: rigid, soft, and semi-rigid. Rigid orthotics are composed of a firm material and control function. As the name implies, soft orthotics are typically made up of soft, cushy materials and are designed to absorb shock, increase balance and take pressure off uncomfortable or sore spots. Semi-rigid orthotics provide foot balance for walking or participating in sports. The typical semi-rigid orthotic is made up primarily of layers of soft material and reinforced with rigid materials.

- Athlete's Foot Treatment

The treatment of Athlete's foot depends on the type and extent of the fungal infection. Athlete's foot can usually be treated with anti-fungal creams. Re-infection is common, so it is important to continue the therapy as prescribed. Toenail infections can develop and tend to be more difficult to cure than the fungal skin infection. Severe cases of athlete's foot may require more intensive treatment, but usually respond quickly. Our office will help choose the right treatment for you.

- Cryotherapy

Cryotherapy is a standard, in-house procedure that involves freezing a wart using a very cold substance like liquid nitrogen. Most cryotherapy treatment requires return visits to ensure that the wart is completely removed. This type of therapy is successful about 67% of the time, and up to 78% of the time when combined with salicylic acid treatment.

SURGICAL

After a thorough evaluation, your condition might require foot or ankle surgery. Podiatric surgery may be a primary treatment but is often secondary to medical treatment. Surgeries can address a variety of problems. Dr. Protzel performs these procedures.

- Bunion Surgery

The most common metatarsal surgery is for the correction of bunions. Bunions can cause pain in the big toe joint, and can cause hammertoes to develop in the second or third toes. Surgery on the second through fifth metatarsal bones treats severe foot calluses and is performed less frequently.

- Nerve Surgery (Neuroma)

During neuroma procedures, an incision is made on the top of the foot in the location of the neuroma. Once the pinched or inflamed nerve is located, it is cut and removed.

- Flatfoot Correction

Several procedures may be required to correct a flatfoot deformity. Surgical treatment depends on severity of the problem, and includes removal of inflammatory tissue and repair of the posterior tibial tendon; isolated bone fusion procedures, bone grafts and/or repositioning bones through cuts called osteotomies; and fusion procedures such as a triple or double arthrodesis.

- Corn Removal

rn removal is a relatively simple in-house procedure. Initially, the corn is trimmed by shaving the dead layers. However, a corn can often be a symptom of an underlying problem. A permanent resolution of corns will typically involve surgery to realign the toe or remove enlarged or arthritic portions of bone from the toe.

- Hammertoe Correction

Hammertoe correction includes the straightening of bent or hammer shaped toes. This procedure is often performed in the office and without pins or screws.

- Arthritis Surgery

Patients who undergo this type of surgery are often diabetics with Charcot or have Rheumatoid Arthritis. Corrective procedures require careful analysis of x-rays and an individual surgical plan for each case, and often include hindfoot and ankle realignment; midfoot realignment; and ostectomy.

- Achilles Surgery

Surgery will be done to repair a torn (ruptured) Achilles tendon. After surgery, a cast or walking boot is usually worn for 6-12 weeks.

- Ankle Surgery

We perform ankle surgery to correct serious deformity of the ankle and its bone structure caused by diabetes, rheumatoid arthritis or neuromuscular conditions. The most common procedure is an STA (Subtalar joint arthroeresis) in which a small device is inserted in the joint below the ankle, which prevents the foot from collapsing upon weight-bearing.

- Arthroscopy

Arthroscopic surgery is performed for joint correction or diagnosis confirmation. This procedure uses small instruments to penetrate the skin without the need of major traumatic surgery.