Services and Treatment



Services and Treatments

When you are suffering from foot pain or heel pain and discomfort it affects your everyday life. At Diagnostic Foot Specialists, we understand the urgency that is required when treating any type of foot pain, heel pain or condition. Our goal is to always provide proper diagnosis and treatment services that will get our patients back up and going. We provide medical and surgical management of the foot, heels, and ankles and specialize in treating foot diseases.

Just expand the menu items to the right and learn more about our services and treatments.

BlueShine Laser Treatment of Fungal Toenails

A painless procedure for the treatment of fungal or mycotic nails is now available. It is known as the impulse BlueShine laser treatment. This new patented laser technology kills the pathogens that cause toenail fungus. The gentle laser light works through the nail and has no side effects on the nail or skin.

No anesthesia is needed for this laser treatment of nail fungus, and usually only one treatment is required. You can walk out of the office with your shoes on with no pain or restrictions on activity.

This patented laser is specially designed to shine through your toenail inflicted with the fungi and destroys the specific pathogens embedded in and under your nail causing the infection. The Foot Laser operates in the very tight spectrum of near infrared light on your toe. Unlike CO2 lasers of the past, this laser safely destroys the fungi, molds and bacteria that often cause onychomycosis.

The gentle laser light beam has no effect on healthy tissue. There is no discomfort associated with the treatment during or after. This treatment does not harm or affect your activity in any way. A lot of patients in Houston are opting for the treatment because of its high success ratio. The treatment requires 4 visits at 6 week intervals.After the four treatments, the nail plate should grow out normally in 6-12 months if there is a healthy nail bed. The doctor also recommend the use of a topical anti-fungal between treatments. This result is comparable to the success rate for the oral pill, Lamisil, which you take for three months with some risk of side effects.

There are no age, health restrictions or limitations. In clinical studies there have been no adverse reactions, injuries, disabilities or known side effects. As you may know, the use of the medications available today for treatment of fungus toenails carry with them possible systemic involvement (commonly the liver and kidney). This laser does not.

If you have yellow toenails, or nails with white marks, call Diagnostic Foot Specialists today to schedule an appointment to remedy the situation. With foot pain offices in Houston, The Woodlands and College Station, you are guaranteed an appointment. Call today.

One of the first things we look at when a baby is born is their feet – so tiny and precious. What happens when something goes wrong with those toes and feet? Children with foot issues early on can develop all types of problems from walking/running problems, to self-esteem issues because of embarrassment. Pediatric foot pain can come from inadvertent foot trauma or accidents to nerve and ligament issues.

Walking issues due to pediatric foot problems need to be handled by a medical doctor, usually a podiatrist. Walking issues can stem from weak ligaments to nerve conditions. Intoeing and outtoeing are common issues also where the feet either point inwards or outwards while the foot should be pointing forward. If you are concerned about your young child’s feet or ankles, call Diagnostic Foot Care Specialists today and let them calm your fears and get your child walking on a straight path.

Innovative Treatment for Plantar Fasciitis and Heel Pain

The Doctors with Diagnostic Foot Specialists have brought an innovative treatment for heel pain and soft tissues injuries to the Greater Houston area; – a procedure that they say will offer a safer, cheaper and more effective alternative to invasive foot surgeries. Whereas before, plantar fasciitis and torn damaged tendons would require as much as $5,000 in surgery and weeks of downtime, the new procedure will offer relief for a fraction of the cost and without painful incisions.

The process, called Platelet Rich Plasma Therapy involves taking a sample of the patient’s own blood and placing it into a centrifuge. From the centrifuge the sample is separated into plasma and autologous conditioned blood, or concentrated blood platelets. These platelets contain much of the healing and growth factors that are used by the body to heal it of injuries. Dr. Leisten likes to refer to it as a, “cocktail” that jumpstarts the healing process. The patient’s own blood platelets are then injected into the area of injury – such an area of an ankle sprain, heel pain or a torn or inflamed ligament – where they assist in regenerating damaged tissues.

The process is especially effective in helping patients recover from plantar fasciitis, or inflammation of the thick connective tissue that runs the length of the bottom of the foot, which accounts for nearly 40% foot pain in our office. If you have had heel pain for six or more months and have been told that surgery is your only option, this may be the non surgical treatment you have been looking for.

“The best thing about this process is it can’t really hurt anyone. There’s no cutting and no worry about infections and diseases because we use the patient’s own blood,” Injections of platelets can be performed as an outpatient procedure in our office for a fraction of the cost of previous surgical solutions and is often covered by your health insurance.

Platelet Rich Plasma Therapy Using ACP

What is Autologous Conditioned Plasma Therapy Using ACP?

ACP or Autologous Conditioned Plasma is an “autologous conditioned blood therapy” that uses a patient’s own blood components to simulate a healing response in damaged tissues. In response to an injury or tissue damage, your body naturally recruits platelets and white blood cells form the blood to initiate a healing response. Under normal conditions, platelets store numerous growth factors, which are released in response to signals from the injured tissue. Modern technology allows us to concentrate platelets and white blood cells from your blood, and induce this growth factor release as we inject the solution directly into injured tissue, stimulating this same healing response in a more powerful form. By enhancing the body’s natural healing capacity, the treatment may lead to a more rapid, more efficient, and more thorough restoration of the tissue to a healthy state.

What foot conditions can be treated with PRP?

  • Plantar Fasciitis
  • Shin Splints
  • Peroneal Tendonitis
  • Ankle Sprains
  • Achilles Tendonitis or Partial Tears

Treatment Process:

Following a formal evaluation and diagnostic work-up, an individualized treatment plan will be discussed with you. A full explanation of the procedure including risks and benefits will be reviewed. Once this is discussed, blood is drawn from your arm and placed in a special processing unit, which separates platelets, white blood cells, and serum from red blood cells. The platelets and white blood cells are then concentrated and collected into a sterile syringe. Some of the blood is used to create an “activator” of the PRP. The skin and soft tissue is anesthetized with local anesthetic, followed by injection of both the PRP and activator into the tissue targeted for treatment. Depending on the size of the injured tissue, one or several needles are inserted to optimize placement of the PRP.

Treatment Plan:

Depending on the severity and duration of your injury, one to three PRP injections are suggested. Following the initial treatment with PRP, a follow up visit occurs 2-3 weeks later. At this visit an evaluation of your response to the initial therapy is performed and a decision is made regarding the need for additional PRP treatments. In general, chronic injuries require more than one injection. In both acute and chronic injuries, injections may be combined with an exercise or physical therapy program to enhance the success.

Are PRP injections safe?

Research and clinical data show that PRP injections are extremely safe, with minimal risk for any adverse reaction or complication. Because PRP is produced from your blood, there is no concern for rejection or disease transmission. There is a small risk of infection from any injection into the body, but this is rare. Of note, recent research suggests that PRP may have an anti-bacterial property that protects against possible infection (4).

What to expect after your treatment:

Often, following the initial injection, an “archy” soreness is felt at the site of injury. This “soreness” is a positive sign that healing response has been set in motion. This effect can last for several days and gradually decreases as healing and tissue repair occurs. It is most important that anti-inflammatory medications such as Ibuprofen, Naproxen and Asprin should be avoided following PRP treatment. These medicines may block the effects of the intended healing response facilitated by the injection itself. It is acceptable to use over the counter pain medication, such as Tylenol and in some cases a prescribed analgesic, which does not have anti-inflammatory properties, to control discomfort as needed. The physician managing your treatment plan will discuss pain management options with you. You will be permitted to resume normal day to day activities and light exercise following injection. We suggest you avoid strenuous lifting or high-level exercise for at least several days after injection.

Mini Tight Rope Procedure

tight rope procedure Podiatrist

Bunions are large bony prominences at the base of the big toe (first metatarsal). This is usually an inherited condition and can cause the big toe to become misaligned in relation to the rest of the foot and leg. Trouble wearing certain shoes, swelling and pain in and around the joint are typical complaints from those suffering with bunions. Some bunion pain can be relieved by custom orthoses and other conservative treatments; however, to relieve the pain and aggravation of bunions, surgical procedures should be considered.

Surgical correction of a bunion traditionally involves cutting through the first metatarsal bone while using bone screws to maintain the bone in a corrected position. If done successfully, the prominence no longer exists and the big toe appears straightened. A protective shoe is worn for a few weeks post-surgery while the bone heals. Crutches are usually prescribed for a period of time.

A new surgical procedure is being performed for the correction of painful bunion deformities. This procedure is called the “Mini-Tightrope” bunionectomy. Tiny holes are drilled into the first and second metatarsals and a strong,  fiber-wire is strung between the first and second metatarsal bones in order to correct joint misalignment.  Advantages of this “mini-tightrope” procedure include immediate weight bearing, where some corrective bunionectomies require non-weight bearing activity for weeks. This innovative procedure is said to prevent the recurrence of bunions that can sometimes presents with traditional bunionectomy. Less post operative pain is claimed by most patients and due to the rapid recovery, return to normal activity happens much quicker.

Causes and Treatments for Five Common Running Injuries

Staying fit and active can help you manage your weight and live healthier throughout the year. Running can be an important part of your exercise regimen; however, this athletic activity can also put serious stress on your feet and ankles. The Houston foot pain experts at Diagnostic Foot Specialists can provide you with the most effective treatments for running injuries and can put you on the path to full recovery more quickly. Here are five of the most common injuries sustained by runners along with some proven treatment plans for these foot conditions.

Plantar Fasciitis

Typically caused by a fundamental weakness in the muscles or bone structures of the foot, plantar fasciitis causes severe pain in the heel area. Poorly fitting athletic shoes, overuse or overstress can be contributing factors to plantar fasciitis. Depending on the severity of the condition, the Houston podiatrists at Diagnostic Foot Specialists may recommend supportive shoes, orthotic inserts or stretching exercises designed to loosen muscles and break up scar tissue that can prevent the full range of movement in feet and ankles.

Runner’s Knee

Formally known as patellofemoral knee syndrome, runner’s knee is an inflammation of the tissues surrounding the knee, including those under the kneecap. Running on uneven surfaces or with improper footwear are among the most common reasons that runners develop this condition. Rest, ice packs and anti-inflammatory medications are typically used to bring down the swelling associated with runner’s knee. In some cases, surgical procedures may be necessary to correct the underlying inflammation and to reduce pain for dedicated runners.

Achilles Tendinitis

Runners are not the only group at risk for Achilles tendinitis, which is a strain or inflammation affecting the Achilles tendon in the heel and lower leg. Women who habitually wear high heels may also experience shortening of this tendon and associated pain when walking or running. Treatments for this condition include icing the affected area, performing stretching exercises and resting the ankles and feet until symptoms subside. Consulting with your local The Woodlands podiatrist can also provide help in managing Achilles tendinitis effectively.

Stress Fractures

Repeated impacts against hard pavement can put real strain on bones and muscles and can lead to stress fractures of the feet, ankles and calves. Wearing the right athletic shoes and avoiding prolonged runs on hard surfaces can help you avoid these painful issues. If a stress fracture does occur, a trip to The Woodlands foot doctor at Diagnostic Foot Specialists can provide you with the support and treatment needed to ensure a swift recovery.

Shin Splints

Typically caused by sudden increases in the intensity or frequency of training, shin splints are one of the most painful injuries experienced by runners. Working up gradually to longer distances or more difficult terrain is the best way to prevent these issues from interfering with your exercise routine. Your Houston podiatrist can recommend treatments for shin splints that may include rest, anti-inflammatory medicines and ice packs on the affected area.

The medical team at Diagnostic Foot Specialists can provide prompt and effective treatments to help you manage a wide range of conditions. From Houston bunion patients to professional athletes, we serve the entire metropolitan area with the latest techniques and proven treatment methods tailored to your specific needs. Call us today at 713-862-3338 to schedule an appointment and to experience fast relief from foot pain and mobility issues.

Pain Free Wart Removal from the Experts at Diagnostic Foot Specialists

Plantar warts typically form at the pressure points on the soles of the feet. These warts can be ugly and uncomfortable for patients and can be difficult to remove using over-the-counter or traditional methods. The Houston podiatrists at Diagnostic Foot Specialists can provide real help in managing these annoying conditions quickly and effectively. By entrusting your feet to these dedicated professionals, you can ensure the greatest degree of comfort when managing your daily activities.

What Treatments Are Available?

Over-the-counter wart treatments are estimated to have a 50 percent success rate in removing individual warts. Plantar warts present special treatment challenges because they are embedded deep in the skin of the foot, making it difficult to eradicate this condition effectively through topical applications. At Diagnostic Foot Specialists, we can offer pain free laser therapies for plantar warts that address these conditions at the source. These advanced treatments can remove the entire wart in only one or two sessions, allowing patients to recover more quickly and ensuring the greatest degree of mobility during routine daily tasks.

What Are Plantar Warts?

Plantar warts are noncancerous growths caused by minor viral infections that develop in the skin of the soles of the feet. These growths can spread from one foot to the other or over a larger area of the foot if not treated promptly. Depending on the location of plantar warts, they can cause severe discomfort for patients when pressure is applied. Taking steps to treat these conditions can increase mobility and reduce pain for our patients in Houston, College Station and The Woodlands. A Houston podiatrist can diagnose and recommend treatments for plantar warts to ensure the most positive outcomes for patients in our area.

How Plantar Warts Spread

The virus that causes plantar warts can be spread from one person to another through direct skin-to-skin contact or by contacting areas that an infected person has touched. This can occur in almost any environment where people walk barefoot, including the following:

  • Locker rooms
  • Swimming pool decks and patios
  • Beaches
  • Hotel rooms and other public accommodations

Individuals with repeated exposure to the virus or with weakened immune systems are more likely to contract plantar warts. Seeking treatment from a qualified The Woodlands foot doctor can prevent the spread of this condition and can ensure the greatest degree of comfort for patients suffering from plantar warts.

The Houston foot pain experts at Diagnostic Foot Specialists can provide you with the best treatment options for your plantar warts, allowing you to enjoy freedom from pain and increased mobility throughout your busy day. By consulting with our team of Houston podiatrists, we can address your foot problems quickly and effectively. Give us a call at 713-862-3338 to discuss your current issues and to set up an appointment for an in-depth consultation with one of our Houston podiatrists.

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