Friday, April 9, 2010
Ask the Doctor
New ask the doctor feature on web site. Ask any podiatric related question and get the answer you need to start improving your painful conditions.
Wednesday, March 31, 2010
Platelet Rich Plasma
I have been using platelet rich plasma (PRP) in my office and I have had good results. So far I have used it for posterior tibial tendinitis, plantar fasciitis and even diabetic neuropathy. I was surprised by the improvement in my diabetic patient with neuropathy. He had about a 50% reduction in symptoms in 1 month.
Friday, March 5, 2010
Thursday, February 4, 2010
Wednesday, February 3, 2010
CRYOSURGERY AND CRYOANALGESIC SYSTEM
The CryoPac Cryoanalgesic System
INTRODUCTION
Cryoanalgesia is a specialized technique for providing long-term pain relief for various podiatric conditions. People have recognized the value of cold for analgesia, for thousands of years. Modern Cryoanalgesia as we know it today was developed in the early 1960's. This technique is superior to other methods of peripheral nerve destruction (e.g., alcohol injections, phenol applications, or surgical resection) because it is not followed by neuritis or neuralgia.
There are few options for successful relief from painful foot conditions. Surgical resection of the nerves often leads to recurrent nerve growths called neuromas. These neuromas are often more painful than the original problem. Narcotics do not treat nerve pain, but rather only "mask" the pain.
The application of cold to tissues creates a conduction block. This is similar to the effect of local anesthetics, but the effect is long lasting. Long-term pain relief from nerve freezing occurs because the formation of the ice crystal disrupts the sensory component of the nerve structure.
PROCEDURE
Cryosurgery is performed in the office of Dr. Jonathan M. Kletz. This minimally invasive technique takes 15 minutes to perform from start to finish. The painful area is infiltrated with a local anesthetic, so that the cryoprobe can be introduced without discomfort. A tiny puncture is made through the skin. Next, a small blunt instrument called a trocar is placed through the punctured site to create a portal for the cryoprobe to be introduced. The probe is inserted through the puncture site and the Cryopac is set for a 3 minute freeze cycle, followed by a 30 second defrost, then another 3 minute freeze. The probe is then removed. An antibiotic ointment is placed over the puncture site with a sterile dressing applied. Sutures are not necessary due to the small size of the puncture. The dressing may be removed within 24 hours and a shower is then permitted. The puncture site is to be covered with a small amount of antibiotic and a band-aid. Postoperative discomfort is minimal. It is suggested that you decrease your normal level of activity over the first 48 hours. Your next scheduled visit will be within 3-7 days.
PLANTAR FASCITIS
Some of the most common ailments I see in my practice are plantar fascitis, heel spurs and generalized heel pain. Over the years many different treatments have been developed to try to eliminate these painful conditions. Cortisone injections, strappings, orthotics, and oral anti-inflammatories have had limited success. Even the newer surgical procedures such as endoscopic plantar fasciotomies, and ESWT (shock wave therapy) have not shown dramatic results. The Cryopac has been able to achieve results far superior to those conventional methods. The Cryopac will allow for the best possible treatment for any patient who suffers from heel pain.
NEUROMAS
Morton's neuromas are another common podiatric condition. Symptons present as pain commonly between the third and fourth metatarsals that causes numbness, tingling, burning, or shooting pains into the involved toes. Patients often experience the sensation of an electric shock in the ball of the foot. Pressure from ill-fitting shoes appears to exacerbate the symptoms. The term neuroma actually refers to a benign nerve tumor in the foot. Standard treatments such as cortisone injections and surgery have led to less than optimal results. The Cryopac is a more effective treatment option for these painful nerve conditions. It has also proven effective for patients who have undergone previous surgical treatment with recurrence of pain.
OTHER INDICATIONS FOR CRYOSURGERY
In my continuing quest to bring my patients the latest advances in treatment options for a wide variety of ailments, I have found that the Cryopac can be used to treat many other foot problems. Nerve entrapments in other parts of the foot can be treated effectively with the Cryopac Management of diabetic peripheral neuropathy and painful osteoarthritis has shown promising results. Soft tissue tumors, such as plantar fibromas, are other problems that can be treated with this technology.
INSURANCE COVERAGE
Most insurance plans provide varying degrees of coverage for this procedure.
INTRODUCTION
Cryoanalgesia is a specialized technique for providing long-term pain relief for various podiatric conditions. People have recognized the value of cold for analgesia, for thousands of years. Modern Cryoanalgesia as we know it today was developed in the early 1960's. This technique is superior to other methods of peripheral nerve destruction (e.g., alcohol injections, phenol applications, or surgical resection) because it is not followed by neuritis or neuralgia.
There are few options for successful relief from painful foot conditions. Surgical resection of the nerves often leads to recurrent nerve growths called neuromas. These neuromas are often more painful than the original problem. Narcotics do not treat nerve pain, but rather only "mask" the pain.
The application of cold to tissues creates a conduction block. This is similar to the effect of local anesthetics, but the effect is long lasting. Long-term pain relief from nerve freezing occurs because the formation of the ice crystal disrupts the sensory component of the nerve structure.
PROCEDURE
Cryosurgery is performed in the office of Dr. Jonathan M. Kletz. This minimally invasive technique takes 15 minutes to perform from start to finish. The painful area is infiltrated with a local anesthetic, so that the cryoprobe can be introduced without discomfort. A tiny puncture is made through the skin. Next, a small blunt instrument called a trocar is placed through the punctured site to create a portal for the cryoprobe to be introduced. The probe is inserted through the puncture site and the Cryopac is set for a 3 minute freeze cycle, followed by a 30 second defrost, then another 3 minute freeze. The probe is then removed. An antibiotic ointment is placed over the puncture site with a sterile dressing applied. Sutures are not necessary due to the small size of the puncture. The dressing may be removed within 24 hours and a shower is then permitted. The puncture site is to be covered with a small amount of antibiotic and a band-aid. Postoperative discomfort is minimal. It is suggested that you decrease your normal level of activity over the first 48 hours. Your next scheduled visit will be within 3-7 days.
PLANTAR FASCITIS
Some of the most common ailments I see in my practice are plantar fascitis, heel spurs and generalized heel pain. Over the years many different treatments have been developed to try to eliminate these painful conditions. Cortisone injections, strappings, orthotics, and oral anti-inflammatories have had limited success. Even the newer surgical procedures such as endoscopic plantar fasciotomies, and ESWT (shock wave therapy) have not shown dramatic results. The Cryopac has been able to achieve results far superior to those conventional methods. The Cryopac will allow for the best possible treatment for any patient who suffers from heel pain.
NEUROMAS
Morton's neuromas are another common podiatric condition. Symptons present as pain commonly between the third and fourth metatarsals that causes numbness, tingling, burning, or shooting pains into the involved toes. Patients often experience the sensation of an electric shock in the ball of the foot. Pressure from ill-fitting shoes appears to exacerbate the symptoms. The term neuroma actually refers to a benign nerve tumor in the foot. Standard treatments such as cortisone injections and surgery have led to less than optimal results. The Cryopac is a more effective treatment option for these painful nerve conditions. It has also proven effective for patients who have undergone previous surgical treatment with recurrence of pain.
OTHER INDICATIONS FOR CRYOSURGERY
In my continuing quest to bring my patients the latest advances in treatment options for a wide variety of ailments, I have found that the Cryopac can be used to treat many other foot problems. Nerve entrapments in other parts of the foot can be treated effectively with the Cryopac Management of diabetic peripheral neuropathy and painful osteoarthritis has shown promising results. Soft tissue tumors, such as plantar fibromas, are other problems that can be treated with this technology.
INSURANCE COVERAGE
Most insurance plans provide varying degrees of coverage for this procedure.
Friday, January 29, 2010
An innovated healing process is available for individuals who suffer from chronic foot and ankle problems such as heel pain (plantar fasciitis), Achilles tendinitis, neuroma (nerve pain), joint pain (arthritis) and soft tissue and tendon injuries.
Autologous blood products have created a growing interest for use in a number of orthopaedic therapies. The healing effects of plasma are supported by growth factors released by platelets. These growth factors induce a healing process wherever they are applied.
Features and Benefits:
• The autologous blood product is a cost-effective
method of concentrating growth factors for
therapeutic use.
• Producing ACP (Autologous Conditioned
Plasma)can be performed within minutes compared to typical platelet rich plasma (PRP) systems which take
up to 45 minutes to process.
• The ACP System can be used in a clinic or under
sterile conditions in an OR setting. The unique
double syringe design allows for convenient
and safe handling, as the whole preparation
process takes place in a closed system.
The procedure involves:
A Double Syringe System is used to obtain platelet rich plasma (PRP) from your blood, which is then re-injected to promote the healing of the injured tissue.
After the blood is drawn from your arm, it is placed in a centrifuge that rotates at high speed,separating red blood cells from the platelets that release proteins and other particles involved in the body’s self-healing process. Once separated, the healing platelet cells from the red blood cells are then injected back into
the patient’s injury site. This accelerates the body’s healing process.
In recent years there have been rapid developments in the use of growth factors for accelerated healing of injury.
Growth factors are released from the platelets which are found in the blood stream and influence the biological process necessary for repair of soft tissues such as muscle, tendon and ligament following acute traumatic or overuse injury. The best way of delivering higher doses of growth factors to injured tissue is to inject at the site of the injury. The most common technique is known as autologous blood injection. Results are very promising in terms of earlier return to play following muscle and tendon injury. This treatment has been shown to be effective in healing stubborn injuries. It appears to be a better option for problems that don’t have a great solution
- it’s nonsurgical, safe and uses the body’s own cells to help it heal!
Are you a Candidate for ACP?
Most likely; however, it will require an examination to determine if the use of
ACP will benefit you based on your injury. For more information, please call Jonathan M. Kletz, D.P.M. at 214-340-8885 to discuss this treatment or you may visit www.orthoillustrated.com
to learn more about the process.
Autologous blood products have created a growing interest for use in a number of orthopaedic therapies. The healing effects of plasma are supported by growth factors released by platelets. These growth factors induce a healing process wherever they are applied.
Features and Benefits:
• The autologous blood product is a cost-effective
method of concentrating growth factors for
therapeutic use.
• Producing ACP (Autologous Conditioned
Plasma)can be performed within minutes compared to typical platelet rich plasma (PRP) systems which take
up to 45 minutes to process.
• The ACP System can be used in a clinic or under
sterile conditions in an OR setting. The unique
double syringe design allows for convenient
and safe handling, as the whole preparation
process takes place in a closed system.
The procedure involves:
A Double Syringe System is used to obtain platelet rich plasma (PRP) from your blood, which is then re-injected to promote the healing of the injured tissue.
After the blood is drawn from your arm, it is placed in a centrifuge that rotates at high speed,separating red blood cells from the platelets that release proteins and other particles involved in the body’s self-healing process. Once separated, the healing platelet cells from the red blood cells are then injected back into
the patient’s injury site. This accelerates the body’s healing process.
In recent years there have been rapid developments in the use of growth factors for accelerated healing of injury.
Growth factors are released from the platelets which are found in the blood stream and influence the biological process necessary for repair of soft tissues such as muscle, tendon and ligament following acute traumatic or overuse injury. The best way of delivering higher doses of growth factors to injured tissue is to inject at the site of the injury. The most common technique is known as autologous blood injection. Results are very promising in terms of earlier return to play following muscle and tendon injury. This treatment has been shown to be effective in healing stubborn injuries. It appears to be a better option for problems that don’t have a great solution
- it’s nonsurgical, safe and uses the body’s own cells to help it heal!
Are you a Candidate for ACP?
Most likely; however, it will require an examination to determine if the use of
ACP will benefit you based on your injury. For more information, please call Jonathan M. Kletz, D.P.M. at 214-340-8885 to discuss this treatment or you may visit www.orthoillustrated.com
to learn more about the process.
Wednesday, January 27, 2010
6760 Abrams Road, Ste 203
Dallas, TX, 75231
Phone:214-340-8885
Tues:9:00 am - 5:00 pm
Thurs:9:00 am - 5:00 pm
Sat:9:00 am - 11:00 am
2 other office locations
514 East Corsicana Hwy
Athens, TX 75751
Phone #: 903-677-9090
Office Hours:
Wednesday: 9:00 AM to 4:30 PM
Friday: 9:00 AM to 12:00 PM
833 West Main Street
Gun Barrel City, TX 75156
Phone #: 903-887-4341
Office Hours:
Monday: 9:00 AM to 4:30 PM
Friday: 2:00 PM to 5:00 PM
Having foot pain?
Get the care you need when you need it.
Unable to come in for a consult, call or email me to see if I can help.
Email: ztelkco@aol.com
Dallas, TX, 75231
Phone:214-340-8885
Tues:9:00 am - 5:00 pm
Thurs:9:00 am - 5:00 pm
Sat:9:00 am - 11:00 am
2 other office locations
514 East Corsicana Hwy
Athens, TX 75751
Phone #: 903-677-9090
Office Hours:
Wednesday: 9:00 AM to 4:30 PM
Friday: 9:00 AM to 12:00 PM
833 West Main Street
Gun Barrel City, TX 75156
Phone #: 903-887-4341
Office Hours:
Monday: 9:00 AM to 4:30 PM
Friday: 2:00 PM to 5:00 PM
Having foot pain?
Get the care you need when you need it.
Unable to come in for a consult, call or email me to see if I can help.
Email: ztelkco@aol.com
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