Functional Podiatry Services

About Functional Podiatry

Functional podiatry is an integrative approach to foot health that does not involve drugs, steroid injections or surgery. Your feet provide a foundation for all movement, and foot pain can be debilitating. But treating the symptoms of foot pain with pain medications and orthotics without identifying other causal factors is unlikely to provide long-term relief.

Foot pain can arise from multiple factors, including:

  • Entrapped nerves
  • Myofascial trigger points
  • Micro tears in the plantar fascia
  • Calcaneal fractures
  • Tendinopathy
  • Gait deficits
  • Old injuries
  • Misalignment of the lower kinetic chain
  • Inefficient movement strategies
  • Overuse from sports and exercise

Holistic integrative podiatry recognizes that foot pain often originates from mechanical issues further along the kinetic chain, often involving knees, hips, postural habits, and inefficient gait strategies that affect the way your feet mediate force loads. The goal of functional podiatry is to eliminate foot pain by addressing all contributing factors and restoring functional movement.

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We’re located on 25th street in Manhattan NYC.
Open Monday-Friday, 10am-8pm.

Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Integrative Foot Pain Specialist Dr. Lev Kalika

Dr. Kalika is a top-tier certified gait analyst who has spent many years studying biomechanics of the foot, ankle, and lower kinetic chain. He is a world-renowned expert in diagnostic ultrasonography, with multiple scientific publications to his credit.

Dr. Kalika’s approach entails advanced diagnostics, including:

  • High resolution ultrasonography
  • Weight-bearing x-ray
  • 3G gait analysis
  • Foot pressure analysis

Treatment focuses on holistic foot function in the context of the entire lower kinetic chain. We combine the most advanced regenerative treatment methods with sophisticated foot and ankle therapy.

Dr. Kalika is certified in biomechanics and gait analysis, and has been using diagnostic ultrasound for over 20 years to accurately diagnose and treat thousands of patients with a broad range of foot conditions, including;

  • Plantar fasciitis
  • Ankle tendinopathies
  • Metatarsalgia
  • Foot neuromas
  • Arch pain
  • Bunion, hammer toe
  • Forefoot pain, metatarsalgia, capsulitis
  • Tendonitis, ankle sprains, turf toe
  • Toe, Foot & Ankle Trauma & Fractures
  • Sports Injuries
  • Toe & Ankle Joint Arthritis
  • Flatfeet
  • PTTD (posterior tibial tendon dysfunction)
  • Drop foot
  • Fat pad atrophy
  • Athlete’s foot
  • Other conditions affecting the feet and ankles

Dr. Kalika has helped countless patients to quickly and fully restore pain-free foot function, without drugs or surgery. His dedication to integrative patient care makes him one of the most sought-after holistic doctors in NYC.

Our State-of-the-Art Diagnostic Approach

Mainstream podiatrists rely on XRay and MRI to diagnose foot conditions, but those modalities do not provide much insight into foot mechanics, nerve entrapment and other issues that are most often the cause of foot pain. Patients are frequently underdiagnosed or misdiagnosed, and treated with generic protocols that do not relieve their foot pain.

At NYDNRehab, we use high resolution diagnostic ultrasonography to explore the interdependent structures that impact foot function, including bones, muscles, connective tissues, and nerves. Dynamic ultrasound imaging lets us compare the injured foot with its non-injured counterpart, to confirm our findings.

A 3D gait analysis enables us to measure gait in the transverse plane, where most gait injuries occur, and gives us objective data on joint angles, weight distribution, muscle firing patterns and other metrics that influence gait efficiency. We also conduct a biomechanical analysis of your foot and lower kinetic chain to observe how various structures interact.

We use the collected data to establish a baseline, set goals, and monitor the effectiveness of your treatment plan, to ensure that progress is being made and healing is taking place.

Get Fast and Effective Foot Pain Treatment like You've Never Experienced Before!

Patients often come to NYDNRehab after multiple failed attempts by mainstream doctors to resolve their foot and ankle pain.

In many failed cases, Dr. Kalika has found that:

  • Nerve entrapments are frequently overlooked by doctors in large numbers of patients..
  • Patients are frequently treated with only steroid injections and expensive orthotics, with no attempt to correct or restore foot function.
  • Foot surgery patients often suffer through long periods of healing, and surgeries are often performed without regard to functional outcomes. In some cases, patients are worse off, post-surgery.

Medical doctors are often stymied by musculoskeletal pain and dysfunction because their training does not encompass biomechanical analysis or rehabilitative solutions. Instead, they default to prescription medications, steroid injections and orthotic devices. Those solutions may temporarily alleviate pain, but they cannot restore mechanical function. When all else fails, doctors often recommend foot surgery, which has a poor track record of success.

Holistic podiatry not only examines the locus of pain, but also explores other interdependent structures that impact foot function. In many cases, foot pain originates from mechanical dysfunction farther along the kinetic chain, and faulty gait mechanics are often to blame for foot pain. When viewed through an integrative lens, your foot pain can only be resolved when all contributing factors are identified and addressed.

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Our Treatment Approaches Get Fast and Effective Result

Prior to beginning restorative therapy, it is important to pre-treat the affected tissues, to eliminate factors that contribute to pain and inhibit movement. Pre-treatment serves to reduce pain and inflammation, and restore functional range of motion.

Pre-treatment therapies may include:

1

Regenerative technologies like extracorporeal shockwave therapy (ESWT), to eliminate inflammation, reduce pain and stimulate tissue healing.

2

Ultrasound-guided dry needling, to eliminate myofascial trigger points that cause pain and inhibit movement.

3

Nerve hydrodissection, to free up nerves entrapped by adhesions and scar tissue and restore smooth gliding.

4

Ultrasound guided PRP and/or Prolotherapy injections, to trigger and accelerate healing of muscles, tendons and nerves at the cellular level.

Your treatment plan may include:

  • Gait-specific training
  • Foot core training
  • Strengthening exercises for the lower kinetic chain
  • Corrective posture training

The goal of functional podiatry is to identify all factors that contribute to your foot pain and eliminate them, without drugs, steroid injections or surgeries.

Avoiding Foot Pain and Dysfunction

Your feet and ankles enable locomotion and provide stability for your entire body, while sending messages to your brain about your body’s position in space. During physical activity, your feet absorb and mediate force loads multiple times your body weight. Protecting your feet from injury can enhance your performance, reduce your risk of injury, and help you sustain a healthy lifestyle.

There are several things you can do to avoid foot pain:

  • Maintain a healthy weight — excess body fat is deadweight that intensifies the forces that cause foot pain.
  • Exercise regularly — strong muscles throughout your body help to manage force loads during physical activity, reducing the load on your feet.
  • Wear supportive shoes that absorb shock. High heels, flimsy sandals, and shoes with flat soles force your feet into unnatural movement patterns that make them work harder.
  • If you’re athletic or physically active, a gait and/or biomechanical analysis can assess whether your feet are being overworked by inefficient movement strategies.
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Find the Best Functional Podiatry in Manhattan NYC

If foot and ankle pain is keeping you from living your best life, it’s time to do something about it. The holistic podiatry specialists at NYDNRehab have an impressive track record of helping hundreds of patients like you to overcome foot pain. Don’t waste your time and money on faulty diagnoses and cookie-cutter treatment plans that target your symptoms without fixing the underlying cause of pain. Contact NYDNRehab today, and get fast and effective holistic podiatric care that really works!

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    Holistic Podiatry FAQs

    Who can benefit from functional podiatry?
    Anyone with persistent foot and ankle pain, foot injuries, stress fractures, plantar fasciitis, diabetic neuromas, and other foot conditions can expect superior outcomes with holistic podiatric care. Physically active people can especially benefit from functional podiatry to enhance performance and reduce injury risk.
    How soon can I expect to see results from functional podiatry treatment?
    Patients often turn to holistic podiatry after failed attempts by mainstream podiatrists to resolve their foot pain. Our personalized treatment plans, supported by diagnostic ultrasound and cutting-edge regenerative technologies, help to accelerate the healing process. In many cases, we can resolve your foot pain in only a few sessions, compared to weeks or months of treatment by mainstream podiatrists.
    Will I need to buy expensive orthotics?
    While orthotics are sometimes needed, most patients can be successfully treated by eliminating trigger points, releasing entrapped nerves, regenerating damaged tissues, correcting motor deficits, and making their feet functionally stronger.
    What are the best shoes to reduce foot pain?
    Most popular shoe brands have a line of footwear that provides support and shock absorption. Your personal comfort should be the key determinant when choosing footwear. Shoes should not pinch, rub or wobble. They should support your foot arch and cushion your heel and forefoot. Don’t be talked into a particular shoe based on your “foot type” – if the shoes do not feel comfortable, don’t buy them.
    I had foot surgery but I still have pain. Can physical therapy help?
    Physical therapy and gait retraining are your best bets for restoring foot function, post-surgery. You may also need myofascial release therapy to counter adhesions from surgery-induced scar tissue. The aim of holistic podiatry is to get you back on your feet, without pain or dysfunction.
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    In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

    Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

    The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

    Dynamic ultrasonography examination demonstrating
    the full thickness tear and already occurring muscle atrophy
    due to misdiagnosis and not referring the patient
    to proper diagnostic workup

    Demonstration of how very small muscle defect is made and revealed
    to be a complete tear with muscle contraction
    under diagnostic sonography (not possible with MRI)

    image

    Complete tear of rectus femoris
    with large hematoma (blood)

    image

    Separation of muscle ends due to tear elicited
    on dynamic sonography examination

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