Foot Pain Treatment in NYC, Midtown l NYDNRehab

Foot, Ankle and Heel Pain

About Foot and Ankle Pain

Foot, heel and ankle pain can cause serious health problems, since your feet provide the foundation for all physical activity via connection to the ground. Foot pain can cause postural and structural problems throughout your body, and also affect all other joints and muscles in the rest of your body.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Foot and Ankle Specialist Dr. Lev Kalika

Dr.Kalika revolutionized lower extremity pain treatment by introducing high resolution diagnostic ultrasonography for structural diagnosis, combined with gait and motion analysis technology to visualize and objectify the functional movement of the lower extremities.

Dr.Kalika’s motion and gait analysis lab is the only private lab in the US to feature research-grade technology, found only at top research universities and made available to patients in his private clinic. Dr.Kalika believes that what cannot be measured cannot be treated. His gait and motion analysis goes way beyond standard even 3D technology.

In addition to his academic credentials, Dr. Kalika is a Certified Biomechanist, Certified Gait Analyst, and is certified in Dynamic Neuromuscular Stabilization (DNS). He has over 15 years of experience in diagnostic musculoskeletal ultrasonography, extracorporeal shock wave therapy (ESWT) and orthotic prescription. He is an expert in ultrasound guided injections and dry needling procedures.

Dr.Kalika’s expertise is sought by professional athletes and dancers across the United States.

Why Treatment at NYDNRehab is Better than Conventional Foot and Ankle Physical Therapy

In recent years elective foot and ankle joint surgeries have become commonplace, but due to the complex structure of the feet and ankles, ankle joint replacement surgery has less optimistic outcomes than hip or knee surgeries.

The specialists at NYDNRehab believe that surgery should be the absolute last resort. We use the most advanced motion and gait analysis technology and the highest resolution musculoskeletal ultrasonography found in any private clinic in the USA. Dr. Kalika has spent many years developing his unique diagnostic approach that combines:

  • Diagnostic musculoskeletal ultrasonography

  • Integrative gait and motion analysis

  • Biomechanical analysis

  • Specialized gait physical therapy

  • Ultrasound guided procedures

  • Extracorporeal shockwave therapy (ESWT)

  • Extracorporeal Magnetotransduction therapy (EMTT)

NYDNRehab offers the most technologically advanced and comprehensive approach to foot and ankle treatment and rehabilitation in New York City. We believe that successful outcomes in musculoskeletal medicine can only be achieved via thorough examination using objective tools. It is our philosophy that what cannot be measured cannot be successfully treated.

Foot and Ankle Physical Therapy

Foot and Ankle Conditions We Treat

Ankle sprains

Arch pain

Chronic Ankle instability

Tibialis posterior tendonitis

Peroneal tendonitis

Achilles tendinitis

Heel pain and plantar fasciitis

Foot and ankle stress fractures

Shin splints and tibial stress
syndrome

Foot and Ankle Conditions We Treat

Metatarsalgia

Morton’s neuroma

Halux valgus

Halux limitus

Plantar plate tears

Flat and overpronated feet

Sesamoiditis

Pinched foot nerves

Tarsal tunnel syndrome

Symptoms, Causes and Risk Factors of Foot and Ankle Conditions

Symptoms

  • Deformities of the bones and joints

  • Instability or a feeling that your ankle is collapsing

  • Soreness and tenderness of the fascia or soft tissues

  • Numbness and tingling sensations (paresthesia)

  • Stiffness or reduced motion in the foot, ankle or toes

  • Swelling and redness

Causes

  • Overuse from sports, running or exercise

  • Trauma from sports or accidents

  • High heels or unsupportive footwear

  • Standing for long hours on concrete

  • Old injuries that were never rehabbed

  • Faulty gait mechanics

Risk Factors

  • Obesity and sedentary lifestyle

  • Advanced age

  • Working in construction

  • Smoking

  • Participating in sports

  • Diabetes and osteoarthritis

Accurate Diagnosis Means Successful Treatment

Most common foot conditions can be diagnosed with clinical history and examination. In some cases, X-ray, MRI or diagnostic ultrasonography may be required.

At NYDNRehab, our specialists use diagnostic ultrasonography to visualize tendons, ligaments, bursa, muscles and the plantar fascia of the foot. We also use sophisticated video gait analysis technology to visualize and measure: forces acting on the foot, shock absorption, foot mechanics and mechanics of the entire lower kinetic chain.

  • Real time diagnostic ultrasound imaging

  • Fully integrated computerized gait and running analysis

  • Computerized ankle stability testing with C.A.R.E.N (computer assisted rehabilitation environment)

  • Postural stability testing

  • Computerized muscle force and strength testing

Accurate Diagnosis Means Successful Treatment

We Use High-Tech Equipment for Optimal Results

NYDNRehab’s movement analysis and retraining lab features some of the world’s most advanced research-grade technologies, rarely found in private clinics. Technologies recently added to our treatment toolbox include electromagnetic transduction therapy (EMTT) and blood flow restriction training (BFRT). We are always looking for new technologies and treatment approaches, to offer our patients the very best solutions to their musculoskeletal pain and dysfunction.

Our approaches to foot and ankle treatment include

3D Gait Analysis and Retraining
3D Gait Analysis and Retraining

Mechanical errors in walking and running gait can cause foot and ankle pain. Our quantitative 3D analysis looks at joint kinematics, muscle activation patterns, weight distribution, ground reaction forces and more, to collate a comprehensive overview of your gait mechanics. Using hard data from our findings, we are able to retrain your gait with measurable results.

Load management
Load management

Traditional treatment for Achilles tendinopathy focuses on rest and stretching exercises, but current research indicates that tendons heal and regain function more quickly when treated with progressive weight loading therapy.

Eccentric strengthening
Eccentric strengthening

Current research suggests that eccentric tendon loading, where the muscle is lengthening, is the most effective treatment for relieving pain and restoring Achilles tendon function.

Blood Flow Restriction Training
Blood Flow Restriction Training

BFR makes it possible to strengthen and rehabilitate injured tissues using much lighter loads than conventional resistance training. BFR helps prevent tissue atrophy after an injury while protecting damaged structures. It speeds the recovery process, for faster return to pain-free activity.

C.A.R.E.N(Computer Assisted Rehabilitation Environment)
C.A.R.E.N
(Computer Assisted Rehabilitation Environment)

C.A.R.E.N immerses patients in a virtual reality environment while their motion is captured by 12 infrared cameras that provide 360º real-time feedback. Used for both diagnosis and treatment, C.A.R.E.N provides precise therapeutic strategies based on muscle activation patterns, eliminating human error.

Biofeedback Motor Control Training
Biofeedback Motor Control Training

This groundbreaking approach for patients with lower extremity pain and dysfunction uses force plate technology to measure the direction and magnitude of ground reaction forces during movement. Muscle activity in the area of injury is carefully evaluated, and adjustments are then made to improve function and eliminate errors in movement.

Our innovative specialized approaches
Our innovative specialized approaches for testing and retraining include:
  • Dynamic neuromuscular stabilization (DNS)

  • Kineo intelligent loading for AI muscle testing and retraining

  • Proteus motion 3D collinear resistance

  • Force plate jumping and rate of force development analysis and retraining

  • SEBT (star excursion banner testing) state-of-the-art motion and kinematic analysis of postural stability and retraining

  • Myolux ankle stability and proprioception testing and retraining device

  • AIM (anatomy in motion)

  • FMS (functional movement systems)

  • ISM (integrated system model)

  • Contextual rehab

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Regenerative Technologies for Foot and
Ankle Physical Therapy

At NYDNRehab, we use a combination of treatment approaches for foot and ankle pain, based on the specific needs of the individual patient.
The human body has its own innate healing mechanisms, but it sometimes needs a nudge to accelerate the healing process. Regenerative technologies help to jump-start healing by stimulating tissue repair at the cellular level. Our outpatient regenerative therapies expedite recovery with minimal discomfort for the patient.
We combine regenerative shock wave therapy with electromagnetic transduction therapy and other regenerative approaches to relieve pain and stimulate healing. This proprietary technology is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process.
These non-invasive outpatient procedures represent breakthrough treatment options for pelvic pain and dysfunction.

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT is used as a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for chronic degenerative tendon disorders and myofascial pain syndrome.


Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, causing a disturbance that triggers a regenerative response. EMTT waves can penetrate deep tissues up to 18 cm beneath the skin’s surface, to target difficult-to-reach tendons, muscles, bones and nerves.

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. This speeds up the delivery of oxygen and nutrients to damaged tissues and stimulates cellular metabolism, to accelerate the healing process.


High Energy Inductive Therapy (HEIT)

HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT generates a magnetic field 600 times stronger than the field of a normal magnet, to stimulate healing of nerves, muscles and blood vessels.

Regenerative Indiba

INDIBA CT9 Radiofrequency Device

INDIBA CT9 Radiofrequency Device

Our INDIBA Tecar therapy machine converts electrical current into a stable radio frequency current of 448 kHz, designed to increase and stabilize the exchange of ions in damaged cells, evoking a regenerative response that accelerates healing. INDIBA can be used to successfully treat joint and muscle disorders, low-back pain, sports injuries, surgical incisions and various pain syndromes. Another therapeutic effect of INDIBA is extreme and prolonged cellular hyperthermia. Due to this effect, INDIBA therapy combined with manual therapy and soft tissue tissue manipulation enables instantaneous release to occur, significantly shortening the number and duration of physical therapy sessions. What is normally accomplished in two months of physical therapy can be accomplished in 3-4 sessions with INDIBA.


Ultrasound Guided Dry Needling

Myofascial trigger points often contribute to lower back pain. Dry needling is an outpatient procedure that inserts non-medicated needles into the trigger point to evoke a twitch response, releasing the trigger point and immediately relieving pain. Ultrasound guidance eliminates the need for multiple insertions, reducing pain and discomfort for the patient.

Regenerative Ultrasound Guided Injection Therapies
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Ultrasound Guided Injection
Therapies

Injection therapies use natural/neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Guidance by ultrasound ensures that the injected substances hit their mark, for maximum effectiveness.

Focused Shockwave Therapy

Platelet Rich Plasma (PRP)

PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors such as growth factors, cytokines, lysosomes and adhesion proteins. The injected solution stimulates the synthesis of new connective tissues and blood vessels. PRP can help to jump-start healing in chronic injuries and accelerate repair in acute injuries.


Proliferation Therapy, aka Prolotherapy

Prolotherapy uses a biologically neutral solution, often containing dextrose, saline or lidocaine. The solution irritates the affected connective tissue, stimulating the body’s own natural healing mechanisms to encourage growth of new normal ligament or tendon fibers.

Electromagnetic Transduction Therapy (EMTT)
Preventing Foot and Ankle Pain

Preventing Foot and Ankle Pain

If you are physically active in sports, dance or exercise, your risks of foot and ankle injuries are higher than average. Wearing supportive footwear, giving your body adequate recovery time, and fine-tuning your motor mechanics can reduce your risk.

Occupations that require you to spend long hours on your feet, such as restaurant work, retail, and industrial work, require supportive and protective footwear appropriate for your occupation. Elevating tired feet and soaking them in Epsom salts at the end of a long day can help reduce the risk of overuse syndromes like plantar fasciitis.

A thorough gait analysis can help you identify and correct inefficient gait patterns that can contribute to foot and ankle pain.

Get Personalized Foot and Ankle Physical Therapy, Designed Just for You

NYDNRehab’s approach to foot and ankle treatment combines manual foot manipulation, foot-specific myofascial release, lower kinetic chain exercises, acupuncture and ESWT. Our non-invasive conservative approach is superior to steroid injections and corrective orthotics because we treat the underlying cause of the condition, not just its symptoms.

Our treatment approaches are both integrative and functional. Rather than using orthotics to change the way your foot makes contact with the ground, we correct your walking gait to restore function, making your foot adaptable to the ground once again, and to the forces associated with walking and running.

Our treatment is based on the diagnostic results of sophisticated personalized gait analysis. We never use a one-size-fits-all approach to patient care. We understand that every patient has a unique anatomy, and that each condition has unique characteristics. We tailor our treatment plans to the individual, with one-on-one physical therapy that really works!

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Get the Best Foot and Ankle Physical Therapy in
NYC

NYDNRehab is the top rated physical therapy clinic for foot and ankle pain in NYC. We accept most health insurance plans, and we are happy to set up payment plans for our patients. Schedule a consultation today, and see why the specialists at NYDNRehab are the best foot and ankle doctors in NYC.

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    Dr. Lev Kalika
    Dr. Lev Kalika

    Clinical director & DC RMSK

    Treatment of Foot, Ankle and Heel Pain at NYDNRehab

    Our Specialists

    Dr. Mikhail Bernshteyn MD (Internist)
    Dr. Michael Goynatsky DPT
    Dr. Daniela Escudero DPT
    HyunJu YOO, PT, MPT, DPT, CPI (Licensed Physical Therapist)
    Dr. Christina Pekar DC
    Dr. Michelle Agyakwah DC