Other Non-Surgical Services
Non-Surgical Services
Welcome to Dr. Richard Cowin, DPM’s non-surgical services, where cutting-edge regenerative options are our top priority. Dr. Cowin is dedicated to pioneering non-surgical solutions for foot and ankle conditions, aiming for sustainable outcomes that minimize patient discomfort and downtime. By harnessing groundbreaking non-invasive technologies and advancements in healthcare, Dr. Cowin provides patients with alternative treatment options that are both effective and minimally invasive. Our comprehensive services include Computerized Custom Orthotics, Lunula Laser Therapy, EPAT Heel Pain Treatment, and Ethyl Alcohol Injections for Morton’s Neuromas. With Dr. Cowin’s expertise and commitment to restoring patients’ health, our goal is to alleviate symptoms and help patientss reclaim a life free from foot and ankle discomfort.
Thick Toenails
Thick Toenails
The most common cause of thick toenails is a fungus infection similar or identical to the fungus that causes “athlete’s foot.”
Ingrown Toenails
Ingrown Toenails
An Ingrown Toenail occurs when the side of a toenail begins to cut through the surrounding skin which is referred to by doctors as the ungualabia or “nail lip.”
Morton’s Neuroma
Morton’s Neuroma
Morton’s Neuroma occurs when one of the nerves on the bottom of the foot becomes “pinched” between two adjacent metatarsal bones or the base of the bones of two adjacent toes.
Lunula Laser Therapy
The revolutionary Lunula laser offers a beacon of hope for those grappling with nail fungus. This cutting-edge technology stands apart as the first and only non-thermal laser FDA cleared to stimulate new clear nail growth in individuals afflicted with nail fungus. Unlike oral anti-fungal medications, the innovative Lunula foot fungus laser eliminates the risks and adverse effects, presenting a safe and effective alternative. Remarkably, this painless procedure targets the fungus residing both within and beneath the toenail, without causing any harm to the nail or surrounding skin. With each session lasting just minutes and requiring no downtime, patients can swiftly resume their daily activities. In as few as four 12-minute sessions, patients can witness significant improvement in the affected area, marking a paradigm shift in the treatment of nail fungus.
What are the Benefits of Lunula Laser Therapy?
- 89% of treated toenails demonstrated an increase in clear nail after 6 months.
- The only touchless, computer automated LASER fungal toenail treatment.
- No pain, no risk, and no downtime due to non-thermal (non-heat producing) LASER.
- Easy and convenient 12 minute treatment that can help turn your yellow toenails into clearer, healthier looking nails.
- No more embarrassment about unsightly yellow toenails.
EPAT Heel Pain Treatment
What is EPAT Treatment?
EPAT is an acronym for Extracorporeal (outside the body) Pulse Activation Treatment. Shock waves are created by very strong acoustic (sound) energy. The shock wave generator is very similar to the shock wave devices used to treat kidney stones without surgery. EPAT treatment has recently been found to be effective for treating chronic proximal plantar fasciitis, a condition that causes pain in the heel of the affected foot and is sometimes called a “heel spur”.
Why Consider Non-Invasive EPAT?
EPAT has a proven success rate that is equal to or greater than that of traditional treatment methods (including surgery) and without the risks, complications, or lengthy recovery time. EPAT is performed in our office at Laser Foot Surgery Specialist and generally requires a minimal amount of time. Patients can bear weight (i.e. walk) immediately and can usually return to normal activities within a few days of the procedure.
What are the Expected Results?
The beneficial results of EPAT are often experienced after only 3 treatments. Some patients report immediate pain relief after the treatment, although it can take up to 4 weeks for pain relief to begin. The procedure often eliminated pain and restores full mobility, thus improving the quality of life. Over 80% of patients treated with EPAT report to be pain FREE* and/or have significant pain reduction.
Is EPAT Safe?
How is EPAT Treatment Performed?
Coupling gel is applied to the treatment area of interest to enhance effectiveness. After these preparations, EPAT pressure waves are released via the applicator moved over the area of interest in a circular motion.
What is the Duration of Treatment and How Many Treatment Are Needed?
Treatment sessions usually take approximately 15 minutes per foot, depending on the disorder to be treated. Generally, 3 to 4 treatment sessions are necessary at weekly intervals. In some cases, additional treatment sessions may be indicated.
What are the Benefits of Non-Invasive EPAT?
- Patients are immediately full weight bearing.
- Both feet can be treated at the same time.
- No incision–No risk of infection at the treatment site–No scar tissue formation.
- Patients are generally able to return to work and most normal activities within 24-48 hours and many patients report resuming strenuous activities after 4 weeks.
- Reduced cost from lost work.
- Fast, safe, and often effective.
- Usually does not require anesthesia.
Computerized Custom Orthotics
In the past decade or so, a new science called Biomechanics has made a tremendous contribution to the various treatments that podiatrists could offer their patients. By applying these principles to the human foot, we are now able to treat many foot problems non-surgically by fabricating a pair of Custom Foot Orthotic Devices which are worn in the shoes and can be changed from shoe to shoe.
In the past, impressions for custom foot orthotic devices were taken either by wrapping plaster around the feet, or having the patient step into some impression foam. The problem with doing this is that neither of these capture the foot while the patient is walking.
A new technology introduced in the United States in 1997 allows the patient to walk over a computerized gait pressure plate, making a 3-dimensional image of the foot in a dynamic rather than a static manner. This image can then be sent via computer modem directly into the orthotic laboratory. Not only can a computerized gait analysis report then be ordered, but accuracy in fabrication is increased, while production time is decreased.
Problems that Benefit From Custom Foot Orthotic Devices:
- Heel and Arch Pain
- Flat Feet (fallen arches)
- High Arched Feet (raised arches)
- In-toeing (pidgeon-toeing)
- Out-toeing (duck-type walking)
- Pain on the Ball of The Foot
- Some Callous Problems
- Diabetic Ulcers and Pressure Sores
Many different types of Custom Orthotic Foot Devices are now available i.e., some for specific sports and athletics, some especially for women’s sandals and high-heeled shoes, ect.
Recently, the Orthotic Group Laboratories introduced Custom-fabricated Orthotic Sandals, clogs, slides for both men and women to their product line. This development, now available from The Center for Advanced Foot and Ankle Surgery, allows the patient to benefit from orthotic corrections while wearing comfortable, fashionable open sandals.
Ethyl Alcohol Injections for Morton’s Neuromas
In the realm of podiatric care, advancements in medical science continually expand treatment possibilities. Ethyl Alcohol Injections represent a breakthrough approach in addressing Morton’s Neuromas, a condition that often causes discomfort and limits mobility in the foot.
This innovative procedure harnesses the power of ethyl alcohol, administered through precise injections directly into the affected area. By dehydrating and shrinking the tissue surrounding the irritated nerve, Ethyl Alcohol Injections provide targeted relief, alleviating pain and restoring comfort.
Traditionally, treatment options for Morton’s Neuromas involved invasive surgeries or less effective conservative measures. However, Ethyl Alcohol Injections offer a non-surgical alternative, minimizing risks and downtime while delivering significant results.
The process begins with a thorough evaluation by our experienced podiatrists, who utilize advanced diagnostic techniques to pinpoint the source of discomfort. Once identified, the ethyl alcohol injection is precisely administered, offering quick relief and allowing patients to resume their daily activities with minimal interruption.
What are the Benefits of Ethyl Alcohol Injections?
Precision and Effectiveness
By directly targeting the affected nerve, Ethyl Alcohol Injections provide precise relief, addressing the root cause of Morton’s Neuromas.
Injection-only Approach
Unlike traditional surgical methods, this procedure requires no incisions, resulting in minimal discomfort and faster recovery times.
Customized Treatment
Each injection is tailored to the unique needs of the patient, ensuring optimal results and long-lasting relief.
Minimal Disruption
With Ethyl Alcohol Injections, patients can expect minimal disruption to their daily lives, allowing them to return to normal activities shortly after treatment.
We are committed to providing innovative solutions for foot health issues. If you’re experiencing discomfort associated with Morton’s Neuromas, contact us today to schedule a consultation and discover how Ethyl Alcohol Injections can help you find relief and regain mobility.
Non-Surgical Services
Lunula Laser Therapy
Lunula Laser Therapy
Lunula Laser is the first and only non-thermal laser FDA cleared for increasing new clear nail growth in individuals with nail fungus.
EPAT “Shock Wave” Treatment
EPAT “Shock Wave” Treatment
Heel Pain
Heel Pain
Ethyl Alcohol Injection
Ethyl Alcohol Injection
Say Goodbye to Bunions
*The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment of any other service, examination, or treatment which is performed as a result of or within seventy-two (72) hours of responding to the advertisement for the FREE*, discounted fee, or reduced fee service, examination, or treatment.