Are You Dealing With Chronic Foot Pain?

Are You Dealing With Chronic Foot Pain?

Speak with a podiatrist in Poughkeepsie, Kingston, Rhinebeck, East Fishkill or New Windsor, NY

A podiatrist is a doctor of podiatric medicine (DPM), also known as a podiatric physician or surgeon. Podiatrists diagnose and treat conditions of the foot, ankle and related structures of the leg.

Orthopedic Associates of Dutchess County Podiatry Department is committed to providing you with the most advanced podiatric care in a compassionate and caring environment. Contact us today to discuss your problem with a foot doctor in Kingston, Poughkeepsie, Rhinebeck, East Fishkill or New Windsor, NY.

Daniel Kelmanovich M.D.

Containing more than 100 bones, tendons, muscles and ligaments and forming 33 joints, our feet and ankles play a major role in how we can (or can’t) move. A mild sprain or strain or even a broken toe can cause pain, limit our movement or possibly cause further injury in other parts of the body.

From bunions and heel problems to fractures and sprains, Orthopedic Associates’ fellowship-trained foot and ankle surgeons, Dr. Kelmanovich and Dr. Shen, offer surgical techniques and non-surgical treatments for adults and children to eliminate or relieve many of these problems.

Trust us to help you get back on your feet. Reach out to us today to schedule an appointment with a podiatrist in Rhinebeck, Poughkeepsie, Kingston, East Fishkill or New Windsor, NY.

What can we do for you?

We offer a variety of specialized treatments and surgical procedures here at Orthopedic Associates of Dutchess County. A foot doctor in New Windsor, Rhinebeck, Poughkeepsie, Kingston or East Fishkill, NY can treat you for:

  • Ankle and foot trauma
  • Foot and ankle tendonitis
  • Ligament sprains and tears
  • Achilles tendon injuries
  • Heel pain
  • Plantar fasciitis
  • Bunions and hammertoes
  • Hallux Rigidus (arthritis of the big toe joint)
  • Planter plate injuries
  • Chronic ankle instability
  • Morton’s neuroma
  • Foot and ankle fractures
  • Foot and ankle arthritic conditions
  • Foot and ankle skin and nail disorders
  • Flat and high-arch feet
  • Diabetic foot conditions


While we can treat your pain and other chronic issues, there are some things you can do on your own to care for your feet. We recommend:

  • Examining your feet regularly
  • Wearing comfortable shoes that fit
  • Washing your feet daily with soap and lukewarm water
  • Trimming your toenails straight across and not too short


Your foot health can be a clue to your overall health. For example, joint stiffness could mean arthritis. Tingling or numbness could be a sign of diabetes. Swelling might indicate kidney disease, heart disease or high blood pressure.

Good foot care and regular foot checks are an important part of your health. If you have foot problems, be sure to talk to your podiatrist in East Fishkill, Rhinebeck, Poughkeepsie, Kingston or New Windsor, NY.

Learn about our advanced technologies

We offer advanced treatment options for patients with special needs. Before beginning any treatment, discuss your options with your foot doctor in Poughkeepsie, East Fishkill, Rhinebeck, Kingston or New Windsor, NY.

Platelet Rich Plasma

Platelet-rich plasma (PRP) is a patient’s own concentrated platelets. PRP contains a large number growth factors. These growth factors stimulate healing. When PRP is injected, it can aid the body’s natural healing process. The goal is not only to relieve symptoms, but to also create actual healing. In some cases, PRP may reduce the need for medication and/or surgery. PRP has been used to treat tendon, ligament, cartilage and bone injuries, as well as arthritis. Around the foot and ankle, PRP is used for treatment of tendon and ligament injuries, such as plantar fasciitis, Achilles tendon and ankle ligament injuries.

General Details of PRP Injection Therapy

A small amount of a patient’s blood is drawn and then spun at high speed. The platelets are concentrated. This liquid is then injected around or near the area of injury being treated. The PRP at this stage contains three to five times the concentration of growth factors compared to normal human blood.

What Happens After a PRP Injection?

You may experience mild pain and irritation of the area for several days following the injection. Some doctors may ask patients to limit motion or weight-bearing activity immediately following the injection. The use of a brace, boot or cast may be recommended during the early post-injection course.

Three to seven days after the injection, you may gradually return to normal physical activities. The return to full activity is determined based on response to the therapy and the recommendation of your surgeon.

Topaz RF Therapy

The entire process takes only 20 minutes and is performed in a hospital using intravenous sedation anesthetic (you are asleep but breathing on your own). Your doctor places the Topaz wand, which looks like a sewing needle, into the affected fascia or tendon for just a half-second. Then, the wand is moved about a quarter-inch and pushed in again. This action is repeated until a grid-like pattern is formed around the affected area.

The Topaz wand uses cobalation technologies, which are radio frequency waves that gently cause microscopic “trauma” to the scar tissue your body hasn’t yet been able to heal. The procedure brings blood back to the affected area and restarts the healing process by increasing the growth factors in the damaged tissue region. The strategically placed Topaz wand greatly minimizes any damage to surrounding healthy tissue.

Custom Molded Orthotics

Our Bracing Service supports surgical procedures, nonsurgical rehabilitation and pain management with its superior products and care. We offer this service at all of our office locations.

Tenex

This procedure is for patients with chronic fascia and tendon problems, including tennis elbow, golfers’ elbow, patellar tendonitis, Achilles tendonitis and planter fasciitis.

Tenex procedure requires local anesthesia, an ultrasound and a tiny incision. A thin probe uses ultrasonic energy to remove the damaged portion of the tissue. The procedure takes 25 minutes.

Radiofrequency Nerve Ablation

Radiofrequency Nerve Ablation (RFA) is a safe, proven means of treating chronic heel pain. RFA is recommended for patients who have pain for over three months, and all other forms of therapy have been unresponsive.

How Radiofrequency Ablation Works

Radiofrequency energy is transmitted to the tip of a needle where it is converted to heat and targeted at specific nerve tissue. Once the nerves undergo this heat treatment, they slowly stop transmitting pain. Radiofrequency refers to radio waves, a form of electromagnetic energy produced during the procedure.

What to Expect After Your RFA Procedure

The RFA heel pain procedure takes 15 to 30 minutes and is performed on an outpatient basis. After the treatment is completed, a small bandage is placed over the probe insertion site, and you can return to normal activity almost immediately.

INTERNAL BRACE FOR ANKLE LIGAMENT REPAIR

Chronic Ankle Instability Explained

Chronic ankle instability is a condition characterized by a recurring “giving way” of the outer (lateral) side of the ankle. This condition often develops after repeated ankle sprains. Usually the “giving way” occurs while walking or doing other activities, but it can also happen while you’re just standing. Many athletes and ordinary people suffer from chronic ankle instability. People with chronic ankle instability often complain of:

  • Repeated turning of the ankle, especially on uneven surfaces or when participating in sports
  • Persistent (chronic) discomfort and swelling
  • Pain or tenderness


Chronic ankle instability usually develops following an ankle sprain that has not adequately healed or was not rehabilitated completely. When you sprain your ankle, the connective tissues (ligaments) are stretched or torn. The ability to balance is often affected. Proper rehabilitation is needed to strengthen the muscles around the ankle and “retrain” the tissues within the ankle that affect balance.

How Does the InternalBrace Improve Upon Traditional Treatments?

Although the foot and ankle community generally recognize the Brostrom procedure as the “gold standard” of ligament repair, augmenting the repair with an InternalBrace enhances stability and decreases recovery times. You’ll spend less time in a cast, start physical therapy sooner and return to sports much earlier than you would with a traditional repair.

What Is InternalBrace?

InternalBrace is a tiny, thick, rope-like fiber that’s stronger than the natural ligament. The fiber is secured in place by a BioComposite SwiveLock anchor, designed to allow blood and bone marrow to circulate through the device. The InternalBrace tightly joins the torn ligaments together to strengthen the repair and increase healing time. When their job is done, the fiber and anchors biodegrade and reabsorb into the body.

InternalBrace: A Faster and Stronger Recovery

With the minimally-invasive InternalBrace repair system, patients can expect to be out of their cast and into a walking boot in two to three weeks. You can start physical therapy as soon as you’re out of your cast. Although each case is different, patients generally spend less time in physical therapy thanks to the added stability offered by the InternalBrace. The sooner you’re out of physical therapy, the sooner you can get back on track toward your regular training routine.