TREATMENT PROCESS

This is my current treatment process for patients with pain to the front of their feet.

• 1st Visit - Evaluate your condition, review x-rays, and perform a walking evaluation to determine the severity of your condition. Start working to reduce inflammation, reduce pain and reduce stress through your foot. 
• Shockwave and Amnio Injection - Many of my patients benefit from a series of 3-6 sessions of shockwave therapy to improve blood flow and recovery of the soft tissue to the forefoot region. At times to help speed up the healing an Amniotic injection is beneficial.  
• Orthotics - Orthotics are useful to stabilize the heel position, help with posture and reduce excess movement of the foot that can increase stress in the bunion.  

• Daily Rituals - These are the daily rituals that can be used with other office-based treatments. Short foot exercises (2 minutes 2x a day), icing or contrast baths (10 minutes 2x a day), anti-inflammatory for 2 weeks at a therapeutic dose if painful, anatomic shoes with Oofos sandals in the house, and avoid going barefoot. 

• Cortisone Injection - Rarely I use cortisone injections to reduce the inflammation if you have severe pain because it can cause weakening to the joints in the foot.

RESOURCES 

• Shockwave (EPAT) - Information about shockwave therapy to promote the natural healing of your own body. 

• Amnio Injection - More information about Amnio injections to speed up healing.  

• Orthotics -  Explanation of how and why orthotics help foot pain.

• Icing and Contrast Bath Instructions - Here is information on how to ice your foot. 

• Oofos - Recovery sandals to wear at home for more support.

• Shoe Recommendations - Here are my shoe recommendations and shoe-related resources.

• Short Foot Exercises - Exercises to help with strengthening your feet. 

• Aerospring Brace - This carbon fiber brace can offload the front of your foot. 

PRODUCTS 

Here are some of the best recommendations I have found on Amazon for forefoot pain.