Laser Treatment
All Foot & Ankle
State Of the Art techniques and quality procedures
SURGERY OF THE FOOT
Podiatric Sports Medicine

WELCOME

Dr. Lana Schikman’s Foot and Ankle Center, provides expert diagnosis and treatment of ankle and foot disorders for children, adults and seniors. Our practicing philosophy is defined by providing comprehensive personalized diagnosis and treatment plan for every patient. Our conveniently located offices are equipped with latest technology and strive to provide an environment of excellent care with a family atmosphere.

Dr. Lana Schikman is an experienced Podiatrist with the Medical Doctor background in Internal Medicine and Endocrinology.

Dr. Schikman and friendly supportive staff are committed to the continued medical education and staying up-to-date on the latest technologies. The benefit of this commitment is that our patients’ conditions are treated quickly, comfortably, and effectively with up to date technology in a cost-effective environment.

Dr. Lana Schikman

All Foot & Ankle Disorders

Diagnosis & Treatment 

Our Locations

Queens

119-60 Metropolitan Ave
Kew Gardens, NY 11415

Brooklyn

208 Avenue U, Brooklyn, NY 11223


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ORTHOTICS

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Even if your feet don’t hurt, they may be contributing to overall postural imbalance. If pain or discomfort occurs in a specific area of the body – anywhere from the feet to your neck – individually designed functional orthotics may help bring long-term relief.

 

Heel Spur Pain

A heel spur is an overgrowth of bone that resembles a hook on the bottom of the foot. It is a reaction to stress placed on the thick connective tissue on the bottom of the foot (plantar fascia) that helps maintain the arches of the foot. A heel spur is often accompanied by a bursitis that is a major contributor to pain.


Orthotics For Plantar FasciitisR

Plantar fasciitis is an inflammation of the thick connective tissue on the bottom of the foot (plantar fascia) that helps maintain the arches of the foot. The inflammation is due to tearing of the tissue. It is often a precursor to a heel spur. The soles of the feet are very painful, especially in the early morning. The condition tends to be chronic and difficult to heal without proper foot support.


Diabetic Orthotics

Diabetics must take special care of their feet. Diabetes damages blood vessels, which results in poor circulation, nerve damage and slow healing. These changes are termed peripheral neuropathy. This combination of factors can cause significant health problems for diabetic patients.

Toenail Fungus Laser Treatment 

What is laser treatment for toenail fungus?

Laser has been shown to kill the fungus that lives in, around and under the toenail. The laser light passes through the toenail without causing damage to the toenail or the surrounding skin. At the time of the procedure, the toenail will not become instantly clear, it will take time for the previously infected nail to grow out and the new nail to form. This can take 6 to 12 months depending on the rate of growth of the toenail. During this time there may be a need for additional laser treatments. Periodic treatments may be needed to maintain the results.

How is the procedure performed?

Laser is applied by the doctor to cover the entire nail. When the appropriate temperature is reached a burst of cold spray is released to cool the nail and stop the heating process of the toenail. Patients are able to walk in and walk out and go about their normal day. There is no anesthesia required and no down time associated with this treatment. The procedure typically takes about 30 minutes. We start with 3 treatments, 2 weeks apart. A follow up is performed 4 to 8 weeks following the third treatment.

During the procedure most people may feel a slight heat sensation with minimal to mild discomfort. There is no specific preparation for the procedure other than the removal of any nail polish or nail decorations the day of or the day prior to treatment.

On the day of the procedure doctor will trim and file down the toenails to remove as much of the fungal infected toenail as possible. This will help reduce thickness of the infected toenail and aide the removal of any loose and detached nail debris caused by the fungus. This allows for better treatment with the laser by allowing the laser beam to penetrate closer to the nail bed and the sites of infection.

Will the fungus come back?

Currently all the lasers on the market are FDA approved for toenail fungus treatment are approved for the temporary clearing of the nail. This means that the fungus may or may not come back. Some people will see significant changes in their nail with improved color and consistency. In areas that are unattached attachment of the nail may occur. It may be necessary to have periodic treatments to maintain results similar to having one's teeth whitened.

Even the strongest oral medications only clear up 80% of the cases of infected toenails with a 50% reoccurrence rate within 3 years after oral treatment. Currently, there are no long term studies with laser treatment.

Are additional treatments necessary?

Typically with the start of laser treatment doctorwill recommend using a topical antifungal mediation to be applied to the nails daily. This helps to improve and maintain the results with the laser.

In severe cases doctor may recommend using a special compounded topical medication and even a regimen of pulse dosing the oral medication (terbinafine HCL) to help improve results. Pulse dosing the oral medication will aide killing the nail fungus in the nail bed and root.

Pulse dosing oral medication entails taking the pill for one week at a time, every other month over the course of a year, as opposed to the traditional dosing of one pill a day for 3 months consecutively. The pulse dosing method allows us to reduce the amount of medication taken in half and the ability to treat the toenail over the entire growth cycle of the nail. (please see the attached study for pulse dosing details)

 

FOR MORE INFORMATION PLEASE CALL TO ARRANGE A TOENAIL CONSULTATION WITH DR. LANA SCHIKMAN

before after VariaBreeze clear nail laser treatment 2

 

Botox Treatment for Excessive Foot Sweating

Many people have severely sweaty feet, known medically as pedal hyperhidrosis.  Excessively sweaty feet pose both physical, medical and social problems for patients. Shoes can be ruined, sandals cannot be worn, and foot odor and fungal infection can become problematic. Slippery shoes can become a tripping hazard if sandals are worn during the summer and sweating is such that the feet slip out of the shoes.

What is Botox?

Botox is a medication that is used in the treatment of excessive sweating. Botox is actually a toxin that is produced by a bacteria known as Clostridium botulinum. The toxin functions by blocking the function of nerves. When the toxin is injected into a specific site, however, only the nerves in that area will be paralyzed.

"Dr. Lana Schikman at Queens Podiatry has helped both my wife and I through countless issues with our feet and healing for life & athletic events.   Dr. Lana Schikman takes the time to get to know her patients in addition to providing exceptional care.   She has also performed surgery on my feet that cured a chronic issue.  Dr. Lana Schikman makes herself available to patients, keeps to the appointment schedule . Highly recommend."

Dr. Lana Schikman has developed a protocol of treatments to help you through the chemotherapy side effect of Palmar Plantar Erythrodysethesia (Hand-Foot Syndrome).

Working with Dr. Lana Schikman at Queens Podiatry as well as your personal dermatologists and oncologists, we will work together to manage the side effects of chemotherapy.  Dr. Lana Schikman will help you to continue your regular activities despite undergoing chemotherapy.

 

Combining gentle debridement, topical anesthetic, padding, and proper shoegear, we can help a person undergoing chemotherapy return to their activities of daily living with less pain and far more function.

What is EPAT®?

EPAT® stands for Extracorporeal Pulse Activation Treatment. EPAT® is an FDA approved technology proven to increase the rate of healing for soft tissue injuries and for the relief of painful conditions of the foot and ankle, specifically; plantar fasciitis and Achilles tendonitis. It is the most advanced non-invasive and highly effective treatment method that enhances blood circulation, accelerates the healing process causing damaged tissue to gradually regenerate and heal.

 

What conditions can be treated with EPAT®?

 

  • Plantar Fasciitis
  • Achilles Tendonitis
  • Insertional Achilles Tendonitis
  • Achilles Tendonosis
  • Tendonosis of the Foot and Ankle
  • Chronic Heel Pain
  • Acute and Chronic Muscle Pain
  • Morton's Neuroma of the Foot
  • Plantar Plate Tears
  • Sesamoiditis

How does EPAT® work?

EPAT® stands for extracorporeal pulse activation treatment. It has been developed in Europe by the Storz Medical and represented in the USA by CuraMedix. EPAT® is an FDA approved treatment modality that delivers non-invasive low frequency (8-12 Hz) acoustic sound waves into an injured or painful area. The sound waves act as pressure, and penetrate deep through your soft tissue. The energy emitted causes the cells in the soft tissue to release certain biochemicals that intensify the body's natural healing process. These biochemicals allow for the building of an array of new microscopic blood vessels in the soft tissue. Overall, EPAT® increases the nutrient flow to the chronically injured tissue. This treatment is highly effective for conditions such as Achilles tendonitis, Plantar Fasciitis, Posterior Tibial Tendonitis, and other tendon and soft tissue disorders in the foot.

How is EPAT® performed?

EPAT® is a small machine with a trigger end that looks like an ultrasound. It is administered once a week for a series of 3 to 6 treatments a week apart. Each treatment takes approximately 5 to 10 minutes depending on the size and number of areas treated.

All treatments are performed by Dr. Lana Schikman. The doctor applies a coupling-gel to the affected area and administers the pressure waves via the applicator by moving over the affected area in a circular motion. During the treatment there may be some minor discomfort and pain. Painful areas are helpful in isolating the truly injured areas.

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, without the risks, complications, and lengthy recovery periods. There are no incisions and no risk of infection, or scar tissue, like surgery. There is no need for anesthesia to be administered during the treatment, as opposed to high-energy shockwave therapy. Patients treated with EPAT® may bear weight on the foot immediately and resume normal activities within a few days. Many patients find a significant and immediate reduction in their pain. For some patients the pain relief may take up to 4 weeks to begin. Patients are followed up at after completing the treatments.

What are the possible side effects?

There have been very few side effects reported. In rare cases, skin bruising may occur, and patients may feel soreness to the area for a day or two afterwards, similar to a strenuous workout.

What are the contraindications of EPAT® treatment?

Patients who choose EPAT® treatment should not take NSAIDs (including ibuprofen, Motrin, Advil, Naproxen, Aleve, and Aspirin) for two weeks prior to and one month after the administration of EPAT®, as they interfere with the hormones that regenerate your cells.

EPAT® treatment is contraindicated in the following cases:

  • Pregnancy
  • History of deep venous thrombosis (DVT)
  • History of malignancy
  • Currently using blood thinners

Pregnant women should wait approximately 4 months after pregnancy to receive EPAT® treatment.

Musculoskeletal ultrasonography is a very powerful diagnostic tool for the diagnosis of wide array of foot and ankle problems. Your physician may order an ultrasound or perform the ultrasound in their office to help diagnose your foot problem. Ultrasound is used typically for soft tissue problem, not bone conditions. Some of the foot disorders that ultrasound is used for are the following:

  1. Foreign bodies
  2. Morton's neuroma
  3. Soft tissue masses
  4. Bursitis or capsulitis of the joints
  5. Ligament injuries
  6. Tendonitis or tendon tears
  7. Heel spurs or plantar fasciitis
  8. Tarsal tunnel syndrome
  9. Ultrasound guided injection or aspirations

What is Ultrasound? Most people know about ultrasound to image a baby or a gallbladder, but it has growing application in musculoskeletal disorders. Ultrasound is based on sound waves. Sound waves are emitted from a transducer probe that is applied to the body and these sound waves will past into the body and then are reflected back to the transducer probe to be recorded. The recorded image is based on the density of the object that the sound waves encounter. An object with a high density appears white or brighter on the recorded image, while objects of low density will appear black or dark on the image. Intermediate densities will appear gray. The sound waves are recorded back to the machine, which will produce the image. This image will appear on the computer screen and is recorded permanently either by a hard copy film or video tape (if available) or both. A radiologist or your doctor will read these images and write a report on their findings.

Ultrasound is completely safe and painless. It also has no contraindications. There is no problem in having the examination if you are pregnant, have a pacemaker, or other medical conditions that may prevent you from having a MRI or CT scan. Ultrasound also does not produce any radiation as with a CT scan or x-rays.

In preparing for the examination, you can eat and take your normal medications. The examination will take from 45 minutes to an hour based on the area being scanned. It is advised that you bath the day of the examination but avoid the use of any skin lotions or emollients. Also you should where loose fitting clothing or shorts to make it easier to perform the examination. Your physician will discuss the results with you. If you have any further questions regarding why this test was ordered for you, please ask your physician.

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Insurance Info

In an effort to minimize out-of-pocket expense, we accept and participate in most managed care and insurance plans. If you have a question about your insurance, please call our expert staff. We have a trained full-time insurance coordinator to assist every patient with insurance forms and questions.

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