Welcome to CITYFOOTCARE.COM,
Lawrence Silverbergthe Internet home of Drs. Emanuel Sergi and Lawrence Silverberg, the most compassionate and skilled foot doctors in the New York City Metro area and the country.

Dr. Silverberg is Board Certified by the American Board of Podiatric Surgery. Our office is conveniently located in Midtown Manhattan near Grand Central Station.

We take great pride in providing excellent medical care along with great bedside manner and take the extra time to explain your problems and the treatment options in detail.

At City Footcare we treat all problems related to the foot and ankle. We use state of the art diagnostic and therapeutic equipment.

The doctors believes in patient education, and patient participation in their care. We take pride in spending time with our patients and listening to them. Our patients never feel rushed. We also take the time to explain patients problems in detail and spell out explicit treatment plans.

When your problem requires surgery, you can rest assured that you are in the hands of a competent and highly trained surgeon. Drs. Sergi and Silverberg have been called the best foot surgeons in NYC and the best bunion surgeons in NYC. The doctors perform all foot and ankle surgery including traditional open surgery, minimally invasive surgery, laser surgery, radio frequency surgery and extra-corporeal shock wave therapy. Drs. Sergi and Silverberg are experts in all aspects of foot surgery. They are very detail oriented from start to finish. A good surgical outcome starts prior to entering the operating room. After expertly diagnosing patients’ conditions, they plan out the procedures with great skill. In the operating room they are skillful and precise. they also take into consideration aesthetics with incision planning and plastic surgery type suturing techniques.

They is hospital and surgery center affiliated.

To resolve all of your foot and ankle problems, simply look around this site and make an appointment with Drs. Sergi and Silverberg today. Your feet will be glad you did!

Please see the medical DISCLAIMER on the ‘about this blog page‘.

Case of the day – fibular stress fracture – Podiatrist NYC

For my first patient post allow me to tell you about a patient that came in yesterday:

A 29-year-old female came in with the complaint of swelling and pain in her left ankle.  She states that she had been running for eight days straight and on the eighth day she experienced significant pain and swelling of her ankle during and after her run.  She indicated the area outside of her ankle at and just above her ankle joint.

Physical examination revealed that she had pain with pressure on the outside of her ankle.  There was significant swelling.  There was pain with range of motion.  There was pain at the ankle ligaments that appeared to be an ankle sprain.  However, she reported that she never twisted or injured her ankle.

X-Ray examination revealed what looked like a stress fracture of the fibular bone.  See x-ray below: (click any picture to enlarge.)

Fibular Stress Fracture

image

This is how I explain what a stress fracture is to my patients, “A stress fracture is not like a regular fracture. To give you an analogy, a regular fracture is like a pencil.  You apply force once and break it in half.  A stress fracture is more like a paper clip.  You apply force over and over again to bend it.  It breaks on the inside before it breaks all the way through. If you continue to apply force to bend it, it eventually it breaks all the way through.”

Stress fractures don’t always show up on x-ray like above. Just like the paperclip analogy, you could not tell that the paperclip is broken by looking at it before it breaks all the way through.

Treatment for the stress fracture is immobilization in a fracture brace for four to six weeks. Prior to putting a patient in a fracture brace I often like to confirm the presence of a stress fracture with an MRI if there is any question on the x-ray. I don’t like to torture patients by making them wear the brace for four weeks if I’m not sure it is a stress fracture.

The above patient will likely wear her brace for four to six weeks and then slowly increase her activity and run again in six to eight weeks.

Note: in my ten years of practice, I’ve never had a patient come back with a stress fracture in the same bone twice.  They’ve come back with other bones with stress fracture, but never the same bone.

Thanks for Reading, Dr. Silverberg image

© Copyright 2010
Best Podiatrist NYC
Lawrence Silverberg, DPM
City Footcare, PC
20 E 46th Street New York, NY 10017
212-871-0800
www.cityfootcare.com
cityfootcare@gmail.com
Specializing in foot surgery, bunion surgery, hammertoe surgery, cosmetic foot surgery, general podiatric surgery.

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