Welcome to CITYFOOTCARE.COM,
the 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 believe 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 competent and highly trained surgeons. 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 are 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‘.
I’ve had hammertoe surgery 5.5 weeks ago. The pins will be removed next week. I’m anxious to begin strenthening my toes. Would you recommend starting physical therapy the same week my pins are removed? One toe looks floppy now (with pin in it). If one toe turns out to be floppy, how would you correct it?(hopefully without further surgery!)
I look forward to your immediate reply. Thank you.
Hi Myra.
I recommend physical therapy after foot surgery no earlier than four to six weeks after surgery so you are okay to start.
If a toe is floppy after hammertoe surgery, usually the only way to fix it is to fuse the bones with another surgery.
Dr. S.
I wish I found found your website a 5 weeks ago. I recently had digital arthroplasty of the 4th and 5th toes on my left foot. My surgeon said it was non-invasive and I would have no pain that Tylenol would take care of, so she sent me home with no medication. I see that you prescribe pain medication and even antibiotics sometimes to ensure a comfortable and healthy recovery. My pain was so severe, that I actually had trouble breathing and wheezing, and an elevated blood pressure. My calls to her answering service went unanswered and whe I finally did get to see her three days later, the x-ray revealed that the 3rd metatarsal was actually fractured. Not sure how that happened since i had to be carried everywhere due to the excrutiating pain. When she did take the wrap off I was mortified to see the butchering that had been done to my toes. It has been 4 weeks now and I am still traumatized by the experience, but I am now looking for information to gather for a 2nd opinion. I am in more pain than I was before the surgery, the surgical shoe is making me walk funny and my ankle is now a concern and she has closed my case as successful and said further follow up was not necessary. I am in Washington DC and from reading your various articles and comments, it may be worth a 4 hour drive for a consult with you. At the very least, thank you for all the information you have provided. I am compiling information which will help to answer questions when I do find another podiatrist.
Hi Amy.
I’m really sorry to hear about your terrible experience. The fact that your doctor called your surgery “non invasive” leads me to think that it was the minimally invasive surgery that I discuss in this blog post. I can’t be sure though.
The best advice I can give you is to find a really good podiatrist that can do reconstructive surgery to fuse the toe joints and even possibly add bone graft if necessary.
Good luck. Dr. S.
That was a nice description Dr Lawrence, I am a doctoral student doing research in foot and ankle surgeries and I find your blog quite practically useful.
Keep sharing your experiences with us.:)
Swati
Hi Swati, thanks for the nice comment. I love to see people from all over the world reading my writings.
Lawrence
Dr. Silverberg:
First of all I would like to congratulate you and express my aprreciation for your honesty and sincerity (quite difficult to find them in doctors). I’ve been doing research on foot surgery (bunion and hammertoe)specially on MIS, and thanks to your provided information about it, I have learned important and significant pros and cons about this new technique. I’m from Charlotte, North Carolina, and I would like to ask you if I can be referred by you to some doctor (close to my area) that performs this type of surgeries with your professionalism.
Thank you so much in advance for your time.
Monica Bernot
Hi Monica. Thanks for the kind words. Unfortuanly I don’t know any doctors in your area. Good luck with your search though. As you can tell, I’m very against MIS except in rare occasions.
I am so impressed with your website and your before and after pictures. You sound very qualified! I have bunions, corns & hammertoes. In other words, my feet are a hot mess! ! ! However, I am very nervous about having any type of surgery. If you can do to my feet what you claim to have done for these other people, you would definitely be a God sent to me. I woud like to set up an consultation to see you and get your medial opinion on what I should do. Thaks for a very interesting read.
Hi sharon, thanks of the kind words.
I hope to meet you no discuss how surgery can fix your “hot mess”. If you’re interested in coming in, please call my office to set up an appointment.
Thank Y’all for Explaining so well, DrSilverberg! Six weeks ago I had Wedge in Bunion and 3 pins in Hammertoes, Baby toe Straightened too. Was 4 Hr Procedure. Seemed all going well but until Pins taken out this wk. X-Ray same Dr Said. I have to wait 3 wks now w new X-Ray and have Therapy 3x wk. Dr said ROM need and swelling to come down. I never had lot of swelling til this Wk. Should I have been doing exercises to avoid stiffness? I am bit feeling I could have helped myself. I hope to be able to be on ice in Dec. I teach Skating but will do minimal. Am worried a bit too. I hope I have explained well enough . Thank You so much !
Suzie Gray
Hi Suzy.
I recommend staying non weight bearing with crutches for 10-12 weeks after base wedge osteotomy procedures.
I have found less time non weight bearing leads to first metatarsal elevation and subsequent joint stiffness.
I almost always prescribe PT after base wedge procedures.
Good luck.
Dr. S.
Dear Dr Silverberg
I had surgery to remove a Morton’s Neuroma in April, (in the UK). I have Diabetes Mellitus. A lot of scar tissue has developed in my foot which makes it now more painful to walk than before the op. The incision was in the top of my foot. Is there any therapy which is helpful in breaking down scar tissue? Being unable to walk far has radically affected my life in all areas. Although my 2nd R toe is almost numb, around the scar is also painful; it’s so tight that it feels like cable-ties around my foot causing constant discomfort, and the skin between R1&2 toes is sewn slightly together at the ‘web’. My surgeon has been most unhelpful; he says it just happens sometimes. Have you any advice? Thank you very much.
Hi Marhta.
Sorry to hear about your complications. One thing I always tell my patients with any surgery is to expect 6-12 months of scar tissue called induration. It’s occurs with every surgery, not just foot surgery.
After six months I often will treat excessive scar tissue with steroid injections into the area.
Physical therapy post operatively works well too.
Discuss this with your surgeon or with a doctor you go to for a second opinion.
Let us know how you make out.
Dr. S.
DR. S
I had a endoscopic plantar fascia release three months ago. In the time after recovering from surgery and my doctor told me I could go back to regular activities. So I did, but I found that I was still having pain in my foot. So went back to my doctor and he told me I had scar tissue. Well this pain is unbearable. It throbs and I am unable to walk. I have been doing physical therapy for a month and that is not helping soften the scar tissue. Is there a chance that I will have to go back in for surgery to scrape out the scar tissue? Is it worth it, or is it something that I will just have problems with the rest of my life?
Thanks,
Katy