Dr. Coscino is proud of his 20 years experience with successful bunion surgery outcomes. Surgical treatment for the vast majority of bunion patients allows for ambulation with a surgical shoe, without crutches or a cast, on day one. In addition, a cosmetically-placed incision insures little to no visible scar after surgery, and, surprisingly, far less post-operative discomfort than is typically expected. All of this adds up to an experience that can be a pleasant surprise resulting in happy, satisfied patients.
A bunion is the enlargement of bone and soft tissue around the joint at the base of the big toe. This causes the first joint of the big toe to slant outward, resulting in excessive width to the foot, poor shoe fit, and abnormal wear to the joint surface. Additionally, the big toe often angles toward the other toes, causing contracture and distortion to additional toes (hammertoes). Although bunions are generally hereditary, they may erupt because of shoes that are too narrow in the forefoot and toe. Conservative as well as surgical treatment options are available.
Joint Salvage (We Offer Amazing Alternatives):
When joints in the foot, most often the major joint behind the big toe, where bunions and osteoarthritis often cause problems with limited range of motion and painful bone spurs, many surgeons often recommend joint replacement or artificial implants to treat these common problems. As a refreshing alternative, at Premier Foot & Ankle Centers, Dr. Coscino's expertise allows joint salvage in many cases of one’s own original joint, restoring smooth range of motion and long-forgotten comfort to worn joints in the foot. This innovative approach to surgery helps you keep "original equipment" much longer, often lasting a lifetime.
Hammertoe is an abnormality of the second, third, fourth or fifth toes. This condition is characterized by a bend at the middle joint of the toe, resembling a hammer. If this condition is left untreated, surgery may be required. Hammertoe is caused by improperly fitting shoes and muscle imbalance. Treatment for this disorder includes wearing shoes with soft, roomy toe boxes, and daily toe exercises to stretch and strengthen the muscles. Custom-molded arch supports can be helpful in some cases, and a variety of surgical treatment options are available.
Plantar Fasciitis (Heel Pain):
Plantar Fasciitis is caused by inflammation, thickening and abnormal tightness of the connective tissue that spans from the base of the toes, across the arch of the foot, to the point at which it attaches to the heel bone. This disorder is also known as "heel spur syndrome." The condition can usually be treated with anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy.
State-of-the-Art Innovations for Nail Fungus:
There are many innovative treatment options available today for an age-old, unsightly and unpleasant cosmetic problem involving toenails. Nail fungus can become both embarrassing and uncomfortable. Thankfully, today, Dr. Coscino offers personalized treatment options custom-tailored to each patient's needs. Whether conservative care for early-onset fungus, or state of the art laser treatment for long-standing stubborn fungal infections, we can help refresh both you and your toenails at Premier Foot & Ankle Center.
Fungal nail infections occur when a fungus attacks a fingernail, toenail, or the skin under the nail. Fungal nails are generally treated with topical or oral anti-fungal medications. In an effort to offer our patients the most technologically advanced options available today, Dr. Coscino offers laser treatment for stubborn and unsightly nail fungus, if and when conservative care is inadequate.
Ingrown toenails are toenails whose corners dig painfully into the skin. Heredity, improper nail trimming, shoe pressure, injury, fungal infection, and poor foot structure can cause them. Ingrown toenails can be prevented by trimming toenails straight across, selecting a proper shoe size and style, and paying attention to any foot pain. Preventative care by a podiatrist for an occasional flare-up or surgical treatment as a cure are refreshing options you won’t regret.
Custom-Molded Arch Supports/Orthotics:
Dr. Coscino prides himself on the fact that all custom orthotic impressions are personally overseen by the doctor himself. For exacting fit and accuracy, Dr. Coscino is one of a few that offers traditional impression techniques for maximum quality, relief, and effectiveness on all arch support products. Thereby, our orthotics can better serve our patients for years of comfort, whether for the avid athlete or the occasional exercise enthusiast. Very often, health professionals use a foam "footprint" technique or a quick digital scan to fabricate arch supports, where accuracy can sometimes be compromised. Dr. Coscino’s perfected traditional technique, however, offers the best possible fit available, where every effort is made to guarantee satisfaction and pain relief.
Unsightly warts can often be a source of frustration and embarrassment for patients as well as a challenge for the physician involved. At Premier Foot & Ankle Centers, Dr. Coscino strives to custom-tailor care plan that is best suited for the extent of the problem as well as the patient's lifestyle demands. This means that non-surgical options are explained and explored in detail for each patient. When surgical treatment is required, however, advanced options are available, including laser technology for removal of warts.
Sesamoiditis is the inflammation or rupture of the two small bones under the first metatarsal bones. Proper shoe selection and orthoses can help prevent this common injury.
Shin Splints is the pain the stems from the front of your lower leg, or shin area, concentrated between your knee and your ankle. Shin Splints are most commonly prevalent in individuals that partake in strenuous physical activities or sports. Shin Splints come from a cumulation of stress on the muscle, bones, and tendons, where your body no longer has the ability to repair itself itself as it normally would.
Stress fractures often times occur in the bones of the forefoot extending from your toes to the middle of your foot. A stress fracture is a tiny crack in the bones surface that occurs because of sudden increases in athletic training, improper training techniques, or changes in training surfaces.