Call Us: 1-203-701-0252
Dr. Ned Ramadan, DPM
Reconstructive Foot Surgeon, LLC
Foot and ankle medicine and surgery.
All ailments and disorders of the foot and ankle.
All Ages treated.
Patients come first.
Patients are human and not a number.
No wait, No Rush, No hassle.
Emphasis on education to optimize care.
Excellent over all experience and care.
Heel and arch pain:
Custom molded foot orthoses (inserts) for optimal alignment of the
fore-foot to rear-foot relationship and proper body weight transition
with no stress on the ankles, knees, hips and low back.
Over the counter shock absorption inserts with heel height and inner
arch build up pending on foot type.
Night splints (in front and behind of foot and ankle).
Physical therapy modalities including ultra sound, muscle stimulation,
and stretching exercises.
Rx NSAIDs (non steroid oral anti-inflammatory drugs) with or without
muscle relaxants.
Oral steroids
Injectable steroids
MRI and Ultra sound
lastly, surgical intervention which comprises less than 10% of population.
Warts:
Warts belong to the human papilloma virus (HPV) and infect various
parts of the body aka verruca plantaris (plantar foot wart), verruca capitis
(scalp wart), manum (hand) vulgaris (body) etc.
All are highly contagious and resilient with high recurrence rate.
Acids in various strength (liquid verses solid such as putty) followed by
athletic tape for two days kept clean dry and intact - pending allergic
reactions and symptoms.
Histo-freeze which creates redness followed by blistering - may require
several treatments.
Cantha-cur and Podophylum creating blistering effect to the skin
Laser curattage - requires local wound care after burning warts with possible
scar tissue formation and re-currence.
Candin solution - modified form of medical yeast which is injected into the
wart and the body forming a hypersensitivity immune type IV reaction.
Above all, proper diagnosis is crucial since neoplastic lesions may resemble
warts. Lastly, excessive repetitive chemical and various irritants can lead to
neoplasms.
Onychomycosis (toenail fungus):
Fungus is a kingdom with a numerous organism.
Toenail fungus is extremely resilient and may undergo a dormant stage once
environment is not suitable for the fungal infection on the toe.
It is a nail bed infection with separation of the nail bed from the nail plate associated
with discoloration, debris formation, malodor, skin infection such as athletes foot which
may become eczematous if not treated and of course pain.
Treatment vary on type of organism and severity / surface area of involvement and
medical condition.
Oral medication with careful screening each patient and monthly blood work is highly
effective in my practice. Be aware of organism, medication coverage, duration, and medical
condition since oral antifungal medication has alot of side effects and contra-indications.
Diabetes:
a) startling statistics,
b) how do you get Diabetes,
c) wound healing,
d) signs and symtpoms
e) education and prevention
Arthritis of the foot & ankle:
a) rheumatoid
b) gout
c) systemic lupus
d) psoriatic
e) osteoarthritis
f) many other sero negative and sero positive arthritides
Dermatological disorders of the foot and ankle:
a) eczema
b) athlete's feet
c) warts
d) toenail disorders
e) excessive sweat disorders
Pediatric congenital and acquired disorders of the foot & ankle:
a) club foot
b) toeing in or out disorders
c) flat feet
d) high arch foot type
e) toe deformities
f) juvenile bunion deformities
g) polydactyly (extra toe)
Sport injuries of the Foot & Ankle:
fractures, sprains, and strains
Reconstructive foot and ankle surgery:
skin and Bone grafting of the Foot & Ankle
Local soft tissue flap surgery
Amputations of the foot
Flat foot, high arch foot type and other congenital and acquired foot deformities surgically corrected.
Tendon transfers, tendon suspensions, tendon repairs
Joint Fusions to the Foot & Ankle
Osteotomies (bone cuts/corrections of deformities) of the Foot & Ankle
Joint Replacements of the foot
Foot & Ankle fracture care
Sport injuries to the foot and ankle
Ankle joint instability/Ankle ligament tears
General foot surgery:
Ingrown toe nail
Skin lesion/soft tissue biopsy
Soft tissue and bone tumors
Nerve pathology
Tarsal tunnel syndrome (anterior and posterior)
Neuroma excision with muscle belly implantation.
Hammertoe, claw toe, mallet toe, curly toe corrections
Big toe and baby toe bunion surgery
Hallux Limitus and Rigidus surgery
Joint replacement
Rheumatoid Arthritis/Autoimmune disease
Gouty arthritis
Psoriatic arthritis
Bone spurs heel and instep
Plantar Fasciitis
I believe each patient should be seen twice in the first post operative week
followed by once weekly pending on the type of surgery performed.
Active staff member with full privileges at Milford Hospital since 2002.
Both in patient and out patient surgeries performed at Milford Hospital.