Doctor Information

Elliot Diamond, DPM, OMD, DAAPM
Philadelphia Podiatrist
The Center for Enhanced Podiatric Function
123 Chestnut Street, Suite 201
(Entrance is on 2nd Street)
Philadelphia, PA 19106
P: 215-923-2455
drdiamond@philadelphiapodiatrist.com

Appointment Times

Mondays and Thursdays:
7am to 10:30am, 2pm to 4pm
Tuesdays:
7am to 10:30am
Visits only available during these times

Directions To Our Office

Our office address is 123 Chestnut Street, Suite 201, Philadelphia, PA 19106.
Our building’s entrance is located on 2nd Street.

If you will be driving to our office, the best thing to do is MapQuest our address. There is street parking, 2 parking lots and a parking garage just north of our building. If you plan on using street parking, the kiosks usually accept credit cards, smart cards, dollar bills and quarters. It’s $1.00/half hour. Please make sure you place your timestamp ticket (given to you by the kiosk machine) on your dashboard. Parking lot/garage rate vary from $8.00 to $20.00 usually.

If you’re taking public transportation, you can go to www.septa.com and click on “Plan My Trip”. Next, type in our address and it will provide you with the best routes (be that regional rail, subway, bus, etc.) that can get you here. We are easily accessible by bus routes 5, 9, 17, 21, 33, 42 and 48, and by the El (Market-Frankford Blue Line — Eastbound).

Once you are in the Old City area, you want to find the Northeast corner of 2nd Street and Chestnut Street. Once you are there, you will see a Citizen’s Bank. We are one door to the left of the Citizen’s Bank entrance on 2nd Street, in between the Citizen’s Bank and a restaurant called the Plough and Stars.

The door has a wooden door frame, and it says 123 Chestnut Street right above it in gold letters. However, please remember that our entrance is located on 2nd Street. IF the door is locked, you will find a key pad on your left-hand side as you are facing the door. On that keypad, you should follow the prompts to be buzzed in. When you hear a “beep”, you can pull the door open. Otherwise, during regular office hours, you should find the door already unlocked. When you walk in, if you stay to the left of the stairs towards the sculptures, you will see the elevators on your right. Press the number “2″ firmly until it lights up, and then “Door Close”. It will take you to the 2nd floor. When you come out, take a right and then another right around the corner, and we will be the door all the way down the hallway.

Once you’re here, you’ll be evaluated and also treat in this first appointment. Your visit should last roughly 1 to 1.5 hours.

 

Custom Orthotic Therapy

Does The TOG GaitScan Facilitate Optimal Orthotic Therapy?VOLUME: 21 PUBLICATION DATE: Apr 01 2008Issue Number: 4Author(s): Robi Garthwait, Contributing EditorFor even the most experienced practitioners, it can be difficult to find the best orthotic  solution to help address abnormal foot function. A gait analysis system is often necessary to  accurately assess an individual’s need for orthotic therapy.

The TOG GaitScan™ enables physicians to record timing sequences during gait as a patient walks or runs across a pressure plate. The product utilizes 4,096 sensors and scans at a rate of 300Hz (scans per second) to produce over 1 million data points to aid in foot analysis,
according to The Orthotic Group, the manufacturer of the TOG GaitScan.

“The diagnostic information the system supplies, from a very quick and efficient testing procedure, has revolutionized how I treat patients with orthotics,” says Alan Lustig, DPM, who has been in private practice in Toronto for over 30 years. “I have used computer gait analysis for the last 11 years. The advantage of examining gait dynamically versus static is huge.” David Pizzano, DPM, who practices in New Jersey and has used GaitScan for over two years, stresses the benefits of the GaitScan technology over simple observation as a diagnostic tool. “By observing someone walking, it is very difficult to discern gait problems because most problems are very subtle,” he says. “The GaitScan slows down the gait cycle and allows me to break down every phase for observation.” This includes quantifying any biomechanical imbalances, according to Dr. Pizzano.

“We can clearly see the whole story now,” states Dr. Lustig. “After making static measurements and molds for many years, I can now see that patients with the same static measurements all walk differently.” Attributing 100 percent of gait problems to subtalar joint
angular abnormalities “now seems ridiculous,” he adds.

When Pictures Say It All

One apparent benefit of the GaitScan technology is its ability to produce 2D and 3D visual images of pressure points across the foot. Patients can view these images as the graphics help them to make more informed decisions regarding their own treatment.

“The graphical information is much appreciated by the patients and helps them understand why orthotics are important to treat their problem,” says Dr. Pizzano. “I frequently bring the TOG GaitScan to health fairs and schools to perform screenings. The patient response is
overwhelming.”

Dr. Lustig agrees. “Patients can see their feet function next to a normal example. This is the number one thing that convinces them whether they need orthotics or not. The power of the computer trumps even my opinion.”

Other Pertinent Considerations

While Dr. Lustig cautions that “no device is 100 percent,” he says roughly 95 percent of his patients can walk across the GaitScan plate and get a representative test result. However, clinicians must be willing to take the time to learn and understand the system. Portability is another issue. Although the GaitScan is smaller than some of its competitors, “one can argue that transporting the equipment to different office locations can be cumbersome,” says Dr. Pizzano. However, for doctors looking for a fast and efficient gait exam that is also cost-effective, the
GaitScan is a good choice, according to Dr. Lustig. “In this day and age, any doctor who dispenses orthotics should have a computer gait scan analysis system,” he says. “I believe at this time that the GaitScan is the best for a private practice. It is the most doctor- and patient-friendly
system. It gives foot specialists the information they need — no more, no less.”

Ms. Garthwait is a freelance writer who lives in Downingtown, Pa.

Benefits of Orthotics

SUMMARY OF BENEFITS OF ORTHOTICS FOR RUNNERS AND SPORTS ENTHUSIASTS

1. “A questionnaire by the Temple University School of Podiatric Medicine was sent to 275 people that had been wearing custom orthotics for more than one year. “Overall, the majority of respondents indicated that they were satisfied with their devices, obtaining significant (60 to 100%) relief of symptoms. Very few patients indicated total dissatisfaction. The data strongly suggests that custom-molded foot orthotics are an effective and viable treatment modality associated with a high level of patient satisfaction.”

a. Walters, J: JAPA, 2004.

2. 62.5% of the participants in the study documented that their foot and body alignment condition was completely resolved by using orthotics. “Orthotics reduced or delayed the need for surgery in general for hallux valgus (bunions) and hammer toe specifically.

a. J. Moraros: Journal of the American Podiatric Medical Association, Vol 83, 1993.

3. “The use of foot orthoses in patients with plantar fasciitis appears to be associated with reduced pain and increased function.”

a. From: University of VA, Sports Medicine Program

4. “Orthotic shoe inserts were most effective in the treatment of symptoms arising from biomechanical abnormalities, such as excessive pronation or leg length discrepancy. Along with other conservative measures, orthotic shoe inserts may allow the athlete to continue participation in running activities and to avoid other treatment modalities that are more costly and time consuming, and therefore less acceptable to them.” Conditions included in the study were excessive pronation (being flat-footed), arch pain, leg length discrepancy, Achilles tendonitis, shin splints and knee disorders.

a. Gross ML: Am. J. Sports Medicine, 1991.

5. “The potential of foot orthotics for reducing pain and injuries is convincing.”

a. Human Performance Laboratory, Univ. of Calgary.

6. “Customized semi-rigid foot orthotics have moderate to large beneficial effects in treating and preventing plantar fasiitis (arch and heel pain) and posterior tibial stress fractures (the tibia is the inner larger of the two bones in the leg); and small to moderate effects in treating patellofemoral pain syndrome (knee pain).”

a. Hume, P: Sports Medicine, 2008.

7. Orthotics have been proven to be effective in reducing running injuries. If orthotics can reduce running injuries, then imagine the positive effects of orthotics during standing for long periods of time. There are significant forces placed through your knees, legs, ankles and feet with running and standing, therefore, the shock absorbing capacity of an orthotic is very beneficial.a. From: Running shoes, orthotics, and injuries.

Sports Medicine, 1885.

8. While wearing custom foot orthotics, subjects exhibited significant enhancement in the way their foot hit the ground and they had a positive effect on their knee alignment.

a. Department of Exercise Science, Univ. of Mass.

9. “People with early stages of tibialis posterior tendonopathy (pain below the inner ankle and foot, with the foot appearing to collapse in) benefited from a program of orthoses wear and stretching.”

a. Kulig K: Physical Therapy, 2009.

10.“Recent research in patients with acute and chronic ankle instability has revealed positive effects of foot orthoses on postural control.” The implications are that foot orthotics can have a positive effect on balance and overall posture.

a. Richie, D JAPA, 2007

Foot and Ankle Treatments

As part of your podiatric and pain management rehabilitation program, the following treatment techniques may be used. Rehabilitation is a valuable tool to regain lost function, to assist in the reduction of pain, to increase physical strength and range of motion, and to increase your walking and weight bearing ability. Understanding your rehabilitation program and the treatment techniques used will assist you to be an active participant in the healing process. We believe that by educating you about the how and why of the different treatment techniques, you will be more motivated about your healing process. The physical rehabilitation process does require your commitment and participation. Please ask us about the following information if you have any questions.

REMEMBER: Our treatment philosophy integrates western and eastern techniques and involves you in the process.

Select Foot and Ankle Treatments

  1. Electrical Stimulation: This modality is quite sophisticated and is very valuable in controlling pain and swelling; helping to restore lost function of a body part and in restoring lost muscle power and range of motion. Arthritic conditions, sports injury and trauma respond quite favorably. Our office provides several different electrical stimulation options such as micro stimulation, galvanic high volt stimulation, Russian stimulation and neuromuscular re-education. Home units for pain management and a unique unit called Micro-Z Mini, which is used during the night with a special conductive garment for chronic intractable pain and diabetic and peripheral neuropathy.

     

    Please read the following article to learn about the specific types of electrical stimulation unit available to you in the following link: TYPES OF ELECTRICAL STIMULATION

  1. Ultrasound: The ultrasound machine produces sound waves that penetrate into your tissue to help promote local healing. The ultrasound causes local warmth and tissue healing and increases circulation. Ultrasound should not be used over an open wound or infection, if you are pregnant or if you have any metal such as pins or plates in the immediate area. It is also not recommended for individuals with a pacemaker. Ultrasound is a widely used modality for conditions such as Achilles tendonitis, bursitis, capsulitis, pain, and inflammatory conditions.


  1. Biomechanical Immobilization Strapping and Kinesio Taping Method:
    Dr. Diamond specializes in biomechanical and support taping for a wide range of sport and over-use injuries. He offers structural taping for ankle and foot injuries and a more functional taping technique called the Kinesiotape system. He is well known for his innovative taping techniques utilizing a wide range of taping materials and products. Removable self-strapping products are also available for your home use and during athletic performance.

 

  1. Infrared Treatment: We use several types of infrared to increase local blood supply, to assist in tissue healing and to stimulate cellular metabolism. A mild sense of increased warmth is experienced.

 

  1. Kinetic Activity for Strength and Endurance: In simple terms, Exercise. We all recognize the importance of exercise to help restore pain-free range of motion and function. In most cases, you will be given exercises that are to be completed one to two times per day in your home. It is essential that you complete these exercises correctly and daily. Please ask us if any of the exercises are not clear, as proper form is most important. We blend Pilates, Yoga and other valuable forms of exercise into your individualized program. Balance training and fall prevention is also emphasized.

 

  1. Manipulation/Myofascial Release: This is a hands-on technique to help promote good alignment of your bones and soft-tissue. Many times an injury or arthritis can cause your bones and tissues to “get out of place”. This technique is valuable in promoting greater alignment of the foot and ankle structure. In some cases, a cold spray called Fluori-Methane or Ethyl Chloride will be used to enhance the lengthening of the muscle or tendon. Most patients experience manipulation as a pleasant experience. The various taping techniques offer in the office with complement this treatment modality.

 

  1. Traction: We all know how traction is used for whiplash or neck problems. There now exists traction therapy for the feet, which is quite valuable in helping to promote alignment and function of the feet and toes. One will experience a slight tugging of the toes that is not painful. Traction therapy can be used in the office and at home; and can be valuable for bunions, hammertoes, plantar fasciitis and Achilles tendonitis.

 

  1. Intermittent Compression Therapy: This machine is essentially a large boot that is applied to the foot and leg. The boot inflates with air for roughly 20 seconds and then deflates. This therapy is very valuable in controlling swelling, and to promote greater circulation of the area. Intermittant compression can be very helpful shortly after an ankle sprain, for Achilles tendonits, varicose veins and lymphedema.

 

  1. Computerized Gait (walking) Analysis: State of the art computerized assessment tool, which provides valuable information concerning how you walk, how your walking affects your posture and function and other key biomechanical factors. The information gathered from this test is then incorporated into your comprehensive rehabilitation plan. Testing can be completed to evaluate your alignment during waking, running and balance testing. Select Yoga postures or Pilate’s positions can be tested to ensure your proper form.

 

  1. Acupuncture: This is a valuable complementary modality that has been practiced for thousands of years. The acupuncture needles are sterile and are only used with you and then safely discarded. The acupuncture technique used in this office is Japanese style and is essentially painless, but has been very effective.

Please note that the above is only a partial listing of the Rehabilitation Modalities & Treatment Techniques offered and that additional educational material is available for you to read. If you have any questions, please ask Dr. Diamond and our staff.

Mobility Enhancement

Mobility Enhancement Program: XObalance.com

  • Do you have difficulty walking?
  • Do you or a family member feel unsteady when walking on stairs?
  • Is your balance not as you would like to be?
  • Do you or someone you know have a history of arthritis or stroke, or use medications that adversely affect balance?

If you answered YES to any of the questions above, you may be a candidate for the newest technology and treatment program on Mobility Enhancement and Fall Reduction.

We provide balance assessments, fall reduction and therapeutic exercise programs, and can evaluate you for an orthotic or other assistive mobility device.

The Brace we dispense is called the Mobility Support Brace (MSB):

Easy to Use

The lightweight and sleek design is both comfortable and durable. And, it is also designed to easily fit into a variety of shoes and is simple to put on.

Medicare APPROVED!

Statistics on Falls: 

  • Among 65 year-old women nearly one in three (30 percent) will fall; after the age of 85, over half of women will suffer a fall.
  • For men, the percentage of those who will have a fall increases from 13 percent in the 65 to 69 age group to a peak of 31 percent in the 80 to 84 age group.
  • Studies also show that among the elderly living at home, one-third to one-half tend to fall or do fall. Those who are more aged, female, single, divorced or widowed have an increased rate of falling.

If you are concerned about yourself or a loved one’s balance issues or risk of falling, schedule an appointment today for a Fall Risk Assessment and computerized standing and walking test.

Exercise Videos


Exercise Therapy

Our office is firmly committed to your active involvement in your foot and ankle treatment program. During your rehabilitation process, various forms of therapeutic exercise and range of motion techniques will be utilized. We blend the strengths of various exercise traditions, including Yoga, Pilates and more traditionally based exercise philosophies to maximize your therapeutic exercise effect. Our goal is for you to be able to incorporate an individual exercise regimen into your daily living. By doing this, you will not only maintain but hopefully increase the progress made in our office which will help you to prevent future recurrence of your condition.Please refer to the following video links to help assist you with your office-based/ home treatment plan. Complete the exercises slowly and discontinue if you develop discomfort or if you are not confident about proper form. We are here to assist you.

Podiatric Evaluation

A comprehensive podiatric and pain management treatment plan can be best created after select diagnostic testing. As a part of your podiatric evaluation, we offer a variety of diagnostic testing services to identify your condition and help create the best treatment program for your individual concerns.Your podiatric evaluation in our office may include the following diagnostic testing:

  • Alignment Assessment
  • Digital X-rays
  • High Resolution Diagnostic Ultrasound
  • Computerized Gait “walking/running” Scan
  • Balance Testing
  • Range of Motion Examination
  • Muscle Strength Testing
  • Standard Podiatric Testing
  • Orthotic Evaluation
  • Surgical Evaluation