Philadelphia Podiatrist

Dr. Diamond offers a unique blend of podiatric medicine, incorporating contemporary pain management and sports medicine techniques, with acupuncture and other holistic remedies. Dr. Diamond was voted “Best of Philly” by Philadelphia Magazine, and is the Podiatrist to The Pennsylvania Ballet. He is also an Oriental Medical Doctor (OMD) and a Podiatric Acupuncturist and has been since the early 80′s. He has authored a textbook on muscle testing and exercise as well as on other effective non-surgical treatment options.

Below is a sampling of podiatric conditions in which we specialize in. For the most part, our treatment strategies are different as compared to other podiatrists and orthopedists, because our specialty is non-surgical and non-drug based. We carefully listen to your concerns, diagnose your condition, and provide both office and home solutions. Our goal is to provide treatment strategies that are both successful and comprehensive. We have effective treatment techniques and innovative products to complement our Oriental and rehabilitative medicine approach to achieve wellness.

If your goal is to find the cause of your condition, and to have a unique and very successful treatment approach, then please contact our office to schedule an appointment!

We can take care of your:

If you don’t see your concern on this list, please feel free to call our office to find out how we can help! 

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Treatment Techniques and Rehabilitation Modalities

As part of your treatment and overall rehabilitation program, the following treatment techniques are 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. In many cases, the physical rehabilitation process does take time and your total commitment. Please ask us about the following information if you have any questions.REMEMBER: Your feet and legs must last your lifetime, so please commit to your healing process. 

Select Treatment Techniques & Rehabilitation Modalities

    1. Ultrasound: The ultrasound machine produces sound waves that penetrate into your tissue to help cause 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. Ultrasound is a very well known healing tool and is very valuable in your recovery process.
    2. Electrical Stimulation: This modality is quite sophisticated and is very valuable in controlling pain, 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. The machine works by sending controlled electrical currents into the body. These currents have been shown to be quite remarkable. Our office provides several different electrical stimulation options and a home unit called Micro-Z Mini, which is used during the night with a special sock.
    3. 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 and is ‘expert’ in the Kinesiotape system.
    4. 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.
    5. 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, Tai Chi and other creative forms of exercise into your individualized program. Balance training is also emphasized.
    6. 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. Orthotics, or foot inserts, may be made to continue the alignment process. In some cases, a cold spray called Fluori-Methane will be used to cause a greater lengthening of the muscle or tendon. Most patients experience manipulation as a pleasant experience.
    7. 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 restore 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.
    8. 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.
    9. 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.
    10. 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 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 staff.

Electrical Stimulation

TENS • Transcutaneous Electrical Nerve Stimulation
MUSCLE STIMULATOR (NMES) • Neuromuscular Electrical Nerve Stimulation 
HVPG • High Volt Pulsed Galvanic Stimulation 
INF • Interferential Stimulation
MENS • Microcurrent Electrical Nerve Stimulation 
Kinesio Taping Method 
Micro-Z Mini Treatment for Neuropathy and Idiopathic Pain

TENS • Transcutaneous Electrical Nerve Stimulation

Primarily used for managing chronic pain. Works by blocking the pain signal, and by increasing endorphins in the body. Can be worn all day or on an as needed basis. Device features include adjustable pulse rate, pulse width, and amplitude (intensity). Higher priced units offer modulation (variations) of pulse rate, width, and/or amplitude settings, and other user friendly features. Placements of electrodes are usually at pain site or along the nerve channels, called dermatomes.

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MUSCLE STIMULATOR (NMES) • Neuromuscular Electrical Nerve Stimulation

Primarily used for preventing disuse atrophy (muscle wasting). Stronger than a TENS unit, with a wider pulse width to elicit muscle contraction for a period of time. More than just nerve stimulation, muscles are contracted and relaxed on and off to strengthen muscles, increase blood circulation to the area, and/or to reduce edema. Device features include adjustable pulse rate, width, amplitude, ramp, alternating or synchronous stimulation. Higher priced devices offer accessory jacks for remote switches, AC Adapters, and other user friendly features. Electrode placement is very important, mostly over motor points or on the belly of muscles.

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HVPG • High Volt Pulsed Galvanic Stimulation

Primarily used for quickly increasing circulation or reducing edema in a specified area. Also used widely by PT’s for wound healing. Uses high voltage and direct current (DC) as opposed to low voltage and alternating current (AC) common in TENS or NMES. Device features include adjustable pulse rate, positive or negative polarity switch, alternating or synchronous stimulation. Large “dispersive” pad is needed to ground the current. Smaller “active” pads are placed over treatment site.

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INF • Interferential Stimulation

Primarily used to manage deep chronic pain. INF current uses very high pulse rate. usually 4001-4150 pulses per second. This higher frequency goes through the skin and muscle better than TENS or other modalities thus can be more effective in pain control. Provides more analgesic, or nerve blocking effect. Device features include adjustable pulse rate, two or four electrode treatment selection, and modulation of pulse rate. Because of such frequency, these devices will require a lot of power. Batteries will not last long. AC Adapters are usually provided with device. Electrode placement should be in an “X” pattern, as the point of intersection provides a third stronger frequency.

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MENS • Microcurrent Electrical Nerve Stimulation

Microcurrent electrical nerve stimulation (M.E.N.S) uses micro-amperage current as opposed to millamperage current which is found primarily in T.E.N.S. devices. Microamp current is 1/1000 of a milliamp current and is closer to our own body’s natural healing current. Whereas TENS is used generally for relief of pain, MENS is thought to work more on a cellular level and aids in the healing process while relieving pain. It has been found that MENS can help increase levels of a chemical called ATP (adenosine triphosphate) which promotes protein synthesis and healing in tissue cells. MENS is a very subtle, yet powerful current, and treatment levels are usually sub-sensory–the patient barely feels the stimulation. In many cases where TENS or other electrotherapy modalities have been unsuccessful, MENS has been proven to be effective.

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Kinesio Taping Method

Biomechanical Taping and Splinting for Sport and Over-use Injuries

Dr. Diamond specializes in biomechanical and support taping for a wide range of sport and over-use injuries. He offers structural taping and is ‘expert’ in the Kinesiotape system.

How Kinesio Works

Kinesio taping provides support and stability to your joints and muscles and activates the neurological and circulatory system… This innovative taping technique is also used for preventive maintenance, edema (swelling) and pain management.

The Kinesio tape system basically stems from the science of Kinesiology, hence the name “Kinesio”. It is well accepted that muscles cause movement to the body, and thereby creates blood and lymphatic fluid circulation. When the muscles function properly and efficiently, then many musculoskeletal symptoms improve.

This taping system became publically respected by several of Olympic teams and by the well known use by Lance Armstrong.

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Micro-Z Mini Treatment Protocol for Neuropathy, Diabetic Neuropathy and Idiopathic Pain

The Micro-Z™ and The Micro-Z MINI™ is a small, lightweight stimulator that allows patients to receive electrotherapeutic treatment in comfort. It is programmed for two treatment protocols, the first is a 30-minute daytime treatment and the second is an eight-hour nighttime treatment that is administered while the patient sleeps. The Micro-Z™ and The Micro-Z MINI™ can be used to treat acute and chronic injuries, to treat sources of pain, to increase circulation while improving range of motion, and to minimize soft tissue atrophy and injury. Its compact size and ease of use increases patient compliance and when used with Prizm’s Electro-Mesh, Silver-Thera, and Stim-Support garment electrodes, they offer opportunity for rapid patient recovery.

The Silver-Thera™ stocking is a patented stocking woven from silver nylon and Dacron to provide conductivity over the complete treatment surface area. Since the stocking covers the entire target area, there is no guess work with the placement of the electrodes. Patients simply wear the stocking as they would a normal stocking, connect the Micro-Z MINI™ stimulator and choose one of the treatment protocols.

Micro-Z

Clinically proven, Medicare approved, non-pharmaceutical alternative for the treatment of Neuropathy, Diabetic Neuropathy and Idiopathic and Chronic Intractable Pain

FDA INDICATIONS:

  • Pain Relief
  • Increase Microcirculation
  • Increase Range of Motion
  • Retard Disuse Atrophy
  • Comfortable to use
  • Very effective
  • High patient compliance

Diagnostic Testing Services

A comprehensive podiatric or pain management treatment plan can only be created after select diagnostic testing. We offer a variety of diagnostic testing services to identify your condition and help create the best treatment program for your individual concerns.Diagnostic testing in our office includes:

  • X-Rays
  • High Resolution Diagnostic Ultrasound
  • TOG Gait Scan System
  • Balance Testing
  • Range of Motion Study
  • Muscle Strength Testing
  • Standard Podiatric Testing
  • Surgical Evaluation

State of the Art Orthotics

We have all heard the song, “The foot bone is connected to the ankle bone and the ankle bone is connected to the leg bone”, etc. Well, your anatomic internal structural relationship, such as the one in this song, is most important in sports and/or functional performance. Orthotics have been proven to positively affect your walking, standing functional and even sports performance. Also, custom-made orthotics can dramatically assist in healing and preventing re-currence of many foot and ankle problems.

An orthotic is a device that is made from a computer evaluation and structural examination. You literally stand, walk and even run on the computer platform. It then provides extremely detailed information regarding your biomechanics which is displayed and reviewed with you. After a brief testing period involving biomechanical strapping, an orthotic may be made for you if it is believed that you will show a favorable response to the device. A correctly fitted custom orthotic will literally bring the ground up to your foot and positively affect your total body alignment. The effects can be quite dramatic, with pain relief and injury prevention.

Orthotics have been found helpful for conditions such as heel pain, arch pain, plantar fasciitis, shin splints, bunion deformity and pain, contracted digits, too much or too little turn-out, over-use injuries and orthopedic problems. One must not confuse these devices with over-the-counter products. An orthotic must be individually made for your particular functional needs. There are many types of orthotics of various thicknesses and of different supportive and shock-absorbing materials that can be made for most type of shoes and for individual sports. Once again, Dr. Elliot Diamond will not only examine your feet by using our state of the art computerized gait system, but he will also test you for an orthotic by simulating an orthotic correction through biomechanical strapping.

Please review the articles below for more information on the unique orthotics we utilize and lasting benefits of our orthotic program.

The Benefits of Orthotics

How the TOG Gait Scan System Facilitates Optimal Orthotic Therapy

Pain Management

The following is a brief description of what acupuncture is, and how Dr. Elliot Diamond uses acupuncture in regarding to treatment. A summary of select scientific research articles on topics related to foot and ankle pain management and rehabilitation is also included.

WHAT IS ACUPUNCTURE?

Acupuncture originated in China more than 2,000 years ago. Acupuncture was utilized by an estimated 2.1 million U.S. adults, according to the Centers for Disease Control in 2002. In current medical practices the number of patients using acupuncture has significantly risen.

Acupuncture is based on the medical philosophy that the human body is a system of connecting energy grid systems. When one of these energy flow lines is “blocked” from disease or injury, the entire body can be adversely affected. These energy flow lines are like the telephone network system. If, for example, you were making a call from Philadelphia to Australia, the call may go through several stops like Philadelphia to New York, to perhaps London, and then finally to Australia. Likewise, if you have pain or injury, there may be energy points in your hand, your back, or perhaps your head. By stimulating carefully chosen points, pain relief and healing will hopefully follow.

WHAT IS PAIN?

Pain is a very subjective experience to which each individual reacts differently. There are many theories concerning the pain mechanism within the body. Regardless of the cause of the pain, it serves to alert us that something is wrong within our body. The pain signal should never be ignored. Often, pain is nature’s unique way of preventing more serious problems by alerting us to take action to correct it.

The treatment goal in this office is to detect the source of your pain and, in most cases, correct the cause. By correcting the cause of the pain, the pain is then reduced or eliminated. Sometimes, however, even though the source of the pain is treated, the pain continues. Once the pain has alerted the patient that something is wrong, and the root of the concern is diagnosed and treated, then pain itself has served its purpose; and thus, it is no longer useful.

HOW IS ACUPUNCTURE USEFUL IN TREATING & PREVENTING INJURIES?

Acupuncture is very useful in the treatment of painful conditions. It partially works by stimulating your body’s natural pain blockers, called endorphins. It also increases the local blood supply of the painful area, washing away waste products caused by pain and improperly functioning tissues. Acupuncture is helpful in relaxing stiff and overused muscles and tendons, and is wonderful for stimulating bone and tissue growth.

Please read the following review of medical studies on the positive effect of acupuncture on conditions such as bunions, arch pain, plantar fasciitis, and knee pain.

Scientific Studies Concerning Medical Acupuncture

Remember: Acupuncture is one valuable rehabilitation modality in a carefully constructed treatment plan.