My Blog

Posts for: June, 2012

By drsaffer
June 26, 2012
Category: Dermatology

Onychomycosis (Fungal toenails) is a common complaint that we see in our practice. There are many ways to contract this condition. Pedicures, trauma to the toenails, and feet that constantly sweat are the more common causes. We offer many conservative treatment options for fungal infected toenails. In our practice we are able to diagnose this condition either through a biopsy of the toenails and/or clinical evaluation.

The toenails typically will have a yellow, thick appearance that makes it difficult to trim. This condition can progress at a fast pace if not diagnosed and treated promptly. We offer conservative treatment such as professional nail debridment, filing, topical antifungal treatment, and for certain more advanced cases oral Lamisl three month course. Our practice is investigating new state of the art options such as laser treatment for fungal infected toenails.

If you feel like you may have a fungal infection of your toenails please contact our office at


By drsaffer
June 19, 2012
Category: Foot Surgery
Tags: Bunions  

Bunion surgery is one of the most common surgeries that Dr. Brown and Dr. Saffer perform in our practice. If conservative treatment does not resolve the pain then surgery is an option. The typical recovery time for bunion surgery is anywhere from 6 -8 weeks. The surgery usually is in an outpatient surgery center and involves local and IV sedation. The surgery take about an hour to perform. We typically utilize scew fixation for our bunions. This allows our patients to weight bear in a protective boot right after surgery. We have our patients wear the walking boot for about 6-8 weeks with a transfer into a sneaker about week seven. Active range of motion exercises are to be started the week after surgery. Pain medication is typically used for the first one to two days after surgery. Exercise routines after the six to seven week period of time are tailored around the specific activity our patients our involved with.

For more information on bunions and bunion surgery please refer to our website at

By drsaffer
June 06, 2012
Category: Sports Injuries
Tags: Neuromas  

Neuromas are a common diagnoses that we see in our practice. A neuroma is an inflammation of a nerve or nerves on the ball of the foot. Neuromas are typically found most commonly in women that wear high heel shoes and individuals who are active on their feet. Neuromas can causes sharp pain on the ball of the foot and burning and tingling that radiates into the toes. Neuromas are most commonly found in between the third and fourth toes and the 2nd and 3rd toes. Pain is usually relieved with taking your shoe off and rubbing your foot.

We employ many conservative treatments for neuromas. Conservative treatment consist of custom orthotic and pads to take pressure off the nerve, cortisone injections, antiinflammatory mediation, alcohol sclerosing agent, consultation of appropriate shoe gear/training modification and as a last resort surgical excision of the neuroma.

If you feel like you have any of the symptoms of a neuroma please contact our office.

For more information on Neuromas you can refer to our website at