• Custom Foot Orthotics (Orthotics Therapy) and Ankle-Foot Orthotics (AFO)
• Diabetic Footwear Program
• Diagnostic Ultrasound
• Laser Fungal Treatment
• PRP Therapy (Platelet-Rich Plasma)
• Radiofrequency Therapy
• Reconstructive Foot & Ankle Surgery
• Additional Services and Treatments

Custom Foot (Orthotics Therapy) & Ankle-Foot Orthotics (AFO)

Orthotics are orthopedic devices that fit in a shoe to make foot motion more efficient, reduce the risk of foot injury and alter or modify foot function. Custom orthotics are created using an impression of the patient’s foot, which duplicates any misalignments in the foot’s structure. Orthotics are designed to treat, adjust and support various biomechanical foot disorders and in some cases may be used as an alternative to surgery.

There are several common symptoms that may indicate misalignment of the feet. These signs and symptoms include the following:

• Abnormal shoe wear (e.g., one side of the sole of the shoe wears out faster than the other)
• Bunions
• Chronic heel (e.g., plantar fasciitis), knee, or low back pain
• Flat feet
• Frequent ankle sprains
• Gait abnormalities (e.g., feet point inward or excessively outward during walking)
• Shin pain (e.g., shin splints)

Dr. Kesler is an expert on foot function and biomechanics. Your evaluation will include a gait and full biomechanical examinations to determine which type of orthotics are right for you.

Dr. Kesler now offers the TOM-CAT™ Foot Scanner that minimizes the steps required to prescribe your orthotics. Traditional casting methods require messy plaster, clean up and sometimes require more than one casting to get the proper mold for your feet. The TOM-CAT 3D Scanner is a safe, accurate and clean system that replaces traditional methods of prescribing orthotics and produces better and faster results.

• No more messy casting
• No clean up required
• Various foot positions for your comfort
• Eliminates commonly encountered problems with traditional casting
• Get results in only seconds
• Very accurate for the best possible orthotic prescription
• No need for additional casting appointments

Diabetic Footwear Program

Diabetic shoes and custom molded inserts are covered under the Medicare Therapeutic Shoe Bill, which allows qualified persons to receive protective footwear and inserts. This bill was instituted by the federal government to reduce complications associated with diabetes. Our office staff is trained to properly fit the diabetic patient, mold the inserts and dispense them to the patient. With properly fitted diabetic shoes and custom molded inserts, we can assure long-term comfort and decreased risk of complication to your feet from Diabetes.

Diagnostic Ultrasound

Diagnostic Ultrasound is a valuable adjunct to the podiatric physical exam. Ultrasound provides a quick and painless aid to the diagnosis and treatment of soft tissue and bony injury of the foot and ankle. The patient is afforded immediate treatment without being referred for an expensive and often uncomfortable MRI. Kesler Podiatry, PC, is proud to be one of the few practices in northern New Jersey to provide this service.

The most common conditions diagnosed with Diagnostic Ultrasound are:

Laser Fungal Treatment

Kesler Podiatry, PC, is proud to be the only practice in the area to offer a revolutionary laser treatment for toenail fungus. This groundbreaking procedure can often eradicate unsightly foot fungus in just minutes, and does not require the use of anesthesia.

What is Toenail Fungus (onychomycosis)?

Toenail fungus is a common nail infection that can cause the toenails to thicken and take on a yellowish or cloudy appearance. The nails can become rough and crumbly, or can even separate from the nail bed.

How Can I Treat Toenail Fungus?

Treatment of Onychomycosis (Toenail Fungus) is challenging because the infection occurs deep within the nail bed and is difficult to reach. Traditional drug-based toenail fungus treatments are relatively ineffective, and repeated toenail fungus re-infection is also common. Oral medications have side effects that can cause liver damage.

What is Laser Therapy?

The “Laser therapy” is a specially designed patented device that shines through your toenails and vaporizes the toenail fungus embedded in your nail plate, without causing damage to the nail or the surrounding tissue.

What Can I Expect?

Laser Therapy has shown to be 80% effective. At the time of the procedure, the toenail/s will not become instantly clear. On average, a toenail will replace itself in 6-9 months. However healthy, new growth will be visible within the first 3 months. What is required and involved?

• No anesthesia
• No toxic medication, thus no side effects
• No recovery time
• No surgery and pain

PRP Therapy (Platelet-Rich Plasma)

Platelet-Rich Plasma Therapy is a minimally invasive procedure that uses the healing elements of a patient’s own blood to expedite recovery from injury. Platelets are the component of blood that prompts tissue recovery. When a patient undergoes PRP therapy, a small amount of their blood is drawn and placed in a vial. The vial is spun in a centrifuge to separate the platelets from the rest of the blood. A highly concentrated dose of platelets from the patient’s own blood is then injected into the injured area, leading to faster tissue regeneration.

For more information, please visit WaynePRP.com

Radiofrequency Therapy

Pain can manifest itself in several areas within the foot, particularly at the heel and near the toes. These occurrences can be the result of injury, as well as changes in anatomy and/ or patient lifestyle. Pain in the heel has been the most common complaint; however, many patients report pain near the toes, often due to compression and irritation of nerves. Radiofrequency therapy (RF) uses energy to disrupt nerve function. When this is done the nerve can no longer transmit pain from the site. This is often performed at more than one location along the affected nerve to ensure that pain has been alleviated.

Reconstructive Foot & Ankle Surgery

Reconstructive surgery of the foot and ankle consists of surgical repair that may be necessary to regain function or stability, reduce pain, and/or prevent further deformity or disease. The vast majority of foot and ankle conditions do not require surgical intervention. Surgery is considered to be a last option when more conservative treatment fails to alleviate symptoms. Conditions such as trauma, congenital defects, bunions and hammer toes may necessitate surgery of the foot and ankle.

Additional Services & Treatments

• In-office minor surgical procedures
• Physical therapy
• Vascular testing
• X-Ray