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Feet & Ankles

Oh, our aching feet.

With 24% of the population complaining of frequent foot pain and 15% complaining of ankle pain, there seems to be a tsunami of foot and ankle pain in the US. With bone spurs, foot and ankle arthritis, sprained ankles, bursitis, flat feet, high arches, plantar fasciitis, tendinitis, tendinosis, mallet toes and more, it is easy to see why over 75-million Americans are eager to put their feet up every day. The foot includes 26 bones, 33 joints, and over a hundred muscles, tendons and ligaments.

The main joints are the ankles, which include the tibiotalar and subtalar joints, and the interphalangeal articulations of the foot which are located between the bones (phalanges) of the foot. What can possibly go wrong with a biomechanical system that has over 150 moving parts, bearing the entire weight of the body for 24-hours a day? Oh, and don’t forget – there are two of them.

What causes my falling arches?

You may be surprised to learn that the root cause of your arch problem may not be located in your foot. In fact, it is far from it. Most practitioners will stop at the analysis of the foot. Dr. Greenberg stars there. He will perform a Comprehensive Kinetic Diagnosis, including a review of your most recent radiographs. He will carefully examine and palpate your ankle to gain a comprehensive understanding of the integrity of your kinetic chain- he will examine your knees, hips, back and measure your pelvic tilt.

Time and again, Dr. Greenberg has resolved many foot problems by understanding which way a patient’s pelvis is tilting. For example, a patient whose right leg is a quarter of an inch shorter may have a pelvis that tilts to the right. That slight imbalance is duplicated through the kinetic chain that runs from the hip to the knee and down to an ankle that is forced to lean in or is pronated. The unstable pronated ankle places too much pressure on the arch of the foot which collapses with time causing forefoot pain that a new pair of Nikes is never going to fix.

Dr. Greenberg will work with you to fix the imbalance in your kinetic chain starting with your pelvic tilt. He may decide that you qualify for Kinetic Regeneration Therapy that will help correct how you transfer weight through your joints down to the tips of your toes. With time and a few treatments, you will be back in the flow.

Are there regenerative options for treating foot and ankle conditions that are non-toxic, opioid-free and do not require surgery?

Dr. Scott Greenberg and his team are making considerable strides in the repair and regeneration of ankle and foot structures. The Kinetic Regeneration Therapy treatments that Dr. Greenberg has developed are an alternative to standard foot operations such as joint replacements. The treatments are natural and steroid and opioid-free. They use your body’s own cell growth and healing factors to regenerate ligaments, cartilage, and bursae, in addition to strengthening bone structures and repairing tendons.

Dr. Greenberg published the first knee meniscus regeneration treatment in 2018. The team used treatments of adipose-derived regenerative cells (ADRCs) and platelet-rich plasma to regenerate meniscus and repair a torn meniscus of the knee. They permanently eliminated a painful, chronic condition for the patient.

Dr. Scott Greenberg is a pioneering leader in prolotherapy, PRP, and stem cell procedures. He serves as the chair of the Institutional Review Board of the American Association of Stem Cell Physicians and is a founding board member. He was a member of the first team to repair a meniscus tear using stem cell therapy and has treated many pro and Olympic athletes among the thousands of people helped since starting his practice in 1999. He also has the distinction of being named Director of the Regenerative Medicine team at the Dee Adams Center for Integrative and Regenerative Medicine at the Bryn Mawr Hospital.

If you or a loved one is looking for a regenerative strategy to treat your chronic conditions, fill out the form on this page to schedule an appointment or call Dr. Greenberg’s office today at 833-440-4325.

Reference:

The population prevalence of foot and ankle pain in middle and old age: a systematic review.; Thomas, Roddy, Zhang, Menz, Hannana, Pearl; Pain, 2011 Dec;152(12):2870-80. doi: 10.1016/j.pain.2011.09.019. Epub 2011 Oct 21.

Intra-Articular Implantation of Stromal Vascular Fraction Plus Platelet Rich Plasma in a Degenerative Meniscal Injury; Comella, Greenberg, Ross; J Med Cases, 2018:9(7);221-225.

WE ARE CDC COMPLIANT

Any patient that enters the building will be screened by having their temperature taken, as well as, a questionnaire from Main Line Health. Once in the office, patients will be asked to wash their hands immediately and their temperature may be taken again. All patients will have a safe distance between them and patients will only be seen once per hour. The Greenberg Regenerative staff will be wearing masks and ensuring that all safety protocols and guidelines per Main Line Health and the CDC are being followed. At the end of the appointment, patient’s have the option to take a Greenberg Regenerative Medicine hand sanitizer to allow them to remain safe and healthy.