When you decide to put your health into our hands, it immediately becomes our number one priority. You spend so much time on your feet, isn't it time you look after them? Our goal is to change the way you think about your feet and to help you avoid ongoing problems.
New Haven Foot and Ankle Group, Inc.
Welcome to our site.
Our practice offers convenient services for your foot and ankle needs. We have on-site X-Ray, same day urgent care appointments for existing patients, as well as Saturday's by appointment only.
We also perform hospital surgical consultations at both Yale-New Haven Hospital and MidState Medical Center.
Our goal is to provide you with the most comprehensive and cost effective treatment options to alleviate your foot and ankle pathology.
We aim to deliver the best treatment which will alleviate symptoms so patients can return to an active lifestyle.
When is surgery needed?
Many foot problems do not respond to “conservative” management. Your podiatrist can determine when surgical intervention may be helpful. Often when pain or deformity persists, surgery may be appropriate to alleviate discomfort or to restore the function of your foot.
TYPES OF SURGERY
There are many different types of bunion surgery depending on the severity of the bunion and the joint involvement. Your podiatrist can explain the bunion procedure that is most appropriate for your bunion. Depending on the surgical procedure, the recovery time can be very different—particularly if you need to be on crutches after the surgery or in a cast.
Fusions: Fusions are usually performed to treat arthritic or painful conditions of the foot and ankle. A fusion involves removing all cartilage from a joint and then joining two or more bones together so that they do not move. Fusions can be done with screws, plates, or pins, or a combination of these.
Hammer Toe Surgery: Hammer toe surgery may involve removing a portion of one of the bones in the toe to realign the toe or could involve fusing the joints in the toe (see Fusions, above). In some cases, it may involve placing a temporary wire to hold the toes straight or a permanent implant in the toe to maintain realignment.
Heel Spur Surgery:
Based on the condition and the nature of the disease, heel surgery can provide relief of pain and restore mobility in many cases. The type of procedure is based on examination and usually consists of plantar fascia release, with or without heel spur excision. There have been various modifications and surgical enhancements regarding surgery of the heel. Your podiatrist will determine which method is best suited for you.
Surgery on the long bones of the feet behind the second, third, fourth, and fifth toes is performed for a variety of reasons but is commonly performed to redistribute the weight bearing on the ball of the foot. In some severe cases, such as rheumatoid arthritis, surgery may involve removing the metatarsal heads (the bones in the ball of the foot area).
We offer treatment for....
A bunion is an enlargement of the joint at the base of the big toe—the metatarsophalangeal (MTP) joint—that forms when the bone or tissue at the big toe joint moves out of place. This forces the toe to bend toward the others, causing an often painful lump of bone on the foot. Since this joint carries a lot of the body’s weight while walking, bunions can cause extreme pain if left untreated.
A hammertoe is a contracture—or bending—of the toe at the first joint of the digit. This bending causes the toe to appear like an upside-down V when looked at from the side. Any toe can be involved, but the condition usually affects the second through fifth toes, known as the lesser digits.
A neuroma is a painful condition, also referred to as a “pinched nerve” or nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes that brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.
DIABETIC FOOT CARE
The feet, which are often overlooked during regular medical checkups, can reveal the first signs and symptoms of diabetes and other serious medical conditions. The type and severity of complications suffered as a result of diabetes vary from person to person, so it is very important that a podiatric physician becomes part of your Diabetes Management Team.
A diabetic foot ulcer is an open sore or wound that most commonly occurs on the bottom of the foot in approximately 15 percent of patients with diabetes. Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complications. Ulcers form due to a combination of factors, such as lack of feeling in the feet, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes.
Diabetic neuropathy is the most common type of neuropathy and affects up to two thirds of patients with type 1 and type 2 diabetes. Diabetic neuropathy often involves the feet and legs and is responsible for lack of sensation, ease of injury, and infections.
PAD is caused by a blockage or narrowing of the arteries in the legs when fatty deposits called plaque build up. The buildup of plaque causes the arteries to harden and narrow, which is called atherosclerosis. This results in a reduction of blood flow to the legs and feet and is commonly referred to as poor circulation. People with diabetes are at higher risk of developing PAD, and individuals with PAD are four to five times more likely to have a heart attack or stroke.
Arthritis is inflammation and swelling of the cartilage and lining of the joints, generally accompanied by an increase in the fluid in the joints. Each foot has 33 joints that can be afflicted with arthritis.
A flat foot is a structural deformity resulting in the lowering of the arch of the foot. This is sometimes referred to as "fallen arches". A person with a flat foot or a highly arched foot that is fairly painful is in need of treatment. People with flat feet may have ankle, knee, or low back pain.
Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred, while walking, running, or jumping on hard surfaces. Other common causes of heel pain include wearing poorly constructed footwear and/or being overweight.
Plantar fasciitis, one of a variety of conditions that lead to heel pain, is an inflammation of the long band of connective tissue running from the heel to the ball of the foot, causing pain at the bottom of the heel and arch. The inflammation may be aggravated by shoes that lack appropriate support, especially in the arch area. It is common among athletes who run and jump a lot and can be quite painful.
Tendinitis is the inflammation of a tendon. Achilles tendinitis, or an inflammation of the Achilles tendon, is one of the most common causes of foot or ankle pain.
Athlete's foot is a skin disease caused by a fungus, usually occurring between the toes. The fungus most commonly attacks the feet, because shoes create a warm, dark, and humid environment that encourages fungus growth. The warmth and dampness of areas around swimming pools, showers, and locker rooms are also breeding grounds for fungi.
A corn or callus is a buildup of skin that forms at points of pressure or over bony prominences. Calluses form on the bottom side of the foot; corns form on the top of the foot and between the toes.
Skin cancer can develop anywhere on the body, including in the lower extremities. Most skin cancers of the feet are painless, and often there is a history of recurrent cracking, bleeding, or ulceration.
Warts are one of several soft tissue conditions of the foot that can be quite painful. They are caused by a virus, which generally invades the skin through small or invisible cuts and abrasions. Warts that appear on the sole are known as plantar warts and can be the source of sharp, burning pain. It is important to note that warts can be very resistant to treatment and have a tendency to recur.
An ingrown toenail is a painful condition characterized by the nail digging into the surrounding skin, leading to inflammation and possible infection of the toe. This is a serious condition for people with impaired circulation, diabetes, or other systemic diseases.
A fungal nail infection, a condition called onychomycosis, is caused primarily by organisms called dermatophytes. Once these tiny organisms find their way under a nail, they begin to multiply. Ironically, when the fungus finds its way under the nail, the nail itself provides a protective environment for the fungus to thrive. The toenails are most vulnerable to infection, since they spend much of their day surrounded by dark, warm, and often moist shoes and socks.
INS and OUTS about Custom Molded Orthotics
A custom orthotic is a device designed to align the foot and ankle into the most anatomically efficient position. They look like insoles, but are biomechanical medical appliances that are custom made to correct your specific foot imbalance. They provide
How long do custom orthotics last?
The body of our orthotics should last three to five years for adults and depending on daily usage. You may need to replace the top cover and other additions periodically. After three to five years if your original symptoms return or you develop new symptoms, you may need a new pair of orthotics.
Who “needs” orthotics?
All patients absolutely benefit from custom molded orthotics, but they are a must for patients with distinct ailments. Patient with flat feet will eventually develop plantar fasciitis if they do not wear a custom molded orthotics. Foot arthritis also will be more debilitating without orthotics. Diabetes, especially those with peripheral neuropathy would find most relief when they wear orthotics. Pain on the soles of the feet or metatarsalgia are most effectively treated without the need for surgery with custom molded orthotics.
Plantar fasciitis, a common painful inflammation of the sole of the foot, most easily recognized by its tendency to cause pain first thing in the morning.
Arthritis, which often affects joints of the foot.
Diabetes, which interferes with circulation in the feet, requiring custom shoe modifications or custom-built footwear.
Metatarsalgia, a painful foot disorder that affects the bones and joints at the ball of the foot.
We now carry VIONIC shoes
Vionic Sandals feature Orthaheel Technology and come in both Men's and Women's. There are many sizes and styles to choose from and even multiple widths. Podiatrist-designed, biomechanical orthotic footbed with arch support and deep heel cup which helps support and realign the feet back to their natural position.
This podiatrist-designed biomechanical contouring, known as Orthaheel Technology, is built right in to each and every shoe, sandal and slipper for men and women. It is tried, trusted and often times life-changing, based on more than 30 years of podiatric medical success and raving customer satisfaction. Such credentials distinguish the brand as unparalleled in both innovation and value.
Vionic Wedges & Heels
Vionic also makes Wedges and Heels in several styles and also includes wide widths. The Vionic Wedges incorporate forefoot cushioning, arch support and a deep heel cup which make their Elevated Support styles more wearable than ever. Vionic's Elevated Support technology helps you walk and stand in comfort throughout the day - even in heels and wedges.
New Haven location
136 Sherman Ave.
New Haven, CT 06511
3851 Whitney Ave.
Hamden, CT 06518
Mon: 9:00am - 5:00pm
Tue: 9:00am - 5:00pm
Thu: 9:00am - 5:00pm
Fri: 8:00am - 5:00pm
Sat: 9:00am - 2:00pm
Dr. Estell Pappas
Dr. Estelle Pappas received her undergraduate degree from Bowdoin College in Brunswick, Maine, and her medical degree from Temple University School of Podiatric Medicine in Philadelphia, Pennsylvania.
Dr. Pappas' training is well- rounded and diverse. After graduating from Temple, she completed a residency program at the University of New Jersey School of Medicine, concentrating on diabetic foot surgery. She later completed a second residency at Mount Sinai School of Medicine's Cabrini Medical Center in New York City. At Cabrini, Dr. Pappas served as Chief Resident, and focused on elective surgical procedures such as bunion and hammertoe correction.
Dr. Pappas is Board Certified in Foot Surgery by the American College of Foot and Ankle Surgeons. She is an active member of the American Podiatric Medical Association and the Connecticut Podiatric Medical Association.
Dr. Pappas is an attending physician at Yale-New Haven Hospital's Department of Podiatry, where she is involved in the teaching and surgical training of residents in the Podiatric Surgical Residency Program. She is also a clinician at Yale-New Haven Hospital's Foot Clinic.
Dr. Pappas provides her patients with the finest, most comprehensive foot care.
Dr. Joseph Rogers
Dr. Rogers is accepting new patients at both of our convenient locations in Hamden & New Haven.
Dr. Rogers has over 20 years of experience as a podiatric physician. He is a graduate of Glassboro State College and Temple University School of Podiatric Medicine.
He completed his residency training in Podiatric Surgery at the Yale-New Haven/ West Haven veterans Hospital program.