Soft Tissue Biopsy
- Each foot has 26 bones
- There are more than 100 ligaments in each foot
- Diabetes is the #1 cause for lower extremety amputation
- A toenail takes 4-9 months to completely grow out
- Pain in the feet or ankles is NOT normal
Surgery: YES OR NO????
- Deciding whether or not to have surgery is a big decision.
- Our foot and ankle surgeons are skilled in both surgical and conservative options.
- We will present the options most suitable for you and help you with your decision.
How much pain should I be in before I make an appointment?
- Foot or ankle pain is not normal.
- Foot or ankle pain is a signal that something is not right.
- Any degree of foot or ankle pain warrants an evaluation to determine the source of the pain and possible treatment options.
- Most foot or ankle pain left untreated will get worse and become more difficult to cure.
- If you have foot or ankle pain, make an appointment, do not wait.
Will soaking cure my ingrown toenail?
- Soaking an ingrown toenail will often make it feel better, but it will not cure it.
- The symptoms of an ingrown toenail include pain, redness, and swelling.
- An ingrown toenail is easily cured with a simple in office surgical procedure.
- The toe is anesthetized so that pain is not felt during the procedure.
- The ingrown nail, or portion of the nail, is removed.
- Most people feel no pain afterwards and return to normal activities the next day.
What are orthotics?
- Custom made foot arch supports designed to hold the foot in its optimum position
- Can alleviate the discomfort caused by a number of foot conditions such as heel pain, bunions, and flat feet.
Happy Feet...Happy Bride
Comfortable footwear can help make the perfect day even better. Many times foot or ankle discomfort can be alleviated with appropriate shoes. It is not unusual for people to buy shoes that are too small for their feet. If your foot problem has an easy solution, our podiatrists will gladly provide you with that information. Sometimes the right shoe is not enough and custom-made orthotics is necessary to help the feet maintain the best position. Our podiatrists can utilize a three dimensional digital scan to have custom made inserts (orthotics) fabricated for your shoes, made from the scan of your feet to correct your specific foot abnormality and fit your feet only. If your foot or ankle problem can be resolved with conservative treatment, our podiatrists will advise you of the best treatment for you. There are times when the best solution for a foot or ankle problem is surgery. If you require foot or ankle surgery, our podiatrists can provide you with the latest state of the art surgical techniques. They will take the time to explain to you what to expect before, during and after surgery and will try to answer all your questions. Whatever your foot or ankle problem may be, our podiatrists will explain the various treatment options available to you. Everyone is happier when their feet are happy!
Thoughts on Celebrating 36+ Years
Some thoughts from Dr. Jacoby:
On April 30, 1984 I took over this podiatry practice. Elgin became my professional home as well as my personal home. I am forever grateful to Dr. Roger Hess who started this practice 50 years prior. Dr. Hess was a gentleman whom I admired and emulated both professionally and personally. I am forever honored to continue caring for the patients who initially trusted Dr. Hess.
My first office was at 860 Summit on the East Side of Elgin. I remember painting the office myself. I moved twice into larger space at 860 Summit. Eventually we outgrew the space there and moved to larger space at the Sherman Hospital Medical Building and then finally here to 750 Fletcher. I am grateful to the multitude of patients we have had the privilege of treating and that have kept us growing. I am also grateful to the multitude of other physicians in the area whom I am so privileged to work with.
Not only has this practice grown in physical space, but we have grown technologically as we offer many state of the art alternatives. My staff has been and continues to be essential. To all my staff, both past and present, I say a most sincere Thank You.
I look back on the years with much pride and sentimentality. I look forward to the future with the same enthusiasm and joy I felt on April 30, 1984. I love what I do and every day I realize how blessed I am to be in this wonderful profession!
What is a Soft Tissue Biopsy?
A soft tissue biopsy is the removal and microscopic examination of a small sample of soft tissue for diagnostic purposes. “Soft tissue” includes the skin, fat, muscle, and tendons that surround, connect, or support other tissues or organs.
Soft tissue biopsies require little time or involvement from the patient. They enable the foot and ankle surgeon to reach an accurate diagnosis and determine the best treatment for the specific condition.
Conditions Identified by Soft Tissue Biopsies
Non-surgical treatment may help relieve the pain of a plantar fibroma, although it will not make the mass disappear. The foot and ankle surgeon may select one or more of the following non-surgical options:
Benign pigmented, or colored, spots (moles or nevus)
Fungal or bacterial infections
Rashes (such as eczema or dermatitis)
Lesions related to a disease affecting the entire body (such as diabetes)
Nodular conditions (such as a ganglion cyst, lipoma, or fibroma)
Toenail conditions (onychomycosis, psoriasis)
Wart-like growths on the skin (benign keratoses)
Premalignant conditions (actinic and seborrheic keratoses)
What Does the Biopsy Involve?
A biopsy involves removal of a small piece of tissue, and takes just a few minutes. The procedure performed will depend on the tissue to be sampled. After numbing the area, the surgeon performs one of the following:
Shave biopsy. A thin piece of tissue is shaved off.
Punch biopsy. A small, round instrument removes a tiny core of tissue. Stitches may be needed.
Incisional or excisional biopsy. A piece, or the entire lesion, is removed. Stitches are often needed.
Once the sample is obtained, the surgeon sends it to a clinical laboratory so that the condition can be identified. The specimen will be examined by a pathologist who specializes in evaluating soft tissue biopsies.
After the Biopsy
Patients should follow the instructions provided by the surgeon for care of the biopsy site. If the area has stitches, an appointment will be scheduled for their removal.
It usually takes several days for the lab results to arrive at the surgeon’s office. If the patient has not heard about the results after 10 days, the surgeon’s office should be contacted. Biopsy results, as well as additional treatment that may be required, will then be discussed.