Computerized medical records improve healthcare delivery. All patient records, including your visit notes, laboratory results, diagnostic studies, and prescriptions are electronically entered, ordered, accessed, and transmitted to their intended destinations, ensuring faster service and improved patient care.

Digital X-ray systems use digital sensors instead of film, transferring images to a computer monitor for faster viewing and more detailed images. Digital images can be manipulated (brightened, darkened, enlarged, rotated, etc.) to ensure the sharpest image quality and the best view of your injury or condition. Dr. Malinoski reviews each X-ray with you personally in the examination room.

Non-Invasive Treatments for Plantar Fasciitis: Shockwave Therapy

Extracorporeal shockwave therapy (ESWT) for the treatment of heel pain is a non-invasive painless procedure used to manage that nagging pain related to plantar fasciitis, among other foot and ankle conditions. Extracorporeal means “outside of the body,” and ESWT is applied to the outside of the foot, so it is completely non-invasive. Treatment with ESWT means no hospital, no operating room, no surgical incisions, no stitches, no bandages, and no downtime are required. Shockwave therapy involves resting your heel on a machine that pounds high or low-energy sound waves into your heel through the skin. These sound waves penetrate the soft tissue structures and bone in your heel and break up some of the scar tissue that causes your discomfort. They also stimulate blood flow and the production of certain cells in your body that accelerate the healing process. Shockwave therapy has been found to stimulate angiogenesis or new blood circulation around the injured area. With new blood circulation in the blood are the growth factors that heal injuries. Have you heard of Lithotripsy? Shockwave therapy is based on lithotripsy or breaking up of kidney stones.

The in-office procedure takes about 10 minutes per foot. Patients walk in and walk out after the procedure. Patients report minimal to no pain during the procedure and only mild tenderness after the procedure for approximately 48-72 hours. 

Call the office for more information on ESWT.

Platelet Rich Plasma Therapy (PRP)

Platelet-rich plasma (PRP) therapy is a revolutionary procedure that uses components of the body’s own blood cells to stimulate the natural healing process in certain orthopedic conditions.

The body’s first response to any soft tissue injury (ligaments and tendons) is to deliver platelet cells. Filled with healing and growth factors, platelets jump-start the repair process and attract the essential aid of stem cells. PRP therapy’s natural healing process accelerates the body’s efforts by delivering a higher concentration of platelets through a simple injection. It provides effective pain relief and faster healing, a Platelet-rich plasma (PRP) therapy is a revolutionary procedure that uses components of the body’s own blood cells to stimulate the natural healing process in certain orthopedic conditions.

The body’s first response to any soft tissue injury (ligaments and tendons) is to deliver platelet cells. Filled with healing and growth factors, platelets jump-start the repair process and attract the essential aid of stem cells. PRP therapy’s natural healing process accelerates the body’s efforts by delivering a higher concentration of platelets through a simple injection. It provides effective pain relief and faster healing, and it can eliminate the need for surgery and prolonged recovery.

Diagnostic ultrasound technology aids in the diagnosis of tendon tears and ruptures, soft tissue masses, stress fractures, plantar fasciitis, neuromas, foreign bodies, other soft tissue, and bone pathologies, in real time and can minimize the necessity of those costly and sometimes unnecessary ancillary tests such as MRIs and CT scans. We can also utilize this technology for accurate anatomic placement in guiding injection therapy.

Many insurance plans require diagnostic ultrasound procedures and results prior to authorizing MRIs and CT scans if they are necessary for diagnosis.

Dr. Malinoski uses this technology not only to diagnose your conditions and to guide injections (when appropriate and medically necessary) but to compare your painful foot / ankle to your non-painful foot / ankle, for comparative purposes. The most important piece of your treatment is your mental and visual understanding of your condition, and Ultrasound technology is another modality (in conjunction with your X-rays) that Dr. Malinoski uses to structure your individualized treatment plan.

Common conditions we treat include but are not limited to:

• Painful arches
• Flat foot
• Neuropathy
• Neuromas
• Bunions
• Heel pain
• Hammer toe
• Claw toe
• Mallet toe
• Heel spurs
• Ingrown toenails
• Diabetic foot care
• Diabetic nerve compression
• Diabetic ulcers / wounds
• Infections
• Callouses and corns
• Sports injuries
• Foot and ankle injuries
• Tumors
• Athletes foot
• Laser surgery 
• Techniques / non-surgical
• Infant and child foot deformities
• Toe deformities
• Freiberg’s disease
• Fungal toenails
• Gout
• Hallux bunion
• Hallux limitus rigidus
• Morton’s neuromas
• Arthritis
• Sprains, strains, and fractures 
• Stress fractures
• Tailor’s bunions 
• Toe and metatarsal fractures
• Plantar warts
• Forefoot deformities
• Growth plate fractures
• Lisfrancs fractures
• Metatarsalgia
• Metatarsus adductus
• Osgood-Schlatter disorder
• Pediatric bunions
• Post-traumatic
• Arthritis / deformities
• Charco / charco neuroarthropathy
• Adult-acquired flat foot
• Club foot
• Kohler’s disease
• Pediatric flat feet
• Peroneal tendon
• Posterior tibial tendinitis
• Retrocalcaneal exostosis
• Spur syndrome
• Plantar fasciitis
• Rearfoot deformities
• Sever’s disease
• Tibial tendinitis
• Tibial tendon dysfunction
• Talar dome lesions
• Calcaneal nerve syndromes
• Achilles tendon tears
• Achilles tendonitis
• Chronic shin splints
• Limb discrepancies
• Restless leg syndrome
• Nerve entrapment (tarsal tunnel syndrome)

Medical Emergencies

In the event of a life-threatening medical emergency, call medical emergency services at 911 immediately. DO NOT WAIT! Inform the emergency room staff that you are a patient of Collier Foot & Ankle Center, and they will contact us.

At Collier Foot & Ankle Center, we accept workers’ compensation, Medicare, and most major commercial insurance plans. Please contact your insurance company to find out if Dr. Malinoski is a participating provider on your specific insurance plan. Although our office staff will verify your insurance benefits, YOU are responsible to be familiar with your insurance plan. Please refer to your insurance handbook / manual or call your insurance company with any questions about coverage that you may have.

If your insurance plan requires you to pay a co-payment, co-insurance, and / or a deductible, you will need to pay at the time of your visit. Payment is due at the time of service. For your convenience, we accept cash, checks, Visa, MasterCard, Discover, and American Express.

If you have a question related to your bill or insurance, please contact our on-site billing department today.

Dr. Kelly Malinoski of Collier Foot & Ankle Center has hospital or surgery center affiliations with:

• Naples Community Hospital (Downtown & North Campuses)
• Physicians Regional Medical Center
• Naples Day Surgery Center

Prescriptions and refills for established patients of Collier Foot & Ankle Center are routinely issued during our regular office hours (see above). You can make your request by calling our office. No refills are issued during the evenings, weekends, or holidays. It is helpful to anticipate your refill needs to avoid an interruption in your medication therapy. Patients may call the office to request a refill, but an office visit may be required depending on the medication and your last visit with the doctor.