Our Services



Foot and ankle disorders/deformities

Achilles Tendon Pathology
Ankle Instability
Arthritic Foot and Ankle Care
Athlete’s Foot
Bunions
Corns/Calluses
Dermatologic Foot disorders
Flat Feet
Foot Surgery
Foot Injections: Hydrocortisone, PRP, Botox, Fillers
MLS Laser Therapy

Geriatric Foot Care
Gout/ Gouty arthritis
Hammertoes
Heel Pain
Ingrown Toenails
Metatarsalgia
Neuroma
Plantar Fasciitis
Soft Tissue Masses
Warts
Fungal Nail Infections



Sports Medicine & Trauma:

Ankle Sprains
Fractures
Foot and Ankle injuries
Running Injuries
Traumatic Foot/Ankle Injuries

Diabetic Foot Exam

Diabetic Foot Care
Neuropathy (Nerve Damage)
Wound Care/Ulcers

Pediatric Foot Deformities

Flat foot deformity
Club foot Deformity
In-toeing
Foot and ankle injuries
Surgical procedures

Other Services

Custom Foot Orthotics
Reconstructive Foot Surgery
Regenerative Medicine
Revisional Surgery
Second Opinions
Surgical Procedures
Urgent Care

Ankle Instability

Chronic ankle instability is a condition characterized by a recurring giving way of the outer (lateral) side of the ankle. Ankle Instability often develops after repeated ankle sprains while walking or doing other activities, or just by standing. A repeated ankle sprain can cause chronic ankle instability. The treatments vary from surgical and non-surgical options such as physical therapy, bracing and use of anti-inflammatory medication.

Ankle Sprains

An ankle sprain is an injury to one or more ligaments in the ankle, usually on the outside of the ankle. Ankle sprain often results from a fall, a sudden twist or a blow that forces the ankle joint out of its normal position. It commonly occurs while participating in sports, wearing inappropriate shoes, walking, or running on an uneven surface. Treatment of ankle sprain includes rest, ice, elevation, compression, early physical therapy, and anti-inflammatory medication. In severe cases, surgical repair of partial or completely torn ligament is necessary.

Bunions

A bunion is often described as a bump on the medial side of the big toe. It is because of underlying biomechanical deformities such as flat foot, hypermobile great toe or several other etiologies. Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which becomes increasingly prominent. Symptoms usually appear at later stages, although some people never have symptoms. Treatment of Bunions usually starts with conservative treatment options such as change of shoe wear, padding, activity modification, oral anti-inflammatory medications, and injection therapy and Orthotic devices.

If conservative treatments fail to relieve bunion pain and when the pain of a bunion interferes with daily activities, it is time to discuss surgical options with a foot and ankle surgeon. A variety of surgical options are available to correct the bunion deformity and x-rays and biomechanical exam is necessary to choose the best procedure for each patient. The goal of surgery is the reduction of pain and deformity.

Athlete’s Foot and Fungal Toenail

Athlete’s foot is a skin infection caused by fungus. A fungal infection may occur on any part of the body; on the foot, it is called athlete’s foot, or tinea pedis. Fungus commonly grows in a dark, moist and warm environment, such as a shoe. Athlete’s foot usually produces itchy, dry, scaling skin. It is commonly seen on the soles of the feet and in between the toes. In advanced cases, inflammation, cracks, and blisters may form; an infection caused by bacteria can also result. The fungus can spread to other areas of the body, including toenails.

Toenail fungus often begins as an infection in the skin called tinea pedis (also known as athlete’s foot). The fungus often starts under the nail fold at the end of the nail. Over time, it grows underneath the nail and causes changes to its appearance, such as a yellow or brownish discoloration. It can also cause thickening and deformity of the toenail. A foot and ankle surgeon can diagnose the cause of toenail problems and can recommend treatments. A variety of treatment options are available such as Oral anti-fungal, Topical anti-fungal solution and cream and laser treatment for toenails.

Ingrown Toenail

An ingrown toenail is curved and grows into the skin, usually at the nail borders (the sides of the nail). This digging in of the nail irritates the skin, often creating pain, redness, swelling, and warmth in the toe and eventually causes infection at the site on the ingrowing nail.

Causes of an ingrown toenail include hereditary, trauma, improper trimming, and improperly sized footwear and nail conditions such as fungal toenails. Treatment of ingrown toenail includes slant back (trimming the nail sides), partial or total nail avulsion and Oral antibiotics. If ingrown toenail with infection is untreated, it can cause bone infection (Osteomyelitis), granuloma formation and systemic infection.

Sclerotherapy

Sclerotherapy treatment has been used in the US since the 1930s and is one of the most popular treatments for smaller varicose veins and larger spider veins. The treatment is quick and effective, and can be administered in the office. Using a very fine needle, much smaller than the needles you are typically familiar with, the doctor injects a scarring agent, known as a sclerosant, into the affected vein. The treatment is virtually painless and does not require any numbing creams or other anesthetics. However, after the procedure, you may experience a mild discomfort and require over-the-counter pain medication.

Following treatment, you will put on compression stockings immediately so that the veins will scar as small as possible. They must be worn continuously for the first 48 hours, and then during the day for a week after. You can immediately resume normal activities, but should not exercise heavily for the first 48 hours.

Over time, the vein scars over and fades away. Patients with varicose veins will usually see results in 3-4 months, and patients with spider veins can see results between 3 and 6 weeks. Typically, no other procedure is required to remove the treated veins like with laser treatments.

Dr. Sabeti will discuss sclerotherapy with you and inform you of exactly what to expect during your treatment. You will feel confident knowing that you are being treated by a competent practitioner, and enjoy the atmosphere at the Houstonian Foot and Ankle Specialists.

Common Questions:

How long does Sclerotherapy treatment take?
The total length of time for your sclerotherapy treatment varies depending on how many veins are treated. A typical procedure lasts about 30 minutes.

How many Sclerotherapy treatments will I need?
The number of Sclerotherapy sessions needed will depend on the number of veins to be treated. The majority of patients will only need one session, though in certain cases multiple treatments are necessary.

Can I go back to work after Sclerotherapy?
Yes, patients are able to leave the Houstonian Foot and Ankle Specialists office and return to work immediately.

Will I need compression garments after Sclerotherapy?
Yes, in order to ensure that veins scar and fade away as small as possible, it is important to wear compression garments continuously for the first 48 hours. After that, you should wear them during the day for one week.

Can I exercise after Sclerotherapy?
Exercise should be avoided for the first 48 hours, but after that, you may return to your regular exercise plan.

What areas can Sclerotherapy treat?
Sclerotherapy can treat spider veins and small varicose veins anywhere on the body, including the legs and arms.

Does Sclerotherapy hurt?
Sclerotherapy is not painful and does not require any numbing agents or local anesthesia. Some patients do report mild discomfort for a couple of minutes following injection, and over-the-counter pain medication can manage any lingering soreness.

How much does Sclerotherapy cost?
The cost of sclerotherapy varies based on the amount of veins to be treated and the number of sessions needed. When you consult with Houstonian Foot and Ankle Specialists, they’ll develop a treatment plan with you and discuss your payment and insurance options.