Dr. Melinda Earon Viscusi, DPM

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Physicians & Surgeons, Podiatrists, Physicians & Surgeons, Physicians & Surgeons, Dermatology

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Amenities:

Wheelchair accessible

(845) 651-3668Visit WebsiteMap & Directions19 Edward J Lempka DrFlorida, NY 10921 Write a Review

Accepted Insurance

Aetna
Blue Cross Blue Shield (BCBS)
CDPHP (Capital District Physicians' Health Plan)
Cigna
ConnectiCare
Coventry Health Care

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Specialties

Primary: Podiatrist (Foot Specialist)

Sub-Specialty: Podiatrist

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Extra Phones

Phone: (845) 651-1697

Fax: (845) 986-8954

Fax: (845) 651-1697

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insurance

AKA

Fischer, Bruce, DPM

DR Melinda E Viscusi

Fischer Bruce DPM LLC

Melinda E. Viscusi, DPM

Viscusi, Melinda E

Bruce D Fischer, DPM

Fischer Bruce

Bruce Fischer Dpm

Other Links

http://www.nyfeetdoctors.com

https://nyfeetdoctors.com

Categories

Physicians & Surgeons, Podiatrists, Physicians & Surgeons, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Surgery-General

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Reviews

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08/17/2010

Overall

GOOD FOOT DOCTOR

THIS IS MY 9TH PODIATRIST AND CAN SAY HE IS THE BEST ONE YET. GOOD REVIEW. BILL

Details

Phone: (845) 651-3668

Address: 19 Edward J Lempka Dr, Florida, NY 10921

Website: http://www.nyfeetdoctors.com

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Dr. Melinda Earon Viscusi, DPM

General Practitioners

Osteoporosis
Warts
Arthritis
Arthritis in the big to joint can be either Osteoarthritis or Rheumatoid arthritis. Osteoarthritis more commonly occurs in the big toe joint and is known as a “wear and tear” arthritis. The clinical and radiographic findings include a limited joint range of motion and associated degenerative arthritis of joint cartilage. This deformity in the medical community is known as Hallux Limitus or Hallux Rigidus.
Plantar Fasciitis
Plantar Fasciitis is an inflammation of the band of fibrous connective tissue (fascia) running along the bottom of the foot, from the heel to the ball of the foot. It is very common among athletes who run and jump quite often and can be very painful. This condition occurs when the plantar fascia flattens out and elongates, causing the soft tissue fibers of the fascia to tear or stretch at various points along its length.
Cryotherapy
Emergency Care
Diabetic Foot Care
Constipation
Diarrhea

Carpal Tunnel Syndrome
The symptoms such as the burning pain and numbness is of nerve origin. There are many different deformities that can lead to nerve pain such as Neuropathy, Neuroma formation and Nerve Entrapments. Tarsal Tunnel Syndrome is a common nerve entrapement syndrome in the foot. This is very similar and related to Carpal Tunnel Syndrome in the hand.

Endocrinologist

Diabetes Care
Hypothyroidism

Ultrasound
Ganglions are benign cysts. X-rays and Soft Tissue Scans should be performed on the foot in order to rule out any bone involvement and the size of the soft tissue mass. MRI and Diagnostic Ultrasound Studies can help in differentiating the Ganglion from other soft tissue masses, which tendons the cyst may involve and depth of the mass.
MRI
An MRI or a soft tissue scan using a Diagnostic Ultrasonography unit can be very useful in locating the Fibroma and determining the size of the Fibroma. X-rays can be taken to see if there is any bone involvement but they usually are negative.
X-Rays

Orthopedics
Wound Care
Blood tests, wound cultures and x-rays should all be performed immediately. Any delay in treatment can lead to a serious complication. The most common treatment for an infected toe would include oral or intravenous antibiotics and daily wound care.
Ankle Surgery
Bunion Surgery
When conservative treatment does not provide satisfactory relief from symptoms, or when the condition interferes with you daily activities, surgery may be necessary. Surgical correction of the bunion consists of removal of the enlarged portion of bone and realignment of the joint to restore normal function. Bunion surgery can be performed in an out-patient surgical center or a properly equipped office operating room. Bunion surgery is most often same day surgery and immediate return to normal shoe gear can be as soon as 2-4 weeks. A complete evaluation of the bunion deformity including x-rays of the foot are required in deciding which type of procedure has to be done in order to correct the bunion and prevent recurrence of the deformity.
Joint Replacement
There are various treatment options for Hallux Limitus or Hallux Rigidus from conservative to surgical management of the deformity. Conservative treatment options include padding, strapping, Orthotics, physical therapy, oral anti-inflammatories and cortisone injections in the involved joint. Conservative treatment will help alleviate the pain but will not resolve the arthritis in the joint. If the pain persists and all conservative treatment fails then surgical management of the deformity is the only option. Surgery can range from excision of all the bone spurs, cleaning the joint from all the bone fragments and inflammation, to total joint replacement procedures. Every patient’s deformity and activity level is different. Therefore...
Bunions
In the front of the foot, the joint at the base of the great toe is the most complex. Here the bones, tendons, and ligaments work together to transmit and distribute the body’s weight, especially during movement. Should this joint become abnormally stressed over an extended period of time, a bunion deformity may result. Bunions occur mostly among people who wear tight shoes. Women are more frequently affected with bunions because of tight, pointed, confining or high-heeled shoes. Wearing high heeled shoes are especially stressful on the joints of the foot because all of the body’s weight rests over the great toe joint.
Gangrene
Diabetes may decrease the normal sensation in the feet and may result in an ulceration without pain. It is extremely important for Diabetics to look at their feet daily and to look for open areas or drainage. Diabetics and other patients without normal feeling in their feet must seek immediate Podiatric medical attention. This will decrease the risk of severe complications such as infection, gangrene and amputation. If any concurrent medical attention is needed, your podiatrist will refer you to your general practitioner. Other medical conditions which are often associated with ulcers are high blood pressure, blood clots, varicose veins, phlebitis, swelling, poor arterial circulation, injury and other blood disorders.
Reconstructive Surgery

Plastic Surgeons

Plastic Surgery

Corns
Skin irritation (inflammed skin areas) or even corns (an accumulation of hard dead skin cells) may form on top of these prominent, contracted joints where shoes are likely to rub. In severe cases, a painful, swollen bursitis may develop on the top of the toe due to the constant irritation. This usually will lead to pain and inability to wear most types of shoes comfortably.
Cyst
Ulcer
An ulcer is a condition in which there is a breakdown of tissue. This may involve many layers of skin and underlying tissue down to the level of the bone in very serious cases.
Calluses
Bunion pain can be mild, moderate or severe. The deformity may make it difficult to walk in shoes, especially high-heeled shoes. The skin and deeper tissues around the bunion also may be swollen or inflamed. The lesser toes can be affected by the bunion, as a result of pressure from the great toe pushing on the 2nd toe. Painful calluses may develop on the bottom or around the big toe joint.
Fungus
The typical discoloration and thickening of the nails is most commonly caused by a Fungus. About 1 in 5 adults between the ages of 40 and 60, almost 30 million Americans, are affected by Nail Fungus. Toe nail fungus can be caused by many different avenues such as...
Lesions
Fortunately there are many treatments for this problem. The most common treatment is debridement or shaving of the skin lesion. This can be done in the office and is a painless procedure. This is very effective and relief is felt immediately. Frequent shaving of the lesions may be necessary every couple of months depending if the corn or callus develops again. Non-medicated dispersion pads are also very helpful to place on the bottom of the foot to help prevent re-currence of the lesions and to help prevent pain while in shoe gear. A change in shoe gear can help prevent the excessive pressure on the bottom of the foot. Custom made Orthotics can be very helpful to prevent this particular callus from developing frequently.

Physical Therapists

Physical Therapy
Surgery for Tailors Bunion can be performed in the office under local anesthesia along with IV sedation monitored by an Anesthesiologist. The surgery consists of cutting the bone and repositioning the bone. The stitches are removed in approximately 2 weeks. You can walk on the foot immediately after surgery and return to shoe gear can be as soon as 2-4 weeks. Physical Therapy is used following surgery for the rehabilitation and treatment program.
Flatfoot Correction
Heel Pain
Back Pain
Orthotics and Prosthetic Therapy
There are many treatment options from Conservative to Surgical management of Tarsal Tunnel Syndrome. Conservative treatment consists of anti-inflammatory medicine, injection therapy, physical therapy, paddings and strappings, Orthotic therapy and immobilization in very severe cases.

General Podiatry
Dr. Fischer received his degree from the prestigious New York College of Podiatric Medicine in 1987, and has been helping patients ever since. With over 30 years of experience, many honors and professional affiliations, and of course, hundreds of happy patients, Dr. Fischer is one of the leading practitioners of podiatric medicine in the Hudson Valley.
Achilles Tendonitis
The frequent use of high heels can lead to shortening or contracture of the large Achilles tendon which is attached to the calf muscle in the back of the leg. In the case of women who become habitual wearers of higher heels, they usually develop the classic aching of the calf muscles and Achilles tendonitis, especially when there are shifts to lower heel shoes. The bursa that is located in the back of the heel is also affected by the change and function of the Achilles tendon leading to a bursitis in the back of the heel bone.
Bunions Problems
Most commonly, the bump on the outside of you foot is a small bunion also known as a Tailors bunion or Bunionette. Bunions can be located on the inside of the foot and on the outside of the foot as well. Many years ago, tailors would sit with their legs crossed as they did their work, which resulted in pressure on the area which is known as the 5th Metatarsal head, resulting in pain. Hence, the name “Tailors Bunion”.
Calluses
Diabetic Foot Care
Flat Feet
Hammertoes
High Toe Box: The region of the shoe that covers the toes shoe be as high as possible. The high toe box will allow the toes ample space to move and will prevent the toes from rubbing on the top of the shoe. This is very important in patients who are suffering from severe hammer toe deformities.
Heel Pain
Foot Pain
Foot Infections
Every Diabetic patient should be concerened about infections that involve the foot. Diabetes and its complications such as infections are the most common cause of amputations in the United States. The classic signs and symptoms of an infection include a red, hot, swollen toe including a foul odor and possible fluid drainage from the toe. If you are experiencing these symptoms then you should immediately contact your Physician and/or Podiatrist. Any delay in treatment of an infection can lead to serious complications such as the infection spreading to the bone. Osteomyelitis or more commonly known as a bone infection is a very serious condition. The mainstay of treatment for bone infections is long term antibiotics and/or possible resection of the infected bone.Therefore, preventing the spread of the infections is very important.
Foot Orthotics
She has a passion in providing a holistic approach to treating podiatric deformities. Dr. Haskin-Cole believes it is crucial to identify the root cause of an issue in order to prevent re-occurrence. At times, ailments manifested in the feet have a systemic origin. She is competent in treating a multitude of foot issues conservatively and surgically including and not limited to: plantar fasciitis, hammertoe toes, Bunions, Calluses, Corns, Ulcers, Achilles tendonitis, Sports related injuries, Neuromas, Neuropathy, and Fractures. Conservative therapy common at the practice are: shoe modification, offloading, braces and custom foot orthotics. Treatment is always tailored specifically to the patients’ needs and capacity with the goal of an end result of happiness.
Pediatric Foot Care
Dr. Crystal Haskin-Cole, born and raised in New York, earned a Bachelor of Science in Psychology at Fordham University in 2006. In 2010, she attained a Doctorate of Podiatric Medicine at New York College of Podiatric Medicine. She served as a first year Podiatric Medicine and Surgery resident at Forest Hills Hospital and completed her last two years of residency at Department of Veterans Affairs, where she honed her patient care and leadership skills as Chief Resident in her third year. During Residency she had rotations at Banner Desert Hospital in Arizona where she received extensive training in Pediatric foot deformities, Reconstructive surgery, Plastic surgery and Diabetic Limb Salvage.
Plantar Fasciitis
The most common cause for Plantar Fasciitis is excessive pronation or more commonly known as Flat Feet. Pronation is the normal flexible motion of the foot that allows the foot to adapt to ground surfaces and absorb shock during the normal gait pattern. As we walk, the heel contacts the ground first; the weight shifts to the outside of the foot, then moves towards the big toe. As the foot progresses along the gait cycle, the arch rises and the foot becomes rigid and stable. This is necessary in order to lift the body and move it forward. When the foot excessively pronates (flattens), it creates an abnormal amount of stretching and pulling on the fascia. The foot has a much more difficult time lifting the body and moving it forward. Therefore, resulting in excessive stress on the plantar fascia and you can develop plantar fasciitis. In the office, we are equipped with a Gait Analysis system which allows us to observe the function of the foot during the gait cycle.
Podiatric Deformities
Width: The shoe should be wide enough to accommodate any bunion or other foot deformities that you may have.
Podiatric Surgery

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