Episodi

  • Treatment Protocol for Peripheral Neuropathy

    Treatment Protocol for Peripheral Neuropathy
    Sep 8 2025
    Welcome to What the Foot, the podcast where we explore cutting-edge and natural approaches to health and well-being of your feet. I’m your host, Dr Dennis Timko, and today we’re continuing our podcast series about Red Light Therapy. Last podcast we went over what Red light therapy was and how it works and what type of problems it can help with. Today I will go over my protocol on how I treat certain foot ailments especially neuropathy. Lets get you started on your journey with a non-surgical option to improve your foot pain or assist you in faster healing. Call us for a consultation or set up your appointment online by clicking here. I will add a special link down below for anyone that looking to buy a new red light panel that I recommend highly. Referral code https://snwbl.io/platinumled-therapy-lights/CFBCN1856 Make an Appointment Eureka Location Telemedicine Appointment LocationsEurekaTelemedicine Visit Recent Posts Treatment Protocol for Peripheral Neuropathy Red Light Therapy for Peripheral Neuropathy Why most elective foot surgeries are not necessary? Alternative treatments for foot pain and how ibuprofen broke my ankle Halloween Edition-Bloody Ingrown Toenails Common Foot Problems Heel PainSports injuriesRunning injuriesFungus ToenailsIngrown toenail carePediatric Foot Buy Supplments Accepted Insurance Plans Health insurance plans in Missouri that Arch City Foot & Ankle are contracted to: United Health CareBlue Cross and Blue ShieldAnthem BCBSMedicareMedicaidRailroad MedicareCignaAetnaGHPAdvantraMercyHealthlinkHealthcare USATricareWellcare Please contact the office if your insurance plan is not listed above. The post Treatment Protocol for Peripheral Neuropathy appeared first on Arch City Foot & Ankle.
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  • Red Light Therapy for Peripheral Neuropathy

    Red Light Therapy for Peripheral Neuropathy
    Apr 16 2025
    Red light therapy is emerging as a potent treatment that supports the body’s healing properties including foot and ankle problems and painful neuropathy and it may be a valuable complement to doctor-prescribed treatments for neuropathy, pain and numbness in the feet. Light has long been used for healing, but in recent years scientists have isolated the benefits of specific wavelengths of light. Red and near infrared light appear to have the greatest range of benefits, with little to no side effects. Red and near infrared (NIR) light works on the body in much the same way as sunlight does in plants by increasing cellular energy production and metabolism. This causes a beneficial ripple effect on the treatment area that promotes healing from the inside out. Nerve cells respond well to the biostimulating effects of red and near infrared (NIR) light, making this natural treatment an effective therapy for neuropathic pain. Nerve cells that are completely severed may or may not regrow on their own, but red light has been shown to stimulate cellular metabolism and support the growth of new peripheral nerves. This can bridge the gap and restore sensation to feet that suffer from numbness. Nerve cells that are crushed may or may not recover but again. However, red light therapy supports the growth of new peripheral nerves. Nerve cells that are damaged by inflammation or other conditions can be supported by red light therapy. They may regain normal functioning in just a few months of consistent treatment. Two elements directly involved in nerve healing and regeneration are Schwann cells and fibroblasts. Schwann cells are specialized peripheral nervous system cells that mobilize in response to nerve damage. They form the myelin sheath, which is the protective layer that surrounds nerves and allows for fast communication. Fibroblasts are cells found in connective tissue. They help form the fibers necessary to reconnect severed or damaged tissue. They signal Schwann cells to regrow peripheral nerves. Red Light Therapy helps support this process. Red light therapy is an umbrella term that includes the most beneficial red wavelengths (630-660nm) and NIR wavelengths (810-850nm) for easing neuropathy pain, reducing inflammation, and increasing blood flow. It uses FDA-cleared medical-grade light-emitting diodes (LEDs) to deliver concentrated wavelengths of red and/or near-infrared light where it absorbs deep into the tissues to stimulate cells to perform at their best. Lets get you started on your journey with a non-surgical option to improve your foot pain or assist you in faster healing. Call us for a consultation or set up your appointment online by clicking here. Make an Appointment Eureka Location Telemedicine Appointment LocationsEurekaTelemedicine Visit Recent Posts Treatment Protocol for Peripheral Neuropathy Red Light Therapy for Peripheral Neuropathy Why most elective foot surgeries are not necessary? Alternative treatments for foot pain and how ibuprofen broke my ankle Halloween Edition-Bloody Ingrown Toenails Common Foot Problems Heel PainSports injuriesRunning injuriesFungus ToenailsIngrown toenail carePediatric Foot Buy Supplments Accepted Insurance Plans Health insurance plans in Missouri that Arch City Foot & Ankle are contracted to: United Health CareBlue Cross and Blue ShieldAnthem BCBSMedicareMedicaidRailroad MedicareCignaAetnaGHPAdvantraMercyHealthlinkHealthcare USATricareWellcare Please contact the office if your insurance plan is not listed above. The post Red Light Therapy for Peripheral Neuropathy appeared first on Arch City Foot & Ankle.
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  • Why most elective foot surgeries are not necessary?

    Why most elective foot surgeries are not necessary?
    Sep 14 2022

    The post Why most elective foot surgeries are not necessary? appeared first on Arch City Foot & Ankle.
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  • Alternative treatments for foot pain and how ibuprofen broke my ankle

    Alternative treatments for foot pain and how ibuprofen broke my ankle
    Nov 14 2020

    We have been taught by many years of practice and schooling that traditionally our first treatment of choice and the standard of care for chronic and acute pain is the use of anti-inflammatory medication. This can include oral medicine or injectable types. But……it’s not a cure…..just a bandaid for the pain and they’re cheap bandaids. Listen to my podcast about how we can battle foot pain with alternative medicines and why I think they work better than OTC and prescription medications.

    What type of problems cause foot pain? Acute vs Chronic. We are going focus on general foot pain.

    List of foot problems that cause pain and can be treated safely with foot pain alternative treatments

    -Arthritis

    -PF

    -ingrown toenails

    -sprains

    -broken bones

    -even fungal toenails cause pain

    -Bone bruises

    -cartilage damage

    -Tendinitis

    Listen in for some great suggestions for alternative food supplements that will help reduce your inflammation. Very good article that lists all herbal medicines that I talk about in this podcast that will help with foot pain alternative treatments https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877453/

    Article about the importance of Omega 3/6 on reducing inflammatory phases in the https://pubmed.ncbi.nlm.nih.gov/16841861/

    We have a new online patient ordering program! You can now get your Standard Process®, MediHerb®, and Standard conveniently from us. Contact our office for details. Sign up for Patient Direct at http://www.standardprocess.com.

    If you would like to have your Omega 3 and Omega 6 test simply with a finger prick test that here in Arch City Foot and Ankle can help. Check out this video about the test for more details. http://vimeo.com/408012742

    Home Foot arthritis pain

    The post Alternative treatments for foot pain and how ibuprofen broke my ankle appeared first on Arch City Foot & Ankle.
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    21 min
  • Halloween Edition-Bloody Ingrown Toenails

    Halloween Edition-Bloody Ingrown Toenails
    Oct 31 2020

    Welcome back to What the Foot podcast and Happy Halloween. With winter on the way and the end of open toes shoes and sandals, we are going to discuss ingrown toenails, why we get them, how to fix them, and how to prevent them. I will also explain little about me and about why the delay in my podcast recording. Fracturing my ankle has helped me understand what my patients go through on the other side of anesthesia and how Brazilian jiu jitsu helped turn my life around.

    Find me at http://www.feetdoc.com

    Ingrown toenail care

    https://www.facebook.com/stlfeetdoc

    Enjoy the show.

    The post Halloween Edition-Bloody Ingrown Toenails appeared first on Arch City Foot & Ankle.
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    13 min
  • WTF Episode 2- Bosnia vs Obamacare, Allen Craig foot injury

    WTF Episode 2- Bosnia vs Obamacare, Allen Craig foot injury
    May 9 2018

    Welcome to the 2nd episode of WTF podcast. Want to learn something good and something bad about Obamacare? What does healthcare in Bosnia have in common with Obamacare? We will tell you here.

    Listen to our first review on the Powerstep over-the-counter arch support with our own “Buy it, Try it, or Fry it” options.

    Lis Franc sport injuries? What are they and why Allen Craig will have a tough time returning to baseball this year during the MLB playoffs. Lis Franc joint injuries are very common in professional athelets and can cause significant loss of playing time. I will discuss the recovery time for this injury in my podcast.

    WTF Episode 2- Bosnia vs Obamacare, Allen Craig foot injury

    by Dr. Dennis Timko

    http://content.blubrry.com/thefootguypodcast/WTF_Episode_2.m4a

    Dr. Dennis M. Timko

    Podiatrist

    Dr. Dennis Timko, is a podiatrist in the St. Louis, Eureka, MO. area. Dr. Timko specializes in diabetic foot care, foot surgery, AFOs, and orthotics. Dr. Timko is the solo owner of Arch City Foot & Ankle, which has been in business since 2003.

    The post WTF Episode 2- Bosnia vs Obamacare, Allen Craig foot injury appeared first on Arch City Foot & Ankle.
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  • 4 simple ways to test for neuropathy in the foot

    4 simple ways to test for neuropathy in the foot
    May 9 2018

    Read and even listen to our Foot podcast and how easy it is to test for neuropathy in the foot.

    What’s the difference between a large and small sensory nerve in the foot that can cause numbness problems? How do you test for sensory neuropathy? This article and radio show are about testing for numbness in the foot. We also have more information on vitamin treatments for neuropathy in our website on foot and ankle problems.

    Sensory examination

    The most important exam for testing for neuropathy in the foot is the neurological physical examination in the office. This exam consists of deep tendon reflex, proprioceptive exam, sharp and dull touch, warm and cold temperature testing and vibratory sensation. All these simple tests can tell us important information that doesn’t require expensive tests, MRIs, or biopsies. There are mainly 2 different types of sensory nerves in the foot, large fiber and small fiber (2 sub-types). The small are composed of two sub-types, the C fiber that is thin (diameter 0.4-1 micrometer) and unmyelinated (no insulator or myelin). The second type is the more rapid, thinly myelinated A-delta fiber (1-5 micrometer in diameter). Both carry types of pain sensation and other sensations (intense pressure, cold, and others depending on the receptor type). The large fibers carry touch and pressure as well as joint position sense. These fibers are myelinated, hence faster in conducting impulses from the periphery to the brain.
    When you touch a hot plate for example, you will feel pain/hot right away, that is the A-delta fibers, and then later (seconds or minute later) you feel deep achy burning pain, that is the slow C fiber.
    EMG/NCS (nerve conduction studies) measures only the faster (large nerves) and does not exclude the possibility of small fiber neuropathy if it is normal. Therefore, to test the small nerves you will need a ENFD as shown below. One of my favorite lecturers in podiatry is Dr. Allen Jacobs. You can listen to his excellent perspective on how to test for neuropathy.

    4 simple ways to test for neuropathy in the foot

    by Dr. Dennis Timko

    http://content.blubrry.com/thefootguypodcast/WTF_episode_11-Nerve_testing.m4a

    Dr. Dennis M. Timko

    Podiatrist

    Dr. Dennis Timko, is a podiatrist in the St. Louis, Eureka, MO. area. Dr. Timko specializes in diabetic foot care, foot surgery, AFOs, and orthotics. Dr. Timko is the solo owner of Arch City Foot & Ankle, which has been in business since 2003.

    The post 4 simple ways to test for neuropathy in the foot appeared first on Arch City Foot & Ankle.
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  • Foot Orthotics VS Arch Supports

    Foot Orthotics VS Arch Supports
    Jul 4 2017

    Happy 4th of July! Listen to this episode if you want to learn the difference between difference between orthotics and over the counter arch supports?

    Arch Supports & Orthotics: Do we really need them?

    If you are listening to this you probably had or are currently dealing with foot pain.

    Learn my recommendations for my favorite OTC foot orthotics.

    Why are custom orthotics expensive? What foot problems and are they used for? Arthritis, neuromas, foot pain, flat feet, pediatric foot problems, heel pain, plantar fascitiis, diabetics, and wounds.

    Why I don’t recommended them for everyone?

    We have a special quest will blow your mind about foot orthotics.

    Everyone has different foot types

    How are they made and what makes custom?

    From the evaluation, biomechanics to the casting technique and the production and materials.

    Weight and foot type contribute to what type of orthotics you may need.

    How much are foot orthotics and OTC arch supports?

    Why attorneys and the highly litigious world can contribute to the increasing prescribed use of foot orthotics?

    How do you get foot orthotics made? Make an appointment today to get casted.

    Orthotics vs OTC Arch Supports

    by Dr. Dennis Timko

    https://content.blubrry.com/thefootguypodcast/Orthotics_vs_OTC_arch_supports-7_3_17_12_51_PM.m4a

    Dr. Dennis M. Timko

    Podiatrist

    Dr. Dennis Timko, is a podiatrist in the St. Louis, Eureka, MO. area. Dr. Timko specializes in diabetic foot care, foot surgery, AFOs, and orthotics. Dr. Timko is the solo owner of Arch City Foot & Ankle, which has been in business since 2003.

    The post Foot Orthotics VS Arch Supports appeared first on Arch City Foot & Ankle.
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