Advanced Foot & Ankle Center

Advanced Foot & Ankle Center At Advanced Foot & Ankle Center, we believe that healthy feet are happy feet and we offer the highest quality podiatric care in Danbury, CT.

At Advanced Foot & Ankle Center, we are dedicated to relieving pain and treating your foot and ankle conditions promptly so you can get back on your feet and living a healthy, active life. Our board certified podiatrist, Paul Betschart, D.P.M. has over a decade of experience treating common foot problems, such as warts, bunions, ingrown toenails, calluses, corns, fungal toenails, and athlete’s foot, as well as more serious ailments, like Achilles tendonitis, plantar fasciitis, arthritis, flatfeet, gout, cysts, and neuromas. Advanced Foot & Ankle Center also treats ankle sprains, strains, fractures, and other sports related injuries. We want our patients to be educated about good foot health so they can make informed choices about their care. We believe that the foot doctor is your partner in developing a healthy lifestyle and we promote proactive and preventive care for diabetic patients, children, and seniors. Advanced Foot & Ankle Center has two easily accessible locations, one in Danbury, and offer convenient appointments and digital x-rays in both offices. Healthy feet are the foundation of a healthy body and that’s why our friendly and compassionate staff is committed to meeting all your foot and ankle care needs with the best quality care currently available. If you have questions or concerns about your feet, we urge you to call us today to set up a consultation and take the first step to good foot health.

Chemotherapy has revolutionized cancer treatment, significantly improving survival rates for many patients worldwide. Ho...
11/19/2025

Chemotherapy has revolutionized cancer treatment, significantly improving survival rates for many patients worldwide. However, its life-saving benefits often come at a cost, with nerve damage to the lower limbs emerging as one of the most debilitating side effects. Known as Chemotherapy-Induced Peripheral Neuropathy (CIPN), this condition affects nearly half of patients undergoing certain chemotherapy regimens, particularly those involving platinum-based agents such as Oxaliplatin. Despite the severity of the potential complications of neuropathy, a study from the University of South Australia reveals a distressing gap in supportive care: fewer than 20% of patients at risk utilize podiatry services that could dramatically alleviate their symptoms, improve their function and prevent complications. The results from the US population would be no doubt similar.



CIPN manifests as a constellation of sensory and motor impairments, including numbness, burning sensations, tingling, and muscle weakness that predominantly affect the feet. These symptoms often develop insidiously during or after chemotherapy, dramatically reducing patient quality of life. Podiatrists possess specialized skills in managing lower limb disorders and are uniquely positioned to address the multifaceted challenges posed by CIPN. Our expertise encompasses assessment, prevention, and treatment strategies aimed at preserving neuromuscular function, preventing falls, and minimizing foot trauma. Early podiatric intervention can contribute to fall prevention—a critical factor given that CIPN-related balance impairments significantly heighten fall risk. Moreover, effective podiatric care can reduce the incidence of ulcerations and infections, which, if left untreated, may escalate to amputations.



In our practice we have taken the additional step of addressing the nerve damage itself utilizing an innovative treatment, electric signal therapy with the Neurogenx Nerve Pro 2000 device. This sophisticated electrical therapy uses biosimilar electrical waveforms delivered through the skin to directly stimulate the damaged nerves promoting an increase in cellular metabolism and neurotransmitter release.

This can lead to improvement in nerve function and an increase in skin nerve fiber density. We have seen great clinical improvement in patients treated with this method over the last 7 years with over 85% of patients experiencing a positive effect.

If you or a loved one have been exposed to chemotherapy, we would be happy to help with any foot or leg issues including neuropathy.

Losing the feeling in your toes and feet is a weird sensation.There are many reasons why numbness of the feet can occur....
11/12/2025

Losing the feeling in your toes and feet is a weird sensation.

There are many reasons why numbness of the feet can occur. Three common ones are diabetes, chemotherapy, and low back conditions. Alcohol, medications, and some autoimmune conditions can also cause neurological symptoms in the feet.

Regardless of the cause, the symptoms can be quite similar. Numbness, tingling, burning, and sharp stabbing sensations are what people describe the most.

The general term for these symptoms is NEUROPATHY.

A serious cause for concern is that these sensations can cause your balance to be compromised.

The biggest challenge we face in the healthcare industry when it comes to neuropathy is finding an effective solution.

Medications such as Gabapentin, Lyrica and a few others have helped some people with neuropathy, especially when caused by diabetes. Some vitamins have been known to decrease symptoms, and topical pain relievers such as CBD products and capsaicin can help too.

Unfortunately, neuropathy from chemotherapy and lumbar conditions are much less responsive to any treatments. And a small percentage of people have what’s called idiopathic neuropathy, which means there’s no known cause.

In any case, neuropathy is a frustrating condition to have and equally frustrating to treat.

Depending on the particular circumstance, we have a method to help relieve the symptoms of neuropathy and potentially reverse the nerve damage of neuropathy. The technique is a one of a kind electric signal therapy using the Neurogenx Nerve Pro 2000 device. This therapy is the only one available that can improve the function of damaged nerves leading to the clinical benefits of decreased pain and numbness, improved balance and improved function. We have ad an over 85% success rate with this therapy over the last 7 years. If you or a loved one are experiencing the signs or symptoms of neuropathy, come in for an evaluation to see how this comfortable, private treatment can benefit you!

If you stop to think about it, it is rather amazing what our feet do for us throughout our lifetime.Anyone who can get t...
10/28/2025

If you stop to think about it, it is rather amazing what our feet do for us throughout our lifetime.

Anyone who can get through life unaffected by a foot problem is incredibly lucky.

When a foot problem does arise, we usually ask our feet to plow through in spite of the pain. But getting a foot condition to resolve while sticking with your normal routine isn’t always possible.

We certainly do our best to help foot and ankle problems without suggesting downtime. But here’s the thing… there are just some foot conditions that require us to give our feet a rest.

That rest could be in the form of avoiding the treadmill or power walking. For runners, it could mean not running for a while. For people who stand all day at work, it could even mean taking some time off.. Certain conditions might require the use of a boot or crutches to allow them to heal.

There is so much pressure on our feet, that hoping they will heal without giving them some rest is just plain asking too much.

If you’re not sure whether your foot pain needs a rest to heal, feel free to come and see us for an opinion.
We will get you back on your feet in no time!

For most people that have surgery or an injury, healing of the area progresses normally with a gradual reduction of pain...
10/08/2025

For most people that have surgery or an injury, healing of the area progresses normally with a gradual reduction of pain which eventually goes away. In some cases pain can persist and even worsen during the recovery process. When this type of pain persist and impacts function it is labeled as a chronic pain syndrome. Complex Regional Pain Syndrome is a type of chronic pain syndrome that affects a certain area of the body, for example an arm or leg. CRPS is further categorized into type 1 and type 2. There are similarities and differences to both types. The underlying pathological cause of the development of CRPS is not known. The prevailing theory is that of an abnormal response of the sympathetic nervous system to injury.

Definition:
CRPS Type 1: Also known as reflex sympathetic dystrophy (RSD), it occurs after an injury or trauma without direct nerve damage.
CRPS Type 2: Also known as causalgia, it develops after a specific nerve injury.

Symptoms:
Both types share similar symptoms, including:
Intense, burning, or throbbing pain
Allodynia (pain from normally non-painful stimuli)
Hyperalgesia (increased sensitivity to pain)
Swelling, redness, and warmth
Changes in skin color and temperature
Hair loss, nail growth abnormalities
Muscle weakness and spasms

Diagnosis:
Diagnosis is based on clinical criteria, including: History of trauma or nerve injury, Characteristic symptoms, Physical examination findings, and Ruling out other conditions.
Treatment:
Treatment aims to manage pain and improve function:
Medications (analgesics, antidepressants, anticonvulsants)
Physical therapy (range of motion exercises, nerve blocks)
Sympathetic nerve blocks
Spinal cord stimulation
Surgery (in rare cases)

Prognosis:
The prognosis varies depending on the severity and duration of symptoms. Early diagnosis and treatment can improve outcomes.
Key Differences:
Cause: Type 1 occurs without nerve damage, while type 2 results from a specific nerve injury.
Prevalence: Type 1 is more common than type 2.
Treatment: Treatment is similar, but type 2 may require additional interventions to address the underlying nerve damage.

It's important to note that CRPS can be a complex and challenging condition. If you or someone you know experiences symptoms suggestive of CRPS, it's crucial to seek medical attention right away. Early treatment can prevent long term complications.

The short foot exercise is a foot strengthening exercises from the Yoga tradition that aims to restore strength and stab...
09/10/2025

The short foot exercise is a foot strengthening exercises from the Yoga tradition that aims to restore strength and stability to the arch of the foot.
How to Perform:
Stand with your feet shoulder-width apart.
Engage the muscles in the bottom of your foot, as if you are pushing your toes into the ground.
Spread your toes wide apart.
Lift the arch of your foot, bringing the ball of your foot closer to your heel.
Hold the contraction for 5-10 seconds.
Relax and repeat.

Benefits:
Reduces pronation (flattening of the arch).
May help prevent foot injuries, such as plantar fasciitis.
Strengthens the intrinsic muscles of the foot, which support the arch.
Improves foot posture and alignment.

Variations:
Sitting: Perform the exercise while seated.
One-legged: Perform the exercise on one leg at a time.
With weights: Hold a light weight in each hand while performing the exercise.

Precautions:
Avoid over-contracting the muscles, as this can cause pain.
If you have any foot injuries or conditions, consult with a healthcare professional before performing this exercise.

Frequency:
Start with 2-3 sets of 10-15 repetitions per day.
Gradually increase the number of sets and repetitions as you get stronger.
Video explanations of this technique are available on YouTube

The short foot exercise is a complementary exercise that can be used in conjunction with other foot strengthening exercises and stretches. It is important to have a comprehensive foot health routine to maintain overall foot health.

Gastroparesis Awareness Month is a valuable opportunity, not just for public education, but also for healthcare provider...
08/22/2025

Gastroparesis Awareness Month is a valuable opportunity, not just for public education, but also for healthcare providers to reexamine a condition that often goes undiagnosed, particularly in patients with chronic, complex illnesses.

Gastroparesis is defined as delayed stomach emptying without a physical blockage. It sits at the intersection of gastrointestinal dysfunction and neurological impairment. For physicians, recognizing this connection is critical, not only for symptom relief but also for maintaining quality of life and stabilizing blood sugar, especially in people with diabetes.

Not One-Size-Fits-All
Gastroparesis isn’t a uniform disease. It varies widely and often begins with vague symptoms like bloating, early fullness, or occasional nausea, complaints that are easy to dismiss. But in patients with autonomic nerve damage, these symptoms can be severe and ongoing, rooted in deeper neurological problems.

This isn’t just a case of slow digestion, it’s a breakdown in communication between the brain and the gut, particularly in the systems that regulate automatic body functions, the autonomic nervous system.. For patients with diabetes, that breakdown can further destabilize an already delicate balance.

The Nerve Connection: Autonomic Neuropathy
The most common known cause of gastroparesis is diabetic autonomic neuropathy (DAN), which leads to damage of the vagus nerve. This is the nerve responsible for signaling the movement of food through the stomach and intestines. When the vagus nerve is impaired, gastric contractions slow down, causing food to remain in the stomach for an abnormally long time.

This leads to symptoms including:

Nausea
Vomiting
Bloating
Abdominal pain
And it’s a vicious cycle: erratic stomach emptying disrupts insulin timing and blood glucose control. Even well-managed diabetes becomes unpredictable.

It’s Not Just Diabetes
While diabetes is the most familiar cause, many other conditions can lead to vagus nerve dysfunction and gastroparesis. These include:

Amyloidosis
Parkinson’s disease and other neurodegenerative disorders
Autoimmune diseases
Paraneoplastic syndromes
Post-viral autonomic dysfunction (including long COVID)
In some cases, gastroparesis may be one of the first signs of a broader neurological or systemic issue.

What to Look For
Patients with autonomic neuropathy–related gastroparesis tend to have:

More severe and persistent GI symptoms
Symptoms that worsen with blood sugar swings
Other signs of autonomic dysfunction (e.g., orthostatic hypotension which is a rapid blood pressure drop when standing up, resting fast heart rate, erectile dysfunction)
The degree of vagal nerve dysfunction often correlates with how delayed the gastric emptying is. In diabetes, parasympathetic nerve damage (especially involving the vagus nerve) can occur early, sometimes before other autonomic symptoms develop.

Takeaways
Gastroparesis isn’t just a GI disorder, it’s often a warning sign of deeper neurological issues.

In diabetic patients, persistent GI complaints should trigger evaluation for autonomic neuropathy and adjustments in insulin regimens.

In non-diabetic patients, new gastroparesis symptoms may warrant a broader neurological or autoimmune workup.

Treatment should go beyond medications that promote motility. A well-rounded approach includes:

Dietary changes
Optimizing blood glucose
Considering neuromodulatory therapies when appropriate, especially where peripheral neuropathy also exists.
Ultimately, recognizing the gut–nerve connection can lead to better care, fewer unnecessary tests, and more precise treatment.

What’s more, peripheral neuropathy, which causes numbness, tingling, or weakness in the hands and feet, can sometimes predict problems with the autonomic nervous system. This is especially common in people with diabetes, where long-term high blood sugar can damage many types of nerves over time. When the same nerve damage that affects the feet and hands starts to impact the nerves that control automatic body functions, it can lead to more serious issues. It’s a red flag that the nerve damage is no longer staying in one place and it’s time to take action before more systems are affected.

Address

57 North Street, Ste 108
Danbury, CT
06810

Opening Hours

Monday 9am - 7pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm
Saturday 8am - 12pm

Telephone

+12037910466

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At Advanced Foot & Ankle Center, we are dedicated to relieving pain and treating your foot and ankle conditions promptly so you can get back on your feet and living a healthy, active life. Our board certified podiatrist, Paul Betschart, D.P.M. has over two decades of experience treating common foot problems, such as warts, bunions, ingrown toenails, calluses, corns, fungal toenails, and athlete’s foot, as well as more serious ailments, like Achilles tendonitis, plantar fasciitis, arthritis, flatfeet, gout, cysts, and neuromas. Advanced Foot & Ankle Center also treats foot and ankle sprains, strains, fractures, and other sports related injuries. We want our patients to be educated about good foot health so they can make informed choices about their care. We believe that the foot doctor is your partner in developing a healthy lifestyle and we promote proactive and preventive care for diabetic patients, children, and seniors. Advanced Foot & Ankle Center has two easily accessible locations, one in Danbury and one in Middlebury, and offer convenient appointments and digital x-rays in both offices. Healthy feet are the foundation of a healthy body and that’s why our friendly and compassionate staff is committed to meeting all your foot and ankle care needs with the best quality care currently available. If you have questions or concerns about your feet, we urge you to call us today to set up a consultation and take the first step to good foot health.