Heriberto D, 66

Q:  Is Routine Foot Care covered by Medicare or my
Medicare HMO?

A:  Medicare has very specific guidelines about routine foot
care, which is trimming of the toenails, corns and/or
callouses on the feet.  Our office can properly evaluate your
condition and let you know if you meet their criteria.  If you do
not, we can still offer you this service on a regular basis at an
affordable rate.
Mary B, 36

Q:  I am constantly getting ingrown toenails.  What can be done to correct this
problem permanently?

A:  This is a common complaint in our office.  It is interesting to see what creative
ways patients have found trying to solve this problem.  In our office, we use a
technique that doesn't require cutting through the skin or using sutures.   The
procedure involves removing only the portion of the nail impinging into the soft
tissue surrounding the nail plate.  A chemical is used to destroy the root of the
abnormal nail plate, resulting in a better looking and better feeling toenail.  The
procedure is performed under local anesthetic in the office, and the patient can
return to regular footwear immediately.  This procedure results in great
satisfaction by our patients.
Nichole L, 27

Q:  I like to get pedicures.  Is that a good idea?

A:  Studies are showing that this popular way of pampering yourself can force you
to see medical help afterwards.  Bacteria trapped in some pedicure whirlpools
can lead to skin infections and improperly sterilized instruments can lead to the
spread of toenail infections, such as onychomycosis.  If you do go to a spa, make
sure it looks clean and sanitary and has been certified by the state.  Also, don't
shave your legs before a pedicure and don't go if you have cuts on your legs.  

If you have any systemic conditions, such as diabetes mellitus or peripheral
vascular disease, your goal should be to have a complete foot evaluation and
treatment, more than for cosmetic reasons.  In this case, you would be better off
seeing your podiatrist, who can make your feet feel as good as they look.
Peter Z, 29

Q:  I have very painful heels.  What are my options besides surgery?

A:  We are very excited about a recently approved treatment by the FDA.  
Extracorporeal Shockwave Treatment is the newest treatment modality for
painful heel spurs and plantar fasciitis.  This is a noninvasive (no incisions)
treatment, which delivers an acoustical energy, or sound waves, to the affected
areas of the foot to trigger the body's own natural repair mechanisms and
stimulate healing.  This technique is safe and effective and recovery time is
usually short of the traditional invasive surgery.
Frequently Asked Questions:
Consuela R, 69

Q:  Where and how can I obtain a pair of therapeutic diabetic shoes I have read

A:  Medicare, as well as some private insurance companies, allow for one pair of
therapeutic diabetic shoes and three pairs of multi-density inserts per patient per
calendar year.  There are numerous places to obtain diabetic shoes these days,
with some facilities even coming to your home to fit you with these very
specialized shoes.  However, with Medicare's strict guidelines about the
dispensement of diabetic shoes and the necessity of obtaining a proper fit to
avoid any injury to your feet, it is recommended that you obtain them from your
podiatrist.  In our office, we have a wide range of styles and colors to choose
from.  We measure your feet and obtain the proper documentation from your
treating doctor.  
Phone (214) 330-9299
Fax      (866) 846-5648
Richard C. Galperin, DPM, FAPWCA, PA
801 N Zang Blvd, Ste 103
Dallas, TX  75208

July, 2017

“Before coming in to Dr Galperin’s office, I couldn’t walk across the yard.  
And, after having a stroke, I would stumble over my own foot.  Now that I
have the Richie Brace, I’m able to walk better without dragging my feet
and having to walk differently.  I can walk across the yard.  Neighbors
have noticed a change in my walking.  Before, I would not be able to tap
my toe, because it would drag.  Now I’m able to tap; and, hearing that…
brings a smile!”

Kenneth S.


June, 2017

“I think Dr. Galperin is a wonderful doctor and my intention is for him to
be my foot doctor for life…”
Dorothy H, 65

Q:  I have bunions on both of my feet.  Does this condition always require surgery?

A:  Bunions are usually caused by abnormalities of the bones and/or walking
patterns.  This condition is usually progressive, depending on the degree of
severity of the deformity and the pain and discomfort to the patient, a multitude of
treatment options may be available.  Diagnosis of this condition is usually made in
the office.  X-ray evaluation is performed in order to determine the condition of the
underlying bones and joints.  After discussion of the patient's needs and
requirements, treatment recommendations are made.  If surgery is suggested,
the procedure is usually performed under local anesthetic, with the patient able to
ambulate (walk) the same day.  No crutches, casts or walking boots are required.  
If a significant deformity is noted, the patient can expect dramatic results almost
immediately after surgery.