Stanley G. Newell, DPM, PS

Notice: The Seattle Foot and Ankle Clinic will be closing on March 17th. Therefore, Dr. Newell will be going on a sabbatical, but continuing his research on how the foot affects the back. He is unsure if he will return to practice podiatry. You may obtain a copy of your chart by calling 206-527-4177. For continuity of care you can make an appointment with Dr. Erik Lilja who will be moving to a UW Medical Clinic in the Fremont area, by calling that same number, or a podiatrist of your choice. You may check this website for further developments.

Diagnostic Tools

X-rays or Radiography

Conventional imaging study of the skeletal system. It is quick, safe and yields very good information about the structure and alignment of the skeleton. Soft tissue rendering is very limited, but can occasionally contribute to the recognition of foreign bodies.

Advanced Radiography

Stress Radiography
Conventional radiography technique is used to image joints that are mechanically or manually placed under stress. We utilize the Telos Ankle Stress device to assess the integrity of the ankle and subtalar ligaments.

Arthrogram
Conventional radiograph technique is utilized to image joints which have been injected with “radiograph visible” dye.

Both techniques require more time and the participation of your physician. Risks and benefits will be discussed for each technique.

MRI
Magnetic Resonance Imaging offers physicians and surgeons a vast amount of information regarding the anatomy and physiology of the body. Different sequences are utilized to highlight specific molecules in the tissues of the body to create detailed images of specific body locations. Anatomical structures such as bone, tendon, ligament, joints and muscle are well visualized and help contribute information to a diagnostic work-up or to help plan a surgical intervention. Physiologic change in the tissues can also be determined which lends information to a diagnostic work-up as well.

CT
Computed Tomography Scanning (CT Scan) offers physicians and surgeons detailed images of the internal structures of the body. In the orthopedic setting, most of our interest is in the skeletal structure. CT scans render the best detail for bone and joint anatomy. A CT scan works similarly to a conventional X-Ray. However, unlike x-rays, implanted hardware can create difficulties for the clarity of the completed image.

Bone Scan
An imaging tool used for pin pointing specific areas of pathology by evaluating increased areas of blood supply at the site of the pathology. A radioactive material is injected into the blood stream and the radio active material will pool at the site of the inflammation or injury. We typically do the bone scan on both feet for comparison purposes

Ultra Sound
A noninvasive study utilizing sound waves to image soft tissue and bone. This same technique is also used to visualize babies in utero. In our office ultrasound is useful for evaluating ganglions, bursas, joints, tendons, motions, neuromas, edema and swelling, etc. We also use it for diagnostic injections of joints in which we can use the image to guide us more accurately into the joint

Compartment Testing
An invasive study of the leg, or foot, compartments, to determine if abnormally high pressures occur with exercise. Pre and post exercise measurements are obtained and the post-exercise return-to-normal time is monitored. These values are then compared with accepted norms and a determination is made regarding the likelihood of increased compartmental pressures.

Video Gait Analysis
Real time analysis of how you run on a treadmill with video capture and slow-motion frame by frame playback, allows your doctor to see how your feet, ankles and legs are interacting with the ground in great detail. Patients walk and then run on a treadmill while a video camera captures their activity. This is then reviewed with your physician. Patients need to wear shorts or pants that can be secured above the knee.






© 2017, Stanley G. Newell, DPM, F.A.C.F.A.S.
Phone: 206-527-4177