To that effect, we have included an extensive section on this web site covering  scientific and technological breakthroughs that reshape our approach to treatment of disease conditions that affect lower extremity health.  If you are suffering from lower extremity pain due to failed conventinal treatments, or if you were told that your problem is incurable and that you must come to terms with the notion of daily pain, we invite you to contact the providers of the Foot & Ankle Institute of Hawaii to learn about treatment alternatives that can offer a new lease on life. 

At Foot & Ankle Institute of Hawaii,  we are devoted to providing each patient with the utmost courtesy, compassion, and proficiency while affording optimum leading edge care.  Our physicians spend most of their time listening in order to understand your concerns and to offer  the best treatment options for you.  We want our patients to be informed about their lower extremity problems because informed patients make better decisions about their health and well being.   

Our practice is one of dedication, excellence and advancement.  We pride ourselves on offering the very latest therapeutic modalities  which improve treatment outcomes in a manner that is safe, cost effective with little to no recovery downtime.  Our providers strive to continue to learn new and better methods to treat patients and to restore quality of life.

Neuropathy Pain Management Procedure












The benefits of Electronic Signal Therapy allow for:


  • Increased cellular growth

  • Increased metabolic activity

  • Energized cells

  • Reduction of swelling around the nerves

  • Stimulation of nerve function

  • Increased oxygen & blood directly to the nerve

  • Promotes increased wound healing

  • Provides anti-inflammatory action

  • Reduces scar tissue development

The Electronic Signal Treatment Process

The process will take approximately 30 minutes. Electro-pads are placed on the calf and foot area and electronic signaling begins. An injection (integrated nerve block) is given into the ankle to facilitate the efficiency of the electro-signal therapy.

This procedure is covered by most insurances plans. To confirm that your medical plan covers this procedure, please call our office.

Patients with Diabetic Peripheral Neuropathy endure exhausting pain, balance issues and sleep disorders associated with the breakdown of the peripheral nerves in the feet and lower legs. Commonly reported symptoms include a burning sensation, tingling and numbness, muscle weakness, changes in foot shape that lead to areas of increased pressure, excessively dry feet and cracked skin in addition to balance issues.

At Foot & Ankle Institute of Hawaii, we offer a neuropathy pain management procedure that can alleviate the painful symptoms of peripiheral neuropathy.  This is an FDA approved procedure that combines Electronic Signaling Technology (EST) with an integrated nerve block (INB). Most patients will require an average of 6 treatments and will notice a dramatic reduction in pain with this successful combination of electrosignaling and modified nerve block.

PRP Injection Therapy


















PRP injection therapy offers the following advantages:

  • It contains entirely natural products from a patient’s own blood.

  • Repeated cortisone injections can destroy and weaken ligament and tendon tissue

  • Long term anti-inflammatory medications only mask symptoms and can cause severe side-effects

  • The success rate for surgical management of tendonitis can vary and is unpredictable

The PRP Procedure

The injection of PRP for tendonitis and fasciitis is an office based procedure in which approximately 10cc’s of blood are drawn from the patient’s arm and placed in a sterile, single use container where it is prepared in a high-speed centrifuge. The portion of the blood that contains the platelet rich plasma is drawn off into a syringe. The area to be injected is prepared using standard sterile technique.  The injured area is anesthetized and then anywhere from 3cc to 5cc of the solution are injected into the affected tendon or fascia under ultrasound guidance.

To learn whether PRP injection therapy is right for you, please contact our office. 

Platelet-rich plasma (PRP) is a new technology focused on enhancing the healing response after injury of different tissue types. PRP is prepared by withdrawal of patients'  blood and centrifugation to obtain a highly concentrated sample of platelets.  Once injected, platelets undergo degranulation to release growth factors that are implicated in wound healing  with healing properties. It also contains plasma, cytokines, thrombin, and other growth factors that are implicated in wound, tendon and ligament healing.

PRP is effective in treating patients who wish for a rapid return to their preinjury level of function.  Patients suffering form tendon, ligament, muscle and cartilgate disorders may undergo faster, more intensive rehabilitation programs and return to sports more rapidly. PRP can be successful in helping old injuries and chronic problems that the body has been unable to heal. 

Plantar Fasciitis (heel spur), Achilles Tendonitis, Retro-Calcaneal Bursitis, Ankle Sprains and other painful foot and ankle conditions are now treated with PRP in athletes and non athletes alike.  Because of its autogenous origin, easy preparation, and excellent safety profile, the advent of PRP has opened another therapeutic door for physicians treating sports and overuse injuries.

Diabetes Foot Care & Limb Salvage Techniques 



















Diabetes can be dangerous to your feet – even a small cut can have serious consequences. Diabetes may cause nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, you may not notice a foreign object in your shoe or you could step on a sharp object and not feel any pain.  Wearing slippers and walking barefoot increase the risks of onset of a blister or sore which could set the stage for a limb threatening infection. 

If you have had diabetes for many years, or if you were only recently diagnosed with the disease, talk to your Primay Care Doctor about undergoing a foot screening.  If you suffer from a wound that does not heal, of  if you experience recurrent infections due to a foot or leg ulcer that resists conventional wound care efforts, contact the Foot & Ankle Institute of Hawaii.  Our providers will educate you about bio-engineered tissue and other cutting edge, technological breakthroughs including stem cell therapy, which bring the science of wound healing to new heights. 


To learn about foot care tips and other lifestyle changes that can keep you from losing a toe, foot or leg, click the button below to download Diabetes Foot Care Guidelines