expert type icon EXPERT

Dr. Lee A Wittenberg, DPM

Podiatrist (Foot and Ankle Specialist)

Dr. Lee Wittenberg is a 3 year surgically trained Podiatrist. Dr. Wittenberg is trained in all elements of foot and ankle surgery, wound care and limb salvage, and general Podiatric medicine. Dr. Lee Wittenberg is Board Certified by the American Board of Lower Extremity Surgery, as well as the American Board of Foot & Ankle Surgeons. Whether you need clinical treatment with orthotics, Diabetic shoes and insoles, or bracing of the foot and ankle for pathologies such as Drop Foot, Flat Foot reconstructions, care of an injury or fracture, or an ankle sprain, you can find the care you need at Apache Foot & Ankle Specialists. Dr. Wittenberg is also a wound care and limb salvage expert. If you have a long-standing or non-healing wound, Diabetes, or other Dermatologic issues, Apache Foot & Ankle Specialists can help you in those areas. Dr. Wittenberg is kind, compassionate, and ethical, and will always be looking out for the patients' best interests.
21 years Experience
Dr. Lee A. Wittenberg, DPM
Specializes in:
  • Foot Injuries and Disorders
  • Las Vegas, NV
  • Ohio College of Podiatric Medcine
  • Accepting new patients

What will a podiatrist do for ankle pain?

A Podiatrist will examine your foot/ankle, as necessary. If they feel the injury requires, they will send you for imaging studies, such as x-rays, CT scans, MRI. And if conservative READ MORE
A Podiatrist will examine your foot/ankle, as necessary. If they feel the injury requires, they will send you for imaging studies, such as x-rays, CT scans, MRI. And if conservative treatment is indicated, you will be treated conservatively. If a tendon or ligament is severely sprained, attenuated, or torn, or if there is a fracture, surgical intervention may be indicated.

What is the strongest treatment for athlete's foot?

There are several over-the-counter medications for purchase at the pharmacy which may resolve athletes foot. These would be classified as 'anti-fungal' medications. If it does READ MORE
There are several over-the-counter medications for purchase at the pharmacy which may resolve athletes foot. These would be classified as 'anti-fungal' medications. If it does not resolve after applying such medications after a week or two, you can get a stronger prescription from a Podiatrist or Dermatologist.

How do you get rid of white toenail fungus?

Toenail fungus of any kind is difficult to get rid of. There are several types of over-the-counter topical medications that you can try, but be aware that when you use a medication READ MORE
Toenail fungus of any kind is difficult to get rid of. There are several types of over-the-counter topical medications that you can try, but be aware that when you use a medication topically (prescription or OTC), you are looking at anywhere between 9 months to 3-4 years of treatment, sometimes with no resolution of the issue. The best way to treat onychomycosis (toenail fungus) is with an oral medication. This medication must be monitored, and it must be prescribed by a physician. You will take the oral medication for 3-4 months, and it will still take a full 9 months to resolve the issue in most cases.

How do you relieve toe pain?

It depends on what is causing your toe pain. You may have structural deformities, such as hammer toes, which cause joint pain and sometimes nerve-related pain into the toes. READ MORE
It depends on what is causing your toe pain. You may have structural deformities, such as hammer toes, which cause joint pain and sometimes nerve-related pain into the toes. You may have ill-fitting shoes. You may require orthotics. It is impossible to tell without you having a medical evaluation by a professional who specializes in foot and ankle pathology.

Will walking on a broken toe make it worse?

Any fracture can be worsened in pain and swelling by walking a lot if the fracture is not healed. Also, a fracture can displace if you walk too much on a fractured bone (this READ MORE
Any fracture can be worsened in pain and swelling by walking a lot if the fracture is not healed. Also, a fracture can displace if you walk too much on a fractured bone (this means the fracture fragments can move). If you displace the fragments to a point where there is too much gap between fragments, or if the become severely maligned, you may require surgery to get the bones back into place and to allow for proper healing

Can you walk after foot surgery?

It is completely dependent on what type of surgery you are having. There are surgeries that I perform where a patient may walk for short distances (bedroom to living room, to READ MORE
It is completely dependent on what type of surgery you are having. There are surgeries that I perform where a patient may walk for short distances (bedroom to living room, to bathroom) in a protective shoe or boot, there are other surgeries I perform where the patient may not bear weight for 6-12 weeks after surgery, and the patient may be in a cast or splint.

Can too much walking cause swollen ankles?

The most common cause of swollen ankles is fluid retention and venous insufficiency. Many women develop venous insufficiency after pregnancies. But it is a problem that develops READ MORE
The most common cause of swollen ankles is fluid retention and venous insufficiency. Many women develop venous insufficiency after pregnancies. But it is a problem that develops over time in many people. Walking too much is not a cause of swelling. There is another reason your ankles are swollen.

What is the most effective treatment for toenail fungus?

The most effective treatment for toenail fungus is an oral medication called Lamisil (Terbinafine). The pill must be taken every day for 3 months, but you won't see full results READ MORE
The most effective treatment for toenail fungus is an oral medication called Lamisil (Terbinafine). The pill must be taken every day for 3 months, but you won't see full results for 9 months after starting the medication. The pill is safe, but is processed by your liver, so you may not take the medication unless a liver function panel is performed to evaluate your liver functions, and you may not take the medication if you are on certain other medications, or if you have any kind of liver issues. There are also topical treatments. Many of the topical treatments are expensive, and may not be covered by insurance companies. Furthermore, a topical treatment must be used for 9 months to 4 years, often without curing the issue.

Can a dislocated ankle fix itself?

I don't think you understand what it means to dislocate a joint. If the joint came out of the socket (dislocation), it is possible that the joint could relocate, but not likely. READ MORE
I don't think you understand what it means to dislocate a joint. If the joint came out of the socket (dislocation), it is possible that the joint could relocate, but not likely.

Should I go to the doctor for a dislocated ankle?

If your ankle was truly dislocated, you would not be able to ambulate. So most certainly, you should.

Thick toenails that grow out extremely slowly?

There is likely fungus in your toenail. (The medical term for this is Tinea Unguam, or Onychomycosis). It is a difficult problem to treat, and usually is simply a cosmetic issue. READ MORE
There is likely fungus in your toenail. (The medical term for this is Tinea Unguam, or Onychomycosis). It is a difficult problem to treat, and usually is simply a cosmetic issue. You can go to your local Podiatrist to have a nail biopsy performed and a fungal culture of the nail may be performed, as well. These cultures do not always show a positive result, as fungus is also difficult to grow and to identify, but if you get a positive culture, there will be a specific strain of fungus identified-this aids in decisions for treatment. But the most successful and common treatment is 3 months of oral medication called "Lamisil." This medication is processed by the liver, so a liver function panel (a blood test) must be performed prior to taking the medication, and you can not be on certain medications and take this particular medication. It takes an entire 9 months to grow a new nail, even with the use of Lamisil, so the medication DOES NOT give immediate results. Other alternatives are topical medications, but they often don't work, and they must be used a minimum of 9 months and up to 2-3 years.

What causes a toenail to separate from the nail bed?

Usually a trauma of some sort causes bleeding beneath the nail plate (a subungual Hematoma), and the blood separates the nail from the nail bed. This may sometimes be a permanent READ MORE
Usually a trauma of some sort causes bleeding beneath the nail plate (a subungual Hematoma), and the blood separates the nail from the nail bed. This may sometimes be a permanent problem. Sometimes, also, nail fungus may get introduced under the nail plate, and this may also make the nail 'lyse' from the nail bed.

When can I put weight on my foot after bunion surgery?

Your surgeon should be answering that question, as we all have different protocols for surgery, and there are also different types of bunion surgery, all with different healing READ MORE
Your surgeon should be answering that question, as we all have different protocols for surgery, and there are also different types of bunion surgery, all with different healing times and restrictions with weight bearing (WB). But physiologically speaking, a traditional bunionectomy (An "Austin" or head procedure) takes 6 weeks to fully heal. A more simple bunionectomy (a "Silver" bunionectomy, where they just remove the 'bump') will be healed when the skin healed (2.5-3 wks). Finally, a more complex bunion that requires the fusion of bones (A Lapidus Bunionectomy) will take around 12 weeks to heal. Each of these has different time constraints for bearing weight, and this will largely be determined by the surgeon who performs your surgery.

Does tendonitis ever fully heal?

It depends on how damaged the tendon is. Was an MRI performed? Where there any tears or irregularities in the substance of the tendon? Have you, as a patient, been asked to READ MORE
It depends on how damaged the tendon is. Was an MRI performed? Where there any tears or irregularities in the substance of the tendon? Have you, as a patient, been asked to be in a boot or cast? Have you been asked to rest? Have you been given anti-inflammatory medications? Were you compliant with the treatment plan?? Many patients take pills or are told to be minimally active and use assistive devices, such as walking boots, crutches, casts, and other items, to alleviate stress off the tendon and allow for healing to occur. Many patients are non-compliant with such things, and without alleviated stress off the tendon, the problem does not improve, or worsens. This being said, tendons are very dysvascular structures (they do not have a good blood supply), and healing is never 'quick' with such problems, even if surgery is performed.

Can you have surgery for nerve pain?

It really depends on why you have nerve pain. 'Neuropathy,' which is a condition in which the nerves start to send abnormal signals to the brain, and other nerve-related pain READ MORE
It really depends on why you have nerve pain. 'Neuropathy,' which is a condition in which the nerves start to send abnormal signals to the brain, and other nerve-related pain such as CRPS/RSD (Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy) are very complicated to treat, and in the case of CRPS/RSD, NO SURGERY SHOULD EVER BE PERFORMED, or the problem may become worse. For nerve pain related to radiculopathy (impingement of nerves for various reasons at the spinal cord and spinal column), there may be nerve ablation surgery or even spinal cord stimulators which may decrease pain surgically. However, nerve pain is very tricky, and you must insure you are having procedures performed by competent, board certified physicians. In the foot and ankle, there are surgical nerve releases throughout the leg that may be performed for Neuropathic pain, but often they are unsuccessful. And finally, there are nerve releases and repairs that may be done for carpal tunnel, tarsal tunnel, and pathologies such as Neuromas.

How can you tell the difference between a fracture and a dislocation?

A fracture is a break in a bone. A dislocation is when bones separate at a joint level.

What is the fastest way to heal an ankle dislocation?

A true ankle dislocation is associated with tendon and ligament issues/tears/ruptures, and often has bone issues (fractures or osteochondral defects) associated with the pathology. READ MORE
A true ankle dislocation is associated with tendon and ligament issues/tears/ruptures, and often has bone issues (fractures or osteochondral defects) associated with the pathology. Initial treatment may be immobilization in a boot or a cast. But an MRI MUST be performed to asses the true damage to the ligaments, tendons, and bones associated with the dislocation. And most ankle dislocations are also associated with fractures of the ankle, and many of these require surgical intervention.

How do you manage bone spurs?

'Bone Spurs' is a waste basket term-a term misused and too commonly used by patients and other physicians. What you probably mean is 'heel spurs,' but you have not specified. READ MORE
'Bone Spurs' is a waste basket term-a term misused and too commonly used by patients and other physicians. What you probably mean is 'heel spurs,' but you have not specified. An actual bone spur is often caused by a periosteal reaction of the bone, which stimulates new bone growth, often around a joint or a ligament or tendon attachment. Some of these spurs need to be surgically removed. Sometimes they are largely cosmetic and do not cause the patient pain. Sometimes you are referring to plantar fasciitis, which actually has nothing to do with the bone spur associated with that pathology.

What causes bone pain in the foot?

There are many things that cause bone pain in your foot. If you have had a trauma, a fracture or contusion may cause bone pain. Arthritis may cause pain in the bones and joints READ MORE
There are many things that cause bone pain in your foot. If you have had a trauma, a fracture or contusion may cause bone pain. Arthritis may cause pain in the bones and joints of the feet. A bone tumor or cyst could cause pain in the bones of the feet. There are also many muscles, tendons, and ligaments in the foot, along with nerves and blood vessels. The foot and ankle are exceptionally complicated structures. It is impossible to answer such a generalized question, but you should see a specialist for further evaluation.

How do I help my son who's ankle surgery is delayed?

Most people do not require surgery to repair a sprained ankle. Especially in a 10 year old boy. Most ankle sprains are handled conservatively with a cast, a walking boot, and/or READ MORE
Most people do not require surgery to repair a sprained ankle. Especially in a 10 year old boy. Most ankle sprains are handled conservatively with a cast, a walking boot, and/or an ankle brace for several weeks to several months, if necessary. The only indication for surgery would be if the ankle was actually fractured and displaced, or if it was a fracture at a certain level on the fibula. If it was a simple sprain, the first course of action is to immobilize the patient in a walking boot or a cast, and then move to physical therapy modalities. If the patient does not improve after a couple months, an MRI must be performed in order to determine if a ligament is actually ruptured and needs to be repaired. Otherwise, surgery is NOT indicated. Rest, Ice, Elevation, Immobilization. That's it.