Our Services

Heel Pain & Plantar Fasciitis

Plantar fasciitis is one possible cause of heel pain and often causes discomfort with the first steps after rest. An evaluation can help distinguish it from other causes and guide an individualized treatment plan.

Diabetic Foot Care

For patients living with diabetes, foot health is a critical part of overall wellbeing. Diabetes can reduce circulation and nerve sensation in the feet, making it harder to notice injuries — and making those injuries harder to heal. Without proper monitoring and care, minor problems can escalate to serious complications.

Dr. V provides diabetic foot evaluations, circulation and nerve assessments, wound evaluation, and ongoing foot care. The frequency and type of care depend on each patient's health and risk factors.

Newport, Dandridge, and Greeneville are open and accepting new patients.

Ingrown Toenails

Ingrown toenails occur when the edge of a nail grows into the surrounding skin, causing pain, redness, and swelling. If left untreated, they can become infected. While mild cases may respond to at-home care, recurring or infected ingrown toenails need professional treatment.

Treatment depends on the severity and whether the problem is recurring or infected. Options may include nail-care guidance or an in-office procedure after evaluation.

Call the office for prompt assistance if redness, drainage, or pain is worsening.

Bunions & Foot Deformities

A bunion is a bony bump that forms at the base of the big toe, causing the toe to angle toward the others. Over time, bunions can cause significant pain, difficulty finding comfortable shoes, and problems with balance and gait. Hammertoes, mallet toes, and other deformities can develop alongside bunions or independently.

Treatment depends on symptoms, deformity, activity, and examination findings. Options may include footwear changes, padding, orthotics, anti-inflammatory care, or surgery when appropriate.

An evaluation can help determine which options fit your individual situation.

Wound Care

Chronic wounds, diabetic ulcers, and non-healing injuries may require specialized attention. Dr. Vinogradov's listed practice scope includes wound care and diabetic limb-salvage evaluation; this scope statement is pending clinician confirmation before publication.

Care may include wound evaluation, debridement, dressings, offloading, infection management, or coordination with other specialists when appropriate.

Call the office promptly for a wound that is not healing or appears to be worsening. Seek emergency care for severe infection symptoms or another emergency.

Sports Injuries

Foot and ankle injuries are among the most common sports injuries, whether you're a competitive athlete or a weekend warrior. Ankle sprains, stress fractures, Achilles tendon problems, plantar fasciitis flare-ups, and turf toe are just a few of the conditions Dr. V regularly treats in active patients.

Evaluation may include examination and imaging when needed. Treatment depends on the injury and may include activity modification, bracing, rehabilitation guidance, an in-office procedure, or surgery.

Severe injuries, obvious deformity, or an inability to bear weight may require urgent evaluation.

Nail Fungus

Fungal toenail infections (onychomycosis) may cause nails to become thickened, discolored, brittle, or painful. Other nail conditions can look similar, so an evaluation may be appropriate before treatment.

Depending on the diagnosis and individual health factors, options may include prescription topical treatment, oral medication, or nail care. Results and treatment duration vary.

Foot & Ankle Fractures

Fractures of the foot and ankle range from minor stress fractures to complex multi-bone breaks requiring surgical fixation. Whether you rolled your ankle, dropped something on your foot, or developed a stress fracture from repetitive activity, prompt and accurate diagnosis is critical to proper healing.

Evaluation may include X-rays or advanced imaging when needed. Depending on the fracture, options can include casting, bracing, offloading, or surgical fixation.

Call promptly for a suspected fracture, worsening swelling, deformity, numbness, or difficulty bearing weight. Severe injuries may require emergency care.

Minimally Invasive Surgery (MIS)

Minimally invasive foot and ankle surgery uses specialized instruments and small incisions. Dr. Vinogradov is a regional expert in minimally invasive foot and ankle surgery; for appropriately selected patients, MIS can lead to faster recovery than traditional open approaches.

Dr. Vinogradov uses minimally invasive techniques for selected bunions, hammertoes, heel spurs, and fractures. Not every condition or patient is a candidate, and individual results and recovery vary.

During your evaluation, Dr. V will assess whether a minimally invasive approach is appropriate for your specific anatomy and condition, and walk you through what the procedure and recovery would look like.

Plantar Warts

Plantar warts are caused by the human papillomavirus (HPV) and grow on the bottom of the foot, often in pressure areas. They can be painful, persistent, and frustratingly resistant to over-the-counter treatments. Some warts cluster into larger lesions called mosaic warts, which can significantly impact daily comfort.

In-office options for plantar warts may include topical acids, cryotherapy, or surgical excision. The approach depends on the wart's size, location, examination, and treatment history.

The number of treatments and response vary. An evaluation can help distinguish a plantar wart from other skin conditions and guide an appropriate option.

Diabetic Shoes

Diabetic shoes — also called therapeutic shoes — are prescribed footwear designed to reduce pressure and protect the feet of selected patients with diabetes. Standard shoes can create pressure points for patients with reduced sensation or circulation concerns.

Dr. V evaluates qualifying patients for diabetic shoes and inserts as part of an individualized foot-care plan. Coverage and documentation requirements vary by plan and should be confirmed before ordering.

Call the office and your insurer to confirm current eligibility, benefits, and out-of-pocket cost.

Orthotics & Bracing

Custom orthotics are prescription medical devices that fit inside your shoe to correct how your foot functions. Unlike store-bought insoles, custom orthotics are designed from a mold or scan of your specific foot and are built to address your individual biomechanical issues — whether that's flat feet, overpronation, leg length discrepancy, or offloading a painful area.

Ankle-foot orthoses (AFOs) and other braces may be used to support patients recovering from surgery, managing chronic conditions, or dealing with ankle instability. Dr. V evaluates the level of support and device options for each patient.

Orthotics may help selected patients with chronic foot pain or biomechanical concerns. An evaluation is needed to determine whether a custom device is appropriate.

FSA, HSA, and insurance eligibility varies; confirm current coverage with your plan administrator.

Ankle Pain & Sprains

Ankle sprains are the most common musculoskeletal injury, but they're not always "just a sprain." Improperly treated ankle sprains can lead to chronic instability, recurring injuries, and long-term pain. If your ankle doesn't feel right after an injury — or you've been dealing with chronic ankle pain — it's worth getting a professional evaluation.

Dr. V performs comprehensive ankle assessments including physical examination and imaging when needed. Treatment plans are individualized and may include bracing, physical therapy guidance, injections, or surgical stabilization for chronic instability cases.

Evaluation and care options are also available for non-injury ankle conditions including arthritis, tendinitis, and nerve-related ankle pain.