By ASHLEY ANDERSON
Nearly half of us will suffer from foot fungus by the age of 70. While the condition can easily be hidden, there’s no reason to endure the troublesome infection now that an effective procedure is being offered in Louisville and Southern Indiana.
Dr. H. Fred Preuss Jr., a leading podiatric physician and surgeon of the foot and ankle, has welcomed GenesisPlus, a new noninvasive laser system that is an efficient solution to nail fungus without such side effects as gastrointestinal and skin disorders or headache and abnormal liver function occasionally induced by traditional topical and oral therapies – on which Americans are estimated to spend about 2.1 billion annually.
Preuss is among the first in Southern Indiana and the Louisville area to provide the treatment for the condition seen commonly in athletes and diabetics. Gradually heating the fungus and promoting the growth of healthy, clear nails, the innovative system applies laser energy to the nail plate and surrounding tissue.
An exciting new feature of Preuss’ practice, GenesisPlus is just the beginning of the various procedures and services Preuss provides for his patients. The podiatrist is one of the few in the country who has performed total ankle replacement using the Star Total Ankle by Small Bone Innovations. In practice for more than 25 years, his office specializes in old-fashioned podiatric services and contemporary medical technologies. “We keep things that work, (and) if we can find something that’s new, we use it,” Preuss explained of his simple philosophy.
As a surgeon, Preuss performs forefoot and rearfoot reconstruction, as well as corrective bunion and hammertoe surgeries. Moreover, he utilizes the latest in non-invasive surgical alternatives such as the Ossatron Shockwave Therapy for severe heel pain or plantar fasciitis. With a full-service and comprehensive podiatric practice, he treats Achilles tendon ruptures, ingrown nails, Morton’s neuromas, plantar warts, sesamoid injuries and turf toe, stress fractures, tailor’s bunions, shin splints and several other foot and ankle disorders. Custom-made orthotics and diabetic shoes or insoles are also made available to clients and same-day appointments, when needed, are offered.
“I see 400 (patients) a week,” said Preuss, who rotates between his four offices, located in Floyds Knobs, Ind., on Bardstown Road, Dixie Highway and LaGrange Road. “The average (a podiatrist sees), just from (what I’ve read in) magazines … (is) 90 a week. … We’re able to get people in and treat them more efficiently, more economically and do more volume.”
As if he weren’t already busy enough, Preuss is an avid runner and, thus, well-versed in podiatric sports medicine. He understands how to appropriately modify a person’s training due to injuries or recovery and can recommend how to avoid further damage. “We try to keep everybody active,” Preuss said. “You’ve got to keep the (downtime) to (a minimum). Just telling (a patient) they can’t run, it doesn’t work.”
Preuss is a believer in exploiting the best procedures and technology in his practice. He’s taken part in stem cell research and uses absorbable, as opposed to cortical, fixation when repairing the ankle or foot, so that screws or sharp points disappear in a patient six to nine months after surgery. Through his ingenuity he’s been able to heal even the most difficult foot and ankle issues. “I had this one patient with this congenital birth defect, in Canada, and they told her that she was basically going to have to lose her foot. And she came down, and I was able to do three surgeries on her, and it worked out fine,” he said.
Proving he’s at the top of his class in podiatry, Preuss is humble about the success of his practice and its future. Working closely with his wife, Janice, who’s in charge of payroll and office supplies, the two plan to initiate another family member into the business when their daughter graduates from college in a few years. “(My daughter) actually wants to do what I’m doing, so I plan on keeping (the business) going until she’s done and just letting her have it,” Preuss said.
Although he’s been able to handle traveling from location to location, seeing patients of all ages throughout the week, Preuss said he isn’t looking to expand his offices anytime soon. Instead, he’s focused on doing what he’s done best so far and keeping abreast of the latest procedures and technology in order to bring the highest-quality care to the people of Louisville and Southern Indiana. “I don’t want to open up another (location),” he said. “I just want to stay on top of it and stay busy. … (I like) the hands on part (of business). Just being able to help people.”
Preuss’ offices are located at 3684 Highway 150, Suite 3, Floyds Knobs, Ind.; 6323 Bardstown Road, Fern Creek, Ky.; 2905 Dixie Highway; and 311 LaGrange Road, PeWee Valley, Ky.
Photos by CHRIS HUMPHREYS | The Voice-Tribune