Jay Lieberman DPM, FACFAS

Dr. Marvin Steinberg, father of modern podiatric medicine, recommended the use of posterior tibial sympathetic nerve blocks (for among other things) to temporarily improve arterial flow and assist in the healing of ischemic ulcers. Dr. Steinberg understood that the posterior tibial nerve controls 85% of the sympathetic fibers going into the foot. Even a temporary increase in blood flow to the foot could have significant benefits to the patient with mild to moderate compromise of the arterial flow to the foot.

Former late night television host, Johnny Carson, suffered from exercise induced claudication, which occurred predominantly during his daily tennis game. To improve upon his symptoms and better his performance, Mr. Carson underwent an endarterectomy on his limbs. By today