headshot of Dr. Russell Carlston - Podiatrist in Holdrege, NEThe ruralMED Health Cooperative is excited to be able to provide podiatry services to Critical Access Hospitals and their communities. In today’s health care setting, it can be difficult to bring in specialists that can provide the care our patients and communitites need. Working together, the
cooperative members have found an affordable option to share Dr. Carlston’s services.

Dr. Russell Carlston is an experienced and highly-skilled
specialist in the treatment of foot and ankle disorders. A Colorado native, he attended the University of Colorado in Colorado Springs. After that he attended Barry University in Miami, FL, where he earned a Doctorate of Podiatric Medicine. He went on to complete a three-year residency in Podiatric Medicine and Surgery with the added credential in Reconstructive Rearfoot/Ankle Surgery at St. Joseph Medical Center in Houston, TX. While in residency, he gained comprehensive training in forefoot, midfoot, and rearfoot surgery, trauma, wound care, diabetic foot care, and reconstructive surgery. After completing his residency, he relocated to Holdrege, NE to join the team at ruralMED Health Cooperative.

Utilizing a stepwise approach, Dr. Carlston and his team are committed to providing is patients with the highest level of care. An in-depth diagnosis is the first step to proper treatment. After an unhurried consult, a thorough discussion of his patient’s medical history, and a complete exam, Dr. Carlston will make sure they’re on the right road to recovery.

Common Conditions:

  • Plantar fasciitis
  • Neuromas
  • Ingrown, fungal, thickened, and painful nails
  • Athletes foot, rashes, and skin lesions of the foot and ankle
  • Warts
  • Diabetic foot care
  • Diabetic foot ulcers
  • Venous stasis and Arterial Ulcers
  • Bunions, bunionettes and hammertoes
  • Corns and calluses
  • Soft tissue masses
  • Biopsies
  • Trauma and sports injuries
  • Tendinopathies
  • Flat feet and cavus feet
  • Pediatric foot pain
  • Arthritis
  • Metatarsalgia

Clinical Procedures:

  • Debridement of superficial ulcer or wound
  • Excision or destruction of skin lesion (including skin biopsy and laser procedures)
  • Nail avulsion (partial or complete)
  • Matrixectomy (partial or complete, by any means)
  • Removal of hardware
  • Repair of simple laceration (no neurovascular, tendon, or bone/joint involvement)
  • Biological dressings / application of advanced skin product
  • Foot and Ankle orthotics
  • Prosthetics (including prescribing and/or dispensing toe filler and prosthetic feet)
  • Physical Therapy
  • Shoe Prescription/shoe modification
  • Tendinopathies and Achilles Pain

Surgical Procedures:

Digital Surgery

  • Partial ostectomy/ exostectomy
  • Phalangectomy
  • Implant
  • Diaphysectomy
  • Phalangeal osteotomy
  • Fusion (IPJ)
  • Amputation
  • Management of Osseous tumor/neoplasm
  • Management of bone/joint infection
  • Open management of digital fracture/dislocation
  • Revision/repair of surgical outcome

First Ray Surgery

  • Bunionectomy
  • Metatarsophalangeal joint (MPJ) fusion, Implant and arthroplasty
  • Cheilectomy
  • Joint salvage
  • Tendon transfer / lengthening / capsulotendon balancing procedure
  • Osteotomy (e.g., dorsiflexory)
  • Metatarsocuneiform fusion
  • Amputation
  • Management of osseous tumor/neoplasm (with or without bone graft)
  • Management of bone/joint infection (with or without bone graft)
  • Open management of fracture or MPJ dislocation
  • Corticotomy/callus distraction
  • Revision/repair of surgical outcome

Other Soft Tissue Foot Surgery

  • Excision of ossicle/sesamoid
  • Excision of neuroma
  • Removal of deep foreign body
  • Plantar fasciotomy
  • Lesser MPJ capsulotendon balancing
  • Tendon repair, lengthening, or transfer involving the forefoot (including digital flexor digitorum longus transfer)
  • Open management of dislocation (MPJ/tarsometatarsal)
  • Incision and drainage/wide debridement of soft tissue infection (including plantar space)
  • Plantar faciectomy
  • Excision of soft tissue tumor/mass of the foot (without reconstructive surgery)
  • Plastic surgery technique (including skin graft, skin plasty, flaps, syndactylization, desyndactylization, and debulking procedures limited to the forefoot.
  • Excision of soft-tissue tumor/mass of the ankle (without reconstructive surgery)
  • External neurolysis/decompression (including tarsal tunnel)

Other Osseous Foot Surgery

  • Partial ostectomy (including talus and calcaneous)
  • Lesser MPJ arthroplasty and implant
  • Bunionectomy of the fifth metatarsal with or without osteotomy
  • Metatarsal head resection (single or multiple)
  • Central metatarsal osteotomy
  • Open management of lesser metatarsal fracture(s)
  • Harvesting of bone graft distal to the ankle
  • Amputation (lesser ray, transmetatarsal amputation)
  • Management of bone/joint infection distal to the tarsometatarsal joint (with or without bone graft)
  • Management of bone tumor/neoplasm distal to the tarsometatarsal joints (with or without bone graft)
  • Open management of tarsometatarsal fracture/dislocation
  • Multiple osteotomy management of metatarsus adductus
  • Tarsometatarsal fusion
  • Corticotomy/ callus distraction of lesser metatarsal
  • Revision/repair of surgical outcome in the forefoot
  • Detachment/reattachment of Achilles tendon with partial ostectomy

Reconstructive Rearfoot/Ankle Surgery

Elective Soft Tissue
  • Plastic surgery techniques involving the midfoot, rearfoot or ankle
  • Tendon transfer involving the midfoot, rearfoot, ankle or leg
  • Tendon lengthening involving the midfoot, rearfoot, ankle or leg
  • Soft tissue repair of complex congenital foot/ankle deformity (clubfoot, vertical talus)
  • Delayed repair of ligamentous structures
  • Ligament or tendon augmentation/supplementation/restoration
  • Open synovectomy of the rearfoot/ankle
Ellective – Osseous
  • Operative arthroscopy
  • Subtarlar arthroereisis
  • Fusion for midfoot, rearfoot or ankle
  • Osteotomy for midfoot, rearfoot or tibial osteotomy
  • Coalition resection
  • Open management of talar dome lesion (with or without osteotomy)
  • Ankle arthrotomy with removal of loose body or other osteochondral debridement
  • Ankle implant
  • Corticotomy or osteotomy with callus distraction/correction of complex deformity of the midfoot, rearfoot, ankle or tibia
Non-Elective – Soft Tissue
  • Repair of acute tendon injury
  • Repair of acute ligament injury
  • Microscopic nerve/vascular repair of the midfoot, rearfoot or ankle
  • Excision of soft tissue tumor/mass of the foot (with reconstructive surgery)
  • Open repair of dislocation (proximal to tarsometatarsal joints)
  • Excision of soft tissue tumor/mass of the ankle (with reconstructive surgery)

Non-Elective – Osseous

  • Open repair of adult fracture in midfoot, rearfoot or ankle
  • Open repair of pediatric fracture or dislocations in rearfoot or ankle
  • Management of bone tumor/neoplasm (with or without bone graft)
  • Management of bone/joint infection (with or without bone graft)
  • Amputation proximal to tarsometatarsal joints

 

Available Locations for Services:

Access to podiatric services are essential in any community, and Dr. Carlston travels between several locations, providing his clinical and surgical services.

Harlan County Health System

717 N. Brown St.
Alma, NE 68920
Phone: 308.928.2151
Harlancountyhealth.com

Phelps Medical Group

1315 Tibbals Street
Holdrege, NE 68949
Phone: 308.995.6111
phelpsmedicalgroup.net

Tri Valley Health System

1305 US Highway 6 & 34
Cambridge, NE 69022
Phone: 308.697.3329
trivalleyhealth.com