Podiatric Surgery

Advanced techniques in foot and ankle surgery.
Bone lengthenings, ankle and rearfoot fusions along with advanced trauma techniques.

Efforts to advise all options in foot and ankle care are taken to meet the needs of the patient and strive for the most appropriate surgical plans and operations for the best outcome with the easiest recovery.

Since you stand and walk and run on your feet, these surgeries are different from most in the orthopedic world. Sometimes the more aggressive procedures are the more long lasting but a longer recovery is needed. Sometimes a less aggressive, with very little recovery time procedure fits the patients desires and will achieve a satisfactory outcome.

Techniques in surgery involve knowledge, skill and use of hardware. Hardware used in orthopedic surgery includes, plates, screws (absorbable or non), fixation devices like frames, pins, staples, special cements and implants.

Our feet are very complex structures, comprised of 26 bones, 30 joints, 19 muscles, and 107 ligaments in each foot.  Ailments related to the foot are very common and can be very debilitating. Although some can be traced to heredity, many stem from the cumulative impact of a lifetime of abuse and neglect.  There are a number of systemic diseases that are sometimes first detected in the feet, such as diabetes, circulatory disorders, anemia, and kidney problems. Arthritis, including gout, often attacks foot joints first. As specialists in foot and ankle pathology, our purpose is determining a cause and finding a solution to your pain and discomfort. Your feet, like other specialized structures, require specialized care. A doctor of podiatric medicine can make an important contribution to your total health, whether it is regular preventive care or surgery to correct a deformity. 

In order to keep your feet healthy, you should be familiar with the most common ills that affect them. Remember, though, that self-treatment can often turn a minor problem into a major one and is generally not advisable. You should see a podiatric physician when any of the following conditions occur or persist. Some of these ailments are: 

bunion1.jpgBUNIONS:
Bunions are usually described as a painful bump on the foot. The deformity occurs when the first metatarsal is misaligned with the great toe. The metatarsal begins to slant outward, and the great toe angles toward the other toes. Bunions tend to run in families, but the tendency can be aggravated by shoes that are too narrow in the forefoot and toe. There are conservative (nonsurgical) measures  that can minimize the discomfort of a bunion, but surgery is frequently recommended to correct the problem.

 

HAMMERTOE:
Hammertoes are commonly seen in the 2nd- 5th toes. It is a contracture (bend) in one of the two joints that comprise each toe. This contracture is caused by an imbalance between the tendons on the top and bottom of the toe.  Hammertoes often start out as a flexible deformity. However, as time progresses it becomes more rigid.  These contractures cause the bone in the toe to become prominent, in turn causing rubbing and irritation in shoes. The affected toe can form a callus, and become red and inflamed.  In severe cases, open sores can form. Treatment includes wider shoes, callus removal, and padding of prominent areas. For more rigid deformities correction of the deformity with surgery may be indicated.

neuroma.jpgNEUROMA:
Neuromas are enlarged, benign growths of nerves, most commonly between the third and fourth metatarsals. They are caused by bones and other tissue rubbing against and irritating the nerves. Abnormal bone structure or pressure from ill-fitting shoes also can create the condition, which can result in pain, burning, tingling, or numbness between the toes and in the ball of the foot. Conservative treatment can include padding, taping, orthotic devices, and cortisone injections, but surgical removal of the growth is sometimes necessary.