Big Toe Fusion (1st MPJ Arthrodesis)
The first metatarsophalangeal (MTP) joint is the joint in your big toe. The first MTP joint fusion is a surgical procedure to treat arthritis of the big toe. Big toe arthritis (also known as hallux rigidus) can cause pain and swelling and lead to difficulty walking, running, and wearing shoes. Arthritis develops when the cartilage on each bone wears away and the two bones that make up the big toe joint rub against one another.
Custom Orthotics
Custom inserts are specially designed and highly customized shoe inserts a doctor will prescribe to treat certain conditions of the foot. Also called “insoles or foot orthotics”, they are made specifically for you to wear inside your shoes to correct biomechanical problems of your foot or heel.
Non-Surgical Bunion Treatment
Non-surgical bunion treatment involves conservative or non-surgical measures to treat a foot condition called a bunion. A bunion, also known as hallux valgus, is a bony protuberance that appears on the external surface of the big toe, angling it toward the adjacent toe. A bunion can change the shape of your foot, making it difficult for you to wear regular shoes.
Custom Inserts
Custom inserts are specially designed and highly customized shoe inserts a doctor will prescribe to treat certain conditions of the foot. Also called “insoles or foot orthotics”, they are made specifically for you to wear inside your shoes to correct biomechanical problems of your foot or heel.
Non-Surgical Treatment for Foot and Ankle Pain
The foot and ankle form complex joints involved in movement and providing stability and balance to the body. The foot is composed of different structures including bones, ligaments, tendons, and muscles. As the feet bear the weight of our body, they are more prone to injury and pain. Normally, foot pain can be treated with home treatments but may take time to heal.
Foot and Ankle Rehabilitation
The foot is composed of different structures including bones, ligaments, tendons, and muscles. As the feet bear the weight of our body, they are more prone to injury and pain. A foot injury or foot surgery may leave you immobile for a period of time. After any injury or surgery to your foot, a rehabilitation program will help you get back to your daily activities quicker.
Foot and Ankle Osteotomy
Foot and ankle osteotomy is a surgery performed to remove parts of a bone in your foot or ankle that might be causing pain or limiting your mobility. The surgery helps relieve pressure on the foot and ankle caused by the bone deformity or injury. The foot and ankle consist of 26 bones, 33 joints, and many muscles, tendons, and ligaments.
Foot & Ankle Deformity Correction
Foot and ankle deformity is the structural abnormality caused by misalignment of the bones of the foot and ankle. Mild deformities can be corrected with non-surgical treatments including physical therapy, orthoses (splints or braces or other artificial external devices), special footwear and medications.
Charcot Reconstruction
Charcot foot and ankle is a condition characterized by gradual weakening of the bones, joints and soft tissues, and loss of sensation in the foot and ankle. It is caused by nerve damage (neuropathy) in the foot and ankle or due to diabetes. Charcot reconstruction is the surgical procedure of repairing and restoring the foot and ankle.
Charcot Foot Reconstruction
Charcot foot reconstruction is a surgery performed to repair damage to the bones, ligaments, tendons and other structures in a foot affected by a condition called Charcot foot, which is characterized by loss of sensation in the foot. Charcot foot also called “neuropathic osteoarthropathy”, is a serious condition that can result in severe infection, deformity, and disability.
Foot and Ankle Cartilage Repair
Foot and ankle cartilage repair is a surgical procedure to restore the damaged cartilage in the foot and ankle joint. Cartilage repair can be performed either through a single long incision called the open approach or via a minimally invasive approach called arthroscopy. Two or more small incisions are made in the foot and ankle joint and an arthroscope is made inserted to aid in the surgical repair.
Cavus Foot Reconstruction
Cavus foot reconstruction is a deformity correction surgery to treat cavus foot which is also called pes cavus or high arches. Cavus foot occurs when the arch on the bottom of the foot that runs from the toes to the heel is arched more than normal. This causes pain and instability in the foot while walking, standing, and running.
Post-Traumatic Reconstruction of the Foot and Ankle
Post-traumatic reconstruction of the foot and ankle is a surgical procedure performed for the correction of foot and ankle deformities as a result of traumatic injury and to restore lost function. It may include osteotomy (cutting and reshaping of bone), bone grafting, tendon transfers, soft tissue repair, joint implantation, and arthrodesis (fusions of bones at joints).
Shockwave Treatment for Plantar Fasciitis
Shockwave treatment, also known as Extracorporeal Shock Wave Therapy (ESWT), is a conservative procedure to treat plantar fasciitis of the foot, where shockwaves are passed through the heel to stimulate healing of the inflamed plantar fascia tissues. Shockwave treatment utilizes mechanical high energy sound waves, which function by improving blood flow to the inflamed area to speed up the healing process.
Revision Foot and Ankle Surgery
Foot and ankle surgery is performed when injuries or conditions are severe and conservative treatment methods are inadequate. It may involve repairing, realigning, or reconstructing structures in the foot and ankle. The procedure is safe and outcomes are generally good, but occasionally failure may occur due to various reasons.
Total Talus Replacement
Total talus replacement is a surgical procedure in which the damaged or injured talus bone of the ankle joint is removed and replaced with a prosthetic implant. The foot and ankle are complex structures that are involved in movement and provide stability and balance to the body. They consist of 26 bones, 33 joints, and several tendons, muscles, and ligaments.
Open Reduction and Internal Fixation of the Foot
Open reduction and internal fixation (ORIF) of the foot is a surgical procedure performed to repair serious fractures (broken bones) of the foot that cannot be fixed with a splint or a cast. Open reduction refers to making an open incision (long surgical cut) to reach the broken bones and reposition or realign them back into their normal position.
Complex Foot and Ankle Surgeries
Complex foot and ankle surgeries are procedures employed to treat foot and ankle structures with deformities, injuries, structural issues, and damage from diseases like diabetes or arthritis. The foot and ankle are complex joints involved in the movement, and providing stability and balance to the body. They are flexible structures that consist of 26 bones, 33 joints, and many muscles, tendons, and ligaments.
External Fixation for Foot and Ankle Trauma
External fixation for foot and ankle trauma is a surgical method that uses external fixators to immobilize broken bones of the foot and ankle to enable them to heal properly. Foot and ankle trauma refers to injuries that most commonly occur during sports, exercise, or other physical activity. They can include sprains, strains, fractures, and dislocations.
Midfoot Fusion
Midfoot fusion is a surgical procedure most commonly employed for the treatment of midfoot arthritis. Arthritis is the inflammation of joints as a result of degeneration of the smooth cartilage that lines the ends of bones in a joint. This degeneration of the cartilages leads to painful rubbing of the bones, swelling, and stiffness in the joints, resulting in restricted and painful movements.
Minimally Invasive Foot Surgery
Minimally invasive foot surgery (MIFS) uses the latest advanced technology to treat foot and ankle pain caused by a variety of conditions. Special surgical instruments, devices, and advanced imaging techniques are used to visualize and perform the surgery through small incisions. The aim of MIFS is to minimize damage to the muscles and surrounding structures, enabling a faster recovery with less pain.
Treatment of Foot and Ankle Sports Injuries
Injuries during sports are common. They can result from accidents, inadequate training, improper use of protective devices, or insufficient stretching or warm-up exercises. Injuries to the foot and ankle are common while playing sports such as football, hockey, skating and in weekend athletes. Common sports injuries include sprains and strains, ankle fractures and Achilles tendinitis.
Cavovarus Foot Correction
To support the entire body’s weight on your two feet, the inner middle portion of each foot (midfoot) is raised off the ground to form an arch. A cavovarus foot deformity is characterized by a higher-than-normal arch of the inner midfoot. This results as the two ends of the foot - the heel and toes - abnormally draw towards the inside of the foot, causing the foot to rest on its outer side.
Flatfoot Reconstruction
Foot reconstruction is a surgery performed to correct the structures of the foot and restore the natural functionality of the foot that has been lost due to injury or illness. Flatfoot or pes planus is a condition in which the foot does not have a normal arch when standing. The primary objectives of flatfoot reconstruction are reduction of pain and restoration of function and appearance.
Foot Rehabilitation Following Surgery
You are encouraged to start walking with crutches or a walker following your surgery. Your doctor will help to structure and supervise an exercise routine that is ideal for you. Begin with a few warm-up exercises, followed by stretching, then move onto the strengthening exercises, followed again by stretching. If you experience pain, stop and contact your doctor, who will modify the routine to suit you.
Clubfoot Casting and Surgery
Clubfoot also known as talipes equinovarus is a congenital condition characterized by the inward and downward twisting of the feet at the ankles. It is usually diagnosed at birth and is best treated a few weeks after birth. If untreated, it can affect your child’s ability to stand and walk. Clubfoot casting is a non-surgical method employed for the early correction of clubfoot.
Foot Reconstruction
Foot reconstruction is a surgery performed to correct the structures of the foot and restore the natural functionality of the foot that has been lost due to injury or illness. Ideally, any foot surgery for reconstruction is done to improve the appearance and function of the foot so that you can maintain your quality of life.
Neurolysis
Neurolysis is a procedure that involves injecting chemical agents into nerve fibers to reduce nerve pain by destroying the damaged nerves. These agents degenerate the nerve fibers blocking the transmission of pain signals. Neurolysis may also involve surgery to remove scar tissue around or within the nerve tissue or to remove the nerve itself.
Cryotherapy of the Foot
Cryotherapy of the foot, also known as cryosurgery or cryocautery, is a treatment that involves the use of an extremely cold instrument or liquid to treat chronic foot pain by freezing and destroying damaged nerve fibers which cause pain and removing abnormal growths on the skin. This procedure is considered very safe as it minimizes damage to surrounding healthy tissue.
Internal and External Fixation of Foot and Ankle Fractures
Foot and ankle fractures are breaks or cracks in any bone of your foot and ankle joint. Fixation of fractures is a surgical method of reconnecting the broken or cracked bones and fixing them in the correct place using orthopedic hardware.
Minimally Invasive Bunion Surgery
Minimally invasive bunion surgery, also known as keyhole bunion surgery, is a procedure to treat a foot condition called a bunion or hallux valgus. During minimally invasive bunion surgery, a few small incisions are made to access the bone around the bunion, as opposed to a much larger incision made during an open bunion surgery that cuts across layers of tissue around the bone
Management of Foot and Leg Wounds
A wound is a break in the skin caused by an injury (cuts, scratches, and scrapes), surgery, or conditions such as diabetes. Management of foot and leg wounds refers to the care or treatment employed for the management of lower extremity wounds until they heal, addressing the immediate medical needs as well as precautions for the future.
Stress Fractures of Foot and Ankle
A stress fracture is described as a small crack in the bone which occurs from an overuse injury of a bone. It commonly develops in the weight-bearing bones of the lower leg and foot. When the muscles of the foot are overworked or stressed, they are unable to absorb the stress and when this happens the muscles transfer the stress to the bone which results in stress fracture.
Haglunds Deformity
Haglund’s deformity, also known as “pump bump”, is a condition in which bony extensions are formed at the back of the heel, leading to swelling near the Achilles tendon. Due to the bony enlargement, the tissue near the Achilles tendon becomes irritated when it rubs against footwear, causing painful bursitis.
Foot and Ankle Sports Injuries
Foot and ankle sports injuries are damage sustained to the foot and ankle during sports and exercises. Foot and ankle sports injuries may be either acute (sprains, fractures, tears) or chronic (tendonitis, overuse injury) injuries. Foot and ankle sports injuries typically occur when the foot or lower leg twists unexpectedly while playing sports such as football, basketball, hockey, skating, tennis, and athletic activities.
Charcot Osteoarthropathy
Charcot osteoarthropathy is a progressively destructive and degenerative joint disorder that most commonly affects the foot and ankle in diabetic patients with peripheral neuropathy. Peripheral neuropathy is a condition of nerve damage, usually in the lower extremities. It is a complication of uncontrolled diabetes, resulting in diminished sensation and decreased ability to feel pain and temperature in the feet.
Posterior Tibial Tendon Dysfunction
The posterior tibial tendon passes through the ankle to attach the calf muscle with the bones of the midfoot. It provides stability to the arch and supports the foot while walking. Inflammation or a tear of this tendon as a result of injury may cause dysfunction, leading to pain and the development of a flatfoot.
Plantar Fasciitis
Plantar fasciitis refers to the inflammation of the plantar fascia, a thick band of tissue that is present at the bottom of the foot. It runs from the heel bone to the toes and forms the arch of your foot. Plantar fasciitis is one of the most common causes of heel pain. It is most often seen in middle-aged men and women, but may also occur in those who are constantly on their feet.